Nursing Care Plan for Headache

ADS
A headache or cephalalgia is pain anywhere in the region of the head or neck.

Symptoms :

  • Diplopia
  • Dimming of vision in a single eye
  • Stiff neck
  • Disorientation
  • Rash
  • Fever
  • Eye pain
  • Unilateral paresthesia
  • Unilateral weakness
  • Balance change

There are more than 200 types of headaches. Some are harmless and some are life-threatening. The description of the headache and findings on neurological examination, determine whether additional tests are needed and what treatment is best.

The most common primary headaches are:
  • Cluster headache
  • Migraine (with and without aura)
  • Tension headache (medically known as tension-type headache)


Causes of secondary headaches include :
  • meningitis
  • bleeding inside the brain (intracranial hemorrhage)
  • subarachnoid hemorrhage (acute, severe headache, stiff neck WITHOUT fever)
  • ruptured aneurysm, arteriovenous malformation, intraparenchymal hemorrhage (headache only)
  • brain tumor
  • temporal arteritis
  • acute closed angle glaucoma (increased pressure in the eyeball)


Pain (acute / chronic) related to stress and tension, irritation / nerve pressure, vasospasm, increased intracranial.

Goal: Pain is lost or reduced

Outcomes:
  • Reveal reduced pain.
  • Normal vital signs.
  • Appeared calm and relaxed.
Intervention:
  1. Monitor vital signs, intensity / pain scale.
  2. Encourage clients to rest in bed.
  3. Adjust the position of the patient as comfortable as possible.
  4. Teach relaxation techniques and breathing deeply.
  5. Collaboration for providing analgesic.

Rational:
  1. Recognize and facilitate the nursing action.
  2. Breaks to reduce the intensity of pain.
  3. Right position reduces stress and prevent muscle tension and reduce pain.
  4. Relaxation relieves tension and makes the feeling more comfortable.
  5. Useful analgesic to reduce pain so that the patient becomes more comfortable.

Source : http://nursing-diagnosis-care-plans.blogspot.com/2014/04/pain-acute-chronic-nursing-care-plan.html

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