UNIVERSITY OF SOUTH ALABAMA COLLEGE OF NURSING AHN 448: NURSING PLAN OF CARE

ASSESSEMENTS (Subjective/Objective Data pertinent to this nursing diagnosis) Subjective: NURSING DIAGNOSIS NANDA diagnosis? Related factors noted? Evidence if an actual problem? Activity Intolerance NURSING INTERVENTIONS Administering, demonstrating and performing treatments, & teachings pertinent to diagnosis) Ongoing Assessments: 1) Asses vital signs q 4 hours 2) Assess muscle tone and strength q shift 3) Administer oxygen as prescribed 4) Assess O2 sat IMPLEMENTATION Explain how interventions were met or explain why they were not.

Student Name: _________________ Date: _________________

EVALUATION State outcome achievement in behavioral terms. Note: Continue , Change (specify), Discontinue POC Evaluate achievement of patients goals and objectives:

Objective: OUTCOME STATEMENTS Measurable? Realistic? Time element noted? Pertinent to diagnosis? Patient will have no worsening of activity intolerance by 2pm Thursday 6/2/11 a.e.b. 1) Patient will demonstrate increased tolerance to activity 1) Adjust activities to prevent overexertion 1) Increase activity level gradually Prioritized Interventions: Intervention effectiveness:

2)Patient will participate willingly in necessary/desired activities

2) Provide positive atmosphere for activity 2) Involve patient in planning of activities 2) Encourage patient to maintain a positive attitude Identify indicated changes to the POC: (May write on the back of this page)

3) Patient will verbalize symptoms of adverse effects of exercise and report them immediately

3) Teach patient adverse signs to report immediately including SOB, palpitations, any chest discomfort, excessive fatigue and lightheadedness

UNIVERSITY OF SOUTH ALABAMA COLLEGE OF NURSING AHN 448: NURSING PLAN OF CARE

Student Name: _________________ Date: _________________