nursing report for fatigue patient

by Dr. Lewis Bahringer 7 min read

Fatigue – Nursing Diagnosis & Care Plan - Nurseslabs

4 hours ago  · Fatigue is a reality in nursing. Every day, during every shift, nurses can experience fatigue of their minds, bodies, and spirits. Workload, work hours, work structures, and many other factors can indirectly or directly cause fatigue in multiple industries and affect safety. >> Go To The Portal

Nursing Care Plan for Fatigue

  • Scenario. A 25 year old female is admitted to your floor with suspected mononucleosis. The patient has a high fever,...
  • Nursing Diagnosis. Fatigue related to acute infection as evidence by patient reporting she has no energry, inability to...
  • Subjective Data. The patient states she has absolutely no energy and hasn’t been able to maintain...
  • Nursing Outcomes.

Full Answer

What are the signs and symptoms of nurse fatigue?

  • lapses in attention and inability to stay focused
  • reduced motivation
  • compromised problem solving
  • confusion
  • irritability
  • memory lapses
  • impaired communication
  • slowed or faulty information processing and judgment
  • diminished reaction time
  • indifference and loss of empathy

What is AEB related to nursing diagnosis?

the ability to move in one’s environment with ease and without restriction. impaired bed mobility a nursing diagnosis approved by the North American Nursing Diagnosis Association, defined as the limitation of independent movement from one bed position to another. What does AEB mean in nursing diagnosis?

Why are nurses so tired?

What is nurse fatigue? Nurse fatigue is a tiredness that can occur during any shift, and may be caused by inadequate sleep, long shifts, physical demands and scheduling issues.

What are the 4 types of nursing diagnosis with examples?

Four types of nursing diagnoses were identified: problem-focused, health promotion, risk, and syndrome.


What is nursing diagnosis for fatigue?

Nursing Diagnosis: Fatigue related to decreased cardiac output secondary to heart as evidenced by overwhelming lack of energy, verbalization of tiredness, generalized body weakness, irregular heartbeat, heart rate of 130, and dyspnea upon exertion.

How can nurses help patients with fatigue?

Nurses can decrease their level of fatigue by working as a team in support of each other during extended shifts, and by encouraging good personal sleep habits.

Why fatigue is hazardous to a nurse?

The dangers of nurse fatigue The mental impairments and physical tiredness caused by nurse fatigue can lead to decreased work performance, which can compromise patient safety and satisfaction. Being tired all the time also can decrease our own job satisfaction.

What are some causes of fatigue?

For example, fatigue can result from:physical exertion.lack of physical activity.lack of sleep.being overweight or obese.periods of emotional stress.boredom.grief.taking certain medications, such as antidepressants or sedatives.More items...

What do you assess for fatigue?

There are no medical tests to measure fatigue. But a good way to describe fatigue is on a scale of 1 to 10....Being examinedfeel your tummy (abdomen)feel for swollen glands (lymph nodes) under your arms, in your groin and around your neck.take your blood pressure and pulse.listen to your chest.

How do you write a nursing diagnosis?

A nursing diagnosis has typically three components: (1) the problem and its definition, (2) the etiology, and (3) the defining characteristics or risk factors (for risk diagnosis). BUILDING BLOCKS OF A DIAGNOSTIC STATEMENT. Components of an NDx may include problem, etiology, risk factors, and defining characteristics.

What are the effects of fatigue?

People who are fatigued are more easily distracted, are less able to concentrate, tend to forget things more easily, take longer to solve problems, make more mistakes, have slower reaction times, and take more risks than they might otherwise. At the extreme, they might fall asleep while operating a vehicle!

How can fatigue be prevented?

Consult a GP for advice.Eat often to beat tiredness. ... Get moving. ... Lose weight to gain energy. ... Sleep well. ... Reduce stress to boost energy. ... Talking therapy beats fatigue. ... Cut out caffeine. ... Drink less alcohol.More items...

How does fatigue affect work?

