SAN PABLO COLLEGE

COLLEGE OF NURSING
NURSING CARE PLAN

Patient’s Name:
Nursing Diagnosis: Activity intolerance r/t generalized weakness evidence by fatigue.

ASSESSMENT PLANNING/GOAL IMPLEMENTATION RATIONALE EVALUATION GOAL MET

Desired Outcome Independent/dependent Reason for the intervention Expected Outcome
Nursing intervention
Pertinent Data: Patient will: Nurse will: Why: Positive result Yes No
Subjective: • Participate in • Assess the client’s • Changes in baseline • Patient participated ✓
• Fatigue necessary and response to activity, are helpful in in necessary and
• Visual Changes desired activities. noting pulse rate assessing desired activities.
• Report a measurable more than 20 beats physiological • Patient reports a
increase in activity per minute faster responses to the measurable increase
tolerance. than resting rate; stress of activity and, in activity tolerance.
Objective:
• Abnormal Blood • Demonstrate a marked increase in if present, are • Demonstrated a
decrease in BP (systolic increases indicators of decrease in
Pressure
physiological signs of more than 40 mm Hg overexertion. physiological signs of
• Weakness
intolerance. or diastolic increases intolerance.
more than 20 mm
Hg) during and after
activity, dyspnea or
chest pain, excessive
fatigue and
weakness, and
diaphoresis,
dizziness, and
syncope.

• Instruct client in • Energy-saving

energy-conserving techniques reduce
techniques, such as the energy
using chair when expenditure, thereby
 showering, sitting to assisting in
brush teeth or comb equalization of
hair, and carrying out oxygen supply and
activities at a slower demand.
pace.

• Encourage • Gradual activity

progressive activity progression prevents
and self-care when a sudden increase in
tolerated. Provide cardiac workload.
assistance as needed. Provide assistance
only as needed,
which encourages
independence in
performing activities.

If the client goal was not met, briefly describe why and what step would be taken next:
____________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________

Submitted by: Estoya, Gen Paulo C.