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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
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
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
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