ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

Subjective: Activity Desired 1. Discuss with the patient the Independent:

“Palagi nalang intolerance r/t Outcomes: need for activity. 1. I: Discuss with the patient Actual Outcome:
the need for activity.
akong pagod” as imbalance After 8 hours of 2. Identify activities the patient R: Improves physical and
Afer 8 hours of nursing
verbalized by the between oxygen nursing considers desirable and psychosocial well-being. intervenions, the
patient. supply and interventions, meaningful. 2. I: Identify activities the objectives were partially
demand * Patient states patient considers desirable and met. The:
desire to 3. Encourage patient to help plan meaningful. *Patient stated
activity progression, being sure R: To enhance their positive
increase activity to include activities the patient impact.
understanding of the
Objective: level. considers essential. 3. I: Encourage patient to help need to perform daily
- generalized * Patient states plan activity progression, being activities.
weakness understanding of 4. Instruct and help patient to sure to include activities the *Patient demonstrated
- limited range of the need to alternative periods of rest and patient considers essential. conservation of energy
activity. R: Participation in planning while performing
motion increase activity helps ensure patient
- short term level gradually. activities.
5. Identify and minimize factors compliance.
performance of an * Blood that decrease the patient’s 4. I: Instruct and help patient to
activity pressure and exercise tolerance. alternative periods of rest and
pulse and activity.
6. Monitor physiological R: To reduce the body’s organ
respiratory rates responses to increased activity. demand and prevent fatigue.
remain within 5. I: Identify and minimize
prescribed limits 7. Teach patient how to conserve factors that decrease the
during activity. energy while performing patient’s exercise tolerance.
* Patient states activities of daily living. R: To help increase the activity
level.
satisfaction with 8. Teach patient exercises for 6. I: Monitor physiological
each new level increasing strength and responses to increased activity.
of activity endurance. R: To ensure return to normal a
attained. few minutes after exercising.
* Patient 9. Support and encourage 7. I: Teach patient how to
activity to patient’s level of conserve energy while
demonstrates tolerance. performing activities of daily
skill in living.
conserving 10. Before discharge, formulate R: These measures reduce
energy while a plan with the patient and cellular metabolism and oxygen
caregivers that will enable the demand.
carrying out patient either to continue 8. I: Teach patient exercises for
daily activities functioning at maximum activity increasing strength and
to tolerance intolerance or to gradually endurance.
level. increase the tolerance. R: Improves breathing and
* Patient gradually increase activity
level.
explains illness 9. I: Support and encourage
and connects activity to patient’s level of
symptoms of tolerance.
activity R: Helps patient develop level
intolerance with of tolerance.
10. I: Before discharge,
deficit in formulate a plan with the
oxygen supply patient and caregivers that will
or use. enable the patient either to
continue functioning at
maximum activity intolerance
or to gradually increase the
tolerance.
R: Participation in planning
encourages patient satisfaction
and compliance.

Source: Source: Sparks, S and

Taylor, C, Nursing Diagnosis
Reference Manual 3rd edition;
Springhouse Corporation,
Pennsylvannia