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Adkins Care Plan Paper

This individualized care plan is for a patient at risk for hypertension and impaired vision due to work eye strain. The care plan identifies interventions like exercise, a heart-healthy diet, limiting alcohol, and taking regular breaks from screens. Goals are for the patient to maintain a normal blood pressure and understand risks to her vision. Referrals include a dietitian and ophthalmologist to help her stay healthy.

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54 views4 pages

Adkins Care Plan Paper

This individualized care plan is for a patient at risk for hypertension and impaired vision due to work eye strain. The care plan identifies interventions like exercise, a heart-healthy diet, limiting alcohol, and taking regular breaks from screens. Goals are for the patient to maintain a normal blood pressure and understand risks to her vision. Referrals include a dietitian and ophthalmologist to help her stay healthy.

Uploaded by

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Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Running head: INDIVIDUALIZED CARE PLAN 1

Individualized Care Plan Paper

Delaware Technical Community College

NUR 320 Health Assessment

Dr. Maloney

Kayla Adkins

April 26, 2020


INDIVIDUALIZED CARE PLAN 2

Individualized Care Plan

Care plans are unique in the fact that there are not two of the exact same ones out there

and that is because they are individualized to each person. Care plans are even harder to

complete when a nurse tries to assess an individual who is extremely healthy because they then

have to identify some health problems they are at risk for. This patient is at risk for developing a

lot of heart diseases but the biggest one she is at risk for is hypertension. She has seen first hand

from her father and grandparents how heart disease can affect your body and after that she has

been staying on top of her healthy habits. She used to be overweight and that is one of the major

modifiable risk factors for developing hypertension (W.H.O., 2019). This patient was also

putting herself at more risk to develop these heart issues when she was drinking and under a lot

of stress at her workplace. The goal for her after her assessment and interview was to have her

understand the needs of keeping her blood pressure and heart rate at an acceptable range for her

age.

Some interventions that are suggested for her are to participate in activities to help

decrease blood pressure such as walking, jogging, riding a bicycle, or even jumping rope (AHA,

2016). The American Heart Association also suggested that alcohol should be limited to one

drink a day whether that be a five ounce glass of wine, twelve ounce can of beer, or one and a

half ounces of liquor. Eating a heart healthy diet is another intervention that can help lower blood

pressure. This diet consists of fruits and vegetables, whole grains, low fat dairy products, skinless

poultry and fish, and nuts. The USDA recommends 10-35% of calories come from protein, 45-

65% from carbs, 25-35% from fats, and less than 10% saturated fats (Hrustic, 2017, p.4). Finally,

the most important piece of information for the patient to know is an acceptable blood pressure.

For her it should be less than 120/80 and a resting heart rate between sixty and one-hundred

(AHA, 2017).

She proceeded to say that she has started a new job within the past couple of
INDIVIDUALIZED CARE PLAN 3

years and that has seemed to decrease her stress level drastically. She also stated that she

exercises at least thirty minutes a day and eats a healthy diet full of vegetables, nuts, almond

milk, and fish. She has a blood pressure of 118/68 with a resting heart rate of 72 when it was

checked. She said that she normally doesn’t drink during the week but, if she does then it is just

one drink; her only struggle was on the weekends when she would drink a little more. A referral

that is suggested for my patient was a dietitian by the name of Susan; that way she can keep on

track with her proper nutritional status. She already had a membership at a local gym called

Anytime Fitness, and already had a yearly physical scheduled.

Another health problem she is at risk for is impaired vision related to work eye strain.

Goals for her were to understand the need to take breaks to get her eyes off the screen and to

understand that she may develop dry/itchy eyes, blurred vision, eye pain, or may eventually need

glasses if she continues to stare at the screen. Interventions that are suggested consist of, taking a

five to ten minute break away from the screen every hour (iHACO, 2019) and to get a

comprehensive eye exam, use proper lighting, blink frequently, and minimize glare (Heiting &

Wan, 2019). She told me that she takes breaks but only takes them every two hours not every

hour, and that she sometimes has to use “cheater” glasses or eye drops for her dry eyes. A

referral for this issue is to visit an ophthalmologist, she has one near her called Salisbury Optical

and they will be able to help with fitting her with the right pair of glasses.

It was easier to evaluate the interventions because I see my patient just about everyday so

I am able to ask her questions regarding her health. I had some barriers when it came to making

this care plan because like I have said before she is a very healthy individual and just has an

extensive family history. I just hope she takes some of my helpful information and keeps herself

healthy to keep her from developing those issues that other family members have.
INDIVIDUALIZED CARE PLAN 4

References

American Heart Association, (2016). Getting active to control high blood pressure. Retrieved

from: https://www.heart.org/en/health-topics/high-blood-pressure/changes-you-can-

make-to-manage-high-blood-pressure/getting-active-to-control-high-blood-pressure

American Heart Association, (2017). Understanding blood pressure readings. Retrieved from:

https://www.heart.org/en/health-topics/high-blood-pressure/understanding-blood-

pressure-readings

Heiting, G. & Wan, L, (2019). All About Vision. Computer eye strain: 10 tips for relief.

Retrieved from: https://www.allaboutvision.com/cvs/irritated.htm

Hrustic, A, (2017). Men’s Health. How much fat, protein, and carbs should you be eating?

Retrieved from: https://www.menshealth.com/nutrition/a19537348/how-much-fat-and-

carbs-should-you-eat/

iHASCO, (2019). IT health and safety: how often should I take a break from my computer?

Retrieved from: https://www.ihasco.co.uk/blog/entry/189/it-health-and-safety-how-often-

should-i-take-a-break-from-my-computer

World Health Organization, (2019). Hypertension. Retrieved from: https://www.who.int/news-

room/fact-sheets/detail/hypertension

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