Student Nurses’ Community

NURSING CARE PLAN ─ AIDS/HIV

ASSESSMENT DIAGNOSIS INFERENCE PLANNING INTERVENTION RATIONALE EVALUATION

SUBJECTIVE: Fatigue may be Human After 8 hours Independent:  Multiple factors After 8 hours of
related to immunodeficiency or nursing can cause and nursing
“I always feel decrease in virus is a particle interventions,  Assess sleep aggravate fatigue, interventions,
tired and lately metabolic that has an outer the patient patterns and including sleep the patient was
I’m prone to energy envelope with will: other factors that deprivation, able to:
infections” as production, special “docking may be emotional distress,
verbalized by the increased energy proteins” known  Report aggravating side effects of  Report
patient. requirements, as gp41 and gp120 improved fatigue drugs, and improved
overwhelming that assist in sense of  Encourage timely developing central sense of
OBJECTIVE: psychological finding a host. energy evaluation of nervous system
energy
and emotional Inside the virus  Participate in fatigue if new disease.
 Overwhelming  Participate in
demands, and has two protein desired medications have  Fatigue is present
lack of energy altered body coatings and the activities at been added to in variable degrees desired
 Inability to chemistry such generic material level of the regimen. as part of HIV activities at
maintain usual as side effects of with reverse ability; and  Discuss reality of infection process level of
routines medication or transcriptase (RT)  Identify patient’s feelings but is often ability; and
 Decreased insulin attached. The first individual of exhaustion and aggravated by  Identify
performance resistance. challenge is for areas of identify nutritional
individual
the HIV particle to control; and limitations deficiencies and
 V/S taken as get inside a host  Engage in imposed by side effects of areas of
follows: cell. HIV energy fatigue state. certain control; and
accomplishes this conservation  Assist patient to medications.  Engage in
T: 36.5 °C task by finding a techniques. set realistic  Helpful in planning energy
P: 65 way into the activity goals, activities within conservation
R: 16 host’s determining tolerance levels. techniques.
BP: 100/80 bloodstream. One individual  Patient may need
of the cell that it priorities and to alter priorities
“hijacks” is the responsibilities. and delegate some
CD4+  Discuss energy responsibilities to
lymphocytes, also conservation manage fatigue and
known as the
Student Nurses’ Community
CD4+ cell, techniques such optimize
helper/inducer T- as sitting instead performance.
call, or T4 cell. of standing for  Enables patient to
This cell directs activities, as become aware in
immune system appropriate. which energy
defenses and  Encourage expenditures can
regulates the adequate rest be maximized to
activity of all periods during complete necessary
immune system the day. tasks.
cells. If the HIV  Instruct in stress  Helps patient
successfully enters management recoup energy to
the CD4+ cell, it techniques, such manage desired
can then create as breathing activities.
more virus exercises,  Reduction of stress
particles. visualization, and factors in patient’s
music and light life can minimize
therapy. energy output.

Collaborative:

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