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Discussion

Goal Time Frame???

I am writing up a care plan for a patient with htn and am having trouble coming up with a good time frame for his long term goal to be achieved by. His goal is to reduce his blood pressure to below 140/99mmHg. He is in a case study so I do not know what his actual blood pressure is right now, I just know that he is hypertensive. I have tried looking it up but I cannot get a straight answer, and I do not have enough experience as of yet to make an estimate. Any help would be appriciated... Thanks

Featured Replies

  • Expert

it depends on what your interventions and treatments are. sometimes the timeframes of expectations are unknown which is why we evaluate and then adjust the interventions and goals at a later time. if your patient is going to a blood pressure clinic weekly, then a week is a good time frame to use because that is when his blood pressure is going to be evaluated. some times you just use common sense. other times you look up information about how the body reacts to things--not necessarily to be found in nursing textbooks, so you might need to go to the library.

what goals are you having problems timeframing?

  • Author

I am trying to time frame (goal is to reduce his blood pressure to below 140/99mmHg). He is going to be implementing exercise, DASH diet, and appropriate rest and relaxation. That being said, would it be appropriate to set short term weekly goals of decreasing blood pressure, and a long term goal to get below 140/99mmHg with a time frame of I do not know maybe a couple of weeks or a month... ( i do have references that tell me that the change in his diet should reduce his blood pressure by b/w 8-14mmHg, and exercise reduce his blood pressure by b/w 4-9mmHg, but I have no time frame)

  • Expert

i would try searching the internet for a "hypertension clinic". or, check blood pressure information on the american heart institute website and the national heart lung and blood institute (http://www.nhlbi.nih.gov/) to see if you can find anything on this. one of my files says there are care guides for high blood pressure on http://adam.about.com/care/. these are various hypertension treatment guidelines that you can look through for information: http://www.guideline.gov/browse/browsemode.aspx?node=13436&type=1

i think a 10-point drop in systolic and diastolic blood pressure over one week time would be doable.

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