DATA PATHOPHYSIOLOGY GOALS NURSING INTERVENTIONS RATIONALE EVALUATION

Subjective: (Explanation of the STG; (Diagnostics, Therapeutics, After 6 hours of

Nursing Problem; After 2 hours of Educative) nursing
- Patient complains
Diagram) nursing DX; interventions which
of heavy - Identify the presence of - An important
intervention the is the long-term goal
Abnormal uterine physical and information can be
menstrual flow. patient will be able obtained from knowing the client will be
bleeding psychological condition
According to her to report improved if fatigue is a result of able to reach normal
sensed of energy an underlying levels of laboratory
she can consume Decrease of iron condition or disease value such as
3 fully soaked and ferritin process hemoglobin and red
adult diapers. LTG; - Assess vital signs - To evaluate fluid blood cell as
Cannot produce status and evidenced by
- Patient reported After 6 hour of
enough substance cardiopulmonary patient perform
dizziness and in the formation of nursing response. activities of daily
hemoglobin intervention the
passing out due - Evaluate the need for living and controlled
patient will be able - To check if patient can
to heavy individual assistance or abnormal uterine
to reach normal tolerate activity and to
Decrease of oxygen assistive device conserve energy bleeding.
menstrual flow. levels of laboratory
delivery in the body
tissue value such as
hemoglobin and - Monitor Complete Blood - To identify changes in
Objective (PE, Labs) Count
red blood cell. laboratory value if it
Pregnancy test; Anemia has increase or
decrease and to
Negative TX;
evaluate client’s
STD diseases; Negative Fatigue progression
Blood test result: - Instruct client alternate
ways of doing activities - To conserve energy
- INR-1 to conserve energy
- aPTT(s)-29.9 s such as take short
breaks during activities,
- Platelet combine and simplify
count(no./mmc)- activities, and delegate
tasks.
285.000
- Erythrocyte - Administer medication - To control bleeding
such as Iron sulfate and and to increase iron
count(cells/mmc)- tranexamic value in blood
2.8
- Hemoglobin - Assist patient with self- - To prevent further
 (g/Dl)-7.5
- Iron(ug/dl)-6
- Ferritin(ng/ml)-12
RN Diagnosis: (PE; PES
format)
Fatigue related to
anemia as evidenced
by iron deficiency and
EX;
decreased
hemoglobin.
care needs; keeping the accident that may
bed in a low position happen.
and keep travel ways
clear of furniture
- Encourage the use of - To conserve energy
assistive device for other task and to
extend active time.
- Standby for the need - To increase oxygen
for blood transfusion carrying in the blood.
- Discuss alternative - It may be helpful in
therapies such as reducing muscle
massage and tension to promote
acupuncture relaxation and rest
- Discuss therapy - Indicated to self-
regimen relating to treatment and
individual causative prevention of further
factors and help the disease
client understood
relationship of fatigue to
illness.
- Promote overall health - Prevention of the
possibility of acquiring
diseases.