Subjective and objective data is essential to determine the causes and nature of the headache.
1. Subjective Data
- Understanding the patient about headaches and possible causes.
- Aware of the existence of trigger factors, such as stress.
- Measures to reduce symptoms such as drugs.
- Place, frequency, pattern and nature of the place of pain including headache, duration and interval between headaches.
- Beginning of the headache attacks.
- There are symptoms or not prodomal
- There are accompanying symptoms.
- Family history of headaches (especially important when a migraine).
- The situation is made more severe headaches.
- There is an allergy or not.
2. Objective Data
- Behavior: showing symptoms of stress, anxiety or pain.
- Changes in the ability to perform daily activities.
- There is an abnormal assessment of the physical assessment of cranial nerve system.
- Body temperature
- Drainage of the sinus.
In the assessment of headache, a few important things to consider. Among them are:
- Localized headaches usually associated with migraine headaches or organic disorders.
- Headaches are usually caused by complete or psychological causes of increased intracranial pressure.
- Migraine headaches can move from one side to the other.
- Headaches are accompanied by an increase in intracranial pressure usually occurs during sleep or waking headaches wake patients from sleep.
- Type headache sinuses arise in the morning and the afternoon to get worse.
- A lot of headaches associated with stress conditions.
- The pain is dull, annoying, escalate and continue to exist, often occurs in the psikogenis headache.
- Organic materials that cause pain and its still growing steadily.
- Migraine headaches can accompany menstruation, headaches can be preceded by eating foods that contain monosodium glutamate, sodim nitrate, tyramine as well as alcohol.
- Sleeping too long, fast, inhaling the toxic odors in the workplace where insufficient ventilation can cause headaches.
- Oral contraceptive medications can aggravate migraines.
- Each found the secondary of a headache needs to be studied.
Nursing Diagnosis for Headaches
2. Ineffective individual coping r/t situations of crisis, personal vulnerability, not adequat support systems, work overload, inadequate relaxation, severe pain, excessive threat to himself.
3. Deficient knowledge : about the condition and treatment needs r/t lack of recall, did not know the information, cognitive limitations.