Activity Intolerance Nursing Care Plan

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Make nursing interventions for this nursing diagnostic by using this activity intolerance nursing care plan guidance.

Activity Intolerance Nursing Care Plan

Activity Intolerance Nursing Care Plan

Nursing Assessment

Continuous evaluation is necessary to spot probable difficulties that could have contributed to activity intolerance as well as to spot any problems that might come up when providing nursing care. When conducting an evaluation relating to exercise intolerance, cues can be found by observing the person’s reactions to activity:

Assessment

Rationales

Evaluate the patient's mobility and amount of physical activity.

  • Take your blood pressure, respirations, and resting pulse.

  • Think about the pulse's speed, beat, and other characteristics.

  • Have the patient complete the activity if the symptoms are normal.

  • Take your vital signs right away after an exercise.

  • After the patient has slept for three minutes, recheck the vital signs.

Provide a starting point for establishing nursing goals during goal planning.

When the patient answers, stop the activity.

  • Chest discomfort, wooziness, or vertigo

  • Reduced respiratory response, systemic blood pressure, and heart rate

Reduce the activity's length and intensity if:

  • The time it takes to get the pulse back to within 6-7 beats of the resting pulse is more than 3 to 4 minutes.

  • The RR rise following the exercise is high.

Examine how the patient perceives the origins of exercise intolerance.

Causative variables might be physical or psychological, as well as transient or ongoing. Knowing the cause will assist the nurse in knowing how to proceed with the nursing intervention.

Analyze the patient's dietary intake.

During action, enough energy reserves are required.

Keep an eye on the patient's sleeping habits and the quantity of sleep they've had lately.

Before good activity progression can be accomplished, sleep deprivation and sleep issues must be addressed as they might impair the patient's level of activity.

Identify the patient's regular activities and over-the-counter medications.

The patient's capacity to carry out necessary tasks may be hampered by fatigue. It could also be a negative drug side effect. Keep an eye on the patient's use of beta-blockers, calcium channel blockers, sedatives, alcohol, and sedatives, as well as tranquillizers, antihistamines, and relaxants.

Examine whether ambulation aids, such as a cane or walker, are necessary for ADLs.

By assisting the patient in overcoming obstacles, assistive gadgets improve mobility.

When engaging in activities, check for oxygen desaturation using a portable pulse oximeter.

The use of additional oxygen to offset the higher oxygen requirements during physical exercise may be decided.

Before beginning any exercise, check the patient's baseline cardiopulmonary condition (such as heart rate and orthostatic blood pressure).

When engaging in ordinary activities, an adult's typical heart rate should not rise by more than 20 to 30 beats per minute. The risk of orthostatic declines in BP with posture changes is higher in older people.

Observe and record how others react to an activity.

Close observation will operate as a benchmark for the best possible activity progression.

Analyze your emotional reaction to your physical activity restrictions.

Depression brought on by an inability to accomplish daily tasks can be stressful and frustrating.

Nursing Interventions

The therapeutic nursing strategies for individuals with exercise intolerance include the following:

Interventions

Rationales

Together with the patient and/or SO, establish exercise guidelines and goals.

Participation in goal-setting by the patient improves motivation and collaboration.

Analyze if further assistance at home is required.

Efforts that are coordinated provide a greater sense of purpose and are more successful in helping the patient save energy.

Allow the patient to complete the task more gradually, over a longer period of time, with more breaks or pauses, or with assistance if required.

increases the ability to tolerate the action.

Active range-of-motion exercises in bed should be gradually increased to sitting and finally standing.

Overexertion is avoided when the activity is progressed gradually.

For 10 to 15 minutes, dangle the legs off the side of the bed.

Halts orthostatic hypotension in its tracks.

Avoid carrying out unnecessary tasks or procedures.

For patients with low activity tolerance, the most vital tasks should come first.

Help the patient with ADLs without making them dependent.

Conserving energy is made possible by helping the patient with ADLs. Maintain a careful balance while offering aid; encouraging growing endurance will eventually improve the patient's ability to tolerate physical exercise and self-worth.

As directed, place a toilet next to the bed.

Comparatively speaking, using a commode is less energy-intensive than using a bedpan or walking to the restroom.

Encourage the patient to engage in physical exercise appropriate to their energy levels.

encourages independence while being honest about one's limitations.

Tell the patient to schedule their activities for when they feel the most energetic.

It is best to schedule activities during the patient's peak energy period. If the objective is too modest, bargain.

Encourage the expression of sentiments about restrictions.

The patient can manage thanks to this. acknowledgement that it can be challenging to live with exercise intolerance on both a physical and emotional level.

Progressively increase patient activity while doing the following:

  • Exercises to improve range of motion (ROM) should start in bed and be progressed to standing and finally sitting as time permits.

  • practicing deep breathing three or more times every day.

  • seated upright for 30 minutes, three times each day.

  • 1 to 2 minutes of walking in the room TID.

  • 20-foot walks down the hall or through the home, followed by a calm, steady stroll outside the house to conserve energy for the return journey

Prior to increasing intensity, duration, and frequency, these should be increased.

Promote ROM workouts that are active. Encourage the patient to take part in planned exercises that progressively increase endurance.

Exercise preserves joint ROM, muscle ROM, and exercise tolerance. Patients who are not physically active need to increase their functional ability by repeated workouts over an extended period of time. Many ADLs benefit from strength training because it increases their endurance.

Offer emotional support and a confident outlook on your talents.

The patient could be concerned about overdoing it and possible cardiac harm. Early efforts might benefit from appropriate supervision to boost confidence.

Give the patient the assistive technology they require to do ADLs.

The patient will be able to attain maximum independence for self-care and use less energy while engaging in activities with the help of the proper aids.

Teach the patient and/or SO how to spot symptoms of physical exhaustion.

In order to avoid the complications of overexertion, knowledge encourages attentiveness.

Teach methods for conserving energy, such as:

  • doing work while seated

  • often shifting positions

  • pushing as opposed to pulling

  • sliding as opposed to lifting

  • maintaining a steady pace

  • putting regularly used goods somewhere accessible

  • Before beginning a new activity after a meal, you should rest for at least an hour.

  • Utilizing wheeled carts for grocery shopping, cleaning, and washing

  • establishing a schedule of work, rest, and work

These methods lower oxygen consumption, enabling longer periods of activity.

Those that have pulmonary insufficiency:

Encourage the use of mindful breathing methods (such diaphragmatic breathing and pursed-lip breathing) when there is increased activity or while under emotional or physical stress.

Pursed lip respiration

  • While counting to seven and producing the sound "puuu," have the client inhale through their nose and gently exhale through their slightly closed lips.

Abdominal breathing or diaphragmatic breathing:Abdominal

  • Allow the patient to sit comfortably with their legs bent and their neck, shoulders, and head at ease.

  • Inhale gently through your nose until your stomach pushes forward against your hand.

  • As little movement as possible should be made by the hand on the chest.

  • To feel the diaphragm moving while breathing, place one hand in the upper chest and the other slightly below the rib cage.

  • Tighten your abdominal muscles and allow them to sag downward as you exhale through a pursed lip.

  • The upper chest hand must be as motionless as possible.

Improves lung expansion, which aids in performing effective breathing.


 

 

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