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Assessment Subjective: Hirap siya magkikilos, pagtagilid nga lang ng kama ay nahihirapan na siya lalo na kapag umiihi dito

sa commode, pahirapan talaga bago siya maitayo as stated by the patients relative

Diagnosis Activity Intolerance related to generalized body weakness as evidenced by muscle strength of UE 2/5 and LE 3/5

Planning After 8 hours of nursing interventions, the patient will be able to participate actively in daily activities within level of tolerance

Interventions Assess patients general condition

Rationale To have baseline data

Obtain vital signs

To have baseline data To promote physiological ease of minimal inspiration To assist patient in taking control of the situation To correct hyperventilat ion

Elevate head of bed or instruct to sit up in chair as appropriate

Evaluation After 8 hours of nursing interventions, the patient was able to participate in activities of daily living within tolerable level

Objective: Muscle strength: UE 2/5; LE 3/5

Encourage slower or deeper respirations

Encourage position of comfort

Encourage ambulation and exercise Instruct patient to avoid overeating To prevent abdominal distention

Assist patient with daily activities

To prevent any injury

Encourage adequate rest periods between activities Assist patient in the use of relaxation techniques Maintain calm attitude when dealing with the patient

To limit fatigue

To limit level of anxiety

Provide referral to other department such as physical therapy/rehabilit ation service if indicated

To develop individually appropriate therapeutic regimens

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