DAVAO DOCTORS COLLEGE

General Malvar St., Davao City

Nursing Program

NURSING CARE PLAN

Name of Patient: Orlando Onoon Age: 67 years old Sex: Male

Civil Status: Married

GOALS & NURSING

DATE/ CUES NURSING DIAGNOSIS OBJECTIVES INTERVENTIONS RATIONALE EVALUATION
TIME
Subjective: At the end of the 8 1.Provide verbal instructions 1.To enhance At the end of the 8
April 22,  “Magpauban Decreased activity hours span of care, and demonstration of the task, understanding and promote hour span of care, the
2024 ko didto tolerance related to the pt will be able to: breaking it down into successful task completion. patient was able to:
previous vehicle manageable steps.
ma’am
mangihi” accident as evidenced “GOAL MET”
by right leg contracture 2.Offer assistance as needed, 2.It fosters independence
 “Kapoyon ko 1.The client will such as stedying the patient’s and empowers the patient
pag medyo describe adaptive hand or providing support for to engage in the task, 1.The client was able
daghan ang techniques to balance. promoting self-esteem. to successfully
activities SCIENTIFIC BASIS: perform activities of complete his activities
ma’am mayo daily living including 3.Encourage to the patient to 3. This prevents fatigue and of daily living without
nalang jud Decreased activity the need for pace themselves and take exhaustion, enabling the any fatigue and
nay snack intolerance is a condition adequate rest and breaks as needed emphasizing patient to sustain activity complication
hehe” nutrition, and the importance of conserving levels and complete task experienced.
in which an individual
breathing energy. more effectively.
 “Pakidala ko lacks the physical or
sa mental energy to perform techniques. 2. The client verbalize
lingkoranan or complete necessary 4.Provide positive 4.It enhances the patient’s that taking vitamins is
didto sa ako activities. Activity 2.The client will reinforcement and praise for self-confidence and essential to aid his
lamesa” intolerance can affect identify factors that each step of the activity motivation. Increasing their condition at his age.
individuals of all ages and aggravate completed independently, likelihood of continued
Objective: may arise from acute or decreased tolerance fostering a sense of engagement in activities. 3. The client was able
 Mild stroke chronic conditions, injury, to activity. accomplishment and to understand that
or surgery. motivation. gradual steps can go
patient
 Vehicular 3.The client will a long way and that
accident continue his rest periods between
5. Have the client perform the 5. This helps in increasing
victim activities of daily activities can help him
activity more slowly, in a longer the tolerance for the
 Hypertensive living successfully at time with more rest or pauses, activity. At a minimum, the foster a sense of
but takes his own pace. or with assistance if necessary. client should be accomplishment.
maintenance encouraged to sit up in a
meds chair while awake rather
than staying in bed; even
 Decreased
this simple activity can
 grip strength improve the client’s tidal
 Often volume and enhance
requires circulation.
6. Refrain from performing
assistance
nonessential activities or 6. The client with limited
 The client procedures. activity tolerance needs to
sleeps right prioritize important tasks
after having REFERENCES: first. The nurse may assist
lunch the client in prioritizing
Bsn, M. V., RN. (2024, March
 Frequent 4). Activity intolerance and
activities and to establish a
pauses balance between activity
generalized weakness
nursing care plan and and rest that is acceptable
management. Nurseslabs. to the client.
Lab Values: https://nurseslabs.com/activit
y-intolerance/ 7. Assist with ADLs while
Temp: 36.4 c avoiding client dependency. 7. Assisting the client with
PR: 67 bpm ADLs allows conservation
RR: 18 cpm of energy. Carefully balance
BP: 140/80 mm/Hg the provision of assistance;
O2 sat: 95% facilitating progressive
endurance will ultimately
enhance the client’s activity
tolerance and self-esteem.

8. Promote proper nutrition and

hydration.
9. Emphasize the importance
of continuing mobility.
10. Provide a safe environment
8. Malnourishment prevents
recovery and contributes to
a higher risk of functional
disability.
9. Continued tolerable
exercise can help improve
balance, gait, and muscle
strength enhancing activity
tolerance.
10.Removing unnecessary
items that can get in the
client’s way can help
prevent potential accidents.
Name of Student