Activity Intolerance

Weakness: deconditioned, sedentary
Results Night (nursing classification result)
Did NOC Labels

* Activity Tolerance
* Energy
* Knowledge: Treatment schedule

NIC intervention (classification of nursing interventions)
Suggested NIC Labels

* Energy Management
* Education: Prescribed Activity / Exercise

Nanda Definition: Insufficient physiological or psychological energy to endure or complete required or desired daily activities

Most activities related to intolerance and general weakness weakened secondary, acute or chronic diseases and disorders. This is particularly evident in adult patients with a history of orthopedic, cardiopulmonary, diabetes, or lung-related problems. The aging process itself causes a decrease in muscle strength and function, the ability to maintain operation. Activity intolerance may be associated with factors such as obesity, malnutrition, medication side effects (such as beta-blockers), or emotional disorders like depression or a lack of confidence in their own practice. Nursing goals are to reduce the impact of non-optimal physical activity promotion and support to patients to reduce in a satisfactory way of life.

* Defining characteristics: verbal report of fatigue or weakness
* Not to start and operate
Abnormal heart rate or blood pressure (BP) following the activities
* Discomfort or shortness of breath on exertion malaise

* Factors associated with: general weakness
Deconditioning * State
* Sedentary
Insufficient sleep and rest
* Depression or lack of motivation
Prolonged bed rest
* Activities subject to restriction
* The imbalance between supply and demand of oxygen
* Pain
Side effects

* Expected results for the level of patient activity in their capacity as evidenced by the normal heart rate and blood pressure during activity and shortness of breath, weakness and fatigue.
* The patient expresses and use technology to save energy.


* Determination of the patient's perceptions of the causes of fatigue and activity intolerance. It may be temporary or permanent physical or mental. Rating guide treatment.
* Comments patient level of mobility. This helps in determining what the patient is in a condition required before realistic goals.
* Assessment of nutritional status. Adequate supply of energy needed for action.
* Assessment of risk of injury to the activity. Injuries can be associated with a fall or strain.
* Needs Assessment prepared by stick walkers, hikers, equipment for activities of daily living (ADL) change. Some funds may have more power for patients with less upper arm strength (eg, walking on crutches) is necessary. Proper assessment of the energy needs be met.
* Evaluation of cardiopulmonary patient activities through the following measures:
Target heart rate should not rise more than 20-30 beats per minute over the rest of normal activity. This number varies depending on the intensity of patient care (such as climbing stairs four or shoveling snow).
orthostatic BP changes in older people are more prone to fall in blood pressure with position change.
Need for increased activity of a portable oxygen pulse oximetry can be used to assess oxygen desaturation. Extra oxygen can help offset an increase in oxygen consumption.
Oh, how the Valsalva maneuver is a heartbeat when the patient moves in bed Valsalva maneuver, which requires that air and removed, and bradycardia can reduce cardiac output reasons.
* Monitor the patient's sleep and the amount of sleep was achieved in the last few days. Sleep problems should be addressed before progress can be made.
Obtaining and documenting response activities. For all of the following:
the pulse (20 beats / min for the remainder of 120 beats / min)
of palpitations
a significant increase in systolic blood pressure (20 mm Hg)
A significant reduction in systolic blood pressure (20 mm Hg)
shortness of breath, difficulty breathing, shortness of breath
of weakness, fatigue
Oh, light-headedness, dizziness, paleness, sweating
Careful observation is a guide for optimal development.
* Guest emotional reactions to changes in physical condition. Depression, inability to activities necessary to further deterioration of activity intolerance to perform.

Therapeutic intervention

* Establish guidelines and objectives for the patient and caregiver. Motivation is better than patients whose goal setting. Depending on the causative factors of activity intolerance, some patients may live alone and work outside the home. Other patients with chronic diseases to stay home.
* Promote adequate rest, especially before eating, others ADL, and walking training sessions. The rest of the business to offer time and energy use. Heart rate recovery activity is greatest in the early period of rest.
* To withhold substantial processes. In patients with a decreased activity tolerance must prioritize tasks.
* Expected patient needs (eg, telephone and tissues under the REACH Regulation).
* Assistance with ADL, as indicated, but for the patient that he or she can do for yourself to avoid. Helping patients with ADL provide energy. Care must be offset by aid to facilitate the progressive resistance that ultimately the patient's activity tolerance and trust.
* Provides night table, as shown. This reduces energy consumption. NOTE: The dish needs more power than a cabinet.
* Promoting physical activity in relation to the patient energy.
* The patient work of time to plan where he or she has the most energy. Not all self-care and hygiene activities must be completed overnight. Also not all the cleaning be completed in one day.
* Support for one minute feel restriction. RECOGNISING that life with an activity intolerance is physically and mentally heavy coping resources.
* Progress activity gradually, as the following:
The active range of motion (ROM) exercises in bed, then go sit and stand
A suspension of 10-15 minutes three times a day
deep breathing exercise three times a day
Sitting in a chair for 30 minutes three times a day
Discussion on file 1-2 minutes three times a day
Walking in the room about 25 meters or walk around the house, then slow recovery, back in energy savings
This prevents too much heart and promote the realization of short-range missiles.
* Encourage active ROM exercise three times a day. If additional rehabilitation is necessary if the recovery staff. Exercise to maintain muscle strength and joint ROM.
* Providing emotional support, while increasing activity. Promoting a positive attitude to skills.
* Promote endurance activities, which gradually build up the selection.
* Improvising in the ADL adaptation of plants or the environment. Sufficient resources will enable optimal patient autonomy and self-care scale.

Education / Continuity of care

* Teach patient / caregiver signs of physical hyperactivity recognition. Promotes awareness of the place where the activity decreases.
* Includes patients and caregivers in setting goals and planning care. Setting small, achievable goals for increasing confidence and self esteem.
* When in the hospital with other great walking aid (eg, walker or cane) support.
* Learn the importance of ongoing activities in the country. The power, passion and perseverance.
* Assists in the allocation of the priority activities to meet energy levels.
* Learn techniques to save energy. Some examples are:
instead of the fixed tasks require more work.
Changing attitudes tend to work different muscle fatigue distributed.
a push instead of pull
a sliding, rather than removing
More about the pace of work, this gives enough time to do the work in a short period of time.
to frequently used items close to avoiding the bending and reaching to save.
rest for at least 1 hour after eating before the new energy company, it is necessary to digest food.
Use of carts, laundry, shopping, cleaning and supplies
the organization of work, holiday schedule
This reduces the consumption of oxygen, allowing continuous operation.
Learn the proper use of natural resources (eg, bed rails, elevating the head of the bed until the patient gets out of bed, a chair in the bathroom, room mode). The accumulation of energy and to prevent injuries falls.
* Learn ROM and strengthening exercises.
* Encourage patient concerns about the discharge and homely environment for the ERP. This reduces anxiety and fear.
* Refer to the Community contribution as indicated.

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