Fatigue and Back Pain in

Pregnancy
 Subjective cues
-patient states “wala akong sigla kumilos, di ko
nagagawa yung mga dapat kong gawin”

Assessment
-pt states “parating masakit likod ko, di ako
masyadong makagalaw”
-pain scale of 6 out of 10
-inability to restore energy even after sleep
-decreased performance
 Objective cues
-Patient is a primigravida at 22nd week of
gestation

Assessment
-patient shows sign of irritability
-patient exhibits strong body odor
-Blood glucose of 130mg/dl
-Vital Signs:
- Temp: 37
- RR: 21 rpm
- HR: 82 bpm
- BP: 110/70
 Diagnosis

Self care deficit secondary to fatigue

related to pregnancy as evidenced by
inability to perform regular tasks
 Pregnancy

Scientific Inference
Hormonal changes

Decreased Blood Decreased

Pressure progesterone
Decreased Sugar Level

Sleepiness, Decreased Energy

No motivation/energy to perform ADL

Self-care deficit
Short-term goal

Within 1 hour of nursing interventions:

-patient will be able to identify basis of fatigue

-patient will state a decrease in pain scale from 6 Planning

to 2
Long-term goal

Within 8 hours of nursing interventions:

-Patient will report improved sense of energy
-Patient safely executes self-care activities to
utmost capability Planning
 Interventions
and Rationale

Assess the patient’s ability provides a basis for

to perform activities of tracking patient
daily living improvement
 Interventions
and Rationale

Assist the patient to Helps the patient complete

develop a schedule and desired activities without
setting priorities for daily adding fatigue
activity and rest
 Interventions
and Rationale

Assess the patient’s Emotional states can

Emotional response to aggravate fatigue
fatigue
 Interventions
and Rationale

Provide a calming Creates a space conducive

environment for healing
 Interventions
and Rationale

promote adequate Lack of nutrition worsens

nutritional intake fatigued condition
 Interventions
and Rationale

Provide comfort measures Relieves muscle stress and

such as massage and hot soothes aches
compress
 Interventions
and Rationale

Stay away from topics that Increased irritability can

annoy or disturb the make the patient become
patient easily agitated.
 Interventions
and Rationale

Aid the patient develop Promoting relaxation

habits to promote effective
rest/sleep patterns
before sleep and providing
for several hours of
uninterrupted sleep can
contribute to energy
restoration
 Interventions
and Rationale

Encourage verbalization of Acknowledgement of

feelings presence of fatigue can
help with coping
 Interventions
and Rationale

Administer pain and Relieves back pain

antiinflammatory
medications
Within 1 hour of nursing interventions, patient identified basis
of fatigue

Within 1 hour of nursing interventions, patient stated a

decrease in pain scale from 6 to 2
EVALUATION
Within 8 hours of nursing interventions, patient will report
improved sense of energy

Within 8 hours of nursing interventions, patient safely executes

self-care activities to utmost capability