Assessment

Nursing Diagnosis Fatigue related to Hyper metabolic state with increased energy requirement.

Analysis

Subjective: Hindi ako makapagtrabah o ng maayos, ang bilis ko mapagod as verbalized by the mother. Objective: -decreased performance. -jittery behavior. -Irritability -V/S taken as follows: T: 37.1 P: 108 R: 22 BP: 120/80

Hyperthyroidis m is an over production of thyroid hormone, which creates far reaching metabolic effects. Hypertrophy and hyperplasia of the thyroid gland occur with increased vascularity. Most of the clinical manifestations result from increased metabolic rate, excessive heat production, increase neuromuscular and cardiovascular activity, and hyperactivity of the sympathetic

Goals and Objective s Goals: After 3 days of nursing interventio ns the patient will display improved ability to participate in desired activities. Objective s: After 8 hours of nursing interventio ns the client will be able to perform ADLs and participate in desired activities at level of

Intervention

Rationale

Evaluation

-monitor vital signs, noting pulse rate at rest and when active. -have patient rate fatigue, using a numeric scale, if possible, the time of day when it is most severe. -note development of tachypnea,

-pulse is typically elevated and, even at rest, tachycardia (up to 160 beats/min) may be noted. -help in developing a plan for managing fatigue.

After 8 hours of nursing interventions , the patient was able to display improved ability to participate in desired activities as evidenced by verbalization of the client that medyo nagagawa ko na maayos iyong mga simpleng trabaho ng hindi napapagod agad Appropriaten ess _Yes _No Acceptability _Yes _No

-oxygen demand and Consumption are increased in hypermetabolic state, potential risk

nervous system. The condition is more often in women than men and occurs in several forms.

ability.

dyspnea, pallor, and cyanosis.

of hypoxia with activity. -frequent rest periods and/or naps are needed to restore/conserve energy. Planning will allow patient to be active during times when energy level is higher, which may restore a feeling of wellbeing and a sense of control. -reduces stimuli that may aggravate agitation, hyperactivity and insomnia.

Applicability _Yes _No Effectiveness _Yes _No Efficiency _Yes _No

-plan care to allow for rest periods. Schedule activities for periods when patient has most energy. Involve patient/SO in schedule planning.

-provide quiet environment, cool room, decreased sensory stimuli, soothing colors, quiet music. -encourage patient to restrict activity and rest in bed as much as

-help counteract effects of increased metabolism. -increased irritability of the CNS may cause patient to be easily excited, agitated, and prone to

possible. -avoid topics that irritate or upset the patient.

emotional outburst. -to combat nervousness, hyperactivity, and insomnia.

-discuss ways to respond to these feelings.