Assessment Diagnosis Objective Intervention Rationale Evaluation

Objective: Activity Short term: Independent: ♦ Influences choice of ♦ Patient reveals

♦ Fatigue. intolerance After 8 hours of ♦ Assess patient’s interventions or an increase in
♦ Greater related to nursing interventions ability to perform needed assistance. activity
need imbalance the patient will: normal task or ♦ May indicate tolerance,
for sleep and between oxygen ♦ Report an activities of daily neurological demonstrating a
rest supply increase in living. changes associated reduction in
(delivery) activity tolerance ♦ Note changes in with vitamin B12 physiological
and demand. including balance/ gait deficiency, affecting signs of
activities of daily disturbance, muscle patient safety or risk intolerance and
living. weakness. of injury. laboratory
♦ Demonstrate a ♦ Recommend quiet ♦ Enhances rest to values within
decrease in atmosphere, bed rest lower body’s oxygen normal range
physiological if indicated. requirements, and
signs of ♦ Elevate the head of reduces strain on
intolerance. the bed as tolerated. the heart and lungs.
♦ Display laboratory ♦ Provide or ♦ Enhances lung
values within recommend expansion to
acceptable range. assistance with maximize
Long term: activities or oxygenation for
After months of ambulation as cellular uptake.
nursing interventions, necessary, allowing ♦ Although help may
the patient: patient to do as much be necessary, self
♦Is free form as possible. esteem is enhanced
weakness and when patient does
risk for some things for self
complications has
been prevented.
Nursing Cues and Goals Objective Nursing Rationale Evaluation
Diagnosis Evidences Intervention

Anxiety Subjective Patient will After 3-5 ♦ introduced ♦ introducing After 5

cues: be able to: minutes of self your self will minutes of
♦ excessive ♦ lessen her nurse- ♦established lessen nursing
sweating anxiety patient rapport the anxiety of the intervention
♦ shaking if ♦ relax interaction. ♦ talk to the patient. s, the
hands Patient will patient and ♦ Establishing patient was
be able to: explain rapport an able to relax
further the develop patients and the
♦ lessen her procedure trust anxiety was
anxiety ♦ explaining the lessen.
♦ relax procedure can
develop patient’s
understanding