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Nursing Care Plan for Activity Intolerance

The nursing care plan addresses a client's activity intolerance following an appendectomy. Short term goals include establishing rapport, monitoring vital signs, and encouraging rest. Long term goals are for the client to maintain their activity level within capabilities, as evidence by a normal heart rate during activity and an absence of shortness of breath and fatigue. Planned interventions include establishing guidelines for activity and rest, teaching energy conservation, and promoting coping skills. The plan aims to improve the client's tolerance through rest and addressing physical and emotional difficulties of recovery.

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Paolo Belleza
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15K views2 pages

Nursing Care Plan for Activity Intolerance

The nursing care plan addresses a client's activity intolerance following an appendectomy. Short term goals include establishing rapport, monitoring vital signs, and encouraging rest. Long term goals are for the client to maintain their activity level within capabilities, as evidence by a normal heart rate during activity and an absence of shortness of breath and fatigue. Planned interventions include establishing guidelines for activity and rest, teaching energy conservation, and promoting coping skills. The plan aims to improve the client's tolerance through rest and addressing physical and emotional difficulties of recovery.

Uploaded by

Paolo Belleza
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd

Nursing Care Plan

Actual Problem: Activity Intolerance (3rd priority)


ASSESSMENT NURSING ANALYSIS PLANNING INTERVENTION RATIONALE EVALUATION
DIAGNOSIS
Subjective data: Activity Appendicitis LONG TERM Independent LONG TERM
 “Medyo nahihirapan intolerance ↓ GOAL: GOAL WAS
po akong gumalaw related to Pain in the RLQ • Establish • Rapport is MET
dahil sa tahi ko” as presence of ↓ After 2 days of rapport important to gain
verbalized by the surgical incision Appendectomy nursing patient’s After 2 days of
client as manifested by ↓ interventions the cooperation and nursing
limited mobility Surgical Incision client will be reduce anxiety. interventions the
Objective data: on the lower ↓ able to maintain client exhibited
extremities Start of the activity level • Baseline data is a normal range
 Facial grimace inflammatory within • Monitor vital important to help of respiratory
when moved process capabilities, as signs determine pattern of 20
 VS: ↓ evidenced by patient’s current cpm, cardiac rate
o T: 36.6 °C Pain normal heart rate health status and of 79 bpm and
o P: 62 ↓ during activity, evaluate has no shortness
bpm Pain upon moving as well as effiectiveness of of breath and
o R: 20 cpm ↓ absence of nursing fatigue during
Limited mobility shortness of intervention any activity.
o BP:
↓ breath, rendered.
110/80 mmHg
ACTIVITY weakness, and
INTOLERANCE fatigue. • Motivation is
 Pain scale of 8 out
of 10 enhanced if the
• Establish patient
guidelines and participates in
 Burning sensation
goals of activity goal setting.
on incision site
with the patient
and caregiver. • Rest between
 Guarded movement
activities
• Encourage provides time for
 Limited mobility
adequate rest energy
on lower extremities periods, especially conservation and
before meals, other recovery.
ADLs, exercise
sessions, and
ambulation. • Acknowledgmen
t that living with
• Encourage activity
verbalization of intolerance is
feelings regarding both physically
limitations and emotionally
difficult, aids
coping.

• Promotes rest
and sleep and
• Maintain a prevents anxiety
quiet, comfortable thereby
environment decreasing the
patient’s oxygen
demands

• This promotes
awareness of
• Teach when to reduce
patient/caregivers activity.
to recognize signs
of physical over
activity. • To conserve
energy and
• Teach energy decrease the
conservation need for oxygen
techniques. supply
16 | P a g e

Nursing Care Plan Actual Problem: Activity Intolerance (3rd priority) ASSESSMENT NURSING DIAGNOSIS ANALYSIS PLANNING INTERVE
on lower extremities periods, especially before meals, other ADLs, exercise sessions, and ambulation. • Encourage verba

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