Monday, October 6, 2014

Activity Intolerance related to Hypertensive Heart Disease


Nursing Diagnosis for Hypertensive Heart Disease : Activity Intolerance related to general weakness, imbalance between supply and demand of oxygen.

Goal : The client is able to perform the activity is tolerated.

Outcomes :
  • Participate in activities desired / required.
  • Reported an increase in tolerance activity can be measured.
  • Showed a decrease in physiological signs of intolerance.


Interventions :
  1. Assess the client's response to the activity, attention pulse frequency more than 20 times per minute above the break frequency ; significant increase in BP during / after activity, dyspnea, chest pain ; excessive fatigue and weakness ; diaphoresis ; dizziness or fainting.
  2. Instructed the patient on energy saving techniques, eg ; using the bath seat, sit while combing hair or brushing teeth, doing activities slowly.
  3. Suggest to do the activity / self- phased treatment if tolerated, provide assistance as needed.

Rationale :
  1. Mention parameters help in assessing the physiological response to stress and activity when there is an indicator of excess work -related activity levels.
  2. Energy saving techniques also help reduce the presence of a balance between energy supply and oxygen demand.
  3. Activity progress gradually to prevent sudden increase in cardiac work, provide only limited assistance will need to encourage independence in performing activities.

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