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PERSONAL DATA:

NAME: RITA VIRGINIA ANGWAY AGE: 64 years old. GENDER: Female CIVIL STATUS: Married OCCUPATION: TEACHER RELIGION: Roman Catholic ADDRESS: QUIRINO HILL BAGUIO CITY BIRTH PLACE: BONTOC MT.PROVINCE CHIEF COMPLAINTS: Increase blood pressure TENTATIVE DIAGNOSIS: CVD

I.FAMILY BACKGROUND: Mrs angway is high school teacher but is retired already. She is married to mr. melchore angway of besao mountain province and they are blessed to have four children and all are married. They are currently residing at quirino hill baguio city.

II. DEVELOPMENTAL DATA (According to Erik Erikson and Havighurst) a.) Based on Havighursts Age Periods and Developmental Tasks, patient angway a 64 years old female belongs to Later Maturity and with the following developmental task: Adjusting to decreasing physical strength and health Adjusting to retirement and reduced income Adjusting to a death of a spouse Establishing an explicit affiliation with ones age group Meeting social and civil obligations Establishing satisfactory physical living arrangements * Patient angway is still on the stage of adjustment in achieving the developmental task of Havighurst. She is well aware that being an aged person, there is reduced strength, health and income. She is happy and contented with her life, and is more than enough to be with her loving ones. b.) Based on Erik Eriksons Eight Stages of Development, patient angway a 64 years old female belongs to Maturity and has the Central Task of Integrity versus Despair. She indicates positive resolution of Acceptance to worth and uniqueness of ones own life, acceptance of death.

III. PAST MEDICAL HISTORY: a.) Past Medical History: - The patient undergo for ligation. -was dia gnosed of stroke

b.) Present Medical History: -one day prior to admission patient angway have increased blood pressure for almost 160/100 that sought consult in this institution hence admission. c.) Inclusive Period of Hospitalization: -January 4, 2014 d.) Agency of Hospitalization: -Pines City Doctors Hospital (4th floor)

IV. MEDICAL TREATMENT: HEMATOLOGY

Examination

Result

Normal values 0.37 0.47

Interpretation

Hematocrit

0.45

Normal

Hemoglobin

160 g/L 12. 9x 109/L 200 x 109/L

120 - 160 g/L 5.0-10.0 x 109/L 150-400 x 109/L 0.50 0.70 0.20 0.40

Normal

WBC

Increased

Platelet

Normal

Neurophils Lymphocytes

0.70 0.20

normal Normal

Eosinophils Monocytes

0.01 0.06

0-0.7 0.00 - 0.07

Normal Normal

-My patients exam were all normal

PINES CITY COLLEGES Magsaysay Avenue, Baguio City COLLEGE OF NURSING

A CASE STUDY (In partial fulfillment of one of the requirements of the subject Intensive Nursing Practice)

Submitted to: Mrs. Buna Racal Clinical Instructor

Submitted by: Sacla adornado BSN IV, Group-C

Nursing implication A.Nursing practice Having this case of patient is a challenging for me because it enhances my knowledge about this disease. I have render care to my patient by giving instructions and health teachings I have given medications, I instructed her to increase fluid intake and teach him proper exercises. I encourage also my patient to have low salt low fat diet because he is hypertensive. B. nursing education Hypertension (HTN) or high blood pressure, sometimes called arterial hypertension, is a chronic medical condition in which the blood pressure in the arteries is elevated.Blood pressure is summarised by two measurements, systolic and diastolic, which depend on whether the heart muscle is contracting (systole) or relaxed between beats (diastole) and equate to a maximum and minimum pressure, respectively. Normal blood pressure at rest is within the range of 100140mmHg systolic (top reading) and 60-90mmHg diastolic (bottom reading). High blood pressure is said to be present if it is persistently at or above 140/90 mmHg. Hypertension is classified as either primary (essential) hypertension or secondary hypertension; about 9095% of cases are categorized as "primary hypertension" which means high blood pressure with no obvious underlying medical cause. The remaining 510% of cases (secondary hypertension) are caused by other conditions that affect the kidneys, arteries, heart or endocrine system. Hypertension puts persistent strain on the heart, leading to hypertensive heart disease and coronary artery disease if untreated. Hypertension is also a major risk factor for stroke, aneurysms of the arteries (e.g. aortic aneurysm), peripheral arterial disease and is a cause of chronic kidney disease. Even moderate elevation of arterial blood pressure is associated with a shortened life expectancy. Dietary and lifestyle changes can improve blood pressure control and decrease the risk of associated health complications, although drug treatment is often necessary in people for whom lifestyle changes are not enough or not effective. C.nursing research If I would do research, I would like to research on herbal medicines that prevent or treat this disease permanently. VIII. referral and follow up My patient was discharge last February 05,2014