Cholecystectomy Nursing Care Plan: Activity Intolerance

Assessment
S>
O>
The pt.
manifested:
>difficulty
turning from one
side to another.
> generalized
weakness
>limited ROM
>needs
assistance when
moving
Pt. may
manifest:
>bed sores
>muscle
weakness

Nursing
Diagnosis

Scientific
Explanation

Activity
intolerance r/t
generalized
weakness 2
Cholecystectomy

Post-op pt. usually

is under bed rest
for few days that
may hinder them
to their usual
activity. Presence
of surgical incision
procedures causes
the pt. to be
reluctant in doing
personal activities,
because those
may result in the
stimulation of the
nerve endings,
during movement,
thus, increase pain
sensation.

Planning
(Objective/Goal)
Short term:
After 1 of NI, the pt
will verbalize
understanding on
improvement of
activity tolerance
within his/ her
limitation.

Interventions
>establish rapport.

Rationale
>to establish
nurse-pt.
relationship.

> monitor VS.

>to establish
baseline data.

>assess pt.
Condition.

>to gather
baseline data
and compare it
with normal
findings.

>monitor vital
signs.

>to gather
baseline data.

>provide adequate
rest.

>to prevent
fatigue and
conserve energy.

>adjust activities
to enhance ability.

>to participate
in activities.

>encourage pt. to
maintain a positive
outcome

>to enhance
sense of well
being.

>assist pt. to lean

and demonstrate
safety measures.

>to prevent
injuries.

>teach ways on
how to conserve

>to limit
fatigue&

Evaluation
Short term:
Pt. shall have
verbalized
understanding
on improvement
of activity
tolerance within
his/her limitation

Long term:
Long term:
After 4 of NI, the pt.
will participate in
conditioning program
to enhance ability to
perform activities.

Pt. shall have

participated in
conditioning
program to
enhance ability
to perform
activities.

energy such as
sitting when doing
activities.

maximize use of
energy.

>administer med
prior to activity as
need.

>For pain relief,

to permit
maximal effort
and involvement
in activity.