Professional Documents
Culture Documents
Name of the Patient: T.S Age: 60 years old Sex: Female Name of Student: Casilao, Mike Arone H.
Civil Status: Religion: Rm/Bed No. _________________ Area: Level/ Block: BSNIII-B
Address: Date Submitted: May 22, 2022
Date of Admission: _____________________ Diagnosis: Osteoporosis Rating: ________________
CUES Nursing Diagnosis Nursing Objectives Nursing Interventions Rationale Expected Outcomes
Subjective/ Objective
Risk for Activity Intolerance After 1 hour of Independent Independent Intervention Independent Intervention After 1 hour of
NOTE: A risk diagnosis is related to Chronic Pain Nursing Intervention the client Independent Nursing
not evidenced by signs and secondary to Osteoporosis will be able to: Establish rapport to the To obtain trust on the Intervention the goal was
symptoms, as the problem client and to her guardian client and guardian to met as evidenced by:
has not occurred; rather, allow them be more
nursing interventions are Verbalize understanding comfortable discussing or The client verbalizes
directed at prevention. of potential loss of ability raising any issues. the source of loss of
in relation to existing ability to perform
Definition: condition. Assess client’s learning To determine how the daily activities
Risk for Activity Intolerance needs and abilities; note client will accept and
At risk of experiencing Participate in barriers in accepting integrate the health The client is willingly
insufficient physiological or treatment/rehabilitation information. education that have participated in
psychological energy to program to enhance potential for interfering treatment plan that
endure or complete required ability to perform. with client’s ability to aid in performing
or desired daily activities perform at a desired level modified activities.
of activity
that could block/affect
REFERENCE desired level of activity.
Nurse’s pocket guide:
diagnoses, prioritized
interventions, and rationales / Note presence of medical
diagnosis and/or Provides baseline for
Doenges Marilynn E., comparison and an
Moorhouse Mary Frances, therapeutic regimens
[multiple medications or opportunity to track
Murr Alice C.—Ed. 13 changes
treatment modalities,
extensive surgical
interventions,
musculoskeletal trauma,
neurological disorders, or
renal failure)]