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NURSING DIAGNOSIS: Fatigue
May be related to
- Decreased metabolic energy production
- States of discomfort
- Altered body chemistry (e.g., changes in liver function, effect on target organs)
Possibly evidenced by
- Reports of lack of energy/inability to maintain usual routines.
- Decreased performance
- Increase in physical complaints
Desired Outcomes
Endurance (NOC)
- Report improved sense of energy.
- Perform ADLs and participate in desired activities at level of ability.
7 Hepatitis Nursing Care Plan (NCP)
- Imbalanced Nutrition — Hepatitis Nursing Care Plan (NCP)
- Deficient Fluid Volume — Hepatitis Nursing Care Plan (NCP)
- Low Self-Esteem — Hepatitis Nursing Care Plan (NCP)
- Risk for Infection — Hepatitis Nursing Care Plan (NCP)
- Fatigue — Hepatitis Nursing Care Plan (NCP)
- Impaired Skin Integrity — Hepatitis Nursing Care Plan (NCP)
- Knowledge Deficit — Hepatitis Nursing Care Plan (NCP)
Fatigue — Hepatitis Nursing Care Plan (NCP): Nursing Interventions & Rationale
| Nursing Interventions | Rationale |
| Promote bedrest/chair (recliner) rest during toxic state. Provide quiet environment; limit visitors as needed. | Promotes rest and relaxation. Available energy is used for healing. Activity and an upright position are believed to decrease hepatic blood flow, which prevents optimal circulation to the liver cells. |
| Recommend changing position frequently. Provide/instruct caregiver in good skin care. | Promotes optimal respiratory function and minimizes pressure areas to reduce risk of tissue breakdown. |
| Do necessary tasks quickly and at one time as tolerated. | Allows for extended periods of uninterrupted rest. |
| Determine and prioritize role responsibilities and alternative providers/possible community resources available | Promotes problem solving of most pressing needs of individual/family. |
| Identify energy-conserving techniques, e.g., sitting to shower and brush teeth, planning steps of activity so that all needed materials are at hand, scheduling rest periods. | Helps minimize fatigue, allowing patient to accomplish more and feel better about self. |
| Increase activity as tolerated, demonstrate passive/active ROM exercises. | Prolonged bedrest can be debilitating. This can be offset by limited activity alternating with rest periods. |
| Encourage use of stress management techniques, e.g., progressive relaxation, visualization, guided imagery. Discuss appropriate diversional activities, e.g., radio, TV, reading | Promotes relaxation and conserves energy, redirects attention, and may enhance coping. |
| Monitor for recurrence of anorexia and liver tenderness/ enlargement. | Indicates lack of resolution/exacarbation of the disease, requiring further rest, change in therapeutic regimen. |
| Administer medications as indicted: sedatives, antianxiety agents, e.g., diazepam (Valium), lorazepam (Ativan). | Assists in managing required rest. Note: Use of barbiturates and antianxiety agents, such as prochlorperazine (Compazine) and chlorpromazine (Thorazine), is contraindicated because of hepatotoxic effects. |
| Monitor serial liver enzyme levels. | Aids in determining appropriate levels of activity because premature increase in activity potentiates risk of relapse. |
| Administer antidote or assist with inpatient procedures as indicated (e.g., lavage, catharsis, hyperventilation) depending on route of exposure. | Removal of causative agent in toxic hepatitis may limit degree of tissue involvement/damage. |
Found through:
anxiety related to lack of knowledge nursing care plan, visual deficit plan of nursing
