ATENEO DE NAGA UNIVERSITY

COLLEGE OF NURSING
Ateneo Avenue, Naga City 4400
S/Y 2020-2021

ASSESSMENT DIAGNOSIS RATIONALE PLANNING IMPLEMENTATIO RATIONALE EVALUATION

N
S: “I’m having a Fatigue related Over time,  Short term Independent
feeling of fatigue” as to Hyperthyroidism goal: After 1 hour of
verbalized by the hypermetabolic increase in Within 1 hour - Note - O2 demand nursing
patient. state with metabolism can of nursing development of and interventions,
increased break the body interventions, tachypnea, consumption the client
energy down and can the client will dyspnea, pallor, are increased in identified basis
requirements cause tiredness identify basis and cyanosis. hypermetabolic of fatigue.
O: as evidenced by and fatigue of fatigue. state,
- Nervousness verbalization of  Long term potentiating risk After 8 hours
- Tension overwhelming goal: of hypoxia with of nursing
- PR: 148 bpm lack of energy Within 8 activity. interventions,
- BP: hours of the client
197/87mmH Fatigue related nursing - Provide for quiet - Reduces reported
g to physiological interventions, environment; cool stimuli that may improved
factor: the client will room, decreased aggravate sense of
Pregnancy report sensory stimuli, agitation, energy.
improved soothing colors, hyperactivity,
sense of quiet music. and insomnia.
energy
- Encourage - Helps
patient to restrict counteract
activity and rest in effects of
bed as much as increased
ATENEO DE NAGA UNIVERSITY
COLLEGE OF NURSING
Ateneo Avenue, Naga City 4400
S/Y 2020-2021

possible. metabolism

- Provide for - Allows for use

diversional of nervous
activities that are energy in a
calming, e.g., constructive
reading, radio, manner and
television may reduce
anxiety.

- Assist the patient - A plan that

to develop a balances
schedule for daily periods of
activity and rest activity with
periods of rest
can help the
patient
complete
desired
activities
without adding
to levels of
fatigue
ATENEO DE NAGA UNIVERSITY
COLLEGE OF NURSING
Ateneo Avenue, Naga City 4400
S/Y 2020-2021

- Avoid topics that

irritate or upset - Increased
patient. Discuss irritability of the
ways to respond to CNS may cause
these feelings. patient to be
easily excited,
agitated, and
prone to
emotional
outbursts.
- Educate the
patient and family - Organization
about task and
organization management of
methods and time time can assist
organization the patient save
methods. energy and
avoid fatigue.
-Discuss with SO
reasons for fatigue - Understanding
and emotional that the
lability. behavior is
physically based
ATENEO DE NAGA UNIVERSITY
COLLEGE OF NURSING
Ateneo Avenue, Naga City 4400
S/Y 2020-2021

may enhance
coping with
current
situation and
encourage SO
to respond
positively and
provide support
for patient.