Assessment Subjective: - "Namamanhid ang kanang kamay ko.

" as verbalized by the patient - Inability to maintain usual routines/level of physical activity - Increase in rest requirements - Inability to restore energy even after sleep - Increase in physical complaints objective: - pregnant: 20-22 weeks AOG - drowsy - lack of energy

Diagnosis Fatigue related to physiological factor: Pregnancy

Objective/Planning Short term goal: Within 1 hour of nursing interventions, the client will identify basis of fatigue.

Long term goal: Within 8 hours of nursing interventions, the client will report improved sense of energy.

Intervention 1. Assist the patient to develop a schedule for daily activity and rest. 2. Encourage the patient to use assistive devices (eg: trochanter rolls). 3. Assess the patients ability to perform activities of daily living (ADLs). 4. Assess the patients emotional response to fatigue. 5. Assess the patients nutritional intake of calories, protein, minerals, and vitamins.

Rationale 1. A plan that balances periods of activity with periods of rest can help the patient complete desired activities without adding to levels of fatigue. 2. The use of assistive devices can minimize energy expenditure and prevent injury with activities. 3. Fatigue can limit the persons ability to participate in self-care and perform his or her role responsibiliti es in the

Evaluation After 1 hour of nursing interventions, the client identified basis of fatigue. After 8 hours of nursing interventions, the client reported improved sense of energy.

family and society. 4. Anxiety and depression are the more common emotional responses associated with fatigue. These emotional states can add to the persons fatigue level and create a vicious cycle. 5. Fatigue may be a symptom of proteincalorie malnutrition, vitamin deficiencies, or iron deficiencies.