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A modification in
Short Term: Independent: After 8 hours of
Subjective: movement or After 30mins of -Execute passive or -Exercise enhances nurse-client
Ma/Sir, palihog ko mobility can either nurse-client active assistive increased venous intervention, patient
straight sa ako tiil be a transient, interaction, patient ROM exercises to return, prevents will have
ug as verbalized by recurring or more will: all extremities. stiffness, and
the patient. permanent dilemma. K-understand that maintains muscle Goals met
And when it occurs, his altered level of strength and
it becomes a comfort is due to the stamina. It also See updated
complex health care injury. avoids contracture laboratory works of
problem that S- demonstrate deformation, which patient maintained
Objectives: involves many techniques to can build up normal WBC range
-inability to move different members improve level of quickly and could
the left lower right of the health care comfort hinder prosthesis No signs of
extremities team. In fact, some A- show cooperation usage. infection. (e.g
-Present a safe
observed degree of immobility in the provision of swelling,fever/heat,
is very common in nursing care environment: bed rails -These measures Redness)
-restlessness most conditions Long Term: up, bed in down promote a safe,
such as stroke, After 4 hours of position, important secure
-dependent and leg fracture, multiple nurse-client items close by. environment and
unable to participate sclerosis, trauma, interaction, client may reduce risk
in activity and morbid obesity. will: for falls.
K-identify and -encouraged patient
-difficulty in tuning methods to improve to increase fluid -strengthens
levels of comfort intake immune system
-limited range of S- show enhanced
motion observed and improved levels -encouraged patient
of comfort to eat foods high in To promote wound
A- coordinate with protein and healing
the nurse and s/o in consume
providing comfort blenderized feeding
measures
Dependent
-Give medications
as prescribed -To help aid in
curing ailment and
Collaborative: infection
-collaborate to the
nutrition staffs -To cope up with the
health demands of
-collaborate to the the body
med tech for any
possible laboratory -To be updated of
exams. any changes in the
laboratory works
that would indicate
infection
Assessment Scientific Basis Nursing Planning Intervention Rationale Evaluatio
Diagnosis n
Subjectiv Fatigue is fatigue SHORT-TERM GOALS INDEPENDENT: 1. this is to After
e Data: physical and/or r/t injury After 30 of patient- 1. introduce self establish 8hours of
kapoy mental condition nurse interaction, to patient and s/o rapport and nurse-
paman exhaustion that patient will: promote client client
kaayo ako can be triggered K- understand that his cooperation interventi
lawas, as by stress, fatigue is related to his on,
verbalized medication, injury condition 2. determine 2. fatigue can patient
by the mental or degree of sleep be a reports
patient physical illness or S- perform ADLs and disturbances consequence improved
disease. It participate in desired of, and/or sense of
Objective is characterized b activities at level of exacerbated energy
Data : y a profoundlack ability by sleep
-decreased of energy, feeling deprivation
performanc s of muscle weak A- be participative
e ness, andslowed during the in 3. provide 3. participating
movements or ce recommended treatment diversion in pleasurable
-restless ntral nervous syst program activities and activities can
- lack of emreactions. Fati LONG-TERM GOALS avoid both refocus energy
energy gue can also trigg After 8 hours of effective overstimulation and diminish
-disturbed er serious mental nursing interventions, the and under feelings of
sleeping exhaustion. Persis patient will: stimulation tiredness
pattern tent fatigue can c K-identify and basis of
ause a lack ofmen fatigue and individual 4. assist client to 4. promotes
areas of control
tal clarity (or feeli identify sense of
ng of mental "fuz appropriate control and
S- be able to
ziness") coping behaviors improves self-
demonstrate, perform
difficulty concentr esteem
ADLs according to desired
ating, and in som energy levels
e cases,
memory loss. A- be positive towards
( http://medical- improving oneself in
dictionary.thefree performing activities
dictionary.com/fat without being fatigued
igue)