University Hypertension Care Plan and Analysis Report

This report provides a detailed analysis of a hypertension care plan for a patient with hypertension, dizziness, and a risk of falls. It outlines the necessary precautions and steps for transferring a patient from a bed to a wheelchair, considering the patient's condition and functional limitations. The report also explores the concept of activity analysis and its relevance to the care plan, emphasizing the role of occupational therapists in addressing the patient's needs and developing skills for daily living activities (ADLs). Furthermore, it clarifies the nurse's role in the care plan, including assisting with lower body dressing and ensuring patient safety during transfers. The report also addresses the potential for integrating physical agent modalities (PAM) into the care plan, while acknowledging the limitations posed by the patient's functional issues. Finally, the report discusses autonomic dysreflexia, its causes, symptoms, and management, providing a comprehensive overview of the patient's care plan and related considerations.

Running head: HYPERTENSION CARE PLAN AND ANALYSIS
HYPERTENSION CARE PLAN AND ANALYSIS
Name of Student:
Name of University:
Author’s Note:

1HYPERTENSION CARE PLAN AND ANALYSIS
Answer number 1
The patient is supine in bed and there is the need to move the patient to the wheelchair.
Considering his issue of dizziness, fainting, imbalance and risk of falls, there is the need to
follow the precautions while transferring the patient. Therefore, following step need to be
followed:
1. Before transferring, certain precaution should be taken to avoid any risk of falls.
2. Nurse should check, whether the patient is in state of dizziness or not. If patient show
signs of dizziness, make them relax with few minutes.
3. Make sure patient does not have contraindication with use of transfer belt.
4. Perform hand hygiene before assisting the patient.
5. Place the wheelchair at the position where patient can easily sit and set the brake.
6. To maintain privacy, close the door or draw the curtains (Yoshida et al. 2017)
7. Tie the transfer belt securely around the waist of the patient over the cloths.
8. Nurse need to place herself in front of the patient and by flexing the knees and being back
straight, lift the patient by gripping the belt with palm. Make the patient in standing
position.
9. Guide the patient to reach the wheelchair by holding should of the nurse.
10. Nurse then need to bend the knees and help the patient to sit in the wheelchair.
If the patient is NWB, only there is need to use arms to help the patient push and scoot
from bed to wheelchair, as use of transfer belt will be optional (Tang et al. 2018).

2HYPERTENSION CARE PLAN AND ANALYSIS
Answer number 2
Activity analysis is the process, which is taken up by the OT practitioners to address the
need to the patient and with reference to develop skills, capabilities to complete the care plan.
Reviewing the care plan of the patient, it focus to help him with daily living activities and reduce
the risk of falls. The activity analysis address these priorities and evaluate the major area that
nurse need to develop for health outcome of the patient. As the patient is having functional issues
like dizziness, problem in dressing of lower body and fainting, the occupational therapist should
have skills to perform the ADLs activities (Stone et al. 2017). The nurse have to be mentally
prepare for the activity and list the point where they can assist the patient. Thus, activity analysis
is related to the care plan.
The care plan is not limited to only ADLs, it also focus to reduce the risk of falls in the
patient. The care plan include to maintain personal hygiene, help the patient in changing the
dressing of lower body, assisting in taking shower and in bathroom, help the patient to maintain
body balance by the use of assistive device and feeding. Such care plan also need to work
strengthening the muscle so that patient could be able to be maintain body balance and recover
soon from hypertension (Accardi and Chamberlain 2019). As the patient is not able to move,
plan will include to assist the patient in transfer by following precautions.
Answer number 3
My role is to assist the patient in dressing of the lower body part and make him transfer in
need. In case of missing of the goal, I need to make an objective and work according to it. My
objective will be to avoid any risk of falls in the patient and prevent any infection, which

3HYPERTENSION CARE PLAN AND ANALYSIS
conveys to improve ADLs of the patient. If the goal is achieved, I will make sure that the patient
is able to maintain the skills for his daily living activities.
If there is the need to use physical agent modalities, the patient need to be in normal state
of mind. The patient was diagnosed with hypertension, it is important to keep the blood pressure
in normal range PAM is included in the care plan. However, as the patient is having many
functional issues like body imbalance and risk of falls, it can restrict the implementation of PAM
into the care plan. For PAM, the patient have to be normal vital signs for better health outcome
(Thompson et al. 2016).
Answer number 4
Autonomic dysreflexia is the syndrome where the patient have sudden onset of the high
blood pressure. The illness is mostly common in the people who have spinal injury. In autonomic
dysreflexia, there is over-activity and over function of the autonomic nervous system. It is the
reason for the abrupt rise of excessively high blood pressure. It shows signs of anxiety,
headaches, nasal congestion, high blood pressure and profuse sweating (Eldahan and
Rabchevsky 2018).

4HYPERTENSION CARE PLAN AND ANALYSIS
Reference
Accardi, S.R. and Chamberlain, C., 2019. Individualized Fall Prevention Care Plan to Decrease
Fall Rates in an Adult Inpatient Psychiatric Unit.
Eldahan, K.C. and Rabchevsky, A.G., 2018. Autonomic dysreflexia after spinal cord injury:
Systemic pathophysiology and methods of management. Autonomic Neuroscience, 209, pp.59-
70.
Stone, E.E., Skubic, M., Rantz, M. and Popescu, M., University of Missouri System,
2017. Activity analysis, fall detection and risk assessment systems and methods. U.S. Patent
9,597,016.
Tang, R., Holland, M., Milbauer, M., Olson, E., Skora, J., Kapellusch, J.M. and Garg, A., 2018.
Biomechanical Evaluations of Bed-to-Wheelchair Transfer: Gait Belt Versus Walking
Belt. Workplace health & safety, 66(8), pp.384-392.
Thompson, W.R., Scott, A., Loghmani, M.T., Ward, S.R. and Warden, S.J., 2016. Understanding
mechanobiology: physical therapists as a force in mechanotherapy and musculoskeletal
regenerative rehabilitation. Physical therapy, 96(4), pp.560-569.
Yoshida, T., Otaka, Y., Osu, R., Kita, K., Sakata, S. and Kondo, K., 2017. New portable voice
guidance device for the manual wheelchair transfer: a pilot study in patients with
hemiplegia. Disability and Rehabilitation: Assistive Technology, 12(4), pp.411-416.