CPNE Care Planning Practice: Activity Intolerance

tnmarie · Nov 29, 2012

Greetings all:

I am working on a word document about the commonly used nursing diagnoses during

the CPNE (Appendix Q in the Study Guide). I am writing to see if anyone would

be interested in helping me come up with expected outcomes, interventions and

rationale statements for the evaluation phase for each diagnosis. I'll post a

couple of diagnoses a week and everyone can contribute their ideas, questions,

and critiques. At the end, I'll post a Word document with what we come up with

for everyone to use as a study reference. Hopefully we will all learn a lot in

that time!

Here is what I have for activity intolerance so far:

ACTIVITY INTOLERANCE (Pg 166 in Mosby's)

--Definition: Insufficient physiological or psychological energy to endure or

complete required or desired daily activities

--Defining Characteristics: verbal report of weakness or fatigue; abnormal

changes in VS or EKG c activity; exertional discomfort or dyspnea

--Related Factors: Generalized weakness; Deconditioned state; Sedentary

lifestyle; Insufficient sleep or rest periods; Depression or lack of motivation;

Prolonged bed rest; Imposed activity restriction; Imbalance between oxygen

supply and demand; Pain; Side effects of medications

Here is where I need help. I was hoping y'all would post outcomes with two

interventions and we could all critique each other and then incorporate them

into the final word document

Here is an example:

Outcome: Pt will gradually increase activity by the end of the PCS

--Intervention1: encourage pt reposition self in bed within first hour of PCS

--Intervention 2: encourage pt to dangle on edge of bed for 5 minutes within

second hour of PCS

Now feel free to critique that one or add your own. Remember that interventions

can NOT be assessments and Outcomes MUST be measurable. Also try to keep

interventions in line with Ecs areas of care when possible (and it ain't always

possible XD).

Also feel free to add rationales for this diagnosis as well. I'll submit more

on activity intolerance after researching it some more, I just wanted to see if

anyone was interested in doing this :-)