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*
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.