Assessment

Nursing DX/Clinical Problem

Client Goals/Desired Outcomes/Objectives

Nursing Interventions/Actions/Orders and Rationale

*I

Evaluation

Goals

Interventions

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  

AEB

Respiratory problems secondary to pneumonia