Assessment Diagnosis Planning Intervention Evaluation

Subjective: Ineffective tissue perfusion of After 4 hours of nursing -assess skin -after 4
decreased cardiac output intervention the client cardiac color, temp, hours of
“sumaksakit output increase moisture and nursing
Kanu bandan weather intervention
barukung ni changes are the goal
Tatang ku” as widespread was met
verbalized by or localized the patient
the client help cardiac
daughter determining output
location and increased
type of
perfusion
problem

Objective: -evaluate
reports of
Temp: extremity
pain
PR: promptly
noting any
RR: associated
symptoms to
Spo2: health isolate
and
Decreased in differentiate
pain free problem.
distances
achieved in -administer
the 6 minutes fluids
walk test electrolytes
distance in the nutrients and
6 minutes walk oxygen as
test below indicated to
normal range promote
optimal
blood flow
organ
percussion
and function.

-assist or
instruct
client to
change
position at
time
intervals
rather than
using
presence of
pain as signal
to change
position.

-emphasize
need for
regular
exercise
program to
enhance
circulation
and promote
general well-
being.

-provide
education
about
relationship
between
smoking and
peripheral
vascular
circulation as
needed.