1. Kathren L. Gindap
Assessment Nursing Planning Intervention Rationale Evaluation
diagnosis
Subjective: Activity Short Term: 1. Establish rapport. To promote Short Term:
Intolerance After 4 hrs of NI, cooperation Pt. shall have
r/t pt will be able to participated
Objective: Generalized participate 2. Monitor vital signs. to have a baseline willingly in
data necessary/de
The patient weakness willingly on
sired
VS of: secondary to necessary/desired 3. Evaluate current provide activities.
BP: CVA activities. limitations (degree comparative
Temp: of deficit in light baseline data
RR: Long Term: of visual status) Long Term:
PR: After 2 days of NI, Pt shall have
patient will be 4. Assess to note progress of demonstrate
able to cardiopulmonary fatigue d a decrease
demonstrate a response to physical in physiologic
decrease in activity, changes BP. sings of
intolerance(H
physiologic signs
R,BP remains
of 5. Assist patient with to protect from in normal
intolerance(HR,BP activities. injury range
remain within
normal range) 6. Plan care with rest to decrease fatigue
periods between
activities.
7. Increase
activitygradually8. to manage activity
within limits
8. encourage assist pt deal with
expression contributing
of feelings resulting factors
from the condition