CUES
Subjective
"I have been
experiencing
fatigue even
in doing my
routine
activities. My
headache
episodes are
getting more
frequent most
especially
nowadays
because I feel
stressed all
the time."
Objective
Increased
need for
sleep and rest
periods
Decreased
concentration
and focus in
activities
NURSING
DIAGNOSIS
Fatigue
related to
decreased
body
resistance to
infection
secondary to
declining
immune
response as
manifested
by tiredness,
headache,
stress,
increased
need for
sleep and
rest periods
and
decreased
concentratio
n in
activities
OUTCOME
CRITERIA
INTERVENTIONS
After 8 hours Assess the patient's description of
of nursefatigue: timing (after noon versus
patient
all day), severity, relationship to
collaboration,
activities and aggravating and
the patient
alleviating factors.
will be able Assess the patient's emotional
to verbalize
response to fatigue.
reduction or Evaluate the patient's routine
relief from
prescription and over-the-counter
fatigue.
medications.
Evaluate the patient's sleep patterns
for quality and quantity.
Assess the patient's usual level of
activity.
Encourage the patient to keep a 24hours fatigue/activity log for at
least 1 week.
Assist the patient for developing a
schedule for daily activity and
rest.
Refer the patient to an occupational
therapist.
Promote adequate nutritional
intake.
Minimize environmental stimuli,
especially during planned times
for rest and sleep.
EVALUATIO
N
Met
DISCHARGE PLANNING
M. Instruct the patient that some
antiretroviral therapy may
cause fatigue.
E. Advise the patient to avoid
exposure to extreme
temperatures as they may
increase fatigue.
T. Refer the client to occupational
therapist that can provide the
patient with assistive devices
and teach the patient energyconservation techniques.
H. Educate and reinforce the
teaching on the client about
energy-conservation
techniques.
O. Report to the physician once
there is marked decrease in
activity tolerance.
D. A balanced diet is strongly
recommended to provide the
body adequate nutrients for
functioning.
S. Include the family members in
planning the activities of the
client. It is recommended that
the patient be allowed to do
activities that he can manage
and assess only if needed.