Acute Pain related to Hypertensive Heart Disease

Nursing Care plan for Hypertensive Heart Disease

Nursing Diagnosis : Acute Pain : headache related to an increase in cerebral vascular pressure.

Goal : Pain is reduced

Outcomes :

• Client reported pain / discomfort disappeared / controlled.

Interventions :

1. Maintaining bed rest during the acute phase.
2. Give non-pharmacological measures to relieve headaches, for example; cold compress on the forehead, back and neck massage, a quiet, dim room light, relaxation techniques (imagination, distraction ) and leisure time activities.
3. Eliminate / minimize vasoconstriction activity that can improve headaches, for example; straining during defecation, coughing and bending length.
4. Assist patients in ambulation as needed.
5. Give liquids, soft foods, regular oral care in case of nose bleeds or compress the nose has been done to stop the bleeding.
6. Collaboration of drugs ; analgesic, anti- anxiety.

Rationale : 

1. Minimizing stimulation / increase relaxation.
2. Actions that decreases cerebral vascular pressure and the slow / block the sympathetic response is effective in relieving headaches and complications.
3. Activities that increase vasoconstriction cause headaches in an increase in cerebral vascular pressure.
4. Dizziness and blurred vision often associated with headache, patients may also experience episodes of postural hypotension.
5. Increase the general comfort, compress the nose may interfere with the ingestion or require breathing with the mouth, causing stagnation and drying oral secretions of mucous membranes.
6. Lose / control pain and decrease the sympathetic nervous system stimulation.
7. Can reduce tension and discomfort aggravated by stress.