T1 · Uncontrolled high blood pressure
Actual Long-term illness
Definition
Blood pressure stays high despite treatment, raising the risk of stroke and heart disease.- High salt intake
- stress
- obesity
- missed medicine
- kidney disease
- Readings above target
- headaches
- dizziness
- sometimes no symptoms
📋 Scenario
A patient's pressure stays above 160/100 despite medicine.
Subjective (S): "I don't get headaches so I'm fine."
Objective (O): Blood pressure 168/102; misses medicines; high-salt diet.
Assessment tools for this scenario: CP-LONG Long-Term Condition Check CP-PAIN Pain & Comfort Score CP-SKIN Skin & Wound Score
Validated scales to consider: Self-management review, NRS 0–10, FLACC, PAINAD, Braden Scale, TIME wound chart
**CarePath diagnosis:** Uncontrolled high blood pressure related to high salt intake and missed medicines, as evidenced by a blood pressure of 168/102.
**Interventions and rationale**
| Intervention | Rationale |
|---|---|
| Check technique. | Wrong cuff size, arm position or rushed measurement can give false readings. Checking technique makes sure treatment decisions are based on accurate numbers. |
| Encourage taking medicine. | Missed doses let blood pressure rise again. Regular medicine gives steady control, which lowers the risk of stroke, heart disease and kidney damage. |
| Reduce salt. | Salt makes the body hold water, which raises blood pressure. Cutting salt helps lower readings and can make medicines work better. |
| Encourage exercise. | Regular physical activity strengthens the heart and helps lower blood pressure over time, and it helps weight control. |
| Follow up. | Follow-up lets the team see whether readings are improving and adjust treatment, and it reinforces the habit of ongoing care. |
| Report severe symptoms. | Severe headache, chest pain, vision change or weakness can signal stroke or a dangerous rise in pressure and need urgent medical attention. |
**Expected outcomes**
- Blood pressure within target.
- Takes medicine regularly.
- Reduces salt.
- Follows up.
**Linking the data to the diagnosis**
This is an actual problem because the blood pressure is already above target. The patient's reading is 168/102, he misses medicines and eats a high-salt diet. He says, "I don't get headaches so I'm fine," which shows he does not realize that high pressure can be silent. Raised pressure despite treatment fits this statement better than a simple knowledge need. The plan checks measurement technique, encourages regular medicine, reduces salt, encourages exercise and follows up. The aim is blood pressure within target, regular medicine use, less salt and attendance at follow-up.
CarePath diagnosis
Uncontrolled high blood pressure related to high salt intake and missed medicines, as evidenced by a blood pressure of 168/102.
Interventions and rationale
Listed in priority order.
| Intervention | Rationale |
|---|---|
| 1. Check technique. | Wrong cuff size, arm position or rushed measurement can give false readings. Checking technique makes sure treatment decisions are based on accurate numbers. |
| 2. Encourage taking medicine. | Missed doses let blood pressure rise again. Regular medicine gives steady control, which lowers the risk of stroke, heart disease and kidney damage. |
| 3. Reduce salt. | Salt makes the body hold water, which raises blood pressure. Cutting salt helps lower readings and can make medicines work better. |
| 4. Encourage exercise. | Regular physical activity strengthens the heart and helps lower blood pressure over time, and it helps weight control. |
| 5. Follow up. | Follow-up lets the team see whether readings are improving and adjust treatment, and it reinforces the habit of ongoing care. |
| 6. Report severe symptoms. | Severe headache, chest pain, vision change or weakness can signal stroke or a dangerous rise in pressure and need urgent medical attention. |
Expected outcomes
- Blood pressure within target.
- Takes medicine regularly.
- Reduces salt.
- Follows up.
Linking the data to the diagnosis
This is an actual problem because the blood pressure is already above target. The patient's reading is 168/102, he misses medicines and eats a high-salt diet. He says, "I don't get headaches so I'm fine," which shows he does not realize that high pressure can be silent. Raised pressure despite treatment fits this statement better than a simple knowledge need. The plan checks measurement technique, encourages regular medicine, reduces salt, encourages exercise and follows up. The aim is blood pressure within target, regular medicine use, less salt and attendance at follow-up.