Nursing Assessment Nursing Care Plan for Dizziness Vertigo
1. Activity / Rest
- Fatigue, weakness, malaise
- limitation of motion
- Eye strain, difficulty reading
- Insomnia, waking in the morning, accompanied by headache.
- Severe headaches when changes in posture, activity (work) or because the weather changes.
- History of hypertension
- Vascular pulsations, eg temporal region.
- Pale, flushed face.
3. Ego Integrity
- Emotional stress factors / specific environment
- Changes in disability, despair, hopelessness depression
- Worries, anxiety, receptors for headaches.
4. Food and Fluid
- Nausea / vomiting, anorexia (for pain)
- Weight loss
- Dizziness, disorientation (for headache)
- History of seizures, head injury had just happened, trauma, stroke.
- Aura; facial, olfactory, tinnitus.
- Visual changes, sensitive to light / sound harsh, epistaxis.
- Parastesia, progressive weakness / paralysis one side tempore
- Changes in the patterns of speech / thought patterns
- Easily aroused, sensitive to the stimulus.
- Decreased deep tendon reflexes
6. Pain / Comfort
- Characteristics of pain depends on the type of headache, eg migraine, muscle tension, cluster, brain tumors, post-traumatic, sinusitis.
- Pain, redness, pale in the face.
- The focus narrows
- Focus on own
- Emotional responses / behaviors like crying undirected, anxiety.
- The muscles also tighten the neck area, frigidity vocals.
- History of allergy or allergic reactions
- Fever (headache)
- Gait disturbance, parastesia, paralysis
- Purulent nasal drainage (sinus headache disorders).
8. Social Interaction
- Changes in responsibility / role of social interaction associated with the disease.
9. Guidance / learning
- History of hypertension, migraine, stroke, illness in family
- Use of alcohol / other drugs, including caffeine. Oral contraceptives / hormone, menopause.
Nanda Nursing Diagnosis for Dizziness Vertigo