Nursing Care Plan

Trigeminal Neuralgia

Neuralgia is a stabbing pain that arises occasionally, but short and heavy, which occurs along the distribution of a nerve. Trigeminal neuralgia (NT) is neuralgia on the trigeminal nerve (fifth cranial nerve) that is responsible for sensation in the face. Trigeminal neuralgia (facial pain) is characterized by brief episodes of strong facial pain, stabbing, and like electricity.

According to Dr. Dito Anurogo, Trigeminal Neuralgia is a complaint of pain attacks one side of the face are repeated. Called trigeminal neuralgia, because facial pain occurs in one or more nerves than the three branches of Trigeminal nerve. This large nerve located in the brain and carries sensation from the face to the brain. The pain is caused by a disturbance in Trigeminal nerve function in accordance with the regional distribution of innervation of one branch of the trigeminal nerve caused by a variety of causes.

Etilogy trigeminal neuralgia is still not fully understood. There is one theory that because the blood vessels, especially the superior cerebral artery, into decompression, so that chronic irritation of the trigeminal nerve into the root section. This irritation causes increased afferent controls blame, or sensory nerves. Risk factors that can trigger is multiple sclerosis and hypertension. Other factors that may cause neuralgia including herpes virus infections, infections of the teeth and jaws, and brain stem infarction. (Miller, 2009 in Lewis 2011).

Nursing Diagnosis that may appear on the client with Trigeminal Neuralgia according Muttaqin, Arif (2010) and Ackley, Betty J., Gail B. Ladwig (2013) is as follows.

1. Pain (acute / chronic) r / t trigeminal nerve compression and inflammation of the temporal artery.
2. Imbalanced Nutrition  : Less than Body Requirements r / t pain during chewing.
3. Ineffective individual coping r / t severe pain, excessive threat to the self-alone.
4. Knowledge Deficit: on the condition and needs medication r / t cognitive limitations.
5. Anxiety r / t prognosis of disease and changes in health.
6. Ineffective management of therapeutic regimen r / t less knowledge about the prevention of stimulus triggers pain.
7. Risk for injury to the eyes r / t the risk factors: possible reduction in corneal sensation.

Nursing Care Plan for Dermatitis

Dermatitis is inflammation of the skin. Dermatitis can have many causes and occurs in many forms. Dermatitis usually involves an itchy rash on swollen, reddened skin.

Dermatitis is a common condition that's not contagious and usually isn't life-threatening. Even so, it can make you feel uncomfortable and self-conscious.

Disturbed Body Image related to the appearance of the skin that is not good.

Goal: Development of an increase in self-acceptance.

Expected outcomes:

• Develop an increase in the willingness to accept a state of self.
• Follow and participate in self-care measures.
• Reported feeling in control of the situation.
• Reinforces the positive support of the self-governing.
• Express attention to self-healthier.
• Seemed not to notice the condition.
• Using a technique to hide flaws and emphasize techniques for improving the appearance.

Interventions :

1. Assess the patient's self-image disturbance in (avoiding eye contact, self-deprecating speech, expression sick state of the condition of the skin).
R /: Disturbed self-image will accompany any disease or condition were apparent to the patient. Impression of someone against itself will affect the self-concept.

2. Identify the psychosocial stages of development stages.
R /: On the relationship between the stages of development, as well as the self-image and understanding of the patient's reaction to the skin condition.

3. Provide an opportunity for disclosure. Listen (by way of an open, non-judgmental) to express mourning / anxiety about body image changes.
R /: Patients in need of the experience that must be listened to and understood.

4. The sense of concern and fear of patients. Help patients who are anxious to develop the ability to assess themselves and identify and resolve problems.
R /: This action provides an opportunity for health workers to neutralize unnecessary anxiety and restore the reality of the situation. Fear is a destructive element patient adaptations.

5. Encourage socialization with other people.
R /: Increase self-acceptance and socialization.

Hypertension is one of the cardiovascular system diseases that are often found in the community. Hypertension is not a contagious disease, but it should always be wary. High blood pressure or hypertension and arteriosclerosis are two basic conditions that underlie many forms of cardiovascular disease.

Furthermore, high blood pressure also causes kidney disorders. Until now, efforts to both prevent and treat hypertension has not been entirely successful, because of the inhibiting factors such as lack of knowledge about hypertension (understanding, signs and symptoms, causation, complications) and also treatment.

Various factors play a role in this case one of them is a modern lifestyle. Selection of fatty foods, unhealthy activity habits, smoking, drinking coffee are some of the things that is suspected as a factor that contributes to this hypertension. This disease can be the result of modern lifestyles and can also be a cause of various non-infectious diseases.

To know more about this disease and to know, then we will discuss about hypertension.


Definition of Hypertension According to the Experts


Hypertension was defined as systolic blood increase greater than or equal to 140 mmHg or diastolic blood pressure greater than or equal to 90 mmHg (Anindya, 2009).


Hypertension is defined as blood pressure persistent, where the systolic pressure above 140 mmHg and diastolic pressure above 90 mmHg. (Tom Smith, 1995)

Hypertension is the increase in systolic blood pressure over 140 mmHg and diastolic blood pressure over 90 mmHg (Luckman Sorensen, 1996).

Hypertension was defined by the Joint National Committee on Detection (JIVC) as pressure higher than 140/90 mmHg and classified according to the degree of severity, ranging from blood pressure (BP) high normal to malignant hypertension.

High blood pressure or hypertension is a condition a person's blood pressure is at levels above normal. And the consequences of this situation is the emergence of diseases that interfere with the patient's body. In hypertensive disease is a health problem and need of prevention. (Sudjaswandi: 2002 h 17)

Hypertension is defined as blood pressure that persistent systolic pressure above 140 mmHg and diastolic above 90 mmHg. The aging population, hypertension is defined as systolic pressure of 160 mmHg and a diastolic pressure of 90 mmHg. (Smeltzer, 2001).

Hypertension is defined as systolic blood pressure of 140 mmHg or a diastolic pressure of at least 90 mmHg. Traditional terms of hypertension "mild" and "moderate" failed to explain the influence of the major high blood pressure in cardiovascular disease. (Anderson: 2006 h 582)

Hypertension is high blood pressure or medical terms, explain hypertension is a condition where an interruption in blood pressure regulation mechanism (Mansjoer, 2000: 144)

Categorized as mild hypertension if diastolic pressure between 95-104 mmHg, moderate hypertension if diastolic pressure between 105 and 114 mmHg, and severe hypertension if diastolic pressure 115 mmHg or more. This division is based on the increase in the diastolic pressure is considered more serious because of the increase in systolic (Tom Smith, 1995).

Hypertension is systolic pressure exceeds the settled state of 140 mmHg or diastolic pressure higher than 90 mmHg. This diagnostic can be ascertained by measuring the average blood pressure at two separate times (School of Medicine, 2001: 453)