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ASSESSMENT

DATA
Subjective;
Di po ako makakilos
ng maayos eh as
verbalized by the
patient.
Objective;
RR; 27 cpm
PR; 86 bpm
TEMP;
36.5*C
With
generalized
body
weakness
Fatigue
Pallor
Laboratory result;

NURSING
DIAGNOSIS
Activity intolerance
related to loss of
integrity of bone
fracture of the lift
foot of femur
evidence by
generalized body
weakness.

PLANNING

INTERVENTION

After 2hours of
nursing intervention
the patients will
report and
demonstrate
measurable increase
intolerance to activity
by as evidence by
performing daily
living.

Independent
Assisted client
to assume
comfortable
position for
rest and sleep.

Provided a
quiet
environment
and limit
visitors
Explained
importance of
rest in
treatment plan.
Encouraged to
eat nutritious
foods

RATIONALE

Client may be
comfortable
with head of
bed elevated,
sleeping in a
chair or
leaning
forward on
over bed table
with pillow
support.
Reduces stress
and excess
stimulation,
promoting
rest.
Bed rest
maintained
during acute
phase to
decrease
metabolic
demands, thus
conserving
energy for
healing.

EVALUATION
Goal partially met
after 8 hours of
nursing intervention
the patient was able
to report and
demonstrate
measurable increase
intolerance to activity
evidence by inability
to performed daily
living.

Dependent;
Administer
medication as
ordered.
Collaborative;
Request
laboratory
exam to
laboratory
department as
physician
prescribed.

Helps gaining
energy for
activity.

To identify
potential
complication.

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