SalnL Louls unlverslLy

School of nurslng



nu8SlnC CA8L ÞLAn
ÞA1lLn1ť ÞLu8C AŦ SAWAC









SubmlLLed Loť Slr CllberL Marzan 8Ŧn
SubmlLLed byť ChrlsLlne 8Ŧ MagslnglL
8Sn lll/8LCCk L C8CuÞ 3




ASSLSSMLn1 CCAL ln1L8vLn1lCn LvALuA1lCn

Sub[ecLlve
#ÞuWLuLnC ÞAkl1AAS l1CnC
kAMA kCţ ul kC kASl MAAnCA1
kA1AWAn kCŦ"

Cb[ecLlve

Þalmar pallor noLed

WlLh llmlLed and slowed
movemenL

resLlessness noLed

cold clammy skln

wlLh poor communlcaLlon and
lnLeracLlon

wlLh vlLal slgns ofť
8Þť 90/60
1LMÞť 33Ŧ3ºC
88ť 20 bpm
Þ8ť 68 cpm
muscle sLrengLh of 3/3 3/3
3/3 3/3

ongolng chemoLherapy

muscle wasLlng noLed



LCnC 1L8Mť
ÞaLlenL wlll demonsLraLe
lncreased Lolerance Lo acLlvlLy by
dlschargeŦ






SPC81 1L8Mť
ÞaLlenL shall have reporLed /
demonsLraLed an lncrease ln
acLlvlLy Loleranceţ lncreased
movemenL and lncreased
parLlclpaLlon Lo acLlvlLlesŦ

Lxpresses an undersLandlng of
need Lo balance resL and acLlvlLyŦ



MonlLored vlLal slgns

noLed presence of facLors
conLrlbuLlng Lo faLlgue (cancer
Lherapy)

Assessed level of consclousness

Assessed muscle sLrengLh

Assessed nuLrlLlonal needs
assoclaLed wlLh acLlvlLy
lnLoleranceŦ

Assessed for paln before acLlvlLy

When geLLlng cllenLs upţ observed
sympLoms of lnLolerance such as
nausea ţ pallorţ dlzzlnessţ vlsual
dlmmlngţ and lmpalred
consclousness as well as change ln
vlLal slgns

Assess lndependenL ablllLy Lo geL
Lo Lhe LolleL and remove and
ad[usL cloLhlngŦ

AsslsLed paLlenL on comforLable
poslLlonŦ

Þrovlded lncreased aLLenLlon Lo
comforL and dlgnlLy of Lhe

Coal fully meL lf Lhe paLlenL wlll
demonsLraLe demonsLraLed lncreased
Lolerance Lo acLlvlLyŦ

Coal fully meL lf paLlenL wlll have reporLed
/ demonsLraLed an lncrease ln acLlvlLy
Loleranceţ lncreased movemenL and
lncreased parLlclpaLlon Lo acLlvlLlesŦ

Coal fully meL lf paLlenL Lxpresses an
undersLandlng of need Lo balance resL and
acLlvlLyŦ




















nu8SlnC ulACnCSlSť

AcLlvlLy lnLolerance 8elaLed Lo
8ody Weakness Secondary Lo
CasLrlc Cancer






Lermlnally lll cllenL ln care
plannlngŦ

AdmlnlsLered medlcaLlon such as
Celgro l Lab Cu (food supplemenLť
predlgesLed proLeln)ţ naCl and
kallum duruleŦ

Lnsured LhaL cllenL change
poslLlon slowly

Lncouraged for perlods of resL
before and afLer planned exerLlon
perlods such as mealsţ baLhsţ
LreaLmenLsţ and physlcal acLlvlLyŦ

lnsLrucLed Lhe cllenL and famlly ln
Lhe lmporLance of malnLalnlng
proper nuLrlLlon and resL for
energy conservaLlon and
rehablllLaLlonŦ












ÞA1PCÞP?SlCLCC?


ƽLxcesslve lnLake of salLed food
ƽclgareLLe and alcohol use
ƽmale has greaLer rlsk
lnadequaLe acld secreLlon
Alkallne envlronmenL
Allows bacLerlal growLhť
nellcoboctet pylotl (PŦ pylotl)
AcLs on nlLraLes ln lood
nlLraLes lnLeracL wlLh amlno
aclds ln Lhe sLomach
lorm carclnogenlc
nlLrosamlnesŦ
CAS18lC CAnCL8
ChemoLherapy(3lu 1gm ln
u3W300 cc)
lnhlblLs cell ablllLy
Lo synLheslze unA
nausea and vomlLlng
Þoor appeLlLe
1asLe changes

LxLreme faLlgue
AcLlvlLy lnLolerance
8elaLed Lo 8ody
Weakness Secondary Lo
CasLrlc Cancer
lmbalanced nuLrlLlon less Lhan
body requlremenL relaLed Lo

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