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Date & Cues Need Nursing Diagnosis Objective/Goal Nursing Interventions Evaluation

Time
Novem Subjective: A Fatigue related to At the end of 1 day 1. Teach energy
ber “ Luya kaayo akong conservation principles. GOAL MET.
paminaw. Maski C decreased span of nursing ® Patients and caregivers
15, sige lang ko ug tulog may need to learn skills November 16,
2010 @ kay kapoie gihapon T hemoglobin count care, the for delegating tasks to
akong ginabati” as others, setting priorities 2010 @4:00 PM
4:00 verbalized by the I secondary to patient will be able and clustering care to use
PM patient. available energy to At the end of 1 day
V anemia to: complete desired span of nursing
Objective: activities. care, the patient
- Hemoglobin: I ® Hemoglobin is - report 2. Stress the importance of was able to:
110 g/L (low) responsible for the improved frequent rest periods.
- Erythrocyte: T cell’s ability to sense of ® Energy reserves may - Report
0.33% (low) transport oxygen and energy be depleted unless the improved
- Weakness Y carbon dioxide. patient respects the sense of
- Lack of Anemia is a condition - perform ADLs body’s need for increased energy.
energy - marked by a reduction rest. “Arang-
- Pale skin in the hematocrit - participate in 3. Observe the patient’s arang na
E and/or hemoglobin desired usual level of exercise akong
content of the blood. activities at and physical activity. paminaw”
X level of ability ® Both increased physical as
(Source: exertion and limited levels verbalized
E http://www.medicinen of exercise can contribute by the
et.com/hemoglobin/art to fatigue. patient
R icle.htm) 4. Assist the patient to
develop a schedule for - Perform
C daily activity and rest. ADLs
® A plan that balances suchaas
I periods of activity with brushing
periods of rest can help her teeth
S the patient complete and
desired activities without feeding
E adding to levels of herself
fatigue.
P 5. Provide recommendations - Participate
for nutritional intake for in desired
A adequate energy sources activities at
and metabolic level of
T requirements. ability
® The patient will need
T adequate, properly
balanced intake of
E carbohydrates, fats,
protein, vitamins and
R minerals to provide
energy resources.
N 6. Minimize environmental
stimuli, especially during
planned times for rest and
sleep.
® Bright lighting, noise,
visitors, frequent
distractions and clutter in
the patient’s physical
environment can inhibit
relaxation, interrupt
rest/sleep and contribute
to fatigue.
7. Help the patient engage in
increasing levels of
physical activity and
exercise.
® Exercise can reduce
fatigue and help the
patient build endurance
for physical activity.
8. Provide diversional
activities. Avoid
overstimulation/understim
ulation (cognitive and
sensory)
® Participating in
pleasurable activities can
refocus energy and
diminish feelings of
unhappiness,
sluggishness and
worthless that can
accompany fatigue.

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