Nursing Diagnosis: Activity Intolerance

Activity Intolerance: Insufficient physiologic or physiological energy to endure or complete

required or desired activity.

May be related to

 Generalized weakness; reduced energy stores, increased metabolic rate from massive
production of leukocytes
 Imbalance between oxygen supply and demand (anemia/hypoxia)
 Therapeutic restrictions (isolation/bedrest); effect of drug therapy

Possibly evidenced by

 Verbal report of fatigue or weakness

 Exertional discomfort or dyspnea
 Abnormal HR or BP response

Desired Outcomes

 Report a measurable increase in activity tolerance.

 Participate in ADLs to level of ability.
 Demonstrate a decrease in physiological signs of intolerance; e.g., pulse, respiration,
and BP remain within patient’s normal range.

Nursing Interventions Rationale

Evaluate reports of fatigue, noting inability Effects of leukemia, anemia, and

 Nursing Interventions Rationale

chemotherapy may be cumulative

to participate in activities or ADLs. (especially during acute and active
treatment phase), necessitating assistance.

Encourage patient to keep a diary of daily

Helps patient prioritize activities and
routines and energy levels, noting activities
arrange them around fatigue pattern.
that increase fatigue.

Provide quiet environment and

Restores energy needed for activity and
uninterrupted rest periods. Encourage rest
cellular regeneration and/or tissue healing.
periods before meals.

Implement energy-saving techniques

(sitting, rather than standing, use of shower Maximizes available energy for self-
chair). Assist with ambulation and other care tasks.
activities as indicated.

Schedule meals around chemotherapy. Give

oral hygiene before meals and administer May enhance intake by reducing nausea.
antimetics as indicated.

Smaller meals require less energy for

Recommend small, nutritious, high-protein
digestion than larger meals. Increased
meals and snacks throughout the day.
intake provides fuel for energy.

Maximizes oxygen available for cellular

Provide supplemental oxygen.
uptake, improving tolerance of activity.