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Nursing Goal Nursing Intervention Rationale Evaluation
Diagnosis/ Cues
Activity Intolerance Goal: After 4 hours of 6 Ascertain ability to stand and 6 To determine current The client was able to use identified
related to generalized nursing intervention, move about and degree of status and needs techniques to enhance activity
weakness. the patient will be able assistance necessary/use of associated with intolerance.
to use identified equipment. participation in __met
Cues: techniques to enhance needed/desired activities. __unmet
Subjective: activity intolerance. __partially met
The client verbalized: 6 Increase exercise/activity 6 To conserve energy Why?
³Nahihirapan ako levels gradually, teach
kumilos, minsan methods.
nagpapatulong pa
ako sa workmate ko.´ 6 Assist with activities and 6 To protect client from
provide/monitor client¶s use injury
of assistive devices.
Objective:
It was observed that 6 Promote comfort measures 6 To enhance ability to
the client needs and provide for relief of pain. participate in activities
assistance when
moving. 6 Instruct client in monitoring 6 Indicate need to alter
response to activity and in activity level
recognizing signs/symptoms
6 Plan for progressive 6 Both activity tolerance
increase of activity and health status may
level/participation in exercise improve with
training as tolerated by progressive training
client.
6 Encourage client to maintain 6 To enhance sense of
positive attitude; suggest use well-being.
of relaxation techniques,
such as visualization/guided
imagery, as appropriate.