10 Congestive Heart Failure Nursing Care Plans

Assessment

Planning

Interventions

Rationale

Evaluation

Patient manifested:

• Generalized weakness
• (+) DOB
• Limited range of motion

• Review medication regimen.

• Assess vital signs.

• Determine presence or degree of sleep disturbances.

• Obtain client descripotions of fatigue.

• Ask client to rate fatigue.

• Note daily energy patterns.

• Establish realistic activity goals with client and encourage forward movement.

• Plan interventions to allow individually adequate rest periods.

• Assist with self care needs and ambulation.

• Avoid exposure to temperature and humidity extremes

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• Instruct client in ways to monitor responses to activity and significant signs or symptoms.

• Promote overall health measures

• Provide supplemental oxygen, as indicated.

• Assist client to identify appropriate coping behaviors.
  • Certain medications are known to cause or exacerbate fatigue.

• To evaluate fluid status and cardiopulmonary response to activity.

• Fatigue can be a consequence of sleep deprivation.

• To assist in evaluating impact on client’s life.

• To determine degree of fatigability.

• Helpful in determining pattern or timing of activity.

• Enhances commitment to promoting optimal outcomes.

• To maximize participation.

• To conserve energy for other tasks.

• Has negative impact on energy level.

• Indicate the need to alter activity level

• To promote energy

• Presence of hypoxemia reduces oxygen available for cellular uptakes and contributes to fatigue.

• Promote sense of control and improves self-esteem.