Nursing Diagnosis for Hypertensive Heart Disease : Activity Intolerance related to general weakness, imbalance between supply and demand of oxygen.
Goal : The client is able to perform the activity is tolerated.
Outcomes :
- Participate in activities desired / required.
- Reported an increase in tolerance activity can be measured.
- Showed a decrease in physiological signs of intolerance.
Interventions :
- Assess the client's response to the activity, attention pulse frequency more than 20 times per minute above the break frequency ; significant increase in BP during / after activity, dyspnea, chest pain ; excessive fatigue and weakness ; diaphoresis ; dizziness or fainting.
- Instructed the patient on energy saving techniques, eg ; using the bath seat, sit while combing hair or brushing teeth, doing activities slowly.
- Suggest to do the activity / self- phased treatment if tolerated, provide assistance as needed.
Rationale :
- Mention parameters help in assessing the physiological response to stress and activity when there is an indicator of excess work -related activity levels.
- Energy saving techniques also help reduce the presence of a balance between energy supply and oxygen demand.
- Activity progress gradually to prevent sudden increase in cardiac work, provide only limited assistance will need to encourage independence in performing activities.
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