Nursing Diagnosis and Nursing Intervention

Showing posts with label Fatigue. Show all posts
Showing posts with label Fatigue. Show all posts

Fatigue Nursing Diagnosis - NIC NOC

Nursing Diagnosis for Fatigue

Definition: Fatigue An overwhelming, sustained sense of exhaustion and decreased capacity for physical and mental work at usual level

Characteristics: Inability to restore energy even after sleep; lack of energy or inability to maintain usual level of physical activity; increase in rest requirements; tired; inability to maintain usual routines; verbalization of an unremitting and overwhelming lack of energy; lethargic or listless; perceived need for additional energy to accomplish routine tasks; increase in physical complaints; compromised concentration; disinterest in surroundings, introspection; decreased performance; compromised libido; drowsy; feelings of guilt for not keeping up with responsibilities

Related Factors:
Boring lifestyle; stress; anxiety; depression
Humidity; lights; noise; temperature
Negative life events; occupation
Sleep deprivation; pregnancy; poor physical condition; disease states (cancer, HIV, multiple sclerosis); increased physical exertion; malnutrition; anemia

NOC Outcomes (Nursing Outcomes Classification)
• Endurance
• Concentration
• Energy Conservation
• Nutritional Status: Energy

Client Outcomes
Verbalizes increased energy and improved well-being
Explains energy conservation plan to offset fatigue

NIC Interventions (Nursing Interventions Classification)
Energy Management

Source : http://nandadiagnosis.blogspot.com/2011/09/nursing-diagnosis-for-fatigue.html

Fatigue Nursing Interventions - Activity Intolerance

Activity intolerance related to fatigue

Definition: Insufficient physiological or psychological energy to continue or complete the requested activity or daily activities.

Defining characteristics:

Verbal report of fatigue or weakness.
Abnormal response of blood pressure or pulse of activity
ECG changes indicating ischemia or arrhythmia
Presence of dyspnea or discomfort on exertion.

Related factors:

Bed rest or immobilization Baring
Overall weakness
Imbalance between oxygen suplei needs
Lifestyle is maintained.

NOC:

Energy conservation
Self Care: ADLs

Expected Result:
Participate in physical activity without an accompanying increase in blood pressure, pulse and respiration
Able to perform daily activities (ADLs) independently

NIC:

Energy Management

Observation of client restrictions in activities
Encourage the child to express feelings of limitations
Assess the factors that cause fatigue
Monitor nutrition and adequate sources of energy
Monitor the patient's physical and emotional exhaustion are excessive
Monitor cardiovascular response to activity
Monitor sleep patterns and duration of sleep / rest patients

Activity Therapy

Collaborate with the Medical Rehabilitation Workers dalammerencanakan progran appropriate therapy.
Help clients to identify activities that can be done
Helps to choose activities consistent with the ability yangsesuai physical, psychological and social
Helps to identify and obtain resources needed for the desired activity
Mendpatkan auxiliary aids for activities such as wheelchairs, crick
Bantu untu identify a preferred activity
Help clients to exercise their free time schedule
Help the patient / family to identify deficiencies in the activity
Provide positive reinforcement for active move
Help the patient to develop self-motivation and reinforcement
Monitor physical response, EMOI, social and spiritual

Source : http://careplannursing.blogspot.com/2012/03/activity-intolerance-related-to-fatigue.html
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