NCP1: Fatigue related to anemia as manifested by decreased sense of energy and capacity for physical work.

Assessment Explanation of the Objective Nursing Intervention Rationale Evaluation

Problem
The patient was hospitalized SHORT TERM GOAL: Dx: SHORT TERM GOAL:
SUBJECTIVE: to receive care of a post-
"I feel weak and I easily operative patient. Post- After 8 hours of nursing  Established rapport  to provide trust and confidence After 8 hours of nursing
get tired. I think I don't operative care for patient intervention, the patient will intervention, the patient
have energy." As who had just undergone report improve sense of energy.  Changes in the patient’s sleep reported improved sense of
kidney transplant. kidney The patient will:  Assess the patient’s sleep pattern may be a contributing
verbalized by the factor in the development of
energy.
transplant surgical procedure patterns for quality, quantity,
patient fatigue. Numerous factors can
typically lasts from two to  Reports of improve time taken to fall asleep and  Verbalizes
four hours. In most cases, sense of energy. feeling upon awakening and exacerbate fatigue, together with
OBJECTIVE: sleep deprivation, emotional increased energy
neither of the recipient’s  participate within observe alteration in thought
 With pallor and kidneys – regardless of processes or behaviors. distress, side effects of drugs, and improved well-
individual capability,
pale in activities at least and progressing CNS disease. being
functionality – will be
conjunctiva once a week for 30  Explains energy
removed. chronic kidney  prevent occurrence of shock
 Needs mins or more. conservation plan
disease (CKD) is the end
assistance with result of a gradual,  He will sit in his chair to offset fatigue
for at least 30mins  Evaluate adequacy of nutrition
activities of progressive loss of kidney  The common emotional
once shift and sleep patterns
daily living function. Fatigue is a responses associated with
common symptom of  Verbalize increased
 Exertional energy and improved  Assess the patient’s emotional fatigue are anxiety and
discomfort patients with chronic kidney reaction to fatigue. depression. These emotional
well being
(RR=22 cpm) disease, but seldom conditions can increase the
investigated after person’s fatigue level and
 Low transplantation fatigue after
LONG TERM GOAL:
produces a vicious cycle.
hemoglobin kidney transplantation is
level - 88g/L After 3 days of nurse patient
more strongly related to interaction, the patient shall
 Low behavioral and psychosocial report improved sense of
hematocrit factors than specific energy. Specifically, the patient  to reduce cardiac workload
level - 0.26L/L. transplantation-related will be able to: Tx:
 patient is factors
drowsy and  identify basis of  Position patient on semi-to  to avoid exhaustion of the
SOURCE: fatigue and individual high fowlers position. patient
lethargic
 Weak in Medical Surgical Nursing 8th areas of control
 appearance ed. Black,vol. 2 page220  Participate in
recommended  Assisted patient in self-care
treatment program. activities
 Observe physiological
reaction to activities such as
any alterations in BP,
 Nursing respiratory rate, or heart rate.
Diagnosis:
Fatigue related to anemia
as manifested by
decreased sense of energy
and capacity for physical
work. Edx:
 Restrict environmental
stimuli, especially during
planned times for rest and
sleep.
 Encourage the patient to
maintain a 24-hour fatigue or
activity log for at least 1
week.
 Tolerance varies significantly,
depending on the phase of the
disease progression, nutrition
condition, fluid balance, and
quantity or sort of opportunistic
diseases that patient has been
subjected to.
 Vivid lighting, noise, visitors,
numerous distractions, and litter
in the patient’s physical
surroundings can limit
relaxation, disturb rest or sleep,
and contribute to fatigue
 Recognizing relationships
between specific activities and
levels of fatigue can aid the
patient recognize unnecessary
energy outflow. The log may
indicate times of day when the
person feels the least fatigued.
This information can help the
patient make choices about
setting his or her activities to
take advantage of episodes of
high energy levels.
 The patient will need properly
balanced intake of fats,
carbohydrates, proteins,
vitamins, and minerals to
provide energy resources
 Promote sufficient nutritional
intake.