ASSESSMENT DIAGNOSIS SCIENTIFIC PLANNING INTERVENTION RATIONALE EVALUATION

EXPLANATION
SUBJECTIVE: Activity Intolerance Mobility and activity DISCHARGE PLAN: 1.Provide positive 1.Helps to minimize DISCHARGE PLAN:
“Nahihirapan akong related to damage intolerance are atmosphere, while frustrations and
acknowledging difficulty of
gumalaw lalo na kapag muscle tissue as affected by any After 1 week of rechannel energy. After 1 week of
the situation for the client.
mag-iiba ako ng evidence by complete disorder that impairs Nursing Intervention Nursing Intervention
puwesto” bed rest, cannot turn the ability of the the client will be able 2.Plan for progressive 2.Both activity the client had been
to side without the nervous system, to move and do increase of activity level/ tolerance and health able to move and do
“Hindi ko kayang help of others, lying on musculoskeletal minimal task such as: participation in exercise, status may improve minimal task such as:
yumagilid mag-isa one position system, cardiovascular -go to the toilet with training as tolerated by with progressive -go to the toilet with
kapag hindi ako , facial grimace while system, respiratory minimal assistance the client, such as: training. minimal assistance
-performing ROM exercise
tinlungan” turning to the other system, and vestibular -ambulate moderately daily
-ambulate moderately
position, pale, weak, apparatus. -eat without assistance -and practice eating -eat without assistance
“Nahihirapan din upper extremities: 4/5, Congenial problems -do tooth brushing without assistance -do tooth brushing
akong umupo mag-isa lower extremities: 3/5. such as hip dysplasia, without assistance without assistance
dahil sumasakit ang spina bifida, cerebral 3.Adjust activities to the 3.To prevent over
tahi ko sa tiyan” palsy, and te muscular SHORT TERM: capacity of a post c/s, such exertion. SHORT TERM:
as:
dystrophies affect
-performing ROM exercise
OBJECTIVE: motor functioning. After 8 hours of -turning to sides After 8 hours of
-complete bed rest Nursing Intervention Nursing Intervention
-cannot turn to side the client will be able 4.Plan care to fully balance 4.To reduce fatigue. the client had been
without the help of to verbalize activities rest periods with able to verbalize
others suitable for her activities. activities suitable for
-lying on one position condition and for her her condition and for
5.Discuss ways/ activities
-facial grimace while to be comfortable. that could enhance 5.To enhance activity her to be comfortable.
turning to the other activities that could tolerance.
position After 1 day of Nursing enhance activity After 1 day of Nursing
-pale Intervention the client tolerance, such as: Intervention the client
-weak will be able to site -walking moderately had been able to site
-turning to sides
-upper extremities: 4/5 activities such as: activities such as:
_Nurses’s Pocket Guide,
-lower extremities: 3/5 -walking moderately 17th edition, 70-73
-walking moderately
-turning to side -turning to side