Assessment

Subjective:
I always feel tired as
verbalized by the
patient

Objective:

Overwhelming
lack of energy
Inability to
perform daily
routines
Decrease
performances
V/S taken as
follows:
T: 36.5 degree C
P:65bpm
R:16bpm
BP:110/80

Planning

Intervention
Fatigue

After 8 hours of nursing

Assess sleep patterns and note changes in
intervention, the patient will
thought processes and behavior.
report improve sense of
energy; participate in desire
activities at level of ability;
and identify individual areas Recommend scheduling activities for periods
when patient has most energy. Plan care to
of control and engage in
allow for rest periods. Involve patient and SO
energy conserving
in schedule planning.
technique
Establish realistic activity goals with patient.

Scientific Rationale
Multiple factors can aggravate fatigue, including
sleep deprivation, emotional distress, side
effects of drugs and chemotherapies, and
developing CNS disease.
Planning allows patient to be active during times
when energy level is higher, which may restore
a feeling of well-being and a sense of control.
Frequent rest periods are needed to restore or
conserve energy.
Provides for a sense of control and feelings of
accomplishment. Prevents discouragement
from fatigue of overactivity.

Identify energy conservation techniques: sitting, Weakness may make ADLs almost impossible for
breaking ADLs into manageable segments.
patient to complete. Protects patient from
Keep travel ways clear of furniture. Provide or
injury during activities.
assist with ambulation and self-care needs as
appropriate.
Tolerance varies greatly, depending on the stage
of the disease process, nutrition state, fluid
Monitor physiological response to
balance, and number or type of opportunistic
activity: changes in BP, respiratory rate, or
diseases that patient has been subject to.
heart rate.

Encourage nutritional intake.

Refer to physical and/or occupational therapy.

Provide supplemental O2 as indicated.

Adequate intake or utilization of nutrients is

necessary to meet increased energy needs for
activity. Continuous stimulation of the immune
system by HIV infection contributes to a
hypermetabolic state.
Programmed daily exercises and activities help
patient maintain and increase strength and
muscle tone, enhance sense of well-being.
Presence of anemia or hypoxemia reduces
oxygen available for cellular uptake and
contributes to fatigue.

Evaluation
After 8 hours of
nursing
intervention, the
patient was to
report improved
sense of energy;
participated in
desired activities
at level of ability;
and identified
individual areas
of control and
engaged in
energy
conserving
technique