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Activity Intolerance

The patient had activity intolerance related to muscle weakness after surgery. Short term nursing interventions included assisting with ADLs, encouraging rest and gradual activity increase using energy conservation techniques. The goal was for the patient to utilize energy conservation and identify techniques to enhance activity tolerance. Long term goals were for the patient to report no muscle weakness signs after 2-3 days of nursing interventions including education on progressive activities and diet.

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4K views2 pages

Activity Intolerance

The patient had activity intolerance related to muscle weakness after surgery. Short term nursing interventions included assisting with ADLs, encouraging rest and gradual activity increase using energy conservation techniques. The goal was for the patient to utilize energy conservation and identify techniques to enhance activity tolerance. Long term goals were for the patient to report no muscle weakness signs after 2-3 days of nursing interventions including education on progressive activities and diet.

Uploaded by

prickybiik
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

NURSING OBJECTIVE INTERVENTION RATIONAL EVALUATIO

CUES RATIONALE
DIAGNOSIS S S E N
Subjective: Activity Muscle Short Term: Independent: short term:
“Hindi na muna Intolerance weakness After 30-45  Provide  To be After 45
ako naliligo, related to muscle minutes of position of able for minutes of
yung anak ko weakness secondary to nursing comfort and the nursing
na lang yung secondary to surgical intervention assisted with patient to intervention
nagpupunas surgical intervention the patient ADL be the patient
sakin ng intervention (Cholecystectom will be able comfortab was able to:
bimpo,nanghihi (Cholecystectom y) to: le and 1. Utilize
na pa kasi ako y) as evidenced 1. Utilize gain energy
hindi ako by: reduction of energy  Encourage confidenc conservatio
makakilos ng muscle strength conservatio adequate rest e in doing n
maayos ” as Subjective: n periods ADL techniques
verbalized by impaired ability techniques especially  To reduce  GOAL
the patient “Hindi na muna to maintain 2. Use before fatigue PARTIALLY
ako naliligo, activity identified ambulation MET
Objectives: yung anak ko na techniques  Increase 2. Identified
 limited lang yung inability to begin to enhance activity or techniques
body nagpupunas or perform activity exercise levels to enhance
moveme sakin ng activity tolerance gradually  To activity
nt bimpo,nanghihin  Encourage to conserve intolerance
 needs a pa kasi ako Activity maintain energy
support hindi ako Intolerance positive  GOAL
in moving makakilos ng attitude  To FULLY MET
maayos ” as enhance
verbalized by the Reference: Long Term:  Teach patient sense of Long Term:
patient After 2-3 about well-being After 2 days
Principles of days of progressive of nursing
Objectives: Med-Surg Vol. 1 nursing activities such  To interventions,
th
4 edition by interventions as walking prevent the patient
 limited Lemone and , the patient around the patient reported no
body Burke will be able area the slowly from over signs of
movement to report no progressing. exerting muscle
 needs signs of weakness
support in muscle  Encourage to  GOAL
moving weakness increase FULLY MET
intake of
CHON for
tissue repair
 To
increase
muscle
strength

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