Prepared by: Ferrer, Micah A.

Name: V.B.L                    Age: 86       Sex: M         Civil Status: Married                 Room Bed no. 602
Nursing Diagnosis: Activity Intolerance RT Activity Exhaustion due to increase O2 demand AEB Tachycardia in response to activity.
Assessment Date: November 08, 2022                                                Intervention Date: November 15, 2022
Prepared By: Group 1  Section 413                           CI/Supervisor: Jeoffrey De Jesus

ASSESSMEN DIAGNOSI ANALYSIS PLANNING INTERVENTIO RATIONALE EVALUATION

T S N
Subjective: Activity Objectives (Short OBJECTIVES (SHORT
“I have been Intolerance SCIENTIFIC Term) Establish Rapport is TERM)
experiencing RT Activity ANALYSIS Rapport important to  
left side body Exhaustion Within 2 hours  of earn patient’s Within 2 hours  of
weakness.” As due to The alveoli sacs effective nursing trust, effective nursing
verbalized by increase O2 become intervention, the cooperation intervention, the patient
the patient. demand inflamed and patient and the and reduce and the caregiver will
AEB fill with fluid, caregiver will able to: anxiety. able to:
Tachycardi RBCs, WBCs,
Objective: a in and bacteria  Participate To monitor
Re assess the
response to from the body's voluntarily in the situation  The patient will
vital signs.
Facial activity immune required of the patient. attain a higher
Grimace system. activities. level of physical
Shortness of It stops the sac conditioning.
breath from being able  The patient’s Encourage the To promote
to expand and physiological patient to do lung
contract, which signs of breath breathing expansion and
Vital Signs: is important for intolerance will exercises. help the
 The patient's vital
gas exchange. lessen. patient to
signs will be
Hypoxemia will breath.
normalized.
start to happen  The patient will
 to the patient have normal  The blood
(low oxygen in vital signs. Encourage R. O. To promote pressure is
the blood). The M. Exercises. strength and 120/80
oxygen can't joint motion. mmHg.
get across the  The  Respirator
capillary wall to y rate less
caregiver
attach to RBCs than 20.
and bring will be able
Provide To establish
oxygen to the to provide a OBJECTIVES (LONG
emotional objectives
body. Instead, safe and TERM)
support to the and provide
the body keeps  
caring process. positive
the CO2, which Within 5 days  of
causes environmen environment
effective nursing
respiratory to the patient.
t for the intervention, the patient
acidosis, and the caregiver will
increase O2 patient.
Provide quiet To promote able to:
level and environment and rest and
increase heart limit visitors. proper sleep.  PT and
rate. Objectives (Long OT will
Term) engage the
Assist the client Reduce stress patient in
Within 5 days of to assume and excess physical
SITUATIONA comfortable
effective nursing stimulation. activities.
L ANALYSIS position for rest
intervention, the  The
patient and caregiver and sleep. patient
The bacteria get will able to: will report
Assist for self Minimize an
into the alveoli care activities as exhaustion increase in
and cause necessary. and helps to activity
swelling. This  The patient
balance tolerance.
causes has oxygen  Succesfull
breathing
reported an supply and y created a
problems and
increase in demand. plan for
tachycardia
because his activity Re assess skin activity
pneumonia puts integrity. intoleranc
tolerance. Assess skin
more stress on e at home.
consistently to
the heart. The avoid skin
patient experice  Create a breakdown. [   ] Fully met
 [   ] Partially met
increase O2 [   ] Unmet
plan to
level when If not, why? _____
doing activity. fulfill the Dependent:
As the body needs after Dependent:
fights an Administer a
discharge. To treat
illness, medication to the Adequacy:
weakness and patient as tachycardia The patient was satisfied
soreness of  Provide ordered by the and to help since  he was able to
muscles such a physician the patient to learn and assimilate new
develop. have a normal knowledge.
treatment
heart rate.  
plan for
Effectiveness:
activity The nursing interventions
Provide oxygen Helps the
intolerance are effective and able to
therapy as patient to
meet the patient’s needs. 
at home. ordered. breath
 
normally.
Appropriateness:
The activities were
appropriate since the
Collaborative: Collaborative patient able to breath
: normally.
Refer to dietician  
to provide a To provide Efficiency:
nutritional status healthy and The patient is free from
to increase nutritious any possible spread of
energy. meal for the infection.
patient.  
Acceptability:
Provide referral
to physical To improve The patient is dedicated
therapist. the patient’s to obtain independence
ability to for his care.
move their
body and be
able to
perform daily
activities for
living.
REFERENCES:

Doenges, M. E., Moorhouse, M. F., & Murr, A. C. (2013). Nurse's pocket guide: Diagnoses, prioritized interventions, and rationales.
Philadelphia, PA: F.A