DAVAO DOCTORS COLLEGE

General Malvar St., Davao City

Nursing Program

NURSING CARE PLAN

Name of Patient: Orlando Onoon Age: 67 years old Sex: Male

Civil Status: Married

GOALS & NURSING

DATE/ CUES NURSING DIAGNOSIS OBJECTIVES INTERVENTIONS RATIONALE EVALUATION
TIME
Subjective: At the end of the 8 1.Provide verbal instructions 1.To enhance At the end of the 8
April 22, • “Magpauban Decreased activity hours span of care, and demonstration of the task, understanding and promote hour span of care, the
2024 ko didto tolerance related to the pt will be able to: breaking it down into successful task completion. patient was able to:
previous vehicle manageable steps.
ma’am
mangihi” accident as evidenced “GOAL MET”
by right leg contracture 2.Offer assistance as needed, 2.It fosters independence
• “Kapoyon ko 1.The client will such as stedying the patient’s and empowers the patient to
pag medyo describe adaptive hand or providing support for engage in the task, 1.The client was able
daghan ang techniques to balance. promoting self-esteem. to successfully
activities SCIENTIFIC BASIS: perform activities of complete his activities
ma’am mayo daily living including 3.Encourage to the patient to 3. This prevents fatigue and of daily living without
nalang jud Decreased activity the need for pace themselves and take exhaustion, enabling the any fatigue and
nay snack intolerance is a condition adequate rest and breaks as needed emphasizing patient to sustain activity complication
hehe” nutrition, and the importance of conserving levels and complete task experienced.
in which an individual
energy. more effectively.
• “Pakidala ko lacks the physical or breathing
sa mental energy to perform techniques. 2. The client verbalize
lingkoranan or complete necessary 4.Provide positive 4.It enhances the patient’s that taking vitamins is
didto sa ako activities. Activity 2.The client will reinforcement and praise for self-confidence and essential to aid his
lamesa” intolerance can affect identify factors that each step of the activity motivation. Increasing their condition at his age.
individuals of all ages and aggravate decreased completed independently, likelihood of continued
Objective: may arise from acute or tolerance to activity. fostering a sense of engagement in activities. 3. The client was able
• Mild stroke chronic conditions, injury, accomplishment and to understand that
or surgery. 3.The client will motivation. gradual steps can go
patient
• Vehicular continue his activities a long way and that
accident of daily living rest periods between
victim successfully at his 5. Have the client perform the 5. This helps in increasing
activities can help him
activity more slowly, in a longer the tolerance for the activity.
• Hypertensive own pace. time with more rest or pauses, At a minimum, the client foster a sense of
but takes or with assistance if necessary. should be encouraged to sit accomplishment.
maintenance up in a chair while awake
meds rather than staying in bed;
• Decreased even this simple activity can
improve the client’s tidal
 grip strength volume and enhance
• Often circulation.
requires
6. Refrain from performing 6. The client with limited
assistance
nonessential activities or activity tolerance needs to
• The client procedures. prioritize important tasks
sleeps right first. The nurse may assist
after having REFERENCES: the client in prioritizing
lunch activities and to establish a
Bsn, M. V., RN. (2024, March
• Frequent balance between activity
4). Activity intolerance and
pauses and rest that is acceptable to
generalized weakness nursing
care plan and management. the client.
Nurseslabs.
Lab Values: https://nurseslabs.com/activit
y-intolerance/ 7. Assist with ADLs while 7. Assisting the client with
Temp: 36.4 c avoiding client dependency. ADLs allows conservation of
PR: 67 bpm energy. Carefully balance
RR: 18 cpm the provision of assistance;
BP: 140/80 mm/Hg facilitating progressive
O2 sat: 95% endurance will ultimately
enhance the client’s activity
tolerance and self-esteem.

8. Promote proper nutrition and 8. Malnourishment prevents

hydration. recovery and contributes to
a higher risk of functional
disability.

9. Emphasize the importance of 9. Continued tolerable

continuing mobility. exercise can help improve
balance, gait, and muscle
strength enhancing activity
tolerance.

10. Provide a safe environment 10.Removing unnecessary

items that can get in the
client’s way can help
prevent potential accidents.
Name of Student