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i need help

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Hi im a sophomore student nurse and still learning the nursing process. I cant make an effective nursing diagnosis about activity intolerance.Please help me... Please give me guidelines in making a diagnostic statement..please guys, i really need help..:cry:

traumaRUs, MSN, APRN, CNS

Specializes in Nephrology, Cardiology, ER, ICU. Has 27 years experience.

Hi and good morning. You have posted this in the admin help forum where our posters can come to for technical advice. I will move it to the general student nursing forum and hopefully someone will be along soon to help you.

Daytonite, BSN, RN

Specializes in med/surg, telemetry, IV therapy, mgmt. Has 40 years experience.

this is how the nursing process is applied to care planning:

  1. assessment (collect data from medical record, do a physical assessment of the patient, assess adl's, look up information about your patient's medical diseases/conditions to learn about the signs and symptoms and pathophysiology)
    • a physical assessment of the patient
    • assessment of the patient's ability and any assistance they need to accomplish their adls (activities of daily living) with the disease
    • data collected from the medical record (information in the doctor's history and physical, information in the doctor's progress notes, test result information, notes by ancillary healthcare providers such as physical therapists and dietitians
    • knowing the pathophysiology, signs/symptoms, usual tests ordered, and medical treatment for the medical disease or condition that the patient has. this includes knowing about any medical procedures that have been performed on the patient, their expected consequences during the healing phase, and potential complications. if this information is not known, then you need to research and find it.

[*]determination of the patient's problem(s)/nursing diagnosis (make a list of the abnormal assessment data, match your abnormal assessment data to likely nursing diagnoses, decide on the nursing diagnoses to use)

  • it helps to have a book with nursing diagnosis reference information in it. there are a number of ways to acquire this information.

[*]planning (write measurable goals/outcomes and nursing interventions)

[*]implementation (initiate the care plan)

[*]evaluation (determine if goals/outcomes have been met)

in order to have determined that a patient has insufficient physiological or psychological energy to endure or complete required or desired daily activities (the definition of activity intolerance) you would have determined, through applying the nursing process, that the patient had one or more of the following defining characteristics (symptoms): verbal report of fatigue or weakness, abnormal heart rate or blood pressure response to activity, exertional discomfort or dyspnea, electrocardiographic changes reflecting arrhythmias or ischemia.

the construction of the 3-part nursing diagnostic statement follows this format:

p (problem) - e (etiology) - s (symptoms)

where

p
is the
nursing diagnosis - e
is the
nanda related factor - s
is/are the
nanda defining characteristics

it is difficult for me to help you with this because you have provided no assessment information about this patient. please read the information on the first posts of this sticky thread in the general nursing student discussion forum:

these webpages have information about the nursing diagnosis, activity intolerance.

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