ACTIVITY INTOLERANCE
ASSESSMENT                DIAGNOSIS         SCIENTIFIC               PLANNING             INTERVENTIONS              RATIONALE           EXPECTED
                                           EXPLANATION                                                                                   OUTCOME
Subjective: O           Activity           Activity              Short Term:              Assess           the    Provides baselineShort Term:
                        Intolerance        Intolerance is        After 5 hours of         physical     activity   information      for
                                                                                                                                   The patient shall
                        related       to   state in which an     nursing                  level and mobility      formulating nursing
                                                                                                                                   have
Objective:              immobility         individual has        interventions, the       of the patient.         goals during goaldemonstrated a
The           patient                      insufficient          patient will be able                             setting          decrease           in
manifested:                                physiologic or        to demonstrate a                                                  physiological
 Needs support                            psychological         decrease            in   Have the patient Helps in increasing signs of activity
  in moving                                energy to endure      physiological signs      perform the activity the tolerance for intolerance.
 Cannot be able
                                           or complete           of            activity   more slowly, in a the activity.
  to fully extend
                                           required or           intolerance.             longer time with
  her right leg
                                           desired daily                                  more      rest     or
  because pain
  will be present                          activities.                                    pauses, or with
 Facial                                                         Long Term:               assistance          if                   Long Term:
  Grimaces                                 Patient right leg     After 2-3 days of        necessary.                               The patient shall
 Irritability                             will cause pain       nursing                                                           have            been
                                           when she tends to     interventions, the       Gradually increase Gradual               increased        and
The patient may                            move the affected     patient will be able     activity with active progression of the achieved desired
manifest:                                  limb that’s why the   to increase and          range-of-motion        activity prevents activity        level
 Generalized                              patient cannot        achieve      desired     exercises in bed, overexertion.          progressively with
  weakness                                 move or extend        activity        level    increasing to sitting                    no       intolerance
 Prolonged                                her leg because       progressively with       and then standing.                       symptoms.
  immobility                               she will              no       intolerance
                                           experience pain.      symptoms.                Promote comfort To enhance ability
                                           Patient will have                              measures     or to participate in
insufficient energy    provide for relief of activities
to endure or           pain.
perform desired
physical activities.   Plan care with rest To reduce fatigue
                       periods     between
                       activities.
                       Encourage active To maintain muscle
                       ROM of exercises. strength and joint
                                         range of motion
                       Assist           with To protect patient
                       activities if needed. from injury
                       Refrain      from Patient with limited
                       performing         activity  tolerance
                       nonessential       need to prioritize
                       activities      or important      tasks
                       procedures.        first.
                       Teach       energy    These techniques
                       conservation          reduce     oxygen
                       techniques such as    consumption,
                       frequent position     allowing a more
                       changes.              prolonged activity.
                       Instruct patient to Activities should be
                       plan activities for planned ahead to
times when they coincide with the
have the most patient’s        peak
energy.         energy level. If the
                goal is too low,
                negotiate.