NURSING CARE PLAN

ASSESSMENT DIAGNOSIS INFERENCE PLANNING INTERVENTION RATIONALE EVALUATION

INDEPENDENT:
SUBJECTIVE: ♦ Fatigue related ♦ Colorectal ♦ After 8 hours ♦ Have patient rate ♦ Help in ♦ After 8 hours
to altered body cancer is a of nursing fatigue, using a developing a of nursing
“Nanghihina ako, chemistry, side disease in interventions, numeric scale, if plan for interventions,
pakiramdam ko effects of pain which normal the patient possible, the time managing the patient
lagi akong and other cells in the will report of day when it is fatigue. was able to
pagod.” (I feel medications, lining of the improved most severe. report
very tired and weak) chemotherapy colon or rectum sense of improved
as verbalized by begin to energy. ♦ Plan care to allow ♦ Frequent rest sense of
the patient. change, start to rest periods. periods or naps energy.
grow Schedule activities are needed to
OBJECTIVE: uncontrollably, for periods when restore or
and no longer patient has most conserve
♦ Disinterest in die. These energy. energy.
the changes usually Planning will
surrounding. take years to allow patient to
♦ Lethargy develop; be active during
♦ V/S taken as however, in times when
follows: some cases of energy level is
hereditary higher, which
T: 37.3 disease, may restore
P: 90 changes can feeling of well
R: 22 occur within being and a
BP: 120/80 months to sense of
years. Both control.
genetic and
environmental ♦ Assist patient with ♦ Weakness may
factors can self-care needs. make activities
cause the Keep bed in low of daily living
changes. position and assist and ambulation
Initially, the cell with ambulation. difficult, further
growth appears assistance is
as a benign needed.
(noncancerous)
polyp that can, ♦ Encourage patient ♦ Enhances
over time, to do whatever strength and
become a possible and enables patient
cancerous increase activity to become
tumor. If not level as tolerated. more active
treated or without undue
removed, a fatigue.
polyp can
become a ♦ Perform pain ♦ Poorly managed
potentially life- assessment and cancer pain can
threatening provide pain contribute to
cancer. management as fatigue.
Recognizing prescribed.
and removing
precancerous ♦ Encourage ♦ Adequate intake
polyps before nutritional intake. of nutrients is
they become necessary to
cancer can meet energy
prevent needs and build
colorectal energy reserves
cancer. for activity.

COLLABORATIVE:
♦ Refer for physical ♦ Programmed
therapy. daily exercises
and activities
help patient
maintain or
increase
strength and
muscle tone
which enhances
sense of well
being.