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T CONCEPT MAP

F.E.M., 51 years old,

male, overfatigue

CUES+ fever + cough

+ fatigue; tiredness +colds

+ muscle weakness

+ restlessness

NURSING DIAGNOSESImpaired gas exchange related to increased pulmonary vascular resistanceActivity intolerance related to imbalance oxygen supply and demandImbalanced nutrition: less than body requirements related to loss of appetiteFatigue related to inadequate energy productionImpaired physical mobility related to chest painMild to Moderate anxiety related to change in health statusAltered tissue perfusion related to increase body temperature

OUTCOME CRITERIAGas exchange:

Correct breathing exercisesWell-rested

Cardiac output:

Demonstrate an increase in activity toleranceRelax and participate in activities that reduce workload of the heart

Nutrition:Demonstrate progressive weight gainPlan and implement a healthy balanced diet for age and energy and calorie needs

Fatigue:Report improved sense of energyWell-rested and adequate sleep

Pain and discomfort:Report that pain is relieved/controlledFollow prescribed pharmacologic regimenIdentify and demonstrate non-pharmacologic methods that provide relief such as distraction

through reading, watching television, listening to guided imagery audios, etc.Mobility:

Plan and participate in ADLs and desired activitiesPlan and participate in non-strenuous exercises (e.g. walking)

Anxiety:

Verbalize awareness of feelings of anxietyReport anxiety is reduced to a manageable levelAppear relaxed

Self-esteem and self-efficacyVerbalize acceptance of disease condition and symptoms, and relief of anxiety

Teaching

INTERVENTIONS

Monitoring

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dailyfoodintakeand

amountofcaloriestaken;

Periodsof restandsleep:

amountofexercises inhours

Vitalsigns: TPRBP q4hours:

notedepth,rate, andrhythm ofRR; noterate,rhythmandsounds ofheart;notechange insuddenincreaseordecreasein systole;T every 1

hour afteradministration ofantipyreticdrug;

Painlevel ina scaleof 0-10

with 0as nopain and10 asseverehourly;andevery 15minutesfor 1-2hoursafteradministration ofanti-inflammatorydrug:

PQRS ofPain:locationof pain

Correctpursed-lipbreathingexercises

and itspurpose

Improvementof copingwith anxiety;

Readiness to openup orverbalize

feelingsof anxietyand low-self-esteemdaily;

Distractionthroughreadingbooks or

magazines,watchingtelevision,and guidedimagery asnon-pharmacologictechniquesin copingwith pain

Encourageadequate restbalanced withmoderate

activity

Encouragesocialization,coordinati

on andpersonalinvolvement toperformhealthtasks.

The averagedaily intakebased onBMI; average

caloricintake;nutritiondeficienciesand foodpreferences

The importance ofexercise and how ithelps with thenormal functioning

of the body throughimproving bloodcirculation; theeffects of strenuousactivities; theimportance of sleepand rest

INTERVENTIONS

Medication

Vigocid