Fatigue related to decreased metabolic energy production, as evidenced by overwhelming lack of energy Fatigue is subjective complaint of both acute

and chronic illness. In the case of our patient, fatigue was felt by him due to increase energy demand, and persistent lying on bed, inactivity and decreased performance from work. CUES/EVIDENCES Subjective: Permi lang jud konag luya diare, sige lang ko ug higda. Luya jud ko daan sa balay pa As verbalized by patient Objective Dry, tangled hair Lethargic Bedrest Frequent yawning Weakness noted Lethargic Drowsy Listless Decreased performance Vital Signs: BP = 130/80 mmHg T = 36.3 degC CHR: 87 bpm RR: 17 cpm OBJECTIVES After 3 days 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 recommended treatment program INTERVENTIONS The nurse will assist the patient in achieving the goal which is to report improved sense of energy Assess vital sings To evaluate fluid status and cardiopulmonary response to activity. This may be helpful in determining pattern/timing of activity Fatigue can be a consequence of exacerbated sleep Enhances commitment to promoting optimal outcomes Maximizes client participation RATIONALE EVALUATION GOAL PARTIALLY MET: Patient was able to partially report improved sense of energy

Note daily energy pattern

Determine presence/degree of sleep disturbances Establish realistic activity goal with client and encourage forward movements Schedule activities for periods when client has the most energy Plan interventions to allow individually adequate rest periods Encourage patient to use assistive devices as needed

Provides patient resting period in between activities Increases activity tolerance

To extend active time or conserve energy for other tasks

Instruct client in ways to monitor responses to activity and significant signs and symptoms that indicate a need to change activity level

Avoids the occurrence of further problems related to activitiy