The consequences of fatigue Fatigue causes employee performance to suffer due to a diminished ability to make safe decisions, reduced attention spans, impaired memory, and decreased reaction time and accuracy.

What are 3 types of fatigue?

There are three types of fatigue: transient, cumulative, and circadian: Transient fatigue is acute fatigue brought on by extreme sleep restriction or extended hours awake within 1 or 2 days.

What's the difference between tiredness and fatigue?

Medically speaking, tiredness happens to everyone -- it's an expected feeling after certain activities or at the end of the day. Usually, you know why you're tired, and a good night's sleep solves the problem. Fatigue is a daily lack of energy; unusual or excessive whole-body tiredness not relieved by sleep.

What are the 3 foods that cause fatigue?

Examples of foods that could increase fatigue throughout the day include:sugary foods, including syrup and honey.white bread.baked goods.high caffeine drinks.heavily processed foods, such as potato chips.

How to reduce fatigue in nursing?

Nurses can use this information to develop strategies with the patient to reduce situations that increase fatigue. Assist in developing a schedule that supports the most energetic hours of the day and allows for rest when needed. Planning daily activities and rest periods might reduce anxiety.

What to do when a patient is bed bound?

If the patient is bed-bound or chair-bound, support the patient to help keep posture. Some patients are too weak to maintain a healthy posture when sitting up. The use of pillows, body aligners, and other tools helps keep a comfortable patient positioning, which might help with energy conservation.

What are the factors that worsen fatigue?

Factors that help improve symptoms of fatigue. Scale the level of fatigue from 0 to 10. Ability to perform daily duties. Ability to focus. With this information, the nurse can perhaps identify a pattern. Knowing the nature of fatigue helps in creating an individualized care plan.

Why do I feel tired when I take Electrolyte?

Electrolyte Imbalance. Fatigue can be caused by physical, mental, or emotional stressors. Knowing the exact reason and contributing factors helps in the planning of care. Review the home medication list and current ordered medications. Often medications can cause side effects that can contribute to feeling tired.

How to help a patient with a syphilis?

Tasks can be decided between several days, such as housework. Advise to take frequent rest periods , especially before more challenging activities. Frequent rest periods provide a balance that allows the patient to complete desired tasks without getting any more tired. Encourage to participate in regular exercises.

What is pleural effusion?

Pleural effusion is the accumulation of excess fluid in the lung space, the space between the membrane lining the lungs and the membrane lining the chest wall. Both membranes, the visceral and...


The cause of fatigue can be multifactorial. It can be related to other medical conditions one has or medications. Likewise, it can be related to certain lifestyle habits.

Nursing Assessment for Fatigue

1. Assess current level of activity as it compares to patient’s normal baseline activity. This allows the nurse to gauge the difference in patient’s current energy level and how the fatigue is currently impacting patient.

Nursing Interventions for Fatigue

1. Monitor vital signs and treat abnormal vital signs as needed. Vital signs out of the normal range may fatigue the patient quickly when completing any level of activity. Be aware of abnormal readings and treat as appropriate (i.e. fever, tachycardia, hypotension).

References and Sources

Tabitha Cumpian is a registered nurse with a passion for education. She completed her BSN at Edgewood College Nursing School and her MSN with an emphasis in Nursing Education at Herzing University. She has a vast clinical background from years of traveling the United States providing nursing care.

What is the ANA position paper?

In 2014, the American Nurses Association (ANA) revised its two 2006 position papers focused on ensuring patient safety—one addressing RNs’ responsibility to consider their level of fatigue when deciding to take on assignments beyond their regularly scheduled work day or week (including mandatory or voluntary overtime4), and the other addressing the employer’s role in promoting healthy nurse work hours in all roles and settings.

How does the ANA help nurses?

The ANA encourages employers to establish policies and procedures to promote healthy work hours and patterns that don’t go beyond the limits of nurse and patient safety.3 Evidence indicates that prolonged work hours, rotating shifts, and insufficient breaks slow reaction time, decrease attention to detail, promote errors, compromise problem solving ability, and reduce motivation. 1

Why is it important for nurses to work long hours?

