Servere plan in uppar backevidenced by verbalsm Activity intolrance related to lack of energy as evidenced by verbalimimblalanced nutriditional statusless than body requirmnt asevidenced by thin body Risk of infection related to excessive smoking as evidencedby verbailam

Relief of pain maintain the normal activity level by education inculde weight gaining foods in diet Lifestyle modification by contrcilling te smokinghabit

Educate and encourge passive and active exerciseAdvise patient to avoid smoking and provide knowlege about the complications of smoking Encourge patient to follow a well balanced diet to improve body weight

provide diversionaltherapy such as listening to music provide buprofen (analgsises ) per doctors orderAssess the activity of the paitent

PLANNING

IMPLEMENTATION

EVALUATION

ASSESSMENT

DIAGNOSIS

Achielerved plan rellef maintain the normal activity levelImproved the nutritional status andgained Welghtcessessed smoking habit

47 years old female pamily history of oateoporosis for mother and grandmother Menopause at 47 Somker 6 out of on pain acale that decreases to a 3 or 4with ibuprofen

My patient M.S saysthat she is having sharp pain and knife like pain in the upperback also she is unable to do exercise because does not have theenergy and she has thin body