ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

Subjective: Activity Intolerance, and During days of Establish proper To establish After days of
moderate anxiety, R/T intervention, the communication rapport and intervention the
“Nahihirapan ako cardiac Dysrhythmias as patient will be able: with the patient trust w/ the goals set for the
huminga at witnessed by difficulty in patient patient was FULLY
parang breathing met. The patient
kinakabahan , at Obtain the Vital To obtain the was able to do the
natatakot ako na signs baseline data daily activities of
kung may living properly,
gagawin ako baka To relieve the patient Check the O2 To establish and the patient
magkaroon ako ng from difficulty of saturation, proper airway, was able to relieve
atake.” breathing respiratory rate and signs of anxieties and
and presence shortness of doubts.
Objective cyanosis. breath

• Shortness Proper To provide

of breath positioning proper
• uneasiness (Semi-Fowlers) ventilation
• Facial of the patient
grimace
(Fear) Administration of To administer
oxygen the proper
amount of
oxygen
required by the
body.

To do the daily Assist the patient To support the

activities of living in doing self-care patient in
properly doing self-care
 Assist the patient To support and
in doing passive allow gradual
exercise and movements,
movements, as and to prevent
directed by the the patient
physician from falls and
injury

To relieve anxieties Encourage the To boost the

and doubt patient in having patients self-
a positive esteem
outlook

Allow the patient To allow the

to express patient to talk
anxieties, and release the
doubts, and burden,
worries. questions and
doubts

Provide To provide
therapeutic comfort and
interactions with assurance to
patient: the patient.
• Giving a
pat on the
shoulder.
• Holding
the
patients
hand.
• Providing
company
to the
 patient.
• Listening
to the
expression
expressed
by the
patient.