NURSING CARE PLAN Problem: Body malaise Nursing diagnosis: Activity intolerance related to general malaise secondary to DM Taxonomy:

Activity- Exercise Pattern Cause analysis: Fatigue and general malaise are common symptoms of DM patient which can interfere with an individuals ability to initiate ADLs [Medical Surgical Nursing By Smeltzer and Bare, pp. 679] CUES OBJECTIVES INTERVENTIONS RATIONALE EVALUATION Subjective: Dii man niya kaya magtindog na siya lang as verbalized by the SO STO: After 4 hours of giving effective nursing interventions, the patient will be able to cope with fatigue as evidenced by verbalized feelings of comfort and increase activity participation LTO: Within 3 days of giving nursing interventions, the patient will be able to demonstrate an increase in activity tolerance as evidenced by doing simple ADLs Independent: 1. Assessed patients ability to perform tasks/ noting reports of weakness, fatigue and difficulty accomplishing task. 2. Recommended quiet atmosphere; bed rest if indicated stress-need to monitor and limit visitors, phone calls and repeated unplanned interruptions 3. Elevated head of bed as tolerated. 4. Provided/recommended assistance with activities / ambulation as necessary, allowing pt to do as much as possible] 5. Assisted pt to prioritize ADLs/desired activities. 1. Influence of choice of interventions assistance 2. Enhance rest to lower bodys oxygen requirements, and reduces strain on the heart and lungs 3. Enhances lung expansion to maximize oxygenation for cellular uptake. 4. Although help may be necessary, self esteem is enhanced when pt does things for self. 5. promotes adequate rest energy level, and alleviates strain on the cardiac and respiratory systems.

After 4 hours of giving effective nursing interventions, the patient was able to cope with fatigue as evidenced by verbalization of feelings of comfort and participating in passive ROM

Objective: appeared weak pale patient is lethargic unable to perform ADLs dependent on others care always lying on bed

Within 3 days of giving nursing intervention, the patient was not able to do simple ADLs

Ref: Nursing Care Plans by Doenges p 492-493