Ncp for Activity Intolerance
Diagnosis
Need
Desired Outcome
Interventions
Rationale
Evaluation
Activity Intolerance Related to Surgical incision as manifested by Chest Tube Thoracostomy inserted at left lung.
• Subjective Data: “Di ako makaligo ng mabuti kasi ang daming nakakabit sa katawan ko”
• Objective data:
- limit movements and requires to have assistance in some activities to be performed
- Strenuous activity was restricted by the AP
- (+) dry skin
- Afebrile
- Dry scalp noted
- On 3rd day without bath
- Gown worn on 2nd day
- Expresses desire for self-care Background Knowledge: Surgical incision is the cutting of or into body tissues or organs (especially by a surgeon as part of an operation)
Chest Tube thoracostomy is the insertion of a tube (chest tube) into the pleural cavity to drain air, blood, bile, pus, or other fluids. Placement of a chest tube allows for continuous, large volume drainage until the underlying pathology can be more formally addressed. The list of specific treatable etiologies is extensive (see Indications), but without intervention, patients are at great risk for major morbidity or mortality.
Chest tube was inserted at left lung. According to the patient she can’t do what she wants because every time she moves the incision was painful. REFERENCE: http://www.thefreedictionary.com/surgical+incision http://emedicine.medscape.com/article/80678-overview
P
H
Y
S
I
O
L
O
G
I
C
N
E
E
D
After 3 days of Nursing Interventions, the patient shall be able to:
General Objective: • To perform daily activities within level of own capacity
• To enhance ability to enhance ability to participate in activities
• Helps to minimize frustration and rechannel energy
• Fatigue affects both the client’s actual and perceived ability to participate in activities
• To provides
Need
Desired Outcome
Interventions
Rationale
Evaluation
Activity Intolerance Related to Surgical incision as manifested by Chest Tube Thoracostomy inserted at left lung.
• Subjective Data: “Di ako makaligo ng mabuti kasi ang daming nakakabit sa katawan ko”
• Objective data:
- limit movements and requires to have assistance in some activities to be performed
- Strenuous activity was restricted by the AP
- (+) dry skin
- Afebrile
- Dry scalp noted
- On 3rd day without bath
- Gown worn on 2nd day
- Expresses desire for self-care Background Knowledge: Surgical incision is the cutting of or into body tissues or organs (especially by a surgeon as part of an operation)
Chest Tube thoracostomy is the insertion of a tube (chest tube) into the pleural cavity to drain air, blood, bile, pus, or other fluids. Placement of a chest tube allows for continuous, large volume drainage until the underlying pathology can be more formally addressed. The list of specific treatable etiologies is extensive (see Indications), but without intervention, patients are at great risk for major morbidity or mortality.
Chest tube was inserted at left lung. According to the patient she can’t do what she wants because every time she moves the incision was painful. REFERENCE: http://www.thefreedictionary.com/surgical+incision http://emedicine.medscape.com/article/80678-overview
P
H
Y
S
I
O
L
O
G
I
C
N
E
E
D
After 3 days of Nursing Interventions, the patient shall be able to:
General Objective: • To perform daily activities within level of own capacity
• To enhance ability to enhance ability to participate in activities
• Helps to minimize frustration and rechannel energy
• Fatigue affects both the client’s actual and perceived ability to participate in activities
• To provides