i'm doing a ncp for a 78-year old, african american female. she has been diagnosed with primary hypertension. her lab values are normal; she has been on a thiazide diuretic and a mild beta blocker. she doesn't smoke; she just joined a walking club at her senior center. the only thing i have to go on is that she admittedly states " i'm having a hard time giving up salt in my diet" and she also has a significant family hx. i've came up with:
1. risk for decreased cardiac tissue perfusion . . . this could fit renal, gi,cerebral as well.
2. ineffective therapeutic regimen management r/t . . . the sodium intake ?
can i use the risk for as a primary diagnosis? also am i missing something ? it seems like there would be many diagnosis's for her but after looking through my diagnosis book most of the defining characterestics do not seem to fit her . ..
any help would be so, so , so appreciated !