Nursing Care Plan

Assessment Diagnosis Planning Intervention Rationale Evaluation

Subjective Activity intolerance Short Term Goal: 1. Assess patient’s ability 1. Influence of After 4 hours of
related to general After 4 hours of to perform tasks/ noting choice of giving effective
Patient states that malaise secondary giving effective reports of weakness, interventions nursing
he has difficulty to MDR TB nursing fatigue and difficulty assistance interventions,
interventions, the accomplishing task. 2. Enhance rest the patient was
walking to the
patient will be able 2. Recommended quiet to lower body’s able to cope with
bathroom or the to cope with atmosphere; bed rest if oxygen fatigue as
chair. fatigue as indicated stress-need to requirements, evidenced by
evidenced by monitor and limit and reduces verbalization of
verbalized feelings visitors, phone calls strain on the feelings of
Objective: of comfort and and repeated heart and lungs comfort and
-Patient appears increase activity unplanned interruptions 3. Enhances lung participating in
weak participation 3. Elevated head of bed expansion to passive ROM
-Unable to perform as tolerated. maximize
some ADLs Long Term Goal: 4. Provided/recommended oxygenation for
-Spends most of Within 2 days of assistance with cellular uptake.
giving nursing activities/ ambulation as 4. Although help Within 2 days of
the time on bed
interventions, the necessary, allowing pt may be giving nursing
patient will be able to do as much as necessary, self intervention, the
to demonstrate an possible esteem is patient was able
increase in activity enhanced to do simple
tolerance as when pt does ADLs
evidenced by things for self.
doing simple ADL’s