How exactly do nurses carry out the nursing diagnosis for hypertension? Just read on to learn how. Statistics has shown that many people die yearly due to hypertension. Hypertension is now one of the leading causes of death in the world. Nurses therefore need to be aware of the best nursing diagnosis for hypertension. This will help the nurses towards an effective care for patients. There are various techniques or methods for carrying out diagnosis for hypertension. The two major diagnosis methods are the physiological diagnosis and the psychosocial method.
Usually when a patient complains of any symptom, what it generally refers to is that there is a disruption in the physiological set up of the patient. When the physiology of a man is normal, every function and characteristic of living being is expected also to be normal. However, in case of hypertension, the patients will come up with some complains especially fatigue. This is very crucial as the major cause of hypertension is the ill-functioning of the heart. The pressure in the heart pumping compartment and vessels are very essential. Little changes in the pressure cause the brain to react which could lead to fatigue and excessive tiredness. So the first physiological diagnosis focuses more on activity tolerance of the patient. Also, a nurse should look out for presence of any edema on the peripheral tissue. Hypertension could be as a result of blockage of vessels which may cause ineffective tissue perfusion. Therefore in some cases, there would be pool of body fluid in special area of the subcutaneous tissue of patients with hypertension.
Under the physiological diagnosis also, patients may present cases like irregular rhythms of the heart beat usually accompanied with chest pain. Also, the patients may present changes in the urinary system in case the renal is affected.
However, it is important to state that the above mentioned diagnostic measures are for hypertension in its early state. If a patient presents cases like impaired spontaneous ventilation, weakness in breathing, decrease cardiac output, etc., and then the hypertension is becoming more critical and complicated. In such case, joint and collaborative efforts between nurses and other professional team becomes very necessary. Everyone has quota to contribute.
As for the minor symptoms, the nutritional orientation is very important. Most times, it is ‘unhealthy’ nutrition that contributes to these physiological imbalances. Therefore, another nursing diagnosis for hypertension is nutrition. Nurses should then encourage the patients on balanced and healthy nutrition.
The psychosocial diagnosis involves the use of family history and the psychosocial status of the patient. When patients present some symptoms as mentioned above, the family medical history of such patients could also be helpful. Hypertension has been found to persist in family pedigree. Therefore if a member of the family has earlier been confirmed of been hypertensive, then there is all possibility that the patient could also develop it. However, further confirmatory test needs to be employed.
In addition, nursing diagnosis for hypertension could sometimes involve checking out for Ineffective Therapeutic Regimen. This is related to the sequence with which the patient is having hypertension as shown by evidence. This is very important as it helps the patient understand and learn various learning modalities for his betterment. At the same time, it helps the nurse to achieve the effective goal of treating patients.
Another psychosocial factor a nurse should check is the issue of ineffective health maintenance of the patient. She should check if the patients keep to the instructions and regimens given.
Anxiety could also be a form of nursing diagnosis for hypertension. Since hypertension is related to high blood pressure, there is usually an associated insomnia and restlessness. This although can be explained physiologically, however, its manifestation is on the psyche of the patient. When patients are chronically exposed to hypertensive condition, it is advisable that the nurse seek a collaborating hand from the physician.