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Geriatric Nursing (Nursing Care Plan) #1: Activity Intolerance Incomplete

Geriatric Nursing (Nursing Care Plan) #1: Activity Intolerance Incomplete

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Published by Bakushido
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Published by: Bakushido on May 13, 2010
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06/27/2013

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University of San CarlosCollege of NursingCebu City
NURSING CARE PLAN
 Name of Patient: Etang, BeatrizAge: 73 Sex: FOccupation: Client doesn’t have any occupationStatus: Married Religion: Roman Catholic
Needs / Nsg DxCuesScientific AnalysisObjectivesNursingInterventionsRationaleEvaluation
* Physiologic Need* ActivityIntolerance r/t.decreased musclestrength secondaryto old ageS: “Dili na parehaakong kusog sa unakatong bata-bata pako. Magpatabangnalang gud kosakong bana” asverbalized by theclient.O: Easily FatiguedWalks slowlyLimited Range of Motion*PHYSIOLOGY OF OLD AGE*
Musculoskeletal
Muscle mass is a primary source of metabolic heat. When muscles contract,heat is generated. The heat generated bymuscle contraction maintains bodytemperature in the range required for normal function of its various chemical processes.As early as the third decade of life thereis a general reduction in the size,elasticity and strength of all muscletissue. The loss of muscle masscontinues throughout the elder years.Muscle fibers continue to becomesmaller in diameter due to a decrease inreserves of ATP, glycogen, myoglobinand the number of myofibrils. As aAfter 4 hours of student-nurse clientinteraction, the clientwill be able to:1.) Identify ways tocope up with fatigue.2.) Return Demonstrate basic range of motionexercises.3.) Give the importanceof maintaining muscletonicity.- Teach clientdifferent range of motion exercises.- Encourage restingafter every activity.- Teach client pursed-lip breathing.- Monitor vital signs.- To maintain muscletonicity and to increasemuscle perfusion.- To compensate for fatigability anddecrease metabolicdemands.- To promote lungexpansion thereforemaintaining O2saturation.- To check for complications in thecare process.
 
result, as the body ages, muscular activity becomes less efficient andrequires more effort to accomplish agiven task. The elderly are less efficientat creating the heat necessary to drivethe important biochemical reactionsnecessary for life.http://www.rnceus.com/hypo/physage.htm*Own Analysis*- In aging, it becomes more apparentthat we become weaker and weaker asthe years go by. It is due to the fact thatwe are constantly being exposed todifferent factors such as our diet andenvironment that it causes long termdamage to the different physiologicfunctions of the body making our cellrepair decline and our ability tomaintain homeostasis irregular. Due tothis, muscles tend to lose their originaltonicity compared to that when theywere younger. Because most of our energies are stored in our muscles, welack the usual efficient compensatorymechanism that allows us to sustainsignificant fatigue making usintolerable to some activities.- Maintain a caringand calm attitude indealing with the patient.- Encourage fluidintake.- To limit level of anxiety.- To restore lostelectrolytes inengaging exercises.

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