Date &

Cues
Need
Time
Decembe Subjective: Activityr 9 2014
Gi kapoy Exercis
@ 6 pm
na ko diri
e
sa hospital pattern
oi
As
verbalized
Objective:
-Lack of
energy
-Lethargy
Disinterest
in the
surroundin
g
Decreased
social
interaction
-Admissio
n date:
November
30
VS:
BP : 90/60
PR: 89
bpm
RR:20cpm
Temp:
37.8C

Nursing
Diagnosis
Fatigue related to
labor process
secondary to
lengthy
hospitalization
R: A physical
and/or mental
state of being
tired and weak.
Although physical
and mental
fatigue are
different, the two
often exist
together - if a
person is
physically
exhausted for
long enough, they
will also be
mentally tired.
(MedicalNewstod
ay 2014)

Objectives
of Care
After 10
hours of
nurse patient
interaction,
the patient
shall report
improved
sense of
energy.
Specifically,
the patient
will be able
to:
-Identify
basis
of fatigue
and
individual
areas of
control.
-Participate
in
recommende
d activity to
increase
physical
energy.

Nursing
Interventions
1.) Assess vital
signs
R: to evaluate
status and cardiopulmonary
response to the
activity.
2.) Determine
presence of
sleep
disturbances
.
R: fatigue can be a
consequence of
sleep deprivation/
disturbance.
3.) Encourage
client to do
whatever is
possible.
R: to increase
activity intolerance
4.) Instruct in

method to
conserve
energy
1st sit instead of
standing during
daily care
R: to conserve
energy ans store
for further use
2nd Combine and

Evaluation

GOAL MET
December 10,
2014 @
9:00pm
After 10 hours
of nurse and
patient
interaction
improve
sense of
energy as
evidenced by:
a. welcomes
us with
enthusiasm
as manifested
by increase
energy level.
b. open to
questions and
answers
patiently, and
initiates
communicatio
n to student
nurse;
c. able to sit
on the bed
without
maximum
supervision;