ASSESMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

S: “Mahina ang Activity After 8 hours of Independent: Goals met.

katawan intolerance nursing 1. Baseline data
ko, madali related to intervention, the 1. Obtained is important to - patient
akong fatigue, altered patient will be resting vital help determine participated
mapagod”, as nutritional able to tolerate signs. patient’s degree willingly in ADLs
verbalized status. prescribed of activity and
by the patient. physical intolerance. verbalizes ways
activities, such to
O: - weak and as ADL. conserve energy
pale in 2. Assessed 2. Determines and
appearance After 8 hours of patient’s ability nursing prevent fatigue.
- shallow, rapid nursing to interventions
respiration intervention, the perform ADL’s, needed to assist - patient
RR = 29 bmp patient will: providing patient; ensures demonstrated
PR = 87 bpm - participate assistance as patient safety. tolerance to
BP = 110/80 willingly in necessary activities
mmHg necessary especially
- slowness of activities of daily during tasks
movement living. requiring
- restlessness - demonstrate a ambulation.
decrease in
physiologic 3. Noted 3. Patients with
signs of changes in Vitamin B12
activity balance/gait deficiency often
intolerance as disturbance, manifest
evidenced by PR muscle neurologic
and weakness. changes.
RR within
normal
range. 4. Monitored BP, 4. Increase in
- verbalizes pulse, BP, HR, RR, and
ways to respirations changes in skin
conserve energy and skin color color result from
and during and after the attempts of
prevent fatigue. activity. the heart and
lungs to supply
adequate
amounts
of oxygen to the
tissues.

5. Instructed 5. Postural
patient to hypotension
change may
position slowly. cause dizziness
and increased
risk
of injury.

6. Provided 6. Rest lowers

adequate rest the body’s
and sleep oxygen
periods requirements.
especially
between
activities.

7. Elevated head 7. Promotes

of bed as lung expansion
tolerated. for
maximum
oxygenation.
Educative:

8. Encouraged 8. To provide
patient to eat a adequate
well strength
balanced diet. and improve
general body
condition.

9. Provided 9. Promotes
health teachings adequate rest
on the and
importance of maintains
prioritization of energy level
activities,
relaxation
techniques,
spacing, and
DBE.