ASSESSMENT NURSING BACKGROUND PLANNING INTERVENTION RATIONALE EVALUATION

DIAGNOSIS KNOWLEDGE

Medical Fatigue Short Term:  Assess the  The specific

Diagnosis: related to  At the end of specific cause cause of fatigue
Decreased interventions, of fatigue. is due to tissue
Anemia hemoglobin the client will hypoxia from
and be able to normocytic
Subjective: diminished verbalize anemia; Other
Pt complaint of oxygen- reduction of related medical
feeling tired carrying fatigue, as problems can
capacity of evidenced by also
Objective: the blood. reports of compromise
Hgb: 8.1 g/dL as evidenced increased activity
Oxygen by feeling energy and tolerance.
Saturation 94% tired. ability to
on 2 L/minute perform
desired  Assess the  Fatigue can
Medical activities. client’s ability limit the client’s
History: to perform ability to
(+) CHF Long Term: activities of participate
(+) COPD  At the end of daily living in self-care and
(+) the (ADLs), and perform his or
Osteoarthritis interventions, the demands her role
client will of daily responsibilities
verbalize living. in family and
understanding society, such as
on the use of working outside
energy the home.
conservation
principles.  Assist the  This will allow
client in the client to
planning and maximize
prioritizing his/her time for
activities of accomplishing
daily living important
(ADL). activities. Not
all self-care and
 hygiene
activities need
to be completed
i the morning.
Likewise, not all
housework
needs to be
completed in
one day.

 Assist the  Energy reserves

client in may be depleted
developing unless the client
a schedule for respects the
daily activity body’s need for
and increased rest. A
rest. Stress th plan that
e importance balances periods
of frequent of activity with
rest periods. periods of rest
can help the
client complete
desired activities
without adding
levels to fatigue.

 Monitor  Decreased RBC

hemoglobin, indexes are
hematocrit, associated with
RBC counts, decreased
and oxygen-carrying
reticulocyte capacity of the
counts. blood. It is
critical to
compare serial
laboratory
 values to
evaluate
progression or
deterioration in
the client and to
identify changes
before they
become
potentially life-
threatening.

 Educate  Clients and

energy- caregivers may
conservation need to learn
techniques. skills for
delegating task
to others, setting
priorities, and
clustering care
to use available
energy to
complete
desired
activities.
Organization
and time
management can
help the client
conserve energy
and reduce
fatigue.

 Instruct the  Recombinant

client about human
medications erythropoietin, a
that may hematological
 stimulate growth factor,
RBC increases
production in hemoglobin and
the bone decreases the
marrow. need for RBC
transfusions.

 Provide  Oxygen
supplemental saturation
oxygen should be kept
therapy, as at 90% or
needed. greater.

 Anticipate the  Packed RBCs

need for the increase
transfusion of oxygen-carrying
packed RBCs. capacity of the
blood.

 Refer the  The

client and occupational
family to an therapist can
occupational teach the client
therapist. about using
assistive
devices. The
therapist also
can help the
client and
family evaluate
the need for
additional
energy-
conservation
measures in the
home setting.
REFERENCES:
 Martin, P. B. (2021, August 30). 5 Anemia Nursing Care Plans. Nurseslabs. https://nurseslabs.com/anemia-nursing-care-plans/

 R. (2019, March 28). Iron Deficiency Anemia Nursing Care Plan & Management. RNpedia. https://www.rnpedia.com/nursing-

notes/maternal-and-child-nursing-notes/iron-deficiency-anemia-nursing-care-plan-management/