List of Nursing Diagnosis

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.