quick ND/STG question!

Your goal kinda implies that this is an actual nursing diagnosis. Can she/he not do an activity for more than 15 minutes a day d/t pain?? Also 15 minutes out of a whole day is not much.

Risk for Activity Intolerance r/t pain secondary to ...

Goal: Patient will maintain current level of activity as evidenced by normal heart rate, blood pressure and pain level of 4 or less during activity for the next three months. You could put... for the next 30 days, or next 2 weeks or whatever you think is warranted

If I would put Patient will maintain current level of activity as evidenced by normal heart rate, blood pressure and pain level of 4 or less during activity by MM/DD/YY. It implies that this is an actual nursing diagnosis and is that the patient is currently having problems with activity intolerance and you are hoping that it improves by MM/DD/YY.

Is this patient already terminal??? Then goals should be comfort related, or related to skin integrity. How long are we looking at with metastasizing CA???

Is this patient already terminal??? Then goals should be comfort related, or related to skin integrity. How long are we looking at with metastasizing CA???

That's what I was kinda wondering. If they are terminal and they are declining, then it would be an actual. I would still say a terminal person could have an activity intolerance care plan, but the goal would be totally different.

I would totally go a different route and use an actual nursing diagnosis of Pain. But you could have multiple nursing diagnoses with pain as a r/t or an AEB.

I would also probably use pain as the diagnosis. I don't think that risk for activity intolerance is a NANDA approved diagnosis. Some courses/instructors don't require for diagnoses to be NANDA approved, though. (I once wrote a careplan for risk for pain......goofy, huh?).

You are defintely on the right track. Instead of risk for this would actually be the diagnosis. i.e activity intolerance due to pain AEB... also the 15minutes of activity might be several times instead of just once and i might put it down to 5mins instead of 15 cos those terminal pt (if she is) cant do much at a time

Is this patient already terminal??? Then goals should be comfort related, or related to skin integrity. How long are we looking at with metastasizing CA???

pt has a poor prognosis but doc says still has a small chance at survival. activity intolerance is problem because pt is severely constipated r/t opiate use to treat pain. ps takes colace BID and miralax daily and recently tried fleets enema with no success but going to try oil retention enema soon. main reason activity intolerance is so troublesome is reduced peristalsis. pt spends every moment that he is not using the restroom to void sitting indian style in bed hunched forward to alleviate CA pain and constipation discomfort.

I would also probably use pain as the diagnosis. I don't think that risk for activity intolerance is a NANDA approved diagnosis. Some courses/instructors don't require for diagnoses to be NANDA approved, though. (I once wrote a careplan for risk for pain......goofy, huh?).

hah! no risk for pain isn't goofy!! i'm sure i've done WAY goofier (um, is that a word?). Risk for act. int. is on my NANDA list so i think it is approved...

sounds like a good diagnostic statement not sure about the goal maybe it should be maintain current activity level or a specific goal related to self care/activity tolerance. such as patient will be able to perform all adls etc