Nurses work long hours and play a critical role in keeping patients healthy. Many nurses feel that fatigue “comes with the territory” of such a high-stress, high-impact job. But what’s really at risk when a nurse is fatigued?

Why do nurse safety decrease?

Patient and nurse safety decrease as a result of increased errors and injuries due to fatigue. 2. Nurses have a responsibility to themselves and their patients to be well-rested in order to provide the highest quality care possible. Working long shifts, night shifts, and rotating shifts, as well as mandatory or voluntary overtime, ...

How can nurses reduce fatigue?

Nurses can decrease their level of fatigue by working as a team in support of each other during extended shifts, and by encouraging good personal sleep habits. But ultimately, it’s each nurse’s responsibility to refuse an assignment if he or she is impaired by fatigue. 1.

What are the consequences of nursing fatigue?

Working long shifts, night shifts, and rotating shifts, as well as mandatory or voluntary overtime, contributes to nurse fatigue, which results in accidents, mistakes, and errors . But beyond the safety and ethical implications, fatigue can also lead to legal consequences, including loss of license. Although nurses are accountable ...

How many hours of sleep do nurses get?

Nurses working three consecutive 12-hour shifts suffer from sleep deprivation; they report an average of 5.2 hours of sleep on work days. 8#N#Nurses report disturbance in their personal relationships, reduction in work productivity, and negative attitudes toward work. 9

What is the purpose of nursing intervention?

Nursing Interventions. -The nurse will encourage the patient to share her feelings regarding the effects of fatigue on her life. -The nurse will encourage the patient to discuss what she thinks makes her fatigue worst. -The nurse will educate the patient on 4 energy saving techniques to help decrease fatigue.

What is nursing care plan?

This nursing care plan is for patients who are experiencing fatigue. According to NANDA the definition for fatigue is the self-recognized state in which an individual experiences an overwhelming sustained sense of exhaustion and decreased capacity for physical and mental work that is not relieved by rest.

What is care plan format?

Care Plans are often developed in different formats . The formatting isn’t always important, and care plan formatting may vary among different nursing schools or medical jobs. Some hospitals may have the information displayed in digital format, or use pre-made templates.

Is fatigue the same as tiredness?

It is important to remember that fatigue is not the same as tiredness. Tiredness is temporary. There are many causes of fatigue. For example, acute illnesses such as mononucleosis or hepatitis can cause fatigue along with treatment related causes such as chemotherapy or radiation therapy.

What are the consequences of nursing fatigue?

Fatigue can cause significant problems for someone working in any profession. In nursing, it can lead to disaster. In a position paper on the issue of nurse fatigue, the American Nursing Association offered a long list of consequences that studies show are the result of nursing fatigue. They include: 1 An increased risk of errors 2 A decline in short-term and working memory 3 A reduced ability to learn 4 A negative impact on divergent thinking, innovation, and insight 5 Increased risk-taking behavior 6 Impaired mood and communication skills

Why are nurses tired?

Long shifts, stressful situations, and a need to perform without error all contribute to the potential for nurses to become tired and more prone to making mistakes. The situation is exacerbated during emergencies such as the coronavirus pandemic. In many hospitals, nurses have faced more long shifts and stressful situations than usual.

What are the challenges nurses face?

The nurses reported facing “enormous mental health challenges,” including fatigue, anxiety, and fear. However, nurses have ways to stop nursing burnout. The first step is understanding what leads to fatigue in nursing and how it manifests.

How much sleep do nurses need?

However, most adults need between 7 ½ and 8 hours of sleep. Nurses may fall short of even the minimum in some circumstances. The other cause is “increased work intensity or long work hours,” a phrase that could double as part of a nursing job description.

How to help nurses with stress?

