Activity Intolerance diagnoses

Definition: Insufficient physiologic or psychological energy to endure or complete required or desired daily activities.


RELATED FACTORS

Generalized weakness

Sedentary lifestyle

Bed rest or immobility

Imbalance between oxygen supply and demand

[Cognitive deficits/emotional status; secondary to underlying disease process/depression]

[Pain, vertigo, extreme stress]


Subjective

Report of fatigue or weakness

Exertional discomfort or dyspnea

[Verbalizes no desire and/or lack of interest in activity]


FUNCTIONAL LEVEL CLASSIFICATION (GORDON, 1987):

  • Level I: Walk, regular pace, on level indefinitely; one flight or more but more short of breath than normally
  • Level II: Walk one city block [or] 500 ft on level; climb one flight slowly without stopping
  • Level III:Walk no more than 50 ft on level without stopping; unable to climb one flight of stairs without stopping
  • Level IV: Dyspnea and fatigue at rest

ACTIONS/INTERVENTIONS


Sample NIC linkages:


Activity Therapy: Prescription of and assistance with specific physical, cognitive, social, and spiritual activities to increase the range, frequency, or duration of an individual’s (or group’s) activity.

Energy Management: Regulating energy use to treat or prevent fatigue and optimize function.

Exercise Promotion: Facilitation of regular physical exercise to maintain or advance to a higher level of fitness and health.


NURSING PRIORITY

Note presence of acute or chronic illness, such as heart failure, hypothyroidism, diabetes mellitus, AIDS, cancers, acute and chronic pain, etc....continue...

Buy the book