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 Nursing Resources

Nursing Careplan: Fatigue
By Karen Kennedy, CCNS
University of Alabama
Capstone College of Nursing
Tuscaloosa, Alabama

Nursing diagnosis: Fatigue related to dyspnea secondary to COPD

Goal #1
Verbalization of 2 measures to prevent fatigue (avoid scheduling 2
energy draining procedures, reduce energy requirements)

Nursing Rx
1a. Teach client to avoid scheduling 2 energy draining procedures on
the same day - SR avoids overexertion and potential for exhaustion
(Sparks, 97).
1b. Teach client to rest between activities - SR alleviates fatigue
(Sparks, 97).
1c. Teach client to reduce daily demands on energy - SR Activity
increases oxygen demands and excessive oxygen does not facilitate
easier breathing (Burrell, 771).

Goal #2
Employment of 2 measures to prevent fatigue (pursed lip breathing,
avoidance of dust, aerosol sprays, and smoke).

Nursing RX
2a. Demonstrate prused lip breathing - SR Maintains open airway to
decrease fatigue (Burrell, 770).
2b. Teach client to avoid durst, aerosol sprays, and smoke - SR
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).

Goal #3
Verbalization of 3 discharge changes to make in the home to decrease
fatigue (clean home, remove pets, use non-aerosol deodorant).

Nursing Rx
3a. Teach client to clean home regularly - SR removes irritants and
allergens (Burrell, 771)
3b. Teach client to remove pets from home - SR removes allergens and
irritants from home (Burrell, 771).
3c. Advise client to use, stick or roll-on deodorant - SR aerosol
sprays irritates lungs (Burrell, 771).

Goal #4
No C/O fatigue

Nursing RX
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 cardiac
reserve limits - SR Expectoration of sputum is more effective if
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).

Goal #5
Loss of 2 lbs. of body weight.

Nursing Rx
5a. Weigh client qd (AM) before breakfast - SR patient's weight is
indicator of fluid deficet or overload (Burrell, 775).
5b. Record I & O - SR good indicator of fluid deficit or overload
(Burrell, 775).
5c. Provide small frequent meals without salt - SR reduces chewing
and digestion thus reducing fatigue and salt free reduces fluid
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


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