need help.. activity intolerance related to hypertension(not pregnant)

leslie :-D · May 26, 2008

that nsg dx is just plain wrong.

where is all the data you have on this pt? (especially the abnormals)

and why are you starting this assignment so danged late? :nono:

leslie

eta: be patient. daytonite will be along and everything will be a-ok.

Daytonite, BSN, RN · May 26, 2008

is this your part of the group assignment? who came up with the diagnosis? it is not quite right, and that doesn't include the fact that i don't know anything about the patient in question.

"activity intolerance related to hypertension" is an incorrectly composed diagnostic statement.
- hypertension is a medical diagnosis
- elevated blood pressure (hypertension written in nursing language) in response to activity is a defining characteristic (symptom) of this nursing diagnosis, not a related factor (etiology, or cause of it)

[*]"activity tolerance" is defined by nanda as insufficient physiological or psychological energy to endure or complete required or desired daily activities (page 3, nanda-i nursing diagnoses: definitions & classification 2007-2008). this website ([color=#3366ff]activity intolerance) lists the related factors and defining characteristics (abnormal assessment data) that you need to prove a patient has this nursing problem. your patient must have at least one of these defining characteristics, and elevated blood pressure would qualify.

[*]you need the pathophysiology to support the related factor that you choose as the reason for the activity intolerance. at this point you don't have a related factor! so, you are trying to say that the patient gets elevated blood pressure as a result of any activity, right? to determine the related factor, you need to answer the question: why? to use this diagnosis the related factor must be (1) an imbalance between oxygen supply and demand (this post talks about the concept of ventilation perfusion imbalance in disease like copd which is the same as imbalance in oxygen supply and demand that this diagnosis wants as a related factor: https://allnurses.com/forums/2833405-post5.html) because there is an underlying respiratory (such as copd) or cardiac disease (such as heart failure - https://allnurses.com/forums/2634117-post49.html) or, (2) they just have compromised endurance and physical conditioning due to (and these are the listed related factors by nanda for this diagnosis). unfortunately, i don't have the pathophysiology for deconditioning.

being on bed rest
generalized weakness
immobility
a sedentary lifestyle

not knowing what this patient's medical condition is, since hypertension can also be a medical symptom, makes it impossible for me to figure out what the reason for the activity intolerance is so there's no way i could begin to nail the pathophysiology for you.

it is also possible that you have diagnosed this incorrectly. when i hear a patient has hypertension my first thoughts are usually of decreased cardiac output. hypertension primarily occurs because of vasoconstriction caused by some degree of atherosclerosis that is going on, but renal hormones (renin) can also raise the blood pressure. this thread has the pathophysiology of hypertension: https://allnurses.com/forums/f50/help-pathophys-hypertension-295077.html.

since this is a group project, you need to get together with the others in the group and hash this out so you are all on the same wavelength here.

akarui18 · May 28, 2008

thank you very much for the help..:)

the reason why we kindda did it late is because there was a problem with the diagnosis of our patient.. we just got the info about the right diagnosis yesterday..

But anyhow, we were able to make it through,.

thank you so much daytonite! :bow:

thank you too miss leslie

Daytonite, BSN, RN · May 28, 2008

I'm curious. What did you end up using for your final nursing diagnosis and the rationale that linked it to hypertension?