Nursing Careplan: Fatigue
By Karen Kennedy, CCNS
University of Alabama
Capstone College of Nursing
Nursing diagnosis: Fatigue related to dyspnea secondary to
Verbalization of 2 measures to prevent fatigue (avoid scheduling
energy draining procedures, reduce energy requirements)
1a. Teach client to avoid scheduling 2 energy draining procedures
the same day - SR avoids overexertion and potential for exhaustion
1b. Teach client to rest between activities - SR alleviates
1c. Teach client to reduce daily demands on energy - SR Activity
increases oxygen demands and excessive oxygen does not facilitate
easier breathing (Burrell, 771).
Employment of 2 measures to prevent fatigue (pursed lip breathing,
avoidance of dust, aerosol sprays, and smoke).
2a. Demonstrate prused lip breathing - SR Maintains open airway
decrease fatigue (Burrell, 770).
2b. Teach client to avoid durst, aerosol sprays, and smoke
irritates lungs which would increase fatigue (Burrell, 770).
2c. Inform client of significance of pursed lip breathing
- SR Helps
to maintain open airway (Burrell, 770).
Verbalization of 3 discharge changes to make in the home to
fatigue (clean home, remove pets, use non-aerosol deodorant).
3a. Teach client to clean home regularly - SR removes irritants
allergens (Burrell, 771)
3b. Teach client to remove pets from home - SR removes allergens
irritants from home (Burrell, 771).
3c. Advise client to use, stick or roll-on deodorant - SR
sprays irritates lungs (Burrell, 771).
No C/O fatigue
4a. Administer Aztreonam medicine - SR The bacteriocidal action
kills the bacteria causing RTI thus decreasing dsypnea causing
fatigue (Deglin & Vallerand, 101)
4b. Encourage client to dirink 1-2 L/day of fluids within
reserve limits - SR Expectoration of sputum is more effective
liquified (Burrell, 775).
4c. Limit vistors from conversing with client too much - SR
Talkative vistors can place too much stress on client to respond
verbally causing fatige (Burrell, 777).
Loss of 2 lbs. of body weight.
5a. Weigh client qd (AM) before breakfast - SR patient's weight
indicator of fluid deficet or overload (Burrell, 775).
5b. Record I & O - SR good indicator of fluid deficit
5c. Provide small frequent meals without salt - SR reduces
and digestion thus reducing fatigue and salt free reduces
retention (Burrell, 776).
Originally posted at: http://listserv.buffalo.edu/cgi-bin/wa?A2=ind9512&L=CAREPL-L&P=R2&I=-3&X=56F44742ECE921FDBA&Y