Question

Create a nursing care plan for the scenario:

Mr. Ying is an 84 year-old Asian male who lives in an apartment that adjoins his son’s house. Mr. Ying is accompanied to this clinic visit by his son, who assists with the history. Although previously outgoing and social, Mr. Ying recently has been limiting his outside activities. Mr. Ying completes the Stay Independent brochure in the waiting room. He circles “Yes” to the questions, “I use or have been advised to use a cane or walker to get around safely,” “Sometimes I feel unsteady when I am walking,”. Mr. Ying stated that for the past year he has felt dizzy when he stands up after sitting or lying down and that he often needs to “catch himself” on furniture or walls shortly after standing. His dizziness is intermittent but happens several times per week. Mr. Ying cannot identify any recent changes in his medications or other changes to his routine that would explain his symptom. He says there is no pattern and he experiences dizziness at different times during the day and evening. He denies experiencing syncope, dyspnea, vertigo, or pain accompanying his dizziness.

Answer 1

Syncope is essential loss of consciousness ,which is typically caused by hypotension. This may result in ineffective tissue perfusion. *Syncope related to Hypo tension as evidences by sudden falls and dizziness. *Ineffective tissue perfusion related to decreased peripheral blood circulation .

Assessment	Diagnosis	planning	rationale
Subjective data:Dizziness, Blurred vision ,tunnel vision Objective data:Loss of consciousness ,hypo tension,confusing,disorienting.	Syncope related to hypo tension as evidence by sudden falls and dizziness	*Encourage to dose not walk without assistance *Educate patient to change position slowly. *Reevaluate medication ,review any that may cause syncope with medication *Monitor for changes in the level of consciousnes *Promote adequate fluids intakes	it help to prevent sudden falls. *This enable the blood pressure to accommodate to position changes and hopefully prevent future episode. BP medications need to be spaced out,or dosage may need to adjust to prevent hypo tension. Monitor appropriately and notifying any medication that change the consciousness. Helps to prevent worsening of hypo tension.