NURSING CARE PLAN

ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

Subjective: Fatigue After 8 hours Independent: After 8 hours
"I'm tired, I'm tired, related to of nursing -Assess the -Assess the of nursing
and I can't Decreased interventions, specific cause client’s ability interventions,
breathe", as hemoglobin the patient of fatigue. to perform the patient
verbalized by the and will be able activities of was able to
patient. diminished to: -Monitor daily living verbalized
oxygen- hemoglobin, (ADLs) and understanding
carrying -verbalize hematocrit, the demands on the use of
Objectives: capacity of understanding RBC counts, of daily living. energy
the blood on the use of and conservation
V/S Taken as energy reticulocyte -Decreased principles and
follows: conservation counts. RBC indexes verbalized
 Temperature principles; are reduction of
: 37 C (98.8 F) -Assist the associated fatigue, as
 HR – 95 bpm -verbalize client in with the evidenced by
 RR- 18cpm reduction of developing a decreased reports of
 BP – 110/70 fatigue, as schedule for oxygen- increased
mmHg evidenced by daily activity carrying energy and
reports of and rest. capacity of ability to
Lab results: increased Stress the the blood. It perform
 Hgb- 7 g/dL energy and importance of is critical to desired
 Hct- 32% ability to frequent rest compare activities.
 Serum Iron – perform periods. serial
40 mcg/dL desired laboratory
 Transferrin activities. values to
Saturation – evaluate the
14% client’s
 MCV- 70 progression
femtoliters or
deterioration
Physical and identify
Assessment: changes
-(+) Pale skin- before they
mucosal become life-
membranes and threatening.
conjunctivae are
pale -Energy
-hair and reserves may
fingernails are thin be depleted
and brittle unless the
client
respects the
body’s need
for increased
rest. A plan
 that balances
periods of
activity with
rest periods
can help the
client
complete
desired
activities
without
adding
fatigue
levels.

-Clients and
caregivers
may need to
learn skills
for
delegating
tasks to
others,
setting
priorities,
-Educate and
energy- clustering
conservation care to use
techniques. the available
-Instruct the energy to
client about complete
medications desired
that may activities.
stimulate RBC Organization
production in and time
the bone management
marrow. can help the
-Anticipate the client
need for the conserve
transfusion of energy and
packed RBCs. reduce
fatigue.
Dependent:
-Administer -Provide
medications as supplemental
ordered. oxygen
therapy as
needed.
 -Packed RBCs
increase the
oxygen-
carrying
capacity of
the blood.

ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

Here are some of the nursing diagnosis for patient with iron deficiency anemia