Subjective Lagi akong pagod at nahihilo as verbaliz ed by the Patient

Objective Abnormal Blood Pressure response to activity Electrocar diographic changes reflecting arrhythmi as or ischemia Pallor or cyanosis

Nursing Diagnosis Activity Intolera nce

Rationale A state in which a person has insufficien t physical or psychologi cal energy to endure or desired physical activity

Goal To prevent overext ension To enhance sense of well being To reduce fatigue

Nursing Intervention Refrain from performing nonessential procedures Teach patient significant others to recognize signs of physical overactivity Teach ROM and strengtheni ng exercises

Rationale of Nursing Diagnosis To promote rest Promotes awareness of when to reduce activity To maintain strength/ ROM/end urance gain

Evaluation Patient maintain activity levels within capabilities or evidenced by normal heart rate, blood pressure, during activity, and absence of shortness of breath, weakness and fatigue Patient verbalizes and utilizes energy consumptio n techniques