University of San Carlos College of Nursing Cebu City NURSING CARE PLAN Name of Patient: Etang, Beatriz Age:

73 Sex: !""u#ation: Client $oesn%t &ave any o""u#ation Status: 'arrie$ (eligion: (oman Cat&oli" Needs / Nsg Dx Cues ) P&ysiologi" Nee$ ) A"tivity *ntoleran"e r+t, $e"rease$ mus"le strengt& se"on$ary to ol$ age S: -.ili na #are&a a/ong /usog sa una /atong bata0bata #a /o, 'ag#atabang nalang gu$ /o sa/ong bana1 as verbalize$ by t&e "lient, !: Easily atigue$ 2al/s slo3ly 4imite$ (ange of 'otion Scientific Analysis )P56S*!4!76 ! !4. A7E) #uscul"s$eletal 'us"le mass is a #rimary sour"e of metaboli" &eat, 2&en mus"les "ontra"t, &eat is generate$, 8&e &eat generate$ by mus"le "ontra"tion maintains bo$y tem#erature in t&e range re9uire$ for normal fun"tion of its various "&emi"al #ro"esses, As early as t&e t&ir$ $e"a$e of life t&ere is a general re$u"tion in t&e size, elasti"ity an$ strengt& of all mus"le tissue, 8&e loss of mus"le mass "ontinues t&roug&out t&e el$er years, 'us"le fibers "ontinue to be"ome smaller in $iameter $ue to a $e"rease in reserves of A8P, gly"ogen, myoglobin an$ t&e number of myofibrils, As a Objecti es After : &ours of stu$ent0nurse "lient intera"tion, t&e "lient 3ill be able to: ;,< *$entify 3ays to "o#e u# 3it& fatigue, =,< (eturn .emonstrate basi" range of motion exer"ises, 3,< 7ive t&e im#ortan"e of maintaining mus"le toni"ity, 0 'onitor vital signs, 0 8ea"& "lient #urse$0 li# breat&ing, 0 8o #romote lung ex#ansion t&erefore maintaining != saturation, 0 8o "&e"/ for "om#li"ations in t&e "are #ro"ess, Nu!sing Inte! enti"ns 0 8ea"& "lient $ifferent range of motion exer"ises, 0 En"ourage resting after every a"tivity, Rati"nale 0 8o maintain mus"le toni"ity an$ to in"rease mus"le #erfusion, 0 8o "om#ensate for fatigability an$ $e"rease metaboli" $eman$s, E aluati"n

result, as t&e bo$y ages, mus"ular a"tivity be"omes less effi"ient an$ re9uires more effort to a""om#lis& a given tas/, 8&e el$erly are less effi"ient at "reating t&e &eat ne"essary to $rive t&e im#ortant bio"&emi"al rea"tions ne"essary for life, &tt#:++333,rn"eus,"om+&y#o+#&ysage,& tm )!3n Analysis) 0 *n aging, it be"omes more a##arent t&at 3e be"ome 3ea/er an$ 3ea/er as t&e years go by, *t is $ue to t&e fa"t t&at 3e are "onstantly being ex#ose$ to $ifferent fa"tors su"& as our $iet an$ environment t&at it "auses long term $amage to t&e $ifferent #&ysiologi" fun"tions of t&e bo$y ma/ing our "ell re#air $e"line an$ our ability to maintain &omeostasis irregular, .ue to t&is, mus"les ten$ to lose t&eir original toni"ity "om#are$ to t&at 3&en t&ey 3ere younger, Be"ause most of our energies are store$ in our mus"les, 3e la"/ t&e usual effi"ient "om#ensatory me"&anism t&at allo3s us to sustain signifi"ant fatigue ma/ing us intolerable to some a"tivities,

0 'aintain a "aring an$ "alm attitu$e in $ealing 3it& t&e #atient, 0 En"ourage flui$ inta/e,

0 8o limit level of anxiety,

0 8o restore lost ele"trolytes in engaging exer"ises,