Sunday, June 1, 2014

Nursing Diagnoses : Activity Intolerance

Definition: Insufficient physiological or psychological energy to endure or complete required or desired daily activities

Related Factors
Generalized weakness
Sedentary lifestyle
Bedrest or immobility
Imbalance between oxygen supply and demand
[Cognitive deficits/emotional status; secondary to underlying disease process/depression]
[Pain, vertigo, extreme stress]

Characteristics
SUBJECTIVE
Report of fatigue or weakness
Exertional discomfort or dyspnea
[Verbalizes no desire and/or lack of interest in activity]
OBJECTIVE
Abnormal heart rate or blood pressure response to activity
Electrocardiographic changes reflecting dysrhythmias or ischemia [pallor, cyanosis]

Functional Level Classification:
Level I: Walk, regular pace, on level indefinitely; one flight or more but more short of breath than normally
Level II: Walk one city block [or] 500 ft on level; climb one flight slowly without stopping
Level III: Walk no more than 50 ft on level without stopping; unable to climb one flight of stairs without stopping
Level IV: Dyspnea and fatigue at rest

source : Nurse’s Pocket Guide : Diagnoses, Prioritized Interventions, and Rationales
download : link

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