ASSESSMENT NURSING PLANNING INTERVENTION RATIONALE EVALUATION

DIAGNOSIS
Subjective data: Fatigue related to At the end of my 8-hr care, there Independent: At the end of my 8 hrs
hyperglycemia as will be an increase in the level of shift, goals were;
"Usahay kapoy jud 1. Monitor vital - To obtain
evidenced by high activity as evidenced by:
akong lawas ilabi signs. baseline data and
HbA1c and FBS Partially met:
nag motaas akong monitor the
test result
sugar dayon di sab 1. Improves mood. condition of the
- Patient lightly
kayko makatulog." patient.
communicated/responded
2. Communicate/participates
Objective data: 2. Assess level of to questions.
when called/initiated.
activity and - To monitor if
 Restlessness interventions are - Patient is slightly
3. Alert and responsive. behavior of the
 Decreased level patient by asking effective for the comfortable and less
of activity. the watcher. patient. irritated.

 Unresponsive to - Patient’s mood has

questions. 3. Promote overall slightly improved.
health measures
- To improve Fully met:
such as; nutrition, patient’s immune
HbA1c Result: adequate fluid and -Patient verbalized the
system and overall intent to focus on proper
>15.0 intake of food. health. diet.
Vital Signs:
T-37º c 4. Evaluate
PR-74 bpm patient’s response
to intervention.
RR- 21 c/min - To monitor the
effectivity of the
BP- 120/80 mmHg given interventions.
5. Educate patient
Spo2- 99% regarding proper
FBS – 189 mg/dL nutrition/diet.
-To help maintain
taken last October -low salt and low patient’s blood
12, 2022 fat diet. glucose levels.