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Fatigue NANDA Definition: An overwhelming, sustained sense of exhaustion and decreased capacity for physical and mental work at usual level

Defining Characteristics: Inability to restore energy even after sleep; lack of energy or inability to maintain usual level of physical activity; increase in rest requirements; tired; inability to maintain usual routines; verbalization of an unremitting and overwhelming lack of energy; lethargic or listless; perceived need for additional energy to accomplish routine tasks; increase in physical complaints; compromised concentration; disinterest in surroundings, introspection; decreased performance; compromised libido; drowsy; feelings of guilt for not keeping up with responsibilities.

Activity Intolerance Nanda Definition : Insufficient physiological or psychological energy to endure or complete required or desired daily activities.

Congestive Heart Failure is a condition in which the heart's function as a pump is inadequate to meet the body's needs.

Congestive heart failure can be caused by:

• diseases that weaken the heart muscle,
• diseases that cause stiffening of the heart muscles, or
• diseases that increase oxygen demand by the body tissue beyond the capability of the heart to deliver adequate oxygen-rich blood.

The symptoms of congestive heart failure vary, but can include fatigue, diminished exercise capacity, shortness of breath, and swelling.

The treatment of congestive heart failure can include lifestyle modifications, addressing potentially reversible factors, medications, heart transplant, and mechanical therapies.


Nursing Diagnosis and Interventions : Activity Intolerance related to Fatigue

Goal: an increase in tolerance to the client after nursing actions performed during the hospital

Expected outcomes:

• Heart rate: 60-100 x / min
• Blood pressure: 120-80 mmHg

Interventions:
1. Assess the patient's response to the activity, note pulse rate over 20 beats per minute above the resting frequency; significant increase in blood pressure during / after activity (systolic pressure increased by 40 mmHg or diastolic blood pressure increased by 20 mmHg), dyspnea or chest pain; fatigue and weakness redundant; diaphoresis; dizziness or fainting.

2. Instruct patients about energy saving techniques, eg, using the bath seat, sitting as combing hair or brushing teeth, doing activities slowly.

3. Encourage activity / self-care gradually if tolerated, provide assistance as needed.

Rational:

1. Mention parameter helps in assessing the response to stress physiology and activity, when there is an indicator of excess work-related activity levels.

2. Energy-saving techniques to reduce the use of energy, it also helps balance between supply and demand of oxygen

3. Progress activity increased gradually to prevent sudden cardiac work. Gave the aid was limited to the need for encouraging independence in their daily activities.