Cues Diagnosis

Scientific
explanation
Planning Intervention Rationale Evaluation
Subjective :
Nanghihina
ung mga binti
ko as
verbalized by
the client
Objective :
-Fatigue
-Body
weakness
-Motor
strength of
3/5 at lower
extremities
-Dizziness
Activity
intolerance
related to
Generalized
body weakness
as evidenced by
fatigue ,
dizziness and
motor strength
of 3/5 at lower
extremities
Short term :
After 4hrs. Of nursing
intervention the client
will be able to :
- Participate in
necessary physical
activity with
appropriate
increases in blood
pressure and
monitor patterns
within normal
limits
- Identify activities
or anxiety-
producing
situations that
may contribute to
activity
intolerance
Long term :
After 2days of nursing
intervention the client
will be able to :

- Balances activity
and rest.-Perform
home maintenance
Independent :
Monitor v/s
Encourage client to rest
Limit movement and
encourage
R.O.M.exercises.
Promote
wel l n es s a n d provide
emotional support
i n the process

Dependent :
Administer medication
as ordered by the
physician
Note treatment-related
factors ,such as side
effects/interaction
of medication.
Independent :
S e r v e s a s
baseline data of
client.
To decr ea s e
clients cardiac rate.
Mus c l es wi l l
r es t t o
pr o mo t e
s t r en g t h
a n d joint motion.
To es t abl i s h
g o a l a n d
pr o v i de
po s i t i v e
a t t i t u de
t o war ds t he
pa t i en t

Dependent
Short term :
After 4hrs. Of nursing
intervention the client was able to :
- Participated in necessary
physical activity with
appropriate increases in
blood pressure and monitor
patterns within normal
limits
- Identified activities or
anxiety-producing situations
that may contribute to
activity intolerance
Long term :
After 2days of nursing
intervention the client was able to
:

- Balanced activity and rest.-
Perform home maintenance
management with some help-
- Verbalized understanding of
need for medications that
may increase tolerance for
activities
management with
some help-Verbalize
understanding of
need for
medications that
may increase
tolerance for
activities