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Fatigue and Back Pain

in Pregnancy
Subjective cues
-patient states “wala akong sigla kumilos,
di ko nagagawa yung mga dapat kong
Assessme gawin”
-pt states “parating masakit likod ko, di
nt ako masyadong makagalaw”
-pain scale of 6 out of 10
-inability to restore energy even after
sleep
-decreased performance
Objective cues
-Patient is a primigravida at 22nd week of
gestation
Assessme -patient shows sign of irritability
-patient exhibits strong body odor
nt -Blood glucose of 130mg/dl
-Vital Signs:
- Temp: 37
- RR: 21 rpm
- HR: 82 bpm
- BP: 110/70
Diagnosis

Self care deficit secondary to


fatigue related to pregnancy as
evidenced by inability to perform
regular tasks
Pregnancy

Scientific Inference
Hormonal
changes

Decreased Decreased
Blood Pressure progesterone
Decreased Sugar
Level
Sleepiness, Decreased
Energy
No motivation/energy to perform
ADL

Self-care deficit
Short-term goal
Within 1 hour of nursing interventions:
-patient will be able to identify basis of
fatigue
Planning
-patient will state a decrease in pain
scale from 6 to 2
Long-term goal
Within 8 hours of nursing interventions:
-Patient will report improved sense of
energy
-Patient safely executes self-care Planning
activities to utmost capability
Interventi
ons and
Rationale

Assess the provides a basis


patient’s ability to for tracking
perform activities patient
of daily living improvement
Interventi
ons and
Rationale
Assist the patient
to develop a Helps the patient
schedule and complete desired
setting priorities activities without
for daily activity adding fatigue
and rest
Interventi
ons and
Rationale
Assess the
patient’s Emotional states
Emotional can aggravate
response to fatigue
fatigue
Interventi
ons and
Rationale

Creates a space
Provide a calming conducive for
environment healing
Interventi
ons and
Rationale

Lack of nutrition
promote adequate worsens fatigued
nutritional intake condition
Interventi
ons and
Rationale

Provide comfort Relieves muscle


measures such as stress and soothes
massage and hot aches
compress
Interventi
ons and
Rationale
Increased
Stay away from irritability can
topics that annoy make the patient
or disturb the become easily
patient agitated.
Interventi
ons and
Rationale
Promoting
relaxation before
Aid the patient sleep and
develop habits to providing for
promote effective several hours of
rest/sleep patterns uninterrupted
sleep can
contribute to
energy restoration
Interventi
ons and
Rationale

Encourage Acknowledgement
verbalization of of presence of
feelings fatigue can help
with coping
Interventi
ons and
Rationale

Administer pain
and Relieves back pain
antiinflammatory
medications
Within 1 hour of nursing interventions, patient
identified basis of fatigue

Within 1 hour of nursing interventions, patient


stated a decrease in pain scale from 6 to 2

Within 8 hours of nursing interventions, patient EVALUATION


will report improved sense of energy

Within 8 hours of nursing interventions, patient


safely executes self-care activities to utmost
capability

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