Assessment Diagnosis Planning Intervention Rationale Evaluation

Subjective Cues: Short Term: Independent: Short Term:

Wala po akong lakas para Activity to After an hour health Assess the patient’s To create a baseline of After 1 hour of health
kumilos, ilaw araw na po Intolerance related to teaching, patient will activities of daily living, as activity levels and teaching was able to
akong nanghihina as persistent fatigue as be able to understand well as actual and mental status related to understand how to
verbalized by the patient evidenced by ways on how to perceived limitations to fatigue and activity avoid sedentary
verbalization of avoid sedentary physical activity. Ask for intolerance. lifestyle as evidenced
Objective Cues: unrelieved fatigue, lifestyle. any form of exercise that by actively listening as
staggering lack of he used to do or wants to he answered 5/5 of the
 Temp: 39°C energy, generalized Patient will be able try. questions correctly.
 BP: 130/90 weakness, and to answer 4/5 of the
 PR: 120 shortness of breath questions given Long Term:
 RR: 25 upon exertion. regarding the topic Encourage progressive To gradually increase
 Weight loss taught. activity through self-care the patient’s tolerance After 2 weeks of
 Swollen but and exercise as tolerated. to physical activity. To nursing intervention,
painless lymph Long Term: Explain the need to reduce allow the patient to patient was able to
nodes sedentary activities such as pace activity versus participate in the
After 2 weeks of watching television and rest. regimen created to
 Dyspnea
nursing intervention, using social media in long increase his activity
patient is going to be periods. Alternate periods levels little by little
able to demonstrate of physical and activity every week.
active participation and undisturbed rest.
in necessary and
desired activities and Taught deep breathing To allow the patient to
demonstrate increase exercises and relaxation relax while at rest and
in activity levels. techniques. Provide to facilitate effective
adequate ventilation in the stress management. To
room. allow enough
oxygenation in the
room.
Collaborative:

Refer the patient to To provide a more

physiotherapy/occupationa specialized care for the
l therapy team as required patient in terms of
helping him build
confidence in
increasing daily
physical activity