Nursing Care Plan Assessment Subjective Patient states that he has difficulty walking to the bathroom or the chair.

Objective: -Patient appears weak -Unable to perform some ADLs -Spends most of the time on bed Diagnosis
Activity intolerance related to general malaise secondary to MDR TB

Planning
Short Term Goal: After 4 hours of giving effective nursing interventions, the patient will be able to cope with fatigue as evidenced by verbalized feelings of comfort and increase activity participation Long Term Goal: Within 2 days of giving nursing interventions, the patient will be able to demonstrate an increase in activity tolerance as evidenced by doing simple ADLs

Intervention
1. Assess patients ability to perform tasks/ noting reports of weakness, fatigue and difficulty accomplishing task. 2. Recommended quiet atmosphere; bed rest if indicated stress-need to monitor and limit visitors, phone calls and repeated unplanned interruptions 3. Elevated head of bed as tolerated. 4. Provided/recommended assistance with activities/ ambulation as necessary, allowing pt to do as much as possible

Rationale
1. Influence of choice of interventions assistance 2. Enhance rest to lower bodys oxygen requirements, and reduces strain on the heart and lungs 3. Enhances lung expansion to maximize oxygenation for cellular uptake. 4. Although help may be necessary, self esteem is enhanced when pt does things for self.

Evaluation
After 4 hours of giving effective nursing interventions, the patient was able to cope with fatigue as evidenced by verbalization of feelings of comfort and participating in passive ROM

Within 2 days of giving nursing intervention, the patient was able to do simple ADLs