- Introduction
- Nursing Diagnosis Definition
- Defining Characteristics – Subjective and Objective
- Related Factor Explanation
- Risk Population Explanation
- Associated Problems Explanation
- Suggestions of Use Explanation
- Suggested Alternative Nursing Diagnosis Explanation
- Usage Tips
- NOC Results Explanation
- NIC Interventions Explanation
- Conclusion
- FAQ
Introduction
The nursing diagnosis: Risk of Decreased Activity Tolerance refers to an individual's vulnerability to environmental stressors that cause a decrease in the level of activity. It is often seen in patients with chronic diseases, such as diabetes, heart disease, and arthritis, as well as in individuals recovering from a surgical procedure or due to changes in the patient's diet or lifestyle. This diagnosis is associated with pain and fatigue, which can lead to a decrease in activity level, lower quality of life, and potential risks for physical and psychological complications.
Nursing Diagnosis Definition
The nursing diagnosis: Risk of Decreased Activity Tolerance is defined as an increased susceptibility to strain on the body caused by limited capacity to adapt to changes in physical or social environments.
Defining Characteristics – Subjective and Objective
Subjective
- Reports increased fatigue with any activity
- Verbalizes a decrease in energy
- Expresses fear of activity-related discomfort or limited activity level
Objective
- demonstrates an extended recovery period following activity
- Engages in limited range of motion
- Limited participation in activities
Risk of decreased activity tolerance is related to decreased physiological and psychological reserve, fatigue, pain, weakness, dyspnea, cardiovascular decay, reduced body composition, restrictive clothing and incorrect posture. Additionally, changes in the environment such as temperature, lighting, noise, and overcrowding may increase the risk of developing this diagnosis.
Risk Population Explanation
Populations at risk for decreased activity tolerance include the elderly, individuals with chronic diseases and those undergoing surgical procedures, or changes to their diet or lifestyle.
Associated Problems Explanation
Decreased activity tolerance can lead to decreased quality of life, decreased ability to participate in normal daily activities, increased risk for physical and psychological complications, and increased mortality rates.
Suggestions of Use Explanation
The nursing diagnosis: Risk of Decreased Activity Tolerance can be used to develop treatment plans and strategies to improve the patient's activity levels, including proper nutrition education, exercise, relaxation techniques, appropriate pain management and modifications of the environment where necessary.
Suggested Alternative Nursing Diagnosis Explanation
Alternative NANDA diagnoses to consider include: Ineffective Self-Health Management related to impaired ability to manage personal health care; Ineffective Coping related to increased stress; and Fatigue related to excessive physical demands.
Usage Tips
When assessing for this nursing diagnosis, focus on the patient's fatigue level, overall activity and ability to move. Additionally, examine the patient's use of adaptive devices, such as assistive devices and cane, walkers and wheelchairs.
NOC Results Explanation
The nursing diagnosis: Risk of Decreased Activity Tolerance can result in improved physical mobility and physical functioning, improved communication and interpersonal skills, enhanced family functioning, reduced risk for further complications, and improved patient knowledge of current treatments.
NIC Interventions Explanation
Nurse-initiated interventions that can be implemented to help reduce the risk of decreased activity tolerance include patient and family education, exercise and activity modification, environmental modifications, use of adaptive equipment, pain and symptom control, relaxation techniques, and stress management.
Conclusion
The nursing diagnosis: Risk of Decreased Activity Tolerance is an important part of caring for patients to manage their risk of decreased activity level and the associated risks. By identifying and addressing areas of concern, nurses can help ensure patient safety and improve quality of life.
FAQ
- What is the nursing diagnosis: Risk of Decreased Activity Tolerance? It is defined as an increased susceptibility to strain on the body caused by limited capacity to adapt to changes in physical or social environments.
- When should I assess for this diagnosis? It should be assessed when assessing for any activities or limitations in a patient's activity levels.
- What interventions can be used to reduce the risk of decreased activity tolerance? Nurse-initiated interventions that can be implemented to help reduce the risk include patient and family education, exercise and activity modification, environmental modifications, use of adaptive equipment, pain and symptom control, relaxation techniques, and stress management.
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