Nursing Care for Hypertension Patients with Comorbidity and Bedridden in the Community

Abstract

Hypertension or high blood pressure is a serious problem and can lead to a cause of death or permanent disability. High blood pressure typically does not cause symptoms. Inappropriate medical treatment is a major risk factor for coronary artery disease which can lead to ischemic heart disease, heart failure, chronic kidney disease, peripheral arterial disease, and stroke or cerebrovascular accident. The study showed that the hypertensive patient with comorbidity and bedridden missed an appointment. Follow-up by a home visit was arranged and found that the patient was awake, lying in the wooden bed, but cannot move. Consequently, medical emergency - 1669 was called to take the patient to the hospital. The patient was admitted to the hospital for the treatment of an infected pressure ulcer eight days then was discharged from the hospital.

Community health nursing is collaborated by evaluating problems and needs, planning, and implementation for discharge planning to help the patient and the family feels well prepared when going home. Community health nursing who served as holistic nursing and emphasis on practice in all settings with individuals, families, and communities for self-care support. Community health nursing promotes self-reliance on the patient. However, they advise the family and caregivers about wound dressing, caregiving and daily activities, helping the patient to do exercise, and evaluation.