related to :
- Increased energy demands: hypermetabolic state/infection
- Altered body chemistry: insufficient insulin
- Decreased metabolic energy production
Evidenced by :
- Impaired ability to concentrate, listlessness, disinterest in surroundings
- Overwhelming lack of energy, inability to maintain usual routines, decreased performance, accident-prone.
- Display improved ability to participate in desired activities.
- Verbalize increase in energy level.
Nursing Interventions :
1. Monitor BP, pulse, respiratory rate before/after activity.
Rationale : Indicates physiological levels of tolerance.
2. Increase patient participation in ADLs as tolerated.
Rationale : Increases confidence level/self-esteem and tolerance level.
3. Alternate activity with periods of rest/uninterrupted sleep.
Rationale : Prevents excessive fatigue.
4. Discuss with patient the need for activity. Plan schedule with patient and identify activities that lead to fatigue.
Rationale : Education may provide motivation to increase activity level even though patient may feel too weak initially.
Source : http://nanda-nurse-diary.blogspot.com/2013/01/fatigue-ncp-diabetes-mellitus.html