Activity Intolerance (_)Actual (_) Potential

Transcription

1 Activity Intolerance Related To: (_) Chronic illness: (_) Depression (_) Lack of motivation (_) Stressors (_) Other: (_) Client reports intolerance of physical activity (_) Other: : (_) Reduce or eliminate contributing factors (_) Identify factors that by: reduce activity tolerance. (_) Progress to highest level of mobility/activity possible. Describe: Assess patient's schedule. Allow rest periods. Encourage person to note daily progress. Other: _ (_) Exhibit a decrease in anoxic signs of increased activity. (eg: SOB, BP, pulse, resp.) (_) Other: Check pulse rates resting and after activity to avoid danger of too great an increase. Encourage fluid intake Teach inhaler use. Progress the activity gradually. (_) Other:

2 Alteration in Nutrition: More Than Body Requirements Related To: (_) Altered satiety patterns (_) Medications (_) Lack of knowledge (_) Decreased activity (_) Decreased metabolic needs (_) Other: Minor: (May be present) (_) Overweight - BMI percentile = 85 to 95 % for height/weight/age/gender (_) Obese - BMI percentile > 95% (_) Reported undesirable eating patterns. (_) Sedentary activity patterns (_) Intake in excess of metabolic requirements. : (_) Assess and document patient's dietary (_) Decrease total calories history, patterns of ingestion, activity patterns. ingested. (_) Increase activity level. (_) Lose weight: ( pounds per ). (_) Discuss with patient potential causative factors for weight gain. (_) Assess motivation to correct overweight. (_) Consult with dietician regarding balanced (_) Other: plan for weight loss. Reinforce teaching. Discuss realistic weight loss of not more than 2 pounds per week. (_) Provide positive reinforcement for weight loss. Reinforcement = (_) Record intake. (_) Weigh q days at am/pm. (_) Other:

3 Knowledge Deficit Related To: (_) New diagnosis: (_) Medications: (_) Other: (Must be present) Minor: (May be present) (_) Verbalizes a deficiency in knowledge or skill. (_) Requests information. (_) Expresses and inaccurate perception of health status. (_) Does not correctly perform a desired or prescribed health behavior. (_) Lack of integration of treatment plans into daily activities. (_) Exhibits or expresses psychological alteration, (anxiety, depression) resulting from misinformation or lack of information. : (_) Describe disease process, causes, factors contributing to symptoms. (_) Describe procedure(s) for disease or symptom control. (_) Identify needed alterations in lifestyle. (_) Other: (_) Assess patient's readiness to learn by assessing emotional respose to illness: (_) Allow person to work through and express intense emotions prior to teaching. (_) Examine patient's health beliefs: (_) Assess patient's desire to learn. (_) Assess preferred learning mode: (_) Assess literacy level. (_) Provide health teaching and referrals - specify:: (_)Other:

4 Alteration in Health Maintenance Related To: (_) Changing support systems (_) Lack of knowledge (_) Inadequate health practice (_) Health beliefs (_) Religious beliefs (_) Cultural beliefs (_) Alterations in self image (_) Other: (_) Reports or demonstrates an unhealthy practice or life style. (_) Overeating. (_) Reports or demonstrates frequent alterations in health. eg: : (_) Assess for factors that contribute to the (_) Incorporate promotion and maintenance of health or that result principles of health promotion into lifestyle: in alterations in health. (_) Explore health promotion behaviors that patient (_) Other: is willing to incorporate into lifestyle: (_) Initiate health teaching and referrals as indicated: review daily health practices dental care food intake and fluid intake exercise knowledge of safety practices, fire prevention, water safety, automobile safety, bicycle safety, and poison control (_) Other:

5 Sedentary Lifestyle Related To: (_) Chronic disease: (_) Lack of motivation (_) Lack of resources (_) Deficient knowledge about benefits of physical exercise (_) Lack of skill or training in physical activities (_) Other: (_) Daily routine without physical exercise (_) Other: (_) Verbalized preference for non-physical activities : (_) Reduce or eliminate contributing factors (_) Participate in physical by: activity: Identify activity(ies): Assess patient's schedule. Identify barriers Other: (_) Set reasonable goals: Frequency: x Week Duration: mins (_) Identify available activities client might enjoy trying: Progress the activity gradually. (_) Other: