Explanation of the Evaluation /

Problem / Expected Outcome

Assessment Objectives Interventions  Rationale of Interventions
Pathophysiology (indicate (Based on
your Reference) Objectives)
Anemia is an abnormal
Subjective: STO: Dx: STO:
reduction in red blood cells
 “Mabilis po (RBC) caused by Within 30 minutes – 1  Assess the specific  The specific cause of fatigue is Within 30 minutes – 1
akung mapagod difficulties in RBC hour of effective cause of fatigue. due to tissue hypoxia from hour of effective
at nahihirapan production, recycling, nursing interventions, normocytic anemia; Other nursing interventions,
akung huminga” and/or regulation. The the patient’s will be related medical problems can the patient’s was able
as verbalized by resultant decrease in able to use energy also compromise activity to use energy
the patient. hemoglobin (Hb) leads to a conservation principle. tolerance. conservation
reduction in the oxygen- principle.
  carrying capacity of blood.    Assess the client’s  Fatigue can limit the client’s
Objective: In turn, this leads to patient LTO: ability to perform ability to participate in self-care  
weakness, pallor, dyspnea, activities of daily and perform his or her role LTO:
 Pale conjunctiva and most commonly, Within 24 – 48 hours responsibilities in family and
living (ADLs), and
 Fatigue fatigue. Fatigue happens of effective nursing the demands of society, such as working Within 24 – 48 hours
because your body lacks interventions, the daily living. outside the home. of effective nursing
 Dyspnea the iron it needs to make a patient will verbalize interventions, the
  protein called hemoglobin, reduction of fatigue, as  Monitor  Decreased RBC indexes are patient verbalized
which helps carry oxygen evidenced by reports hemoglobin, associated with decreased reduction of fatigue,
Nursing Diagnosis: around the body. Without of increased energy hematocrit, RBC oxygen-carrying capacity of the as evidenced by
enough hemoglobin, less and ability to perform counts, and blood. It is critical to compare reports of increased
 Fatigue related to oxygen reaches your desired activities. reticulocyte counts. serial laboratory values to energy and ability to
anemia with tissues and muscles,   evaluate progression or perform desired
reduced mean depriving them of energy. deterioration in the client and activities.
cell corpuscular to identify changes before they
volume and low Reference: become potentially life-
mean cell  link.springer.com threatening.
hemoglobin  www.healthline.com
suggestive of a
microcytic  These will promote active
anemia.  Evaluate the participation in planning,
patient’s outlook implementing, and evaluating
for fatigue relief, therapeutic management to
 alleviate fatigue. Social support
eagerness to
will be essential to assist the
participate in
patient put into practice
strategies to reduce
changes to decrease fatigue.
fatigue, and level of
family and social
support.
   This will allow the client to
maximize his/her time for
Tx: accomplishing important
 Assist the client in activities. Not all self-care and
planning and hygiene activities need to be
prioritizing completed i the morning.
activities of daily Likewise, not all housework
living (ADL). needs to be completed in one
day.

 Oxygen saturation should be

kept at 90% or greater.

 Provide
supplemental
oxygen therapy, as  Recognizing relationships
needed. between specific activities and
levels of fatigue can aid the
 Encourage the patient recognize unnecessary
patient to maintain energy outflow. The log may
a 24-hour fatigue or indicate times of day when the
activity log for at person feels the least fatigued.
least 1 week. This information can help the
patient make choices about
setting his or her activities to
take advantage of episodes of
high energy levels.

 The patient will need properly

balanced intake of fats,
 carbohydrates, proteins,
vitamins, and minerals to
provide energy resources.

 This method allows the use of

 Promote sufficient nervous energy in a positive
nutritional intake. manner and may lessen
anxiety.

 Offer diversional  Clients and caregivers may

activities that are need to learn skills for
soothing. delegating task to others,
  setting priorities, and clustering
care to use available energy to
Edx: complete desired activities.
 Educate energy- Organization and time
conservation management can help the client
techniques. conserve energy and reduce
fatigue.

 Recombinant human
erythropoietin, a hematological
growth factor, increases
hemoglobin and decreases the
need for RBC transfusions.

 Promoting relaxation before

 Instruct the client sleep and providing for several
about medications hours of uninterrupted sleep
that may stimulate can contribute to energy
RBC production in restoration.
the bone marrow.
 Aid the patient
develop habits to
promote effective
rest/sleep patterns.