Nsg DX- Care plan for CHF

[bambam1288]

i have to include a research study into one of my nsg interventions and was wondering if i could use powerlessness as a nsg diagnosis for chf. so, i could use exercise as an intervention. i guess my main question is what nsg diagnosis i can use that allows me to use exercise as a nsg intervention for chf. :heartbeat

[chickapea]

I am not a nurse or nursing student yet, but I am just so curious as to why you want to use exercise as a nursing intervention for CHF? I think you need to start with the nursing diagnosis and come up with interventions based on that and not try to find a diagnosis so you can use an intervention.

[bambam1288]

i had to find a nsg based research article to defend one of my nsg interventions so i found exercise. there is hardly anything out there on intervention that are by nurses. so, i had to work backwards.

[bambam1288]

I could really use a couple ideas.

[Snwbdr]

try Activity intolerance perhaps? I don't have my NANDA book handy to look up the interventions for it

[chickapea]

Exercise to build strength to better perform ADLs? Nursing Dx self care deficit?

[Daytonite, BSN, RN]

a nursing diagnosis is merely a label, or name, for a nursing problem. any nursing problem must be based upon the assessment data which becomes your evidence proving the existence of the problem. for the patient to have the perception that one's action will not significantly affect an outcome, or a perceived lack of control over a current situation or immediate happening you must have seen or gotten evidence of this in the patient during your assessment of them. a nursing diagnosis reference that includes the taxonomy information for this diagnosis is a good way to diagnose properly. this is primarily a psychosocial problem. regular exercise as an intervention is only effective if it promotes a sense of accomplishment which helps in overcoming the feeling of powerlessness (the rationale for this intervention).

• powerlessness
  
• http://www1.us.elsevierhealth.com/merlin/gulanick/constructor/index.cfm?plan=42 - powerlessness
  
  

a common problem with chf is that patients become dyspneic with activity which is something that would have been revealed in reviewing all the assessment data. they become sob, heart and respiratory rates elevate, b/p goes up and sometimes ekg changes can be seen on the monitors if they are on telemetry. these get so bad that it necessitates that the patient must stop what they are doing and sit down. this is a physiological problem. these patients often get put in cardiac rehab programs where the focus is on gradual conditioning exercises. there is a nursing diagnosis for this deconditioned state...activity intolerance.

• activity intolerance
  
• http://www1.us.elsevierhealth.com/merlin/gulanick/constructor/index.cfm?plan=01 - activity intolerance
  
  

be clear on the problem underlying why you want this patient doing exercise.

[Study24/7]

Go with Activity intolerance related to CHF as evidenced by SOB?

Client will ambulate to bathroom. Client will walk 25ft. 2x daily.

[Daytonite, BSN, RN]

Go with Activity intolerance related to CHF as evidenced by SOB?

Client will ambulate to bathroom. Client will walk 25ft. 2x daily.

You can't use a medical diagnosis like CHF as a related factor in a nursing diagnostic statement that way. Anyway, that is not the final physiological reason for Activity Intolerance. Read the taxonomy about this diagnosis to get a better understanding of what this problem is.