University of San Carlos

College of Nursing
Cebu City

NURSING CARE PLAN

Name of Patient: Etang, Beatriz

Age: 73 Sex: F
Occupation: Client doesn’t have any occupation
Status: Married Religion: Roman Catholic

Needs / Nsg Dx Scientific Analysis Objectives Nursing Rationale Evaluation

Cues Interventions

* Physiologic Need *PHYSIOLOGY OF OLD AGE* After 4 hours of - Teach client - To maintain muscle
* Activity Musculoskeletal student-nurse client different range of tonicity and to increase
Intolerance r/t. Muscle mass is a primary source of interaction, the client motion exercises. muscle perfusion.
decreased muscle metabolic heat. When muscles contract, will be able to:
strength secondary heat is generated. The heat generated by - Encourage resting - To compensate for
to old age muscle contraction maintains body 1.) Identify ways to after every activity. fatigability and
temperature in the range required for decrease metabolic
cope up with fatigue.
S: “Dili na pareha normal function of its various chemical demands.
akong kusog sa una processes. 2.) Return Demonstrate
katong bata-bata pa - Teach client pursed- - To promote lung
basic range of motion
ko. Magpatabang As early as the third decade of life there lip breathing. expansion therefore
nalang gud ko is a general reduction in the size, exercises. maintaining O2
sakong bana” as elasticity and strength of all muscle saturation.
3.) Give the importance
verbalized by the tissue. The loss of muscle mass
client. continues throughout the elder years. of maintaining muscle - Monitor vital signs. - To check for
O: Easily Fatigued Muscle fibers continue to become complications in the
tonicity.
Walks slowly smaller in diameter due to a decrease in care process.
Limited Range of reserves of ATP, glycogen, myoglobin
Motion and the number of myofibrils. As a
 - Maintain a caring - To limit level of
result, as the body ages, muscular and calm attitude in anxiety.
activity becomes less efficient and dealing with the
requires more effort to accomplish a patient.
given task. The elderly are less efficient
at creating the heat necessary to drive - Encourage fluid - To restore lost
the important biochemical reactions intake. electrolytes in
necessary for life. engaging exercises.

http://www.rnceus.com/hypo/physage.h
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*Own Analysis*

- In aging, it becomes more apparent

that we become weaker and weaker as
the years go by. It is due to the fact that
we are constantly being exposed to
different factors such as our diet and
environment that it causes long term
damage to the different physiologic
functions of the body making our cell
repair decline and our ability to
maintain homeostasis irregular. Due to
this, muscles tend to lose their original
tonicity compared to that when they
were younger. Because most of our
energies are stored in our muscles, we
lack the usual efficient compensatory
mechanism that allows us to sustain
significant fatigue making us
intolerable to some activities.