St.

Paul University Philippines

Tuguegarao City, Cagayan 3500
SCHOOL OF NURSING AND ALLIED HEALTH SCIENCES
NURSING PROGRAM
Center of Excellence for Nursing
PAASCU LEVEL IV Accredited
2nd Semester | AY 2023-2024

NURSING CARE PLAN

CUES NURSING BACKGROUND GOALS AND NURSING EVALUATION
DIAGNOSIS KNOWLEDGE OBJECTIVES INTERVENTION
Subjective: Fatigue related to According to Nanda 15th NOC: Fatigue Level NIC: Energy Conservation GOAL MET
increased cardiac edition, an overwhelming
“Nanghihina ako workload as evidenced sustained sense of exhaustion At the end of nursing Long Term
Long Term Goal: After
ma’am.” by patient reports of and decreased capacity for intervention. The nurse will Goal: At the
1 week of nursing
feeling tired and physical and mental work at
intervention, the patient be able to: end of 1 week of
“Paputol putol din exhausted the usual level.
will be able to verbalize a nursing
tulog ko ma’am, reduction in feelings of
minsan intervention the
fatigue.
nakakatulog ako 2 client was able
am.” to verbalize a
Short Term Goal: At
reduction in
Objective: the end of 4 days of
feelings of
- Vital signs: nursing intervention the
fatigue.
• BP: 120/79 client will be able to:
mmHg
• PR: 147 bpm Short Term
•RR: 31 cpm Goal: At the
end of 4 days of
Fatigue Level: 7/10 nursing
-Reports of intervention the
constant tiredness
- Observed client was able
decrease in the to:
 St. Paul University Philippines
Tuguegarao City, Cagayan 3500
SCHOOL OF NURSING AND ALLIED HEALTH SCIENCES
NURSING PROGRAM
Center of Excellence for Nursing
PAASCU LEVEL IV Accredited
2nd Semester | AY 2023-2024

patient's physical
activity levels 1. Report decrease 1.Assess the patient’s 1.Report
in fatigue levels. fatigue level using a decrease in
-Presence of standardized fatigue scale
every 2 hours. fatigue levels
tachycardia
(increased heart Regular assessment helps in from 7/10 to
rate) at rest. monitoring the patient's 4/10.
fatigue levels and the
-Laboratory results effectiveness of interventions,
indicating altered allowing for timely
thyroid function adjustments to the care plan.
tests (e.g., elevated
T3, T4, suppressed
TSH levels). 2. Demonstrate 2.Encourage the patient to 2.Demonstrate
adequate sleep take short, frequent rest adequate rest
-Recorded episodes periods of 15-20 minutes
and rest periods. periods as
of arrhythmias or Rationale: Frequent rest
palpitations. periods help to prevent evidenced by
overexertion and manage “Okay naman
-Observation of fatigue by allowing the na pagtulog ko
increased patient to conserve energy ma’am, mas
perspiration or heat and recover between
maaga na ako
intolerance. activities.
nakakatulog
2.1 Dim the lights of her ngayon.”
-Reports of weight
loss room. Lower light levels
create a calming and
 St. Paul University Philippines
Tuguegarao City, Cagayan 3500
SCHOOL OF NURSING AND ALLIED HEALTH SCIENCES
NURSING PROGRAM
Center of Excellence for Nursing
PAASCU LEVEL IV Accredited
2nd Semester | AY 2023-2024

relaxing atmosphere, which

can help reduce mental and
physical stimulation.

3. Demonstrate 3.Demonstrate
relaxation 3.Teach client in relaxation relaxation
techniques such techniques like deep
techniques such
as deep breathing breathing exercises,
and progressive muscle as deep
exercises.
relaxation. breathing
These techniques reduce exercises.
stress and
anxiety, promoting feelings
of calmness and preparing
the body for sleep.

4. Conserve Energy
4.Conserve
4.Place all the necessary
energy as
items within reach. By
keeping essential items close evidence by
at hand, the patient expends complying with
less energy on reaching, strict no bath
bending, or getting up privileges.
frequently. This
 St. Paul University Philippines
Tuguegarao City, Cagayan 3500
SCHOOL OF NURSING AND ALLIED HEALTH SCIENCES
NURSING PROGRAM
Center of Excellence for Nursing
PAASCU LEVEL IV Accredited
2nd Semester | AY 2023-2024

conservation of energy is
crucial for patients with
fatigue, allowing them to .
focus their limited energy on
essential activities and
recovery.

4.1 Encourage the patient to

verbalize her concerns
especially when it comes to
toilet necessity. (put diapers
or place bed pans within her
reach). Patients with fatigue
may be at a higher risk of
falls due to decreased
strength, coordination, and
alertness. Keeping items
within reach minimizes the
need for the patient to get
out of bed or walk around,
thus reducing the risk of
falls and potential injuries.
 St. Paul University Philippines
Tuguegarao City, Cagayan 3500
SCHOOL OF NURSING AND ALLIED HEALTH SCIENCES
NURSING PROGRAM
Center of Excellence for Nursing
PAASCU LEVEL IV Accredited
2nd Semester | AY 2023-2024