Taking time to exercise, practice a healthy diet, and get involved with activities away from nursing can help them lower stress and achieve a better work/life balance. As with all professions, those nurses who work in specialties they enjoy will likely experience less stress.

What are some ways to be a nurse?

Practicing meditation, yoga or some type of relaxation technique at the end of each day’. Exploring new hobbies that have nothing to do with nursing. By their very nature, nurses are tough and resilient. But they also need support and cooperation in the workplace.

How to get better at sleeping?

Using vacation days. Practicing meditation, yoga or some type of relaxation technique at the end of each day’ .

What is a healthy nurse?

ANA defines a healthy nurse as one who actively focuses on creating and maintaining a balance and synergy of physical, intellectual, emotional, social, spiritual, personal, and professional well-being. Healthy nurses each live life to the fullest capacity, across the wellness and illness continuum, as they become stronger role models, advocates, and educators—personally—for their families, for their communities and work environments, and ultimately for their patients (ANA, 2014).

What are the ANA principles for nursing?

The ANA’s Principles for Nurse Staffing also categorizes the major elements needed to achieve optimal staffing. Those principles apply to all types of nurse staffing at every practice level and in any health care or practice setting. The principles are grounded in the substantive body of research that demonstrates the link between adequate nurse staffing and improved patient outcomes. This evidence has shown that nursing care has a direct effect on the overall quality of services received and that adverse events decline and overall outcomes improve with appropriate staffing (ANA, 2012).

What is the code of ethics for nurses?

The Code of Ethics for Nurses (the Code) makes explicit the primary goals, values, and obligations of the profession. ANA believes that the Code is nonnegotiable and that each nurse has an obligation to uphold and adhere to its ethical precepts.

What is the role of employers in nursing?

Employers are responsible for providing fair compensation, establishing a culture of safety, and implementing evidence-based policies and procedures to address nurse fatigue. When employers recognize the complexity of the current work environment and the demands of patient care, they should shift workplace policies and the design of scheduling practices to align with research and evidence-based recommendations.

Why are registered nurses responsible for their practice?

As advocates for health and safety, registered nurses are accountable for their practice and have an ethical responsibility to address fatigue and sleepiness in the workplace that may result in harm and prevent optimal patient care.

What is the nurse staffing strategy?

Released in March 2013 at the American Organization of Nurse Executives (AONE) Conference in Denver, the "Nurse Staffing Strategy," pointed out that nurse fatigue not only negatively affects operational costs, but patient and employee satisfaction as well.

How does nurse staffing affect patient care?

The evidence is clear: Nurse staffing and fatigue directly impact patient care and safety . As patient advocates, nurses have a responsibility to ensure that their patient load is realistic, manageable and most importantly, safe for the patients.

What is the RN Safe Staffing Act?

The RN Safe Staffing Act of 2011 requires that Medicare participating hospitals implement staffing plans for each nursing unit and shift. The act requires the committee in charge of staffing to be comprised of direct-care nurses by at least 55%, and that staffing considerations include each unit’s unique characteristics and needs (ANA, 2013).


Signs and Symptoms


Expected Outcomes

Nursing Assessment For Fatigue

Nursing Interventions For Fatigue

  • 1. Monitor vital signs and treat abnormal vital signs as needed. Vital signs out of the normal range may fatigue the patient quickly when completing any level of activity. Be aware of abnormal readings and treat as appropriate (i.e. fever, tachycardia, hypotension). 2. Administer supplemental oxygen therapy as needed. Patient may be fatigued due to...
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References and Sources

Ana Weighs in

Shifting The “Blame Culture”

Steps to Ensure Nurse and Patient Safety


  • Patient safety hinges on nurses’ well-being, and it’s important for nurse health to be front-and-ce…
    Nurses can decrease their level of fatigue by working as a team in support of each other during extended shifts, and by encouraging good personal sleep habits. But ultimately, it’s each nurse’s responsibility to refuse an assignment if he or she is impaired by fatigue.1 RNs should consider …
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