ASSESSMENT Subjective: paminsan minsan pakiramdam ko nang hihina ako Objective: -weakness -restless -RR of 27 cpm -breathes with

much exertion and with the use of accessory muscles. - on oxygen therapy at 2 L/min

NURSING DIAGNOSIS Risk for activity intolerance related to Imbalance between oxygen supply and demand

OBJECTIVES That after six hours of nursing care management my patient will be able to: - decreased RR from 27 cpm to 1620 cpm - participate willingly in necessary or desired activities - report measurable increase in activity tolerance - be free of any aggrevation of illness.

NURSING INTERVENTION -adjusted activities - Teach methods to increase activity levels gradually and plan care to carefully balance rest periods with activities - provide positive atmosphere while acknowledging difficulty of the situation for the client - assist with activities and monitored clients use of assistive device - assist client in learning and demonstrating appropriate safety measures - give client information that provides evidence of daily/weekly progress.

RATIONALE - to prevent Overexertion - to conserve energy and reduce fatigue or weakness

EVALUATION Goal met after 6 hours of nursing care management patient was able to: - have an RR of 22 cpm from 27 cpm - participate willingly in necessary or desired activities - report measurable increase in activity tolerance - felt a little relief when provided with nebulization

- helps to minimize frustration and rechannel energy

- to protect client from injury

- to prevent injuries

- to sustain motivation

- Teach and supervise effective coughing techniques.

- Proper coughing techniques conserve energy, reduce airway collapse and lessen clients frustration. - Hydration helps to reduce secretions therefor improving the supply and demand of oxygen.

- Teach the client to maintain adequate hydration by drinking 8 to 10 glasses of fluids each day (if not contraindicated) and increasing the humidity of the ambient air