Assessment
|
Nursing DX/Clinical Problem
|
Client Goals/Desired Outcomes/Objectives
|
Nursing Interventions/Actions/Orders
and Rationale
|
*I
|
Evaluation
|
Subjective client
states she is eager to walk to activity room
Objective
Extreme of age
Bedrest X 2 days
Possible weakness due to
current illness
Respiratory problems due
current illness
|
Problem
Activity intolerance
|
Long Term: 1. will
increase activity level by discharge
2. client to identify
controllable factors that cause fatigue
|
1.identify activities patient considers meaningful
1. will enhance motivation to become more active
2. identify and minimize factors that decrease
client’s exercise tolerance
2. to reduce body’s oxygen demand and prevent
fatigue
|
*
*
|
Client able to walk to
activity room without SOA
Client verbalizes understanding
of identifying and minimizing factors that cause fatigue
|
|
R/T
Imbalance between oxygen supply and demand
|
Short Term:
1.Client will
verbalize understanding of need to increase activity level gradually
|
1.support and encourage activity to client’s level of tolerance
1. helps client develop independence
|
*
|
Client verbalizes understanding to gradually increase activity level
|
|