NURSING CARE PLAN

Problem: Body malaise

Nursing diagnosis: Activity intolerance related to general malaise secondary to DM
Taxonomy: Activity- Exercise Pattern
Cause analysis: Fatigue and general malaise are common symptoms of DM patient which can interfere with an individual’s ability to initiate ADLs
[Medical Surgical Nursing By Smeltzer and Bare, pp. 679]
CUES OBJECTIVES INTERVENTIONS RATIONALE EVALUATION

STO: Independent: 1. Influence of choice

Subjective: After 4 hours of giving
effective nursing
“Dii man niya kaya interventions, the patient
magtindog na siya lang” as will be able to cope with
verbalized by the SO fatigue as evidenced by
verbalized feelings of
comfort and increase
activity participation
LTO:
Objective: Within 3 days of giving
• appeared weak nursing interventions, the
• pale patient will be able to
• patient is lethargic demonstrate an increase in
• unable to perform activity tolerance as
ADLs evidenced by doing simple
• dependent on others ADL’s
care
• always lying on bed
1. Assessed patient’s
ability to perform tasks/
noting reports of
weakness, fatigue and
difficulty accomplishing
task.
2. Recommended quiet
atmosphere; bed rest if
indicated stress-need to
monitor and limit
visitors, phone calls
and repeated
unplanned interruptions
3. Elevated head of bed
as tolerated.
4. Provided/recommended
assistance with
activities / ambulation
as necessary, allowing
pt to do as much as
possible]
5. Assisted pt to prioritize
ADLs/desired activities.
of interventions
assistance
2. Enhance rest to After 4 hours of giving
lower body’s oxygen effective nursing
requirements, and interventions, the patient
reduces strain on was able to cope with
the heart and lungs fatigue as evidenced by
3. Enhances lung verbalization of feelings of
expansion to comfort and participating in
maximize passive ROM
oxygenation for
cellular uptake.
4. Although help may
be necessary, self
esteem is enhanced Within 3 days of giving
when pt does things nursing intervention, the
for self. patient was not able to do
5. promotes adequate simple ADLs
rest energy level,
and alleviates strain
on the cardiac and
respiratory systems.

Ref: Nursing Care Plans by Doenges p 492-493