CENTRO ESCOLAR UNIVERSITY
Department of Nursing
Makati
FUNDAMENTALS OF NURSING
MODULE 6: POST-TASK – PLANNING
PRIORITIZING
Rank Diagnosis Cue Justification
1 Fatigue related to sleep Subjective Data: As defined in Maslow’s hierarchy
deprivation manifested by ● “I feel so weak and wobbly that I of needs, physiological needs are
body weakness, headaches, can’t get up from bed to work.” all about the basic human
and fever. ● The client experienced lingering survival needs including food and
headaches 2 days prior to water, sufficient rest, clothing and
admission. shelter, overall health, and
● The client felt body weakness reproduction. In accordance with
and headache 4 hours prior to the Maslow’s hierarchy of needs,
admission. this falls under physiological
● It is mentioned that she just feels needs. The patient’s fatigue is
so weak and tired. And given top priority due to the
according to her, she gets tired symptoms it causes such as
easily. · lingering headaches, tired
● She approximately gets a feelings, body weakness, and
minimum sleep of 4 hours a day. fever. These symptoms are
warning signs that the patient’s
Objective Data: health is at risk thus it is essential
● Vital Signs: to prioritize this diagnosis when
Temperature: 37.8°C providing nursing interventions.
● The client looks weak and tired.
ASSESSMENT - DIAGNOSIS - PLANNING
FUNDAMENTALS OF NURSING - BSN1AS1
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Assessment Nursing Scientific Explanation Planning
Diagnosis
Subjective Data: Fatigue related to The patient is fatigable as the Discharge Outcome/Long
● “I feel so weak and sleep deprivation patient shows signs and Term Outcome:
wobbly that I can’t manifested by symptoms of difficulty in
get up from bed to body weakness, performing her tasks which was ● After 7 days of following
work.” headaches, and directly verbalized by the patient the nursing care plan, the
● The client fever. during the assessment period. client should be able to
experienced lingering According to the patient, she perform activities of daily
headaches 2 days feels weak and wobbly, and she
life (ADL) well.
prior to admission. can’t get up from bed to work. As
● The client felt body stated by Enoka and Duchateau ● After 7 days nursing
weakness and (2016), fatigue is defined as a intervention, the client will
headache 4 hours disabling symptom in which be able to attentively
prior to admission. physical and cognitive function is monitor her conditions
● It is mentioned that limited by interactions between given her work-life
she just feels so performance fatigability and schedule.
weak and tired. And perceived fatigability. Perceived
according to her, she fatigability is derived from the
Short Term Outcome:
gets tired easily. · sensations that regulate the
● She approximately integrity of the performer based ● After 8 hours of nursing
gets a minimum on the maintenance of
intervention, the client
sleep of 4 hours a homeostasis and the
day. psychological state of the should be able to feel
individual. With this statement well-rested.
Objective Data: from Enoka and Duchateau, ● After 8 hours of nursing
● Vital Signs: along with the data from the intervention, the client will
Temperature: assessment, we can conclude be able to plan a
37.8°C that the patient experienced schedule for daily activity
● The client looks weak these symptoms due to the
and tired. and adequate rest.
disruption of homeostasis
brought by a lack of rest and
FUNDAMENTALS OF NURSING - BSN1AS1
2
sufficient nutrition due to her
activity and lifestyle in which both
categories affect her integrity to
accomplish tasks.
FUNDAMENTALS OF NURSING - BSN1AS1
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