MB37 1,714 Posts Nov 4, 2007 Thanks Daytonite! My book calls that 3rd one Impaired Adjustment. However, it's not in the index. I really need a new care plan book. She is type I, went into a coma at age 5 when she moved to mainland US (from PR). She said she was in the coma for 6 months, and when she came out of it she had a lot of mental issues - biting people, growling at them, etc. Her HCT was 39.5 when she was admitted, then dropped to 34.5 the next morning, 35.2 5 hours later, and 36.9 when I saw her. I'm only supposed to write interventions and evals for one diagnosis, the highest priority - so you say this would be the activity intolerance? Of course, I'm also supposed to write what I actually did during my 6 hours, to address the needs that I perceived while I was there, and all I did was teach and chat with her, made sure the HOB was elevated, rechecked vitals, etc. - only what I've learned in Fundamentals. My nurse had 4 other students (no idea why, I was on a new floor, it was always 1:1 on my previous one - maybe she was the only RN?) and they were all passing meds, so she didn't have time to talk to me or my patient really, unless I came and got her for something. I asked my instructor for ideas for interventions when she came around, and all she suggested was to make sure she knew how to get meds if her mother forgets again. None of the interventions in my book for activity intolerance really apply to a young person, especially one who has a job where she's on her feet for 8 hours a day, and we have to provide a rationale for everything we use, with a reference (supposed to be from our care plan book).