Matthew Rich L.

Cortes

ASSESSMEN
T

DIAGNOSIS

PLANNING

INTERVENTIO EVALUATION
N

Subjective:
Lagi nalang ako
napapagod, as
verbalized by
the patient.

Fatigue r/t
altered body
chemistry: side
effects of
medications,
and
chemotherapy
as evidenced by
disinterest in
surroundings
and impaired
ability to
concentrate.

After 8 hours of
nursing
intervention, the
patient will be
able to perform
ADLs and
participate in
desired
activities at
level of ability.

Have patient rate After 8 hours of

fatigue, using a
nursing
numeric scale, if
intervention, the
possible, and the
patient was able
time of day when
to perform ADLs
it is most severe.
and participate
Plan care to
in desired
allow for rest
activities at level
periods.
of ability and
Schedule
Report improved
activities for
sense of energy.
periods when
patient has most
energy. Involve
patient and SO in
schedule
planning.
Establish realistic
activity goals
with patient.
Assist with selfcare needs
Encourage
patient to do
whatever

Objective:
Lethargic
Disinterest
Impaired ability
to concentrate
Alopecia
Vital signs are
as follows:
a. T: 36.0
b. PR: 110
c. RR: 18
d. BP: 100/60

Matthew Rich L. Cortes

possible
Monitor
physiological
response to
activity (BP, RR,
and PR)
Perform pain
assessment and
provide pain
management.

ASSESSMEN
T

DIAGNOSIS

PLANNING

INTERVENTIO EVALUATION
N

Matthew Rich L. Cortes

Subjective:
Objective:
Lethargic
Disinterest
Impaired ability
to concentrate
Alopecia
Vital signs are
as follows:
e. T: 36.0
f. PR: 110
g. RR: 18
h. BP: 100/60

Risk for infection After 8 hours of

r/t
nursing
immunosuppres
intervention, the
sion
patient will be
able to identify
and participate
in interventions
to
prevent/reduce
risk of infection.

Use PPE protects After 8 hours of

patient from
nursing
sources of
intervention, the
infection.
patient will be
Emphasize
able to identify
personal
and participate
hygiene. Limits
in interventions
potential sources
to
of infection and
prevent/reduce
secondary
risk of infection
overgrowth.
and remain
Monitor
afebrile and
temperature.
achieve timely
Assess all
healing as
systems (skin,
appropriate.
respiratory,
genitourinary) for
signs and
symptoms of
infection on a
continual basis.
Promote
adequate rest
and exercise
periods.
Stress
importance of
good oral

Matthew Rich L. Cortes

hygiene.
Administer
antibiotics as
indicated.

ASSESSMEN
T

DIAGNOSIS

PLANNING

INTERVENTIO EVALUATION
N

Matthew Rich L. Cortes

Subjective:
Ang pangit ko
na kasi wala na
akong buhok
as verbalizd by
the patient.
Objective:
Lethargic
Disinterest
Impaired ability
to concentrate
Alopecia
Vital signs are
as follows:
i. T: 36.0
j. PR: 110
k. RR: 18
l. BP: 100/60

Low Self-Esteem
r/t loss of hair as
evidenced by
negative
feelings about
body.

After 8 hours of
nursing
intervention, the
patient will be
able to begin to
develop coping
mechanisms to
deal effectively
with problems.

Discuss with
patient and SO
how the
diagnosis and
treatment are
affecting the
patients
personal life, and
home activities.
Review
anticipated side
effects
associated with a
particular
treatment
Evaluate support
structures
available to and
used by patient
and SO.
Use touch during
interactions, if
acceptable to
patient, and
maintain eye
contact.
Refer for
professional

After 8 hours of
nursing
intervention, the
patient will be
able to begin to
develop coping
mechanisms to
deal effectively
with problems
and verbalize
understanding
of body
changes,
acceptance of
self in situation.

Matthew Rich L. Cortes

counseling as
indicated.