HYPERTENSION IHP Student's Name * First Middle Last Suffix This field is required. Please complete the following fields: First,Last. PhotoAccepted file types: jpg, gif, png, jpeg, Max. file size: 100 MB.DoB Month Incorrect Value for Month field Day Incorrect Value for Month field Year Incorrect Value for Month field Please enter a valid date. GR/LevelDaycareEEPKKN010203040506070809101112Post-GraduateWould you like to add the student's ID number? Yes No ID Campus/Building Would you like to add the student's homeroom number and teacher's name? 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Yes No ContactContact Name Add RemoveRelationship Add RemoveContact Phone Number Add RemoveContact Phone Type Add RemoveContact Phone Number Add RemoveContact Phone Type Add RemoveContact Name RelationshipChoose one:ParentGuardianOtherContact Phone Number Contact Phone TypeChoose OneHomeMobileWorkFaxContact Phone Number Contact Phone TypeChoose OneHomeMobileWorkFax Add More Treating Physician Add RemovePhysician Phone Number Add RemovePhysician Fax Number Add RemoveTreating Physician Physician Phone Number Physician Fax Number Add More Preferred Hospital City MEDICAL DIAGNOSIS(ES)Add a medication or procedure? Yes No MEDICATIONS/PROCEDURES Medication/Procedure Strength Dose ModeChoose one:OralTopicalInhaledIntranasalSQNebulizerSublingualRectalIMIVSched/PRN?Choose OneScheduledPRNTime Frequency If PRN, administer for Medication/Procedure Add RemoveStrength Add RemoveDose Add RemoveMode Add RemoveSched/PRN? Add RemoveTime Add RemoveFrequency Add RemoveIf PRN, administer for Add Remove Add More MEDICAL HISTORYASSESSMENT NursingList InterventionList OutcomesList Nursing Diagnosis: Risk for Decreased Cardiac Output Related to high blood pressure increasing the workload on the heart, potentially causing strain on the cardiovascular system. Related to chronic hypertension which may lead to the thickening of the heart muscle, decreasing the heart's ability to pump blood efficiently. Interventions The school nurse will check the student’s blood pressure at appropriate intervals, as recommended by the healthcare provider, to track any changes. The school nurse will ensure that the student takes prescribed antihypertensive medications as directed. Provide reminders or assistance as needed. The school nurse will teach the student relaxation techniques such as deep breathing, mindfulness, or progressive muscle relaxation to manage stress, a contributing factor to hypertension. The school nurse will encourage healthy eating habits (low-sodium diet, balanced meals) and regular physical activity (appropriate to the student’s capabilities). Expected Outcomes The student will maintain a stable blood pressure within a healthy range. The student will demonstrate adherence to prescribed medication and lifestyle modifications. Nursing Diagnosis: Activity Intolerance Related to increased workload on the heart due to elevated blood pressure. Related to fatigue, dizziness, or shortness of breath when engaging in strenuous activities. Interventions The school nurse will collaborate with physical education teachers and coaches to ensure the student participates in non-strenuous activities, gradually increasing activity as tolerated. The school nurse will ensure the student is given adequate rest between physical activities to avoid overexertion. The school nurse will provide guidelines on safe physical activity that does not strain the cardiovascular system and encourage moderate, consistent exercise. The school nurse will regularly check for symptoms such as dizziness, chest pain, or shortness of breath during activities and adjust the level of exertion accordingly. Expected Outcomes The student will engage in physical activities without experiencing excessive fatigue or discomfort. The student will demonstrate the ability to manage their physical activity levels in accordance with their hypertension. Nursing Diagnosis: Risk for Impaired Skin Integrity Related to side effects of antihypertensive medications, which may cause skin dryness or rash. Related to reduced circulation to extremities as a result of prolonged high blood pressure, potentially leading to slower healing of minor cuts or abrasions. Interventions The school nurse will inspect the student's skin regularly for signs of dryness, irritation, or rashes, especially after starting a new medication. The school nurse will encourage the use of moisturizers and proper skincare to prevent dryness, particularly on hands, legs, and feet. The school nurse will teach the student the importance of keeping the skin clean, moisturized, and protected from injury to prevent skin breakdown. The school nurse will ensure that the student's healthcare provider is aware of any skin changes and address them by adjusting medications or suggesting topical treatments. Expected Outcomes The student will maintain healthy skin with no signs of irritation or breakdown. The student and caregivers will demonstrate consistent skin care practices to prevent dryness or damage. Nursing Diagnosis: Risk for Ineffective Health Management Related to lack of understanding of hypertension management, including medication adherence, lifestyle changes, and monitoring blood pressure. Related to difficulty in managing multiple lifestyle modifications (e.g., diet, exercise, medication). Interventions The school nurse will teach the student and caregivers about hypertension, its effects on health, and the importance of medication adherence and regular blood pressure monitoring. The school nurse will ensure the student and family have a clear understanding of the treatment plan, including the use of medications, dietary recommendations, and exercise routines. The school nurse