ASSESSMENT DIAGNOSIS SCIENTIFIC PLANNING INTERVENTION RATIONALE EVALUATION

EXPLANATION
SUBJECTIVE: Activity Mobility and DISCHARGE PLAN: 1.Provide positive 1.Helps to DISCHARGE PLAN:
“Nahihirapan Intolerance activity atmosphere, while minimize
acknowledging
akong gumalaw related to damage intolerance are After 1 week of frustrations and After 1 week of
difficulty of the
lalo na kapag muscle tissue as affected by any Nursing situation for the rechannel energy. Nursing
mag-iiba ako ng evidence by disorder that Intervention the client. Intervention the
puwesto” complete bed impairs the ability client will be able 2.Both activity client had been
rest, cannot turn of the nervous to move and do 2.Plan for tolerance and able to move and
“Hindi ko kayang to side without the system, minimal task such progressive increase health status may do minimal task
yumagilid mag-isa help of others, musculoskeletal as: of activity level/ improve with such as:
participation in
kapag hindi ako lying on one system, -go to the toilet exercise, training as
progressive -go to the toilet
tinlungan” position cardiovascular with minimal tolerated by the training. with minimal
, facial grimace system, assistance client, such as: assistance
“Nahihirapan din while turning to respiratory -ambulate -performing ROM -ambulate
akong umupo the other position, system, and moderately exercise daily moderately
mag-isa dahil pale, weak, upper vestibular -eat without -and practice eating -eat without
without assistance
sumasakit ang extremities: 4/5, apparatus. assistance 3.To prevent over assistance
tahi ko sa tiyan” lower extremities: Congenial -do tooth brushing 3.Adjust activities to exertion. -do tooth brushing
3/5. problems such as without assistance the capacity of a post without assistance
OBJECTIVE: hip dysplasia, c/s, such as:
-complete bed spina bifida, SHORT TERM: -performing ROM SHORT TERM:
rest cerebral palsy, exercise 4.To reduce
-turning to sides
-cannot turn to and te muscular After 8 hours of fatigue. After 8 hours of
side without the dystrophies affect Nursing 4.Plan care to fully Nursing
help of others motor functioning. Intervention the balance rest periods Intervention the
-lying on one client will be able with activities. client had been
position to verbalize 5.To enhance able to verbalize
-facial grimace activities suitable 5.Discuss ways/ activity tolerance. activities suitable
while turning to for her condition activities that could for her condition
enhance activities
the other position and for her to be that could enhance
and for her to be
-pale comfortable. activity tolerance, comfortable.
-weak such as:
-upper After 1 day of -walking moderately After 1 day of
extremities: 4/5 Nursing -turning to sides Nursing
_Nurses’s Pocket
-lower extremities: Intervention the Intervention the
Guide, 17th edition,
3/5 client will be able 70-73 client had been
to site activities able to site
such as: activities such as:
-walking -walking
moderately moderately
-turning to side -turning to side