Cues Nursing Background Goal and Objectives Nursing Interventions Evaluation

Diagnosis Knowledge and Rationale

 sumasakit rin Activity Activity NOC: Endurance NIC: Energy
yung dibdib intoleranc intolerance is Management
ko pati ulo e related defined as a
pag to state in which a Goal: The patient will
nagtratrabah generalize person has be able to report
o ako.hindi d insufficient increase in activity
ko rin alam weakness physiological or tolerance
kung bakit as psychological
minsan evidenced energy to Objective:
nanghihina by endure or
After the 8 hours of The nurse will: After 8 hours of
ako pag Abnormal complete
nursing interventions nursing intervention:
gumagawa Heart rate necessary or
the patient will be able  The patient was
ako ng or BP desired daily
to: able to perform
trabaho sa response activities.
 Assess client’s ADLs that are
bahay.  Perform ADLs
Most activity ability to necessary
 Feeling weak without
intolerance is perform normal without any
 Diagnose by discomfort
related to task and ADLs fatigue
physician
generalized noting reports
with high
weakness and of weakness,
BP. 
debilitation fatigue and
 It was
secondary to difficulty
revealed that
acute or chronic accomplishing
the unusual
illness and tasks.
fatigue was
disease. This is Influence’s
persistent.
especially choice of
 BP: 160/90 apparent in intervention
elderly patients and needed
with a history of assistance.  Improved
orthopedic,  Improve cardiopulmonar
cardiopulmonar y response to
y, diabetic, or Cardiopulmonar activity and was
pulmonary- y response to free from any
related activity. signs of
problems. The tachycardia,
aging process  Document dysrhythmias,
itself causes Cardiopulmonar dyspnea,
reduction in y response to diaphoresis and
muscle strength activity. Note pallor
and function, tachycardia,
which can dysrhythmias,
impair the dyspnea,
ability to Diaphoresis and
maintain pallor.
activity. Activity Inability to  The patient was
intolerance may increase stroke able to know
also be related volume during the importance
 Understand the
to factors such activity may of rest and able
importance of
as obesity, cause an to apply it in his
rest.
malnourishment immediate daily activities.
, side effects of increase in
medications heart rate and
(e.g., -blockers), oxygen
or emotional demand,
states such as thereby
depression or aggravating
lack of weakness and The patient was able to
confidence to fatigue Determine the factors
exert one's self.  Understand and that help her condition
Nursing goals limits himself in  encourage and understands how
are to reduce doing loads of adequate rest to restrict her
 the effects of periods participation in
inactivity, work especially interspersed activities that can
promote when sudden with activity. aggravate its condition.
optimal physical fatigue is Assist with or
activity, and present perform self-
assist the care activities.
patient to Rest between
maintain a activities
satisfactory conserves
lifestyle. energy and
reduces cardiac
workload.

 Instruct client
to stop current
activity if
headaches,
chest pain,
weakness, or
dizziness occur.
It may lead to
infraction and
excessive
cardiopulmonar
y strain and
stress may lead
to
decompensatio
n or failure.
Ineffective Ineffective NOC: Coping NIC: Coping
Coping coping is the Enhancement
related to inability to Goal:
work assess a
 After nursing
overload stressful
interventions,
as situation or
the client will
evidenced event
be able to
by comprehensivel
demonstrate
frequent y and therefore
the use of
headaches fail to make
effective coping
, and neck sound decisions
skills.
aches using After 8 hours of
inappropriate nursing interventions,
Objectives (Short term)
resources or
none at all. The nurse will:
Coping After 8 hours of nursing
mechanisms interventions, the
 Determine  The patient was
break down due client will be able to:
individual able to
to stress and
stressors accurately
build pressure
that eventually  Assess current (family, social, evaluate his
situation work, current
exceed problem-
accurately environment, situation.
solving skills.
life changes, or
(RN Lessons,
healthcare
2021)
management
to evaluate
degree of
impairment.
 The patient was
able to
 Assist patient to distinguish the
 Identify
identify specific difference
effective and
 ineffective stressors and between
coping patterns possible effective and
strategies for ineffective
coping with coping
them patterns.
to identify
appropriate
response to
patient’s
stressors.
 The patient was
able to sense of
 Include patient
control in
 Verbalize sense in the planning
handling his
of control of care, and
current
encourage
situation.
maximum
participation in
treatment plan
to provide
patient with an
ongoing sense
of control,
improve coping
skills, and
enhance
cooperation
with
therapeutic
regimen.
 The patient was
able to
 Modify lifestyle demonstrate a
as needed  Assist patient to modified
identify and lifestyle as
begin planning needed.
for necessary
and realistic
lifestyle
changes
to prevent him from
feeling powerless and
overwhelmed.