Hypertensive heart disease refers to heart problems that occur because of high blood pressure. These problems include:- Coronary artery disease and angina
- Heart failure
- Thickening of the heart muscle (called hypertrophy)
HHD can not only be caused by high blood pressure, but it can also lead to heart disease, stroke, thickened blood vessels, and heart attack. It can also cause sudden death.
Symptoms of HHD include:
- Shortness of breath
- Fatigue
- Irregular pulse
- Weight gain
- Nausea
- Bloating
- Swelling of feet
- Chest pain
- Dizziness
- Sweating
Nursing Diagnosis and Interventions for HHD Hypertensive Heart Disease
1. Acute Pain: Chest pain related to tissue ischemia due to decreased oxygen supply.
Goal:
- Chest pain is gone.
- Calm face expression.
- Vital signs within normal limits.
Interventions :
- Adjust the position of the patient semi-fowler
- Collaboration with a physician for treatment
- Give analgesics according to the medical program
- Assess chest pain after a given action
- Observation of vital signs
2. Ineffective Tissue Perfusion: cerebral related to decreased supply of oxygen and nutrients in the brain due to hypertension.
Goal:
- The patient does not feel dizzy
- The patient does not look uneasy
- There is no sign of change in mental status are lacking.
- Normal vital signs
Interventions :
- Observation of vital signs
- Assess history of hypertension
- Observation of changes in sensory and motor
- Instruct the patient to bedrest
- Collaboration of anti-hypertensive therapy
3. Ineffective Breathing Pattern related to increased compensation body to increase oxygen supply to the tissues.
Goal:
- Patient does not feel shortness of breath
- Normal breathing frequency
- Regular breathing rhythm
- No increase in chest retraction
Interventions :
- Assess the patient's level of anxiety
- Observation of vital signs
- Give oxygen as needed
- Atue sitting with semi-Fowler position
4. Disturbed Sleep Pattern related to the feeling of dizziness.
Goal:
- Patient can sleep as needed
- Patient does not look lethargic
- Normal vital signs
- Normal blood pressure within 3 days of treatment
Interventions :
- Assess the patient's ability to adapt to headache
- Assess the patient's ability to rest and sleep needs
- Teach relaxation techniques
- Create a calm atmosphere
- Limit visitors
- Collaboration with physicians for the provision of medicines
5. Anxiety related to lack of knowledge about the disease, treatment program and maintenance actions to be performed and experienced.
Goal:
- Patient look calm
- Patients cooperative in care and treatment programs
- Increase patients' knowledge about the disease, the signs and the conditions experienced, as well as the complications that may occur.
Interventions :
- Assess the patient's anxiety
- Provide an opportunity for patients to express anxiety
- Provide a description of the information about: disease condition, food on abstinence and the reason, care and treatment programs will be carried out, break relations with the condition of the disease
- Provide an opportunity for patients to explain the re-explanation.