Introduction
Activity intolerance related to pain is the inability to perform activities due to pain. Activity Intolerance can lead to fatigue, deconditioning and involve both physical activity as well as cognitive activity. Nursing care plan focuses on providing relief from pain, regaining maximal activity level and preventing complications.
Assessment
- Pain Assessment: Pain intensity and Location, aggravating and alleviating factors, type of pain, treatments used to relieve the pain.
- Adaptive Mechanisms: Coping strategies, support system, spiritual resources, ability to handle stressors.
- Activity Tolerance: Stamina, ability to perform activities, rest and sleep patterns, role limitations, body mechanics.
- Cardiovascular System Laboratory Data: Blood pressure, pulse, breathing patterns.
- Impaired Mobility: Joint pain, walking, use of assistive devices.
Nursing Diagnosis
Activity Intolerance: Related to pain (Presence of pain and discomfort resulting in decreased physical activity)
Outcomes
- The patient will be able to participate in activities of daily living with minimal pain.
- The patient will maintain normal vital signs during activities.
- The patient will maintain adequate energy level for non-strenuous activities.
- The patient will be able to use appropriate body mechanics during activities.
- The patient will demonstrate improved mood, knowledge about pain management, and increased mobility.
Interventions
- Monitor vital signs before, during and after activities.
- Perform activities slowly and gradually.
- Provide adequate rest periods between activities and at bedtime.
- Encourage activity levels within the patient's limits.
- Encourage patient to take part in activities such as walking, swimming, light weight lifting and stretching exercises.
- Encourage the use of relaxation techniques such as progressive muscle relaxation, deep breathing, and guided imagery.
- Teach the patient about pain management techniques such as heat and cold therapy, massage and activities within pain tolerance.
Rationales
- Monitoring vital signs will help to identify any changes that may occur due to activity.
- Increasing activities gradually will help the patient to gain more activity without overdoing it.
- Adequate rest will allow the patient to recover more quickly.
- Encouraging activity will help the patient become more active and decrease pain.
- Relaxation techniques can reduce tension and anxiety which can increase comfort.
- Teaching the patient about pain management techniques can help them be more in control of their pain and decrease their level of pain.
Evaluation
Expected Outcome: The patient will be able to participate in activities of daily living with minimal pain.
Conclusion
Dealing with activity intolerance related to pain can be challenging, but with proper assessment, nursing diagnosis, outcomes, and interventions, the patient can have a better quality of life and increased activity level.
FAQs
- What is Activity Intolerance related to Pain? Activity Intolerance related to Pain is the inability to perform activities due to pain.
- What type of activities should a patient with activity intolerance be encouraged to do? Patients should be encouraged to do activities such as walking, swimming, light weight lifting and stretching exercises.
- Are relaxation techniques recommended for patients with activity intolerance related to pain? Yes, relaxation techniques such as progressive muscle relaxation, deep breathing, and guided imagery can reduce tension and anxiety which can increase comfort.
- What is the expected outcome for a patient with activity intolerance related to pain? The expected outcome is for the patient to be able to participate in activities of daily living with minimal pain.
- What types of assessment should be done for a patient with activity intolerance related to pain? Pain Assessment, Adaptive Mechanism, Activity Tolerance, Cardiovascular System Laboratory Data, and Impaired Mobility should be assessed.
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