Subjective:

Medyo
nanghihina
yung
kaliwang
braso ko
kaya di ko
maitaas ng
maayos at
kailangan
ko pa ng
tulong as
verbalized
by the
client
Objective:
Appears
tired and
weak
Inability to
perform
activities of
daily living
independen
tly (needs
help in
raising her
left arm,
sitting and
eating etc)

Fatigue may be
related to
autoimmune
disease as
evidenced by
patients
appearance of
weakness and
tiredness,
inability to
perform
activities
independently
and poor muscle
strength

After 1-2 days of

nursing
intervention the
client will be able
to report
improved sense
of energy.

Independent:
a. Obtain clients
description of
fatigue.
b. Accept reality of
patients report
of fatigue and
do not
underestimate
effect on the
quality of life
the client
experiences.
c. Instruct
methods to
conserve
energy.
d. Provide
environment
conducive to
relieve fatigue.
e. Provide means
to decrease
environmental
noise.
f. Involve patient
and significant
others in
schedule
planning.

g. Assist with selfcare needs;

keep bed in low
position and
assist in
ambulation as
indicated.
Collaborative:
A. Administer

a. To assist in
evaluating
impact on
clients life.
b. To assist patient
in coping with
fatigue.

c. To reduce
energy
expenditure.
d. Temperature
and level of
humidity are
known to affect
exhaustion.
e. When sleep
deprivation is
present as it can
add to fatigue.
f. To increase
awareness of
treatment and
rehabilitation to
patient and
significant
others
g. To improve
wellness.

A. To promote
wellness.

After 1-2 days of

nursing intervention
the goal was met as
evidenced by client
reports of improved
sense of energy and
no longer feels
fatigued.

medications as
ordered.