FAR EASTERN UNIVERSITY

Nicanor Reyes St. Sampaloc, Manila

Institute of Nursing

NURSING CARE PLAN

Patient's Name:​ Mrs. L

Cues Diagnosis Analysis Goals and Interventions Rationale Evaluation

Objectives

Risk for activity SHORT INDEPENDENT: Was the client

SUBJECTIVE intolerance is defined as TERM -------------------------- ------------------ able to
CUES: susceptibility to GOALS: Identify risk factors. - verbalize
The client experiencing insufficient Many factors understanding
stated: Risk for physiological or After 3 hours of can cause or of potential
Activity psychological energy to intervention, the contribute to loss of ability
“wala ako Intolerance endure or complete client will be fatigue, having in relation to
masyadong related to required or desired daily able to: potential to existing
ginagawa Sedentary activities, which may interfere with condition?
araw-araw Lifestyle as further compromise - Verbalize client’s ability ___Met
bukod sa mga evidenced by health. This is usually understanding to perform at a ___Partially
gawaing-bahay” Fatigue caused by imbalance of potential loss desired level of met
between oxygen of ability in -------------------------- activity. ___Unmet
“mabilis akong supply/demand, relation to Ask the ------------------
mapagod kapag immobility, physical existing client/significant - Was the client
masyadong deconditioning, condition. other (SO) about the Identifies able to identify
maraming sedentary lifestyle, usual level of energy. potential alternative
ginagawa sa and/or inexperience with - Identify problems ways to
bahay.” an activity. This can alternative ways and/or maintain
further develop into to maintain client’s/SO’s desired activity
activity intolerance and desired activity perception of level?
OBJECTIVE cause other medical level. client’s energy ___Met
CUES: conditions that may and ability to ___Partially
-Fatigue negatively affect one’s - Identify perform met
-Insufficient quality of life conditions or -------------------------- needed or ___Unmet
sleep symptoms that Note client reports of desired
-Pain require medical weakness, fatigue, activities. Was the client
REFERENCE: reevaluation. pain, difficulty ------------------ able to identify
Doenges, M. E., accomplishing tasks, - conditions or
Moorhouse, M. F., & LONG TERM and/or insomnia. Symptoms symptoms that
Murr, A. C. (2019). GOALS: -------------------------- may be a result require
Nurses pocket guide: Note of or contribute medical
diagnoses, prioritized After one week treatment-related to intolerance reevaluation?
interventions, and of intervention, factors, such as side of activity. ___Met
the client will effects and ------------------ ___Partially
rationales (15th ed.)​.
be able to interactions of - met
participate in medications. ___Unmet
Philadelphia: F.A. prevention -------------------------- This can affect
Davis Company. conditioning/reh Assess emotional and the nature and Was the client
abilitation psychological factors degree of able to
programs to affecting the current activity participate in
enhance ability situation. intolerance. prevention
to perform. conditioning/re
------------------ habilitation
- programs to
Stress and/or enhance ability
depression to perform?
-------------------------- may be ___Met
Assess increasing the ___Partially
cardiopulmonary effects of an met
response to physical illness, or ___Unmet
activity, including depression
vital signs, before, might be the
during, and after result of forced
activity. Note inactivity.
accelerating fatigue. ------------------
-
Dramatic
changes in
heart rate and
rhythm,
changes in
-------------------------- usual blood
Promote and pressure, and
implement a progressively
conditioning worsening
program. Support fatigue result
inclusion in exercise from an
and activity groups. imbalance of
-------------------------- oxygen supply
Instruct client in and demand.
proper performance ------------------
of unfamiliar -
activities and in This is to
alternate ways of prevent/limit
doing familiar deterioration.
activities.
--------------------------
Plan for progressive
increase of activity ------------------
level/participation in -
exercise training, as This is to
tolerated by client. conserve
energy and
promote safety.
--------------------------
Give client
information that
provides evidence of ------------------
daily/weekly -
progress. Both activity
-------------------------- tolerance and
health status
Identify and discuss may improve
symptoms for which with
the client needs to progressive
seek medical training.
assistance/evaluation. ------------------
-------------------------- -
Provide information This is to
about the effect of sustain
lifestyle on activity motivation.
intolerance.

------------------
-
This provides
-------------------------- timely
Encourage client to intervention.
maintain a positive
attitude; suggest use
of relaxation ------------------
techniques, such as -
visualization or Many of these
guided imagery, as factors may be
appropriate. amenable to
=============== modification,
DEPENDENT: thus reducing
-------------------------- risk factors and
Refer to appropriate promoting
resources for health.
assistance and/or ------------------
equipment, as -
needed. This enhances
============== a sense of
COLLABORATIVE well-being.
-------------------------
Implement a physical
therapy/exercise
program in
conjunction with the
client and other team
members (e.g.,
physical and/or ------------------
occupational -
therapist, This is to
exercise/rehabilitatio sustain activity
n physiologist). level.

------------------
-
A collaborative
program with
short-term
achievable
goals enhances
the likelihood
 of success and
may motivate
the client to
adopt a
lifestyle of
physical
exercise for the
enhancement
of health.

REFERENCES:

Doenges, M. E., Moorhouse, M. F., & Murr, A. C. (2019). Nurses pocket guide: diagnoses, prioritized
interventions, and rationales (15th ed.). Philadelphia: F.A. Davis Company.