Objective− the patient has the sensation that objects in the environment are moving;
Subjective− patient feels as if he or she is moving; Pseudovertigo− intensive sensation of rotation inside the patient's head.
A headache or cephalalgia is pain anywhere in the region of the head or neck. It can be a symptom of a number of different conditions of the head and neck. The brain tissue itself is not sensitive to pain because it lacks pain receptors. Rather, the pain is caused by disturbance of the pain-sensitive structures around the brain. Nine areas of the head and neck have these pain-sensitive structures, which are the cranium (the periosteum of the skull), muscles, nerves, arteries and veins, subcutaneous tissues, eyes, ears, sinuses and mucous membranes.
Nursing Diagnosis for Vertigo / Headache: Pain (acute / chronic)
related to
- stress and tension,
- irritation / pressure nerves,
- vasospasm,
- increased intracranial
characterized by:
- states that pain is influenced by factors such as:
- position changes, changes in sleep patterns, anxiety.
Purpose: Pain is lost or reduced
Expected outcomes are:
- clients to express pain is reduced
- normal vital signs
- patient was calm and relaxed.
Nursing Interventions pain (acute / chronic) - Vertigo / Headache:
1. Monitor vital signs, the intensity / pain scale.
Rationale: Identify and facilitate the conduct of nursing actions.
2. Encourage clients to rest in bed.
Rational: the break to reduce the intensity of pain.
3. Adjust the position of the patient as comfortable as possible
Rational: the right position to reduce stress and prevent muscle tension and reduce pain.
4. Teach relaxation and deep breathing techniques
Rational: relaxation to reduce tension and create a feeling more comfortable.
5. Collaboration for providing analgesic.
Rational: useful analgesic to relieve pain so that patients become more comfortable.
