Nursing Care Plan


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Medical Diagnoses: Activity intolerance, Imbalance between oxygen supply and demand 

Assessment

Nursing DX/Clinical Problem

Client Goals/Desired Outcomes/Objectives

Nursing Interventions/Actions/Orders and Rationale

*I

Evaluation

Goals

Interventions

Subjective client states she is eager to walk to activity room

   

   

   

   

   

   

Objective

Extreme of age

   

Bedrest X 2 days

   

Possible weakness due to current illness

   

Respiratory problems due current illness


Problem

Activity intolerance

   

 

  

   

   

   

   

   

Long Term:             1. will increase activity level by discharge

2. client to identify controllable factors that cause fatigue

1.identify activities patient considers meaningful

1. will enhance motivation to become more active

2. identify and minimize factors that decrease client’s exercise tolerance

2. to reduce body’s oxygen demand and prevent fatigue

*

   

   

   

*

Client able to walk to activity room without SOA

   

Client verbalizes understanding of identifying and minimizing factors that cause fatigue


   

R/T

Imbalance between oxygen supply and demand

 

   

   

   

   

   

Short Term:

1.Client will verbalize understanding of need to increase activity level gradually

1.support and encourage activity to client’s level of tolerance

1. helps client develop independence

*

Client verbalizes understanding to gradually increase activity level  

   

AEB

Respiratory problems secondary to pneumonia

 

   

   

   

   

   

 

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*I = Implementation.  Check those interventions/actions/orders that were implemented




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