Priority pgs852- 853 Source: Doegnes, Assessment Nursing Diagnosis Goal Interventions Rationale *Subjective* Pt reports he does not get restful sleep and wakes often in the night. He says he nods of often. *Objective* Pt has fell been found sleeping often thru out the day. Vital Signs* Bp-130/80 Res-20 HR-80 O2-95% Temp-98.8 *Patient HX* PT has a history of Muscular Dystrophy and Hypertension. Fatigue RT: Disease states; anemia; malnutrition Stress; anxiety; depression; negative life events AEB: Report feeling tired, unable to restore energy even after sleep Lack of energy; lethargic; drowsy; increase in rest requirements Decreased performance ; reports inability to maintain usual routines Disinterest in surroundings ; Pt will participat e within individual capability, in activities at least once a week for 30 mins or more. He will sit in his chair for at least 30 mins once a shift. 1. Encourage client to do whatever possible, for example, self- care, sit in chair, or visit with family and friends.
- Fall '16
- Somnolence, feeling tired, help meet energy