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  • NCP

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    Yua Kitsune
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    The patient reported having a headache and neck pain. Her blood pressure was elevated at 180/100 on multiple checks over 15 minutes. She has a prescription for valsartan but does not take it regularly or follow her diet. The diagnosis is ineffective health maintenance behaviors and pain due to poor medication compliance and lifestyle. The plan is for the patient's pain and blood pressure to decrease within 5-7 hours, and for her to learn how to properly manage her medication and lifestyle.

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    Ncp

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    The patient reported having a headache and neck pain. Her blood pressure was elevated at 180/100 on multiple checks over 15 minutes. She has a prescription for valsartan but does not take it regularly or follow her diet. The diagnosis is ineffective health maintenance behaviors and pain due to poor medication compliance and lifestyle. The plan is for the patient's pain and blood pressure to decrease within 5-7 hours, and for her to learn how to properly manage her medication and lifestyle.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    68 views1 page

    NCP

    Uploaded by

    Yua Kitsune
    The patient reported having a headache and neck pain. Her blood pressure was elevated at 180/100 on multiple checks over 15 minutes. She has a prescription for valsartan but does not take it regularly or follow her diet. The diagnosis is ineffective health maintenance behaviors and pain due to poor medication compliance and lifestyle. The plan is for the patient's pain and blood pressure to decrease within 5-7 hours, and for her to learn how to properly manage her medication and lifestyle.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    of 1

    Assessment:

    Subjective: Patient says she’s having headache and nape pain.

    Objective:
    VS: BP 180/100 for 3 takes with 15 minutes intervals,
    RR 16 cpm, CR 100bpm.
    The patient has a maintenance drug of valsartan 80 mg once a day but with poor compliance
    with medication and diet management.

    Diagnosis:
    Ineffective Health Maintenance Behaviors and Pain - related to ineffective maintenance of
    medication and poor lifestyle as evidenced by the patient + poor compliance with medication
    and diet management + abnormal bp findings + headache and nape pain.

    Planning:
    - The patient will report decreased pain within 5 hours.
    - The patient will report normalized bp within 5-7 hours
    - The patient will learn how to maintain her medication and lifestyle within 1-2 hours after
    the patient feels better.

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