VISION
A premier university in historic Cavite recognized for excellence in
the development of morally upright and globally competitive
individuals.
Republic of the Philippines CAVITE
STATE UNIVERSITY Don Severino Delas
Alas Campus Indang, Cavite
Cavite State University shall provide excellent, equitable and
relevant educational opportunities in the arts, science and
technology through quality instruction and relevant research and
development activities. It shall produce professional, skilled and
morally upright individuals for global competitiveness.
MISSION
Initials of patient: KDR Age: 4 Sex: FEMALE Hospital / Ward/ Room Number/Bed #: 203 Shift: 2:00 PM- 10:00 PM
ASSESSMENT
NURSING
DIAGNOSIS
SUBJECTIVE DATA
“Mukha parin syang
mawamlay at walang
gana” as verbalized by the
father.
OBJECTIVE DATA
GOALS AND
OBJECTIVE
SHORT TERM GOAL
Activity intolerance
r/t disease process
secondary to
PCAP-C, as
evidenced by
weakness and pallor
skin.
After 4 hrs of nursing
intervention the patient
will engage in chosen
activities and meet
self-care requirements.
LONG TERM GOAL
The patient skin is pale
The patient appears weak
and tired
The patient shows
disinterest in the
surroundings
VS
T- 36.0
Pr- 100
Rr- 28
O2- 98%
After 8 hrs of nursing
intervention the patient
verbalize improved energy
levels and will see a
significant increase in
activity tolerance, as
shown by decreased
weakness and fatigue and
vital signs within
acceptable parameters
during activity.
NURSING
INTERVENTION
INDEPENDENT
1.Restrict environmental
stimuli, especially
during planned times
for rest and sleep.
2. Assist the patient with
setting priorities for
preferred activities
3. Promote sufficient
nutritional intake.
4. Offer diversional
activities that are
soothing.
5. Set practical activity
goals with the patient.
6.Monitor Vitals for any
changes.
7.Monitor IV line and IV
site for signs of
complications.
RATIONALE
EVALUATION
1.Vivid lighting, noise,
visitors, numerous
distractions, and litter in
the patient’s physical
surroundings can limit
relaxation, disturb rest or
sleep, and contribute to
fatigue.
2.Setting priorities is one
sort of energy
conservation method that
permits the patient to
utilize available energy
to complete important
SHORT TERM
GOAL
GOAL IS MET
After 4 hrs of
nursing intervention
the patient
participated in the
activities that
enhanced self- care
requirement needs.
activities.
3.Promote sufficient
nutritional intake.
4.Offer diversional
activities that are
soothing.
5. This offers a sense of
control and feelings of
achievement.
LONG TERM
GOAL
GOAL IS MET
After 8 hrs of
nursing intervention
the patient reports
improved sense of
energy and displays
ability to perform
activities.
DEPENDENT
1. Administer
medication as
prescribed by the
physician
2. Regulate IV as
ordered by the
physician.
1-2. effective management
of the illness slowed
progression of the illness,
and improved patient
outcomes
Submitted by: AGASANG, JOHN LLOYD B. Date of Rotation: APRIL 17, 2023 Clinical Instructor: MRS. ASLE NAZARENO, R.N.