Assessment Nursing Diagnosis Scientific Planning Intervention Rationale Evaluation

explanation
S: ‘Ayaw nyang Activity Intolerance Most activity After the shift SELECTED:
kumilos ayaw man r/t Weakness intolerance is patient will  Establish rapport  To establish trust and
lang umupo” related to verbalize cooperation
generalized willingness to  Monitor Vital Signs  To establish baseline data
O: weakness in relation and demonstrate  This help to determine what
 Conscious to acute or chronic participation in  Assess patient's level of patient
and illness and activities mobility. is capable of, which
coherent Disease. Activity is necessary before
 Tired facial intolerance may setting realistic
expression also be related Goals.
 (+) weak to factors such  Provide positive atmosphere,  Help to minimize frustration
body as obesity, while acknowledging difficulty and rechanneled energy
 (+) slight malnourishment, of the situation
headache side effects of  Assess emotional and  Stress/ depression might be
 (-) vomiting medications psychosocial factors affecting the result of forced inactivity
 Non- (e.g., - blockers), or the current situation
ambulatory emotional states  Provide safety by keeping side  To protect client from injury
 On DAT non- such as rails up  Exercises maintain muscle
fat depression or  Encourage active ROM strength and joint ROM
lack of exercises three times daily.
confidence to  Assess nutritional status.  Adequate energy reserves
Exert one's self. IMPLEMENTED: are required for activity.

Patient’s Name: Macaraig, Andrea Age: 16 y/o Diagnosis: Urinary Tract Infection