This action might not be possible to undo. Are you sure you want to continue?
S: “nanghihina ako kasi lagi na lang akong nakahiga” as verbalized by the patient. O: Conscious and coherent hooked to O2 inhalation @ 1LPM c good capillary refill in 2-3 secs. c good skin turgor on HGT monitoring on low cholesterol, low sugar diet c good appetite, consumed all foods served c body malaise ambulatory c assistance afebrile (36.8 oC)
Activity Intolerance; Level I r/t body malaise and vertigo 2o to prolonged bed rest.
establish rapport place the client in a comfortable position take and record vital signs Determine patient's perception of causes of fatigue or activity intolerance. Assess patient's level of mobility.
to facilitate NPI. to prevent backaches or muscle aches. to note any significant changes that may be brought about by the disease These may be temporary or permanent, physical or psychological. Assessment guides treatment. This aids in defining what patient is capable of, which is necessary before setting realistic goals. Adequate energy reserves are required for activity. Difficulties sleeping need to be addressed before activity progression can be achieved.
Patient verbalized willingness to and was able to participate in activities.
Most activity After series of intolerance is nursing related to interventions, generalized the pt. will weakness and verbalize debilitation willingness to secondary to and demonstrate acute or chronic participation in illness and activities. disease. This is especially apparent in elderly patients with a history of orthopedic, cardiopulmonary , diabetic, or pulmonaryrelated problems. The aging process itself causes reduction in muscle strength and function, which can impair the ability to
Assess nutritional status. Monitor patient's sleep pattern and amount of sleep achieved over past few days. Assess emotional response to
maintain activity. Activity intolerance may also be related to factors such as obesity, malnourishment, side effects of medications (e.g., blockers), or emotional states such as depression or lack of confidence to exert one's self.
change in physical status.
Encourage adequate rest periods, especially before meals, other ADLs, and ambulation. Refrain from performing nonessential procedures. Assist with ADLs as indicated; however, avoid doing for patient what he or she can do for self.
Depression over inability to perform required activities can further aggravate the activity intolerance. Rest between activities provides time for energy conservation and recovery. Patients with limited activity tolerance need to prioritize tasks. Assisting the patient with ADLs allows for conservation of energy. Caregivers need to balance providing assistance with facilitating progressive endurance that will ultimately enhance the patient's activity tolerance and self-esteem. Exercises maintain muscle strength and joint
Encourage active ROM exercises three times daily. Teach energy conservation techniques.
ROM. These reduce oxygen consumption, allowing more prolonged activity.