Activity Intolerance — Nursing Diagnosis

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NDx-Activity Intolerance

NANDA Definition: 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. This is especially apparent in elderly patients with a history of orthopedic, cardiopulmonary, diabetic, or pulmonary- related problems. The aging process itself causes reduction in muscle strength and function, which can impair the ability to maintain activity.

Activity intolerance may also be related to factors such as obesity, malnourishment, side effects of medications (e.g., Beta-blockers), 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.

Defining Characteristics

  • Verbal report of fatigue or weakness
  • Inability to begin or perform activity
  • Abnormal heart rate or blood pressure (BP) response to activity
  • Exertional discomfort or dyspnea

Related Factors

  • Generalized weakness
  • Deconditioned state
  • Sedentary lifestyle
  • Insufficient sleep or rest periods
  • Depression or lack of motivation
  • Prolonged bed rest
  • Imposed activity restriction
  • Imbalance between oxygen supply and demand
  • Pain
  • Side effects of medications

Expected Outcomes

  • Patient maintains activity level within capabilities, as evidenced by normal heart rate and blood pressure during activity, as well as absence of shortness of breath, weakness, and fatigue.
  • Patient verbalizes and uses energy-conservation techniques.

NOC Outcomes (Nursing Outcomes Classification)
Suggested NOC Labels

  • Activity Tolerance
  • Energy Conservation
  • Knowledge: Treatment Regimen

NIC Interventions (Nursing Interventions Classification)
Suggested NIC Labels

  • Energy Management
  • Teaching: Prescribed Activity/Exercise

Nursing Goal

Client can perform the activity without complications

Nursing Interventions

  • Assess the influence of activity on wound condition and general body condition
    R: Activity stimulate increased vascularization and the pulsation of the reproductive organs, but can affect postoperative wound conditions and reduced energy.
  • Help clients to meet the needs of everyday activities
    R: Resting client optimally.
  • Help clients to act in accordance with the capability / condition of the client
    R: Optimizing conditions for the client, on abortion imminens, rest is absolutely indispensable.
  • Evaluate the development of the client’s ability to do activities
    R: Assessing the client’s general condition.

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