Nursing Care Plan Assessment Diagnosis Planning Intervention Rationale Evaluation Independent

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NURSING CARE PLAN

ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION


Subjective: Fatigue related to Within 4hrs.of nursing Goal partially met, after
“Parang lagi akong Decreased Metabolic interventions, the patient INDEPENDENT: 4hrs. of an effective
pagod” as verbalized Energy Production as will be able to: nursing interventions, the
by the patient. evidenced by Lack of  Report improved  Assess sleep patterns and other  Multiple factors can cause and patient was able to:
energy, Decreased sense of energy factors that may be aggravating aggravate fatigue, including  Report improved
Objective: Performance,  Participate in fatigue sleep deprivation, emotional sense of energy
 Lack of energy Inability to Maintain desired activities at distress, side effects of drugs,  Participate in
 Decreased Usual Routines, and level of ability and developing central nervous desired activities
performance Lethargy  Identify individual system disease. at level of ability
 Inability to areas of control  Encourage timely evaluation of  Fatigue is present in variable  Identify
maintain usual  Engage in energy fatigue if new medications have degrees as part of HIV individual areas
routines conservation been added to the regimen. infection process but is often of control
 Lethargic techniques aggravated by nutritional  Engage in energy
 Vital Signs: deficiencies and side effects of conservation
-BP: 110/70 certain medications. techniques
mmHg  Assist patient to set realistic  Patient may need to alter
-PR: 112 bpm activity goals, determining priorities and delegate some
-RR: 30 cpm individual priorities and responsibilities to manage
-TEMP.: 39℃ responsibilities. fatigue and optimize
performance.
 Helps patient recoup energy to
 Encourage adequate rest periods manage desired activities.
during the day.  Reduction of stress factors in
 Instruct in stress management patient’s life can minimize
techniques, such as breathing energy output.
exercises, visualization, and music
and light therapy.

COLLABORATIVE:
 Administer intravenous fluid as
prescribed
 Identify available resource and
support systems.

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