Total Adult Day Health Care Solutions

ACTIVITY INTOLERANCE

Nursing diagnosis definition:

Insufficient physiological or psychological energy to endure or complete required or desired daily activities.

Related to:                   

• Cardiovascular disease  ­­­­­­­­­­­­­­­­­_______________(specify diagnosis).
• Respiratory Disease ________________(specify diagnosis).
• Musculoskeletal Disease ____________ (specify diagnosis).
• Depression.
• Deficient knowledge related to energy conservation/body mechanics measures/techniques.

As evidenced by: 

• Verbal report of fatigue after ___ min of _______ activity, participant rates discomfort as a ____/5.
• Inability to begin______________________ (specify) activity, participant rates discomfort as a ____/5.
• Inability to complete ___________________ (specify) activity, participant rates discomfort as a ____/5.
• Ability to engage in ______________ (specify) activity for ____ min. only, participant rates discomfort as a ____/5.
• Abnormal heart rate _____(specify range) during _______ activity.
• Blood pressure response to activity ________ (specify range).
• Discomfort___/5  (specify participant range) upon exertion during _______ activity ____x per ______.
• Inability to begin _________________ ADLs, participant rates discomfort as a ____/5.
• Inability to perform ________________ ADLs, participant rates discomfort as a ____/5.
• Dyspnea _______ activity ____x per ______, participant rates discomfort as a ____/5.
• Participant complains of weakness after ___ min. of ______________ activity.
• Participant experiences shortness of breath after ___ min. of ________ activity.
• Participant has no knowledge of energy conservation/body mechanics techniques.

INTERVENTIONS:

• Instruct in energy conservation/body mechanics measures/body mechanics, evaluate effectiveness and comprehension of previous and/or current teaching.
• Assess heart rate before and after ___________(specify activity) and report finding to M.D. if heart rate is above _____ and encourage/provide ___________ (specify treatment: deep breathing, rest, O2 administration) as appropriate.
• Assess BP before and after ________________ (specify activity) and notify physician if BP is >___ or < _______ encourage/provide ___________ (specify treatment: deep breathing, rest, O2 administration) as appropriate.
• Assess respirations before and after (specify activity) and notify physician if < ____ or > _____, encourage/provide ___________ (specify treatment: deep breathing, rest, O2 administration) as appropriate.
• Supervise Program Aide in assistance with ADLs (toileting, ambulating, transferring) while participant is at center.
• Instruct participant in safety techniques related to ________ (ADLs), evaluate effectiveness and comprehension of previous and/or current teaching.
• Instruct participant to take adequate rest periods especially before meals, other ADL exercise sessions and ambulation, evaluate effectiveness and comprehension of previous and/or current teaching.
• Instruct participant to recognize signs of physical over-activity, evaluate effectiveness and comprehension of previous and/or current teaching.
• Instruct participant on use of bronchodilator before engaging in _________ activities.
• Instruct participant in 02 use and safety precautions as per MD order; evaluate effectiveness and comprehension of previous and/or current teaching.

GOALS:

Participant will state that activity tolerance has increased as evidenced by participant will be able to engage in ____ min of ____ activity before experiencing fatigue and participant will rate level of discomfort as a ___/5.

Participant’s activity tolerance will increase as evidenced by participant will be able to begin_____________________ (specify) activity and participant will rate level of discomfort as a ___/5.

Participant’s activity tolerance will increase, as evidenced by participant will be able to complete ___________________ (specify) activity and participant will rate level of discomfort as a ___/5.

Participant’s activity tolerance will increase, as evidenced by participant will be able to engage in ______________ (specify) activity for ____ min. or more and participant will rate level of discomfort as a ___/5.

Participant’s activity tolerance will increase, as evidenced by participant’s heart rate will be between _____(specify range) during _______ activity.

Participant’s activity tolerance will increase, as evidenced by participant’s Blood pressure response to activity will range between _______ and ________  (specify).

Participant’s activity tolerance will increase, as evidenced by participant’s discomfort on exertion during ________ (specify activity) to ___x per ___ and participant will rate level of discomfort as a ___/5.

Participant’s activity tolerance will increase, as evidenced by participant will be able to begin _________________(specify) ADLs.

Participant’s activity tolerance will increase, as evidenced by participant will be able to perform ________________ (specify) ADLs.

Participant’s activity tolerance will increase, as evidenced by participant’s dyspnea will decrease to _________________(specify when, how often).

Participant’s activity tolerance will increase, as evidenced by participant will be able to engage in _________________ activity for ____ min. or more.

Participant’s activity tolerance will increase, as evidenced by participant will state shortness of breath does not occur after  _________________ activity.

Participant’s activity tolerance will increase as evidenced by participant will state he or she is able to engage in __________ (specify) activity for _____ min. before he or she becomes short of breath.

BP rate will remain =  ______ during _____________ activity.

Respiratory rate will remain within normal limits ________________ (specify) during ______ activity.

Participant will experience no episodes of respiratory distress during activity.

Participant will be able to perform _____________ ADLs without an increase in heart rate _______________ (specify) or elevation of BP ________ (specify).

Participant will be able to state ____ energy conservation/body mechanics measures and will utilize measures daily.

Care plans, symptoms, and/or interventions related to Activity Intolerance to be considered by other disciplines:

SW:            Activity intolerance arising from depression (anhedonia).

Activity:      Modified activities.

PT/OT:       Teaching energy conservation/body mechanics, endurance strengthening.

 Personal Care:  Supervision or Assistance with activities which cause activity intolerance.