ASSESSMEN DIAGNOSIS BACKGROUND PLANNING INTERVENTION RATIONALE EVALUATIO

KNOWLEDGE
Subjective: Activity intolerance r/t Decreased carrying After 8 hours of Independent: After 8 hours of
“Masakit ang katawan imbalance oxygen capacity of HGB nursing intervention, 1. Established 1. Establishing good nursing interventio
ko at para ako laging supply and demand ↓ the patient will be able rapport. rapport can get the patient was ab
pagod at nanghihina”. AEB verbal report of Decreased nutrition in to: client to to:
fatigue or weakness. cell 2. Assess cooperate.
Objective: ↓ - Show a decreased manifestations of - Show a decrea
-  skin is pale and Decreased ATP in the activity 2. Signs of activity in the
cool to the touch production since physiological intolerance. Tell intolerance and physiological
V/S: oxygen is needed for signs of the patient to rate decreased tissue signs of
 T – 97.4 F oxidation of intolerance, such perceived exertion oxygenation intolerance, su
 RR – 20bpm CHO/glucose. as temperature, on a 0-10 scale. include dyspnea as temperatur
 BP – 132/84 ↓ respiration, and on exertion, respiration, an
mmHg Decreased energy blood pressure is 3. Assess the risk of headaches, blood pressure
 O2 sat – 94% ↓ still within normal falling and enforce dizziness, still within norm
Activity intolerance range. applicable palpitations, and range.
Lab Values: - Able to walk strategies. verbalization of - Able to walk
 Hgb: 8.1 g/dL approximately 300 increased exertion approximately
feet without 4. Assess emotional level (rated feet without
 HCT: 25.2%
verbalizing response to perceived exertion verbalizing
complaints of limitations in or RPE is more complaints of
fatigue or physical activity. than 3). The fatigue or
exhibiting signs of patient should end exhibiting sign
fatigue by 5. Encourage deep or lessen the fatigue by
discharge. breathing activity until signs discharge.
techniques and of increased
Within 3 hours of administer oxygen exertion are no Within 3 hours of
nursing intervention as prescribed. longer present. nursing interventio
the patient’s family/SO the patient’s family
will be able to: 6. Allow verbalization 3. Patients may not was able to:
of feelings be aware of the
- Verbalize two regarding weakness and - Verbalize two
signs and limitations. limitations leading signs and
symptoms of to reduced symptoms of
anemia by 7. Allow time for the strength due to anemia by
discharge. patient to have anemia’s discharge.
- Verbalize 2 undisturbed rest. potentially slow, - Verbalize 2
energy conserving progressive energy conser
techniques within 8. Verbalize and nature. Failure to techniques wit
12 hours. provide printed monitor patients 12 hours.
education and lack of
material to the enforcement may The goal was met.
patient and the lead to serious
patient’s injuries and
prolonged
 family/SO the hospitalization.
signs and
symptoms of 4. Depression over
anemia by the inability to
discharge. perform activities
can be a source of
9. Demonstrate and stress and
verbalized to the frustration.
patient and
patient’s family/So 5. These methods
the energy boost oxygen
conserving delivery to the
techniques within tissues.
8 hours.
6. This helps the
Dependent: patient to cope.
1. Give blood Acknowledgment
components that living with
(commonly activity intolerance
packed RBCs) via is both physically
an intravenous and emotionally
catheter as difficult.
prescribed by the
healthcare 7. Lessening any
provider. interruptions
2. Administer beta allows the patient
blocker and ACE to rest and benefit
inhibitor medicines from sleep until
as prescribed by anemia is
the healthcare resolved.
provider.
8. This will help the
patient and the
patient’s family to
understand the
condition easier.

9. To improve a
person’s ability to
manage his/her
fatigue throughout
an entire day.
With proper use,
an individual can
decrease their
overall level of
 fatigue while still
being able to
perform daily
tasks and routines
at home.

Dependent:
1. This method will
increase the
number of RBCs
circulating in the
blood, which
eventually
increases the
blood’s oxygen-
carrying capacity.
2. Angiotensin-
converting
enzyme (ACE)
inhibitors are
medications
that help relax the
veins and arteries
to lower blood
pressure.