Assessment Diagnosis Planning Intervention Rationale Evaluation

Objective: Risk for activity Short term Independent Short term

Fatigue intolerance related to
Weakness generalized weakness After 4hrs of nursing Assess the physical Provides baseline After 4hrs of nursing
HR: 160 bpm and bed rest evidence intervention the activity level and information for intervention the
by fatigue, weakness, patient will mobility of the formulating nursing patient will be able to
HR: 160 bpm participate in light patient. goals during goal participated in light
physical activities setting physical activities

Long term Turn and position at Turning helps prevent Long term
least every 2 hours. skin breakdown by
After 8hrs of nursing establish a turning relieving pressure. After 8hrs of nursing
intervention the schedule for intervention the
patient will report of dependent patients. patient will be able to
absence of fatigue and post at bedside and reporte of absence of
weakness monitor frequency. fatigue and weakness

Encourage to perform Range-of-motion

range-of-motion exercises prevent joint
exercise every 2-4 contractures and
hours. muscular atrophy

Assess the patient’s Adequate energy

nutritional status. reserves are needed
during activity.

Provide safe transport Provide routine to

such as child size child who is not
wheelchair accustomed to
inactivity and will
help reduce
complication
associate with
immobility
Collaborative

Refer to physical and Help to develop

occupational activity and exercise
therapists. programs to meet
individual and family
needs