Nursing Assessment for Dizziness Vertigo

Dizziness is classified into three categories-vertigo, syncope, and nonsyncope nonvertigo. Each category has a characteristic set of symptoms, all related to the sense of balance. In general, syncope is defined by a brief loss of consciousness (fainting) or by dimmed vision and feeling uncoordinated, confused, and lightheaded. Many people experience a sensation like syncope when they stand up too fast. Vertigo is the feeling that either the individual or the surroundings are spinning. This sensation is like being on a spinning amusement park ride. Individuals with nonsyncope nonvertigo dizziness feel as though they cannot keep their balance. This feeling may become worse with movement.

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.

2. Circulation

• 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

5. Neuro-Sensory

• 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
• Papilledema.

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.

7. Security

• 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

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Nanda Nursing Diagnosis for Dizziness Vertigo

Dizziness is the Third Most Frequent Reason People Seek Medical Attention

Dizziness is one thing, vertigo is another. Both involve potential feelings of unsteadiness and possible faintness, but vertigo will often also include disorientation. Both conditions can persist to be point of becoming disabling.

There are many reasons for causing dizziness. Infection in viral system is the main cause of dizziness which affects the air flow to the head or the ear. The low blood pressure can also cause dizziness due to reduction of blood supply to the brain. Mental anxiety and panic attacks, can lead to dizzy condition. Sudden low blood sugar is another possible cause, and is easily treated by taking some sugary foods.

The dizziness can be recognized with the following symptoms

• Being fainted at the sight of blood or with emotional upset 
• Fainting in standing up too quickly or standing still too long 
• Weakness during a illness 
• Seasickness or motion sickness 
• Queasiness, nausea, or vomiting 
• Confusion in thinking 
• Fatigue feelings, tiredness or daytime sleepiness 
• Clumsy movement

Vertigo is usually due to an imperfection of the equilibratory apparatus of the semicircular canals of the ear. There may also be associated problems with the vestibule, 8th nerve, the semicircular canals, the eyes, or in the brainstem. Any of these structures can be affected by a variety of diseases and disorders, such as: otitis media, labyrinthitis, osteosclerosis, an obstruction of the Eustachian tube, or external auditory canal. Avery important element that may result in vertigo, is a disease called " Meniere's syndrome.

Nanda Nursing Diagnosis for Dizziness Vertigo

1. Pain (acute / chronic)

related to: stress and tension, irritation / nerve pressure, increased intracranial
characterized by : pain states that are influenced by such factors, changes in position, changes in sleep patterns, anxiety.

2. Ineffective individual coping

related to: inadequate relaxation, coping methods are not adequate, excess workload.

3. Deficient knowledge : (needs to learn) about the condition and treatment needs

related to : cognitive limitations, are not familiar information and less to remember.
characterized by the request information, Inadequate follow the instructions.

Nursing Assessment Nursing Care Plan for Dizziness Vertigo

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