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    Activity Intolerance NCP

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    amit
    1. The patient was experiencing weakness, fatigue, and abnormal vital signs due to an imbalance in nutrition less than their body's requirements, stemming from an inability to ingest enough food. 2. Nursing interventions included establishing rapport, monitoring vital signs to collect baseline data, and determining the cause of the patient's inability to eat in order to implement a treatment plan to help the patient regain and maintain appropriate weight. 3. The short term goal was for the patient to demonstrate behaviors and lifestyle changes within 2 hours to address their nutritional imbalance.

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    Activity Intolerance NCP

    Uploaded by

    amit
    10K views7 pages
    1. The patient was experiencing weakness, fatigue, and abnormal vital signs due to an imbalance in nutrition less than their body's requirements, stemming from an inability to ingest enough food. 2. Nursing interventions included establishing rapport, monitoring vital signs to collect baseline data, and determining the cause of the patient's inability to eat in order to implement a treatment plan to help the patient regain and maintain appropriate weight. 3. The short term goal was for the patient to demonstrate behaviors and lifestyle changes within 2 hours to address their nutritional imbalance.

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    1. The patient was experiencing weakness, fatigue, and abnormal vital signs due to an imbalance in nutrition less than their body's requirements, stemming from an inability to ingest enough food. 2. Nursing interventions included establishing rapport, monitoring vital signs to collect baseline data, and determining the cause of the patient's inability to eat in order to implement a treatment plan to help the patient regain and maintain appropriate weight. 3. The short term goal was for the patient to demonstrate behaviors and lifestyle changes within 2 hours to address their nutritional imbalance.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    10K views7 pages

    Activity Intolerance NCP

    Uploaded by

    amit
    1. The patient was experiencing weakness, fatigue, and abnormal vital signs due to an imbalance in nutrition less than their body's requirements, stemming from an inability to ingest enough food. 2. Nursing interventions included establishing rapport, monitoring vital signs to collect baseline data, and determining the cause of the patient's inability to eat in order to implement a treatment plan to help the patient regain and maintain appropriate weight. 3. The short term goal was for the patient to demonstrate behaviors and lifestyle changes within 2 hours to address their nutritional imbalance.

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    The document discusses activity intolerance and its signs and symptoms, as well as nursing interventions and rationales. It also discusses imbalance nutrition and factors that can affect a patient's nutritional status.

    Weakness, pale skin color, fatigue, discomfort, abnormal blood pressure, poor appetite, unusually rapid heartbeat, shortness of breath, and headaches are some signs and symptoms of activity intolerance mentioned.

    Monitoring vital signs during and after activity, assessing ability to perform ADLs, providing or recommending assistance, suggesting slowly changing positions and monitoring for dizziness, and identifying and implementing energy-saving techniques are some nursing interventions suggested for activity intolerance.

    Activity Intolerance r/t generalized weakness inability to perform activity

    Nursing Nursing
    Objective Expected
    Assessment Diagnosi Scientific Explanation Interventi Rationale
    s Outcome
    s on
    S: Ø Activity Hypertension is a dangerous Short 1. Monito 1. Cardiopulmon
    Intoleran condition because it can lead to term:: r vital ary Short
    O: The patient ce r/t Seriouscomplications.Chronically After 3-4 sign manifestation term:
    manifested: generaliz elevated blood pressure increases hours of (Blood s result from Patient
     Weakness ed the risk of developing heart failure, nursing Pressu attempts by shall have
     Pale skin weaknes heart attacks, arterial aneurysm and interventio re, the heart and used
    color s inability strokes. Many cases of chronic renal n patient pulse, lungs to identified
     Fatigue to failure have been linked to will use and supply technique
     Discomfort perform highbloodpressure.Hypertension is a identified respira adequate s to
     Abnormal activity dangerous condition becauseit can technique tions) amounts of enhance
    blood lead s to during oxygen to the activity
    pressure(150 toseriouscomplications.Chronicallyel enhance and tissues. tolerance.
    /80) evated blood pressure increases the activity after
     Poor apetite risk of developing heartfailure, heart tolerance. activity Long
    The patient may attacks, arterial aneurysm . term:
    manifest: andstrokes.Reference: medical- Long Patient
    surgical. 790-791 term: After 2. Influences shall have
     Unusually
    2-3 days choice of free from
    rapid
    of nursing 2. Assess interventions weakness
    heart-
    interventio patient and needed and risk
    beat,
    n patient ability assistance. for
    particularl
    will able to to complicati
    y with
    free from perfor on been
    exercise
    weakness m 3. Although help prevented
     Shortness
    and risk ADLs may be
    of breath
    for necessary,
    and
    complicati 3. Provid self-esteem is
    headache
    on been e or enhanced
    ,
    prevented recom when client
    particularl
    mend does some
    y with
    assista things for self.
    exercise
    nce
     Difficulty with
    concentra activiti
    ting es and
     Dizziness ambula
     Pale skin tion as
     Leg necess
    cramps ary,
     Insomnia allowin
    g client
    to be
    an
    active
    particip 4. Postural
    ant as hypotension
    much or cerebral
    as hypoxia may
    possibl cause
    e. dizziness,
    4. Sugge fainting, and
    st increased risk
    client of injury.
    change
    positio
    n 5. Encourages
    slowly; client to do as
    monito much as
    r for possible,
    dizzine while
    ss. conserving
    limited energy
    5. Identify and
    and preventing
    implem fatigue.
    ent
    energy
    -saving
    techniq
    ues 6. Cellular
    ischemia
    potentiates
    risk of
    infarction,
    6. Instruct and
    client excessive
    to stop cardiopulmon
    activity ary strain and
    if stress may
    palpitat lead to
    ions, decompensati
    chest on and
    pain, failure.
    shortn
    ess of
    breath,
    weakn
    ess, or
    dizzine
    ss
    occur.

