Activity Intolerance r/t generalized weakness

ASSESSMENT DIAGNOSIS RATIONALE PLANNING INTERVENTION RATIONALE EVALUATION

Subjective data: Activity Generalized After four days of INDEPENDENT: After 4 days of
Intolerance r/t weakness and nursing nursing
“Minsan po 1. Monitor vital 1. To help
generalized exhaustion interventions, the interventions,
parang ang bilis signs. determine
weakness results from patient will exhibit the patient was
ko mahingal. May patient’s current
insufficient tolerance during able to do
mga pasa rin ako health status
physiologic or physical activity as activities of daily
sa braso ko” as and evaluate
psychological evidenced by: living but with
verbalized by the effectiveness of
energy to minimal
patient.  A normal nursing
endure or assistance,
fluctuation of intervention
complete participated in
vital signs rendered.
required or self-care
Objective data: during physical
desired daily activities and
activity. 2. Assess ability to 2. To determine
 Body activities. was able to
 Identifying perform ADL. the capacity of
weakness maintain activity
factors that patient in doing
noted level within
aggravate ADL.
 Bruises on activity capabilities as
both arms intolerance. evidenced by
 Easy 3. Assess physical 3. To know if there
 Reporting the normal vital
fatigability mobility status. is any changes
ability to signs during
noted on patient’s
perform activity, as well
 vital signs of condition
required as absence of
T-37.0⁰C, PR- activities of specifically on
weakness, pain,
100 bpm, RR- daily living. physical aspect.
and difficulty
20 bpm, BP-  Verbalizing and
100/60 accomplishing
using energy- 4. Promote rest 4. To conserve
mmHg. tasks.
conservation and comfort energy.
 Laboratory techniques.
results taken  Identifying 5. Encourage to 5. To determine
 as: methods to verbalize other factors
 Low RBC-2.10 reduce activity feelings and that might
mg/dL intolerance. concern contribute to
(normal: 3.60- regarding her patient’s present
4.69 present condition.
 Low Hgb-67 condition.
(normal:108-
142)
6. Emphasize the 6. To promote
 Low Hct-0.191
(normal:0.377 importance of circulation.
-0.537) frequent
 Low platelet ambulation.
count-2
(normal:155- 7. Encourage 7. To maximize full
366) active range of strength.
motion
exercises like
flexing of both
extremities.

8. Encourage 8. Rest between

9. Advise to 9. It is essential to
increase fluid stay hydrated to
intake. replenish the
lost fluids in the
body.