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Showing posts with label Activity Intolerance. Show all posts
Showing posts with label Activity Intolerance. Show all posts

Saturday, December 6, 2014

Activity Intolerance and Altered Tissue Perfusion r/t Leukemia

Nursing Care Plan for Leukemia


Nursing Diagnosis for Leukemia : Activity Intolerance related to general weakness, increased metabolic rate.

Goal:
The client is able to tolerate the activity.

Expected outcomes:
  • Increased tolerance activity can be measured.
  • Participate in activities that can be measured.
  • Shows signs of physiological decline intolerant.
Nursing Intervention:
  • Evaluation reports weakness, note the inability to participate in activities.
  • Implementation of energy saving techniques.
  • Schedule eat about chemotherapy.

Collaboration:
  • Give supplemental O2.

Nursing Diagnosis for Leukemia : Altered Tissue Perfusion related to cessation of blood flow, secondary; destruction of human existence.

Goal:
Adequate perfusion.

Expected outcomes:
  • Balanced inputs and outputs.
  • Urine output of 30 mL / h.
  • Capillary refill less than 2 seconds.
  • Stable vital signs.
  • Strong peripheral pulses palpable.

Nursing Intervention:
  • Monitor vital signs.
  • Assess the skin to the cold, pale, humidity, capillary refill.
  • Note the change in the level of consciousness.
  • Maintain adequate fluid intake.
  • Evaluation of edema.
Collaboration:
  • Supervise laboratory tests: blood gas analysis, AST / ALT, CPK, BUN.
  • Serum electrolytes, provide a replacement as indicated.
  • Give hypo osmolar fluid.

Wednesday, October 8, 2014

Activity Intolerance and Risk for Injury related to Osteoarthritis

Nursing Care Plan for Osteoarthritis


Nursing Diagnosis for Osteoarthritis : Activity Intolerance related to changes in muscle.

Outcomes :
Clients are able to participate in the desired activity.

Interventions :
  • Maintain bed rest / sit down if necessary.
  • Help move with minimal assistance.
  • Encourage clients maintain an upright posture, sitting height, standing and walking.
  • Provide a safe environment and recommends to use a walker.
  • Give as indicated drugs such as steroids.
Rationale :
  • To prevent fatigue and maintains strength.
  • Improve joint function, muscle strength and general stamina.
  • Maximizing the function of joints and maintain mobility.
  • Avoiding injuries caused by accidents such as falls.
  • To suppress acute systemic inflammation.

Nursing Diagnosis for Osteoarthritis : Risk for Injury related to decrease in bone function.

Outcomes :
Clients can maintain physical safety.

Interventions :
  • Control of the patient's environment : Getting rid of the obvious dangers, reducing potential injury from falling while sleeping for example using a buffer bed, try to position the lower bed, night lighting ready to use call lights.
  • Allow maximum independence and freedom to provide freedom in a safe environment, avoid the use of restrain, when patients daydreaming distract rather than startled.

Rationale :
  • Hazard-free environment that will reduce the risk of injury and relieve families of the constant concerns.
  • This will give the patient autonomy, can restrain the increase of agitation, if the shock will increase anxiety.

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.

Sunday, September 28, 2014

Activity Intolerance - Nursing Care Plan for Pleural Effusion

Nursing Diagnosis for for Pleural Effusion : Activity Intolerance related to fatigue ( poor physical state ) .

Goal : Patient is able to carry out activities as optimal as possible .

Outcomes :
Fulfillment optimal activity , the patient looks fresh and vibrant , personal hygiene patient enough .

Interventionas :

1 Evaluation of the patient's response during the move , record the complaint and the level of activity and a change in vital signs .
Raasional : Knowing the extent of the patient's ability to perform the activity .

2 Help the patient to meet their needs .
Rationale : Encourage the patient to practice actively and independently .

3 Monitor the patient while doing the activity .
Rationale : Provide education to patients and families in the subsequent treatment .

4 Involve the family in patient care .
Rationale : a sign of the patient's weakness has not been able to move fully .

5. Explain to patients about the need for a balance between activity and rest .
Rationale : Rest need to lower the metabolic requirements .

6 Motivation and monitor the patient to perform activities gradually.
Rational : regular activity and gradually will help restore the patient to normal conditions .

Tuesday, October 23, 2012

Activity Intolerance - Hypertension Care Plan

Nursing Diagnosis: Activity Intolerance related to general weakness, imbalance between supply and oxygen demand.

Purpose:
  • Having given nursing care, the client is expected to be able to do activities that are tolerated
Expected outcomes:
  • Clients participate in activities desired / required.
  • Reported an increase in tolerance activity can be measured.
  • Showed a decrease in physiological signs of intolerance.
Intervention Activity Intolerance - Hypertension Care Plan :
  • Assess the client's response to the activity, attention pulse rate more than 20 times per minute in the frequency of breaks; significant increase in BP during / after activity, dyspnea, chest pain; excessive fatigue and weakness; diaphoresis; dizziness or fainting.
  • Instruct patients about energy saving techniques, eg, using the bath seat, sitting as combing hair or brushing teeth, doing activities slowly.
  • Encourage activity / self-care gradually if tolerated. Provide assistance as needed.
Rational:
  • Mention parameter helps in assessing response to stress physiology and activity when there is an indicator of excess work-related activity levels.
  • Energy saving techniques reduce energy penggurangan also helps balance between supply and oxygen demand.
  • Progress activity increased gradually to prevent sudden cardiac work, provide only limited assistance needs will encourage independence in their daily activities.

Saturday, September 22, 2012

Activity Intolerance related to imbalance between supply and demand of oxygen

Nursing Intervntions for Heart Failure

Nursing Diagnosis : Activity intolerance related to imbalance between supply and demand of oxygen

Goals / Criteria results:
  • Clients can perform daily activities with good
Expected outcomes:
  • Participating in physical activity with blood pressure, pulse, respiration appropriate
  • Normal skin color, warm and dry
  • Said the importance of activity gradually
  • Expressing the sense of the importance of balancing exercise and rest
  • Tolerance activity
Interventions:
  • Determining the cause of intolerance activity and determine whether the cause of the physical, psychological / motivation.
  • Assess the suitability of activity and rest everyday.
  • Increased activity gradually, allow clients to participate can change position, moving & self-care.
  • Make sure the client change positions gradually.
  • Monitor activity intolerance symptoms.
  • When helping clients stand, observation intolerance symptoms such as nausea, pallor, dizziness, impaired consciousness and vital signs.
  • Perform ROM exercises if the client can not tolerate activity.
Rational:
  • Determining the cause can help determine intolerance.
  • Prolonged bedrest can contribute to activity intolerance.
  • Increased activity helps maintain muscle strength, tone.
  • Bedrest in the supine plasma volume causes postural hypotension and syncope →
  • Vital signs in response to orthostatic very diverse.
  • Inactivity contributes to muscle strength and joint structure.