COMPREHENSIVE NURSING CARE PLAN

Nursing Diagnosis:
Date of Assessment: Date of Evaluation:

Assessment Nursing Scientific Planning Nursing Rationale Evaluation

Diagnosis Explanation Interventions
Subjective Data: Fatigue related to It is an insufficiency Short Term: Independent: Independent: Short Term:
“Nanghihina po ako decreased in which the 1.Establish rapport 1. To gain trust and
ako at hindi ako hemoglobin and individual After 8 hours of participation of the After 8 hours of
makagalaw galaw ng diminished experiences the Comprehensive 2. Monitor Vital client the
maayos, hindi rin po oxygen-carrying an aversion to nursing Signs Comprehensive
ako makabangon sa capacity of blood exertion and feels intervention, the 2. To serve as a nursing
aking higaan dahil secondary to poor unable to carry on, patient: 3. Assess the baseline data intervention, the
masakit rin po ang physical such feelings may be patient’s ability to goal was partially
aking tiyan” as condition as generated by 1. Will verbalize an perform ADLs, 3. Fatigue can restrict met. As evidenced
verbalized by the evidenced by muscular effort, increased energy instrumental the patient’s ability to by the patient:
client. Fatigability, Pale exhaustion of the and improved well- activities of daily participate in self-care
skin, and energy supply to being living (IADLs), and and do his or her role 1. Shared his
Dizziness the muscles of the demands of daily responsibilities in the feelings regarding
body, however, is not 2. Will demonstrate living (DDLs). family and society, the effects of
an constant precursor. some energy saving such as working fatigue on his life.
Feelings of fatigue techniques to help 4. Promote sufficient outside the home.
may also stem from decrease fatigue. nutritional intake. 2. Has an increased
pain, anxiety, fear, or 4. The patient will energy and partially
boredom. In the latter 5 Encourage client to need properly able to be
cases, muscle express feelings balanced intake of independent in
function commonly is about fatigue; use fats, carbohydrates, getting out of his
unimpaired. active listening proteins, vitamins, and bed
Techniques and help minerals to provide
identify sources energy resources.
of hope.
5. Acknowledgement
 that living with fatigue
is both physically and
emotionally
challenging and helps
in coping mechanism
of the patient
Objective Data: Long Term: Dependent: Dependent: Long Term:
1. Fatigue 1. Administer 1. Vitamin B12 boost
2. Pale skin After 2 days of Vitamin B12 the patient’s energy After 2 days of
3. Dizziness Comprehensive supplement as and metabolism Comprehensive
Nursing ordered Nursing
Vital Signs: intervention, the intervention, the
T-36.8C patient will: 2. Provide 2. Oxygen saturation goal was met, as
PR- 98 BPM supplemental oxygen should be kept at 90% evidenced by the
RR- 21 CPM 1.Demonstrate a therapy, as needed. or greater. patient:
BP- 130/80 mmHg more positive and Collaborative: Collaborative:
happier attitude 1. Educate patient 1. The occupational 1. Verbalized an
than before the energy conservation therapist can offer the increased energy
interventions were methods. Collaborate patient with assistive and improved well-
applied with occupational devices and educate being
therapist as needed. the patient energy
2. Be able to conservation methods. 2. Demonstrated a
identify factors that Patients and caregivers more positive and
aggravate and may need to learn happier attitude
relieved his fatigue skills for allocating than before the
tasks to others, setting interventions were
3.Be able to record priorities, and applied
aggravating factors gathering care to
use available energy to 3.Able to identify
complete desired factors that
activities which can aggravate and
help the patient relieved his fatigue
conserve energy and
reduce fatigue.