Nanda Nursing Diagnosis

Risk for Activity Intolerance related to physical weakness Activity Intolerance is a decrease in physiological capacity to maintain activity to the level desired or required. Defining Characteristics: Major : Change the client's physiological response to the activity undertaken. Respiratory: dyspnea (breathing frequency increased exaggeration). Shortness of breath (decrease frequency). Pulse: weak, declining, excessive increase, the increase in the rhythm, failed to return to the level before the activity after 3 minutes. Blood pressure: failed to increase the activity, an increase in diastolic over 15 mmHg. Minor: fatigue ,  weakness,  cyanosis or pale,  mental chaotic,  vertigo Subjective Data: weakness fatigue dyspnea lack of sleep Objective Data : Assess the strength and balance, the evaluation of an individual's ability to: Changing positions himself on the bed. Ambulation. Doing ADL (activity daily living) or daily activities. Assess for the presence of: pale...

Activity Intolerance - Nursing Diagnosis and Intervention for Anemia Nursing Diagnosis: Activity Intolerance Symptoms: weakness, plenty of rest, palpitations, tachycardia, increased BP, dyspnea. Expected outcomes are: increase in activity tolerance; pulse, respiration and blood pressure normal. Nursing Intervention : Assess the ability to perform the task, record the presence of fatigue and difficulty performing tasks Assess the running balance disorders and muscle weakness Monitor vital signs during and after activity Change position slowly, monitor for dizziness Give assistance activity / ambulation if necessary Encourage to stop activity when palpitations, chest pain, shortness of breath, weakness and dizziness.

Nursing Diagnosis for Congestive Heart Failure (CHF) Activity Intolerance related to imbalance between oxygen supply. General weakness, long bedrest / immobilized. Characterized by: Weakness, fatigue, changes in vital signs, presence of dysrhythmias, dyspnea, pallor, sweating. Goals / evaluation criteria: Clients will participate in desired activities, meet self-care, achieve increased tolerance activity can be measured, evidenced by a decrease in weakness and fatigue. Nursing Interventions Activity Intolerance related to Congestive Heart Failure (CHF) : 1. Check vital signs before and immediately after activity, especially when the client is using vasodilators, diuretics and beta blockers. Rational: Orthostatic hypotension can occur with activity due to drug effects (vasodilation), the displacement of fluid (diuretics) or influence cardiac function. 2. Note the cardiopulmonary response to activity, note tachycardia, dysrhythmias, dyspnea sweaty and pale. Rationale: Decrease / in...

Nursing Care Plan for Activity Intolerance A nursing care plan for Activity Intolerance is used when a patient has insufficient physiological or psychological energy to endure or complete required or desired daily activities Most activity intolerance is related to generalized weakness and debilitation secondary to acute or chronic illness and disease. Activity intolerance may also be related to factors such as obesity, malnourishment, side effects of medications, or emotional states such as depression or lack of confidence to exert one’s self. Nursing goals are to reduce the effects of inactivity, promote optimal physical activity, and assist the patient to maintain a satisfactory lifestyle. Related to: Generalized weakness / Fatigue Malnourishment Chronic disease Stressors Insufficient sleep or rest periods Prolonged immobility/bed rest Depression Lack of motivation Imbalance of oxygen supply and demand Pain As evidenced by: Verbal report of fatigue or weakness Inability to begin or...