Benign Paroxysmal Positional Vertigo

A Nursing Care Plan Presented to the

Faculty of the Nursing Department

In Partial Fulfillment of the

The Requirements in NCM 216 – RLE

PC/OR NURSING ROTATION

March 13, 2021

 Name: Reyes, A. Age/Sex: 57/F Room#:
CC: Dizziness Attending Physician: Dr. Ramos

Imple
Date/ Nursing Patient
Cues Need Intervention men Evaluation
Time Diagnosis Outcome
tation

M Subjective: H Risk for falls as evidence Within 8 hours of Assess conditions that can March 13, 2021 @ 3PM
A “Tung pag tindog nako E by Loss of Balance nursing increase the patient’s level of 1
R gikan nag higda, A interventions the fall risk, such as a history of Goal met.
C nalipong ko tungod kay L Rationale: patient will be able falls, changes in mental status,
ang akoang panan-aw sensory deficits, balance, Within 8 hours of
H T to:
naga tuyok pati sad ang The ear is a complex medications, and symptoms nursing interventions
palibot murag ga tuyok,
H system of bone and
related to diseases. the patient was able to:
maong hinungdan na cartilage. Within, it is a
13, natumba ko.” P network of canals called R: Proper assessment helps
E semicircular canals. The determine needed fall a. Verbalize
“Ni lingkod ko ug gi R canals are filled with fluid.
2 precautions. understanding of
piyong nako akoang C The position of the fluid
mga mata, pero dili pud E changes with movement. factors that
0 lagpas minuto ang lipong P The sensor in the ear contributes to
na akong nabati.” as T sends the information to Teach the patient to move 2 possibility of fall
2 verbalized by patient. I the brain to contribute to slowly, like sitting up slowly
O the sense of balance, and taking a few minutes b. Relate the intent
1 Objective: certain things can affect before standing up. in using safety
N
 Dizziness the signals from any of measures to
 Feeling sick or the parts of the vestibular R: Sudden movements can
A prevent falls
@7A nauseous system causing dizziness trigger dizziness.
M N and vertigo and because
 Loss of balance c. Implemented
D of the spinning sensation
or unsteadiness strategies to
 Having difficulty a person is unable to Use gait belt and additional 3
H balance and has risks for
increase safety
on walking persons when ambulating. and prevent falls
 Sense of motion E falling.
A R: Gait belts decrease the risk in the home.
or spinning
(vertigo) L Reference: of falls during ambulation.
T John’s Hopkins. (2018).
 Vertigo last less H Vestibular Balance 4
than a minute M Disorder Retrieved from
https://www.uhhospitals.o Use side rails on beds, as
A
rg/sitecore/content/UHHo needed.
N
spitals/Demo/Home/
A R: Raising the side rails
health-and-wellness/
G health-and-wellness- reduces the risk of patients
E library/article/diseases- falling out of bed
M and-conditions/vestibular- 5
E balance-disorder
N Make sure to keep the
T patient’s bed is in the lowest
position. Keep it as adjacent to
the floor as possible.
R: Positioning the bed this way
dramatically reduces fall risk. 6

Provide for the safety and

keep lights on at night. Make
sure the call bell is available all
the time.
R: Allows the patient to ask
for assistance.
7

Move items used by the

patient within easy reach, such
as call light, urinal, water, and
telephone.
R: Items that are too far from
the patient may cause hazard 8
and can contribute to falls.

Educate client to keep

hydrated
R: It helps minimize dizziness 9
and balance issues.

Encourage the client to

participate in a program of
regular exercise and gait
training.
R: Increased physical
conditioning reduces the risk
for falls and limits injury that is
sustained when fall transpires
because exercises strengthen
the muscles improve balance,
and increase bone density