will assist the student with medication management and remind them about taking their medication during school hours, as needed. The school nurse will regularly assess the student’s blood pressure and symptoms to ensure the treatment plan is effective. Expected Outcomes The student and caregivers will demonstrate understanding of hypertension management, including medication adherence and lifestyle changes. The student will actively participate in managing their hypertension through proper self-care. Nursing Diagnosis: Risk for Anxiety Related to emotional distress related to the diagnosis of hypertension and its potential long-term health effects. Related to stress from managing medication, lifestyle changes, and regular medical appointments. Interventions The school nurse will offer a safe space for the student to express concerns about their condition and its impact on their life. The school nurse will encourage the use of relaxation techniques, such as deep breathing, progressive muscle relaxation, or mindfulness to manage stress. The school nurse will refer the student to school counseling or support groups to provide additional emotional support. The school nurse will help the student understand that with proper management, hypertension can be controlled, reducing anxiety about the condition. Expected Outcomes The student will report a decrease in anxiety and increased confidence in managing their hypertension. The student will utilize stress-reduction techniques to manage stress and anxiety effectively. Nursing Diagnosis: Deficient Knowledge (Student and Family) Related to lack of understanding of hypertension and its effects on overall health and well-being. Related to misconceptions about the severity of the condition and the importance of regular treatment and lifestyle management. Interventions The school nurse will offer age-appropriate education to the student and caregivers about hypertension, including its causes, symptoms, and long-term effects. The school nurse will educate on the importance of a balanced diet (low-sodium, high-fiber), regular physical activity, weight management, and stress management in controlling blood pressure. The school nurse will ensure that both the student and caregivers understand the prescribed medications, including their purposes, side effects, and timing. The school nurse will provide handouts or online resources for the student and family to reference at home to reinforce learning. Expected Outcomes The student and caregivers will demonstrate a clear understanding of hypertension and the importance of treatment adherence. The student will implement healthy lifestyle changes and manage medications effectively. Nursing Diagnosis: Risk for Impaired Body Image Related to hypertension-related weight gain, changes in physical appearance, or side effects from antihypertensive medications (e.g., swelling, fatigue) that may affect self-esteem. Related to possible emotional distress due to changes in appearance, such as facial puffiness or weight gain related to medication. Interventions The school nurse will provide a supportive environment for the student to express concerns about their appearance and how hypertension or medications may be affecting their body image. The school nurse will encourage healthy self-esteem and reinforce the student’s strengths beyond their physical appearance. Facilitate Peer Education: If appropriate, educate the student's peers (with consent) to promote understanding and reduce potential stigma. The school nurse will refer the student to a counselor or support group to address body image concerns and enhance emotional well-being. Expected Outcomes The student will demonstrate improved body image and emotional well-being. The student will engage in school activities confidently without feeling self-conscious about their appearance. Nursing Diagnosis: Risk for Compromised Family Processes Related to the family’s need to adapt to the management of the student's hypertension, including medication schedules, dietary modifications, and lifestyle changes. Related to emotional stress or confusion regarding the treatment plan and monitoring requirements for hypertension. Interventions The school nurse will facilitate open communication between the family, school staff, and healthcare providers to ensure a comprehensive and coordinated care plan. The school nurse will offer educational materials to the family regarding hypertension management, including lifestyle changes, medication administration, and the importance of regular check-ups. The school nurse will involve the family in the student’s hypertension care plan by scheduling regular follow-up meetings to discuss progress and challenges. The school nurse will provide reassurance and support to the family, addressing any concerns they may have about the student’s condition and treatment. Expected Outcomes The family will demonstrate effective communication and cooperation in managing the student’s hypertension. The family will feel supported in implementing necessary lifestyle changes and adhering to the treatment plan. Would you like to add another nursing diagnosis? Yes No Nursing DiagnosisNursing DiagnosisAdd your own nursing diagnosisInterventionsAdd your own nursing interventionsExpected OutcomesAdd your own expected outcomesNursing Diagnosis Add RemoveInterventions Add RemoveExpected Outcomes Add Remove Add More EVALUATIONNOTESIHP Developed ByName First Last Title Date Month Day Year Please enter a valid date. Do you want to include physician and parent signature lines? Yes Download IHP Clicking this button will download this IHP to your computer and return you to the blank IHP. 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