NURSING CARE PLAN Name of Patient: Patient Age: y/o Sex: Occupation: Date of Admission: Status: Religion: Needs/Cues Subjective Cues: “medyo labad ako ulo og malipong pa gihapon ko.” as verbalized by the patient. Objective Cues: Vital signs: TP- bpm RR- cpm BP- mmHg Chief Complaint: ______________________________________________________________ Diagnosis: Nursing Diagnosis (Problem + Etiology) Activity intolerance related to present condition as evidenced by dizziness, general weakness. Patient Outcomes After 5 hours of nursing intervention, patient will be able to: Verbalized the effectiveness and improvement of activity intolerances by demonstrating the enhances of her condition. Nursing Interventions Rationale Independent: 1. Establish guidelines and goals of activity with the patient. 2. Assist the patient in identifying modifiable risk factors like diet high sodium, saturated fats, and cholesterol. 3. Encourage the patient to verbalize her sleeping pattern. 4. Encourage the patient to nap. 5. Encourage the patient to perform the activity more slowly, in a longer time with more rest or pauses. Or with assistance if necessary. 6. Encourage the Evaluation At the end of the nursing interventions, the client is able to: 1. Motivation and cooperation are enhanced if the patient participates in goal setting. 2. This is to promote awareness to the risk factor that will contribute to hypertension. 3. Difficulty of sleeping can affect the activity level of the patient. 4. It provide to gain energy. 5. It helps increase the tolerance for the activity. 6. Gradual progression of the activity prevents overexertion. 7. This is to minimize dizziness by performing limited Verbalized the effectiveness and improvement of activity intolerances by demonstrating the enhances of her condition. patient to gradually increase activity with active range-ofmotion exercises in bed, increasing to sitting and then standing. 7. Encourage the patient to refrain from performing nonessential activities or procedures. 8. Encourage the patient to perform physical activity consistent with the patient’s energy levels. 9. Encourage verbalization of feelings regarding limitations. 10. Encourage the patient to decrease or eliminate caffeine such as tea, coffee, cola, and chocolates. Dependent: 1. Encourage the client to adhere the importance of treatment regimen 2. Encourage the client to keep follow up check-ups. 3. Administered medication prescribed by a physician. activity tolerance need to prioritize important tasks first. 8. To promote a sense of autonomy while being realistic about capabilities. 9. This is to help the patient to cope. Acknowledgement that living with activity intolerance is both physically and emotionally difficult. 10. Dependent: - To promote accurate medication consumption and modified it’s condition.