    Problem #2: Imbalance nutrition less than body requirement r/t inability to ingest food
    Assessment Nursing Scientific Planning Intervention Rationale Evaluation
    Diagnosi
    s Explanation

    S: Ø Imbalance Intake of Short Term: 1. Establish > to relieve Short Term:


    nutrition nutrients After 2 hours rapport anxiety to Patient shall
    O: The patient less than insufficient to of NI, the pt achieve have
    manifested: body meet metabolic will be able to compliance demonstrated
     Weakness requireme needs. demonstrate behaviors,
     Pale skin nt r/t Adequate behaviors, lifestyle
    color inability to nutrition is lifestyle 2. monitor and changes to
     Fatigue ingest necessary to changes to record VS > to establish regain and/or
     Discomfort food meet the body’s regain and/or baseline data maintain
     Abnormal demands. maintain 3. Determine appropriate
    blood Nutritional status appropriate client > it maybe affect weight.
    pressure(1 can be affected weight. inability to ingestion and
    50/80) by disease or swallow digestion of Long Term:
     Poor injury states Long Term: food, chew nutrients Patient shall
    appetite (e.g., After 1 -2 days or taste food. have
    The patient gastrointestinal of NI, the pt displayed
    may manifest: [GI] will be able to 4. Discuss to >to appeal normalization
    malabsorption, display the SO the client’s ;likes of laboratory
     Unusua
    cancer, burns); normalization eating and dislikes values and be
    lly rapid
    physical factors of laboratory habits, free of signs of
    heart-
    (e.g., muscle values and be including malnutrition as
    beat,
    weakness, poor free of signs of food reflected bin
    particul
    dentition, activity malnutrition as preferences, Defining
    arly
    intolerance, pain, reflected bin intolerance/a Characteristics
    with
    substance Defining versions. .
    exercis
    abuse); social Characteristic
    e
    factors (e.g., lack s. 5. assess drug > it may affect
     Shortne
    of financial interactions, appetite, food
    ss of
    resources to adverse intake, or
    breath
    obtain nutritious effects, absorption
    and
    foods); or laxatives,
    headac
    psychological allergies.
    he,
    factors (e.g.,
    particul
    depression, 6. determine > to asses body
    arly
    with boredom). the image and
    exercis During times of psychologica congruency
    e illness (e.g., l
     Difficult trauma, surgery, factors/perfo
    y sepsis, burns), rm
    concent adequate psychologica
    rating nutrition plays an l assessment > to establish
     Dizzine important role in parameter
    ss healing and 7. >assess
     Pale recovery. weight
    skin Cultural and > it may indicate
     Leg religious factors protein-energy
    cramps strongly affect 8. >observe for malnutrition
     Insomni the food habits of absence of
    a patients. Women subcutaneou
    exhibit a higher s fat/muscle
    incidence of wasting. >to reveal
    voluntary possible cause
    restriction of food 9. note age, of
    intake secondary body build, malnutrition/cha
    to anorexia, strength, nges that could
    bulimia, and self- activity/rest be made in
    constructed fad level client’s intake
    dieting. Patients
    who are elderly > it helps to
    likewise 10. promote determine
    experience pleasant, nutritional needs
    problems in relaxing
    nutrition related environment
    to lack of
    financial >to reduce
    resources, 11. >promote possibility of
    cognitive adequate/ early satiety
    impairments timely food
    causing them to intake
    forget to eat, >to monitor
    physical 12. >weigh at effectiveness of
    limitations that regular dietary plan
    interfere with intervals and
    preparing food, document
    deterioration of results
    their sense of
    taste and smell,
    reduction of
    gastric secretion
    that
    accompanies
    aging and
    interferes with
    digestion, and
    social isolation
    and boredom
    that cause a lack
    of interest in
    eating. This care
    plan addresses
    general concerns
    related to
    nutritional
    deficits for the
    hospital or home
    setting.

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