Cancer

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PHINMA University of Pangasinan

College of Health Sciences

Patient’s Initials: _____________ Age & Gender: ____________ Chief Complaint: __________________________________ Name of Student Nurse: ________________________
Birthday: _____________________________________________ Admitting Diagnosis:_______________________________ Level/block/group: ____________________________
Address: _____________________________________________ ________________________________________________ Hospital/area: ________________________________
_____________________________________________________ Date of Confinement: ______________________________ Clinical Instructor: ________________ Date: _______

ASSESSMENT NURSING ANALYSIS PLANNING INTERVENTIONS RATIONALE EVALUATION


Subjetive: Cancer changes the body that can After 8 hoours of 1. Have patient rate fatigue, using a 1. Helps in developing a plan
cause fatigue such as increases the nursing intervention numeric scale, if possible, and the for managing fatigue. After 8 hours of
“Nanghihina ako,Hindi ko body’s need for energy and weaken will report improved time of day when it is most severe. rendering nursing
na magawa ang mga muscle and treatments such as sense of energy care, the patient
nakasanayan ko as chemotheraphy have side effect that 2. Plan care to allow for rest periods. was able to
stated by the patient. can cause Fatigue. The fatigue may Schedule activities for periods 2. Frequent rest periods verbalized reduced
continue while the body tries to when patient has most energy. and naps are needed to discomfort
Objective: repair damage to healthy cell and Involve patient and SO in schedule restore and conserve
tissues that were destroyed as planning. energy.
Limited Movement collateral damage of the targeted
cancer cell 3. Weakness may make ADLs
Pale 3. Assist with self-care needs when difficult to complete or
indicated; keep bed in low place the patient at risk for
Body malaise Noted position,pathways clear of injury during activities.
furniture; assist with ambulation
(+) Chemotheraphy 4. Maintain adequate tissue
4. Provide supplemental oxygen as oxygenation
indicated.
5. To manage adverse effect of
5. Administer prescribed chemotherapy
medication by the Dr.
NURSING DIAGNOSIS

Activity intolerance
related to generalized
weakness secondary to
undelying diseases
process

ASSESSMENT EXPLANATION OF THE PROBLEM PLANNING INTERVENTIONS RATIONALE EVALUATION

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