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    Activity Intolerance

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    Jenny Pearl Pasal
    The nursing care plan assessed a patient experiencing right flank pain and difficulty moving due to pain. The patient reported pain levels of 9/10 and had dyspnea, guarding, grimacing and slow movement. The nursing diagnosis was activity intolerance related to flank pain. Goals were for the patient to demonstrate pain relief and resumption of activities within 3 hours. Nursing interventions included vital sign monitoring, positioning instructions, splinting during movement, pain assessments every two hours, and encouraging self-care. After 3 hours the patient reported a reduced pain level of 5/10 and could change positions with minimal assistance, meeting the goals.

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    Activity Intolerance

    Uploaded by

    Jenny Pearl Pasal
    3K views2 pages
    The nursing care plan assessed a patient experiencing right flank pain and difficulty moving due to pain. The patient reported pain levels of 9/10 and had dyspnea, guarding, grimacing and slow movement. The nursing diagnosis was activity intolerance related to flank pain. Goals were for the patient to demonstrate pain relief and resumption of activities within 3 hours. Nursing interventions included vital sign monitoring, positioning instructions, splinting during movement, pain assessments every two hours, and encouraging self-care. After 3 hours the patient reported a reduced pain level of 5/10 and could change positions with minimal assistance, meeting the goals.

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    The nursing care plan assessed a patient experiencing right flank pain and difficulty moving due to pain. The patient reported pain levels of 9/10 and had dyspnea, guarding, grimacing and slow movement. The nursing diagnosis was activity intolerance related to flank pain. Goals were for the patient to demonstrate pain relief and resumption of activities within 3 hours. Nursing interventions included vital sign monitoring, positioning instructions, splinting during movement, pain assessments every two hours, and encouraging self-care. After 3 hours the patient reported a reduced pain level of 5/10 and could change positions with minimal assistance, meeting the goals.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    3K views2 pages

    Activity Intolerance

    Uploaded by

    Jenny Pearl Pasal
    The nursing care plan assessed a patient experiencing right flank pain and difficulty moving due to pain. The patient reported pain levels of 9/10 and had dyspnea, guarding, grimacing and slow movement. The nursing diagnosis was activity intolerance related to flank pain. Goals were for the patient to demonstrate pain relief and resumption of activities within 3 hours. Nursing interventions included vital sign monitoring, positioning instructions, splinting during movement, pain assessments every two hours, and encouraging self-care. After 3 hours the patient reported a reduced pain level of 5/10 and could change positions with minimal assistance, meeting the goals.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    NURSING CARE PLAN

    ASSESSMENT DATA
    (Subjective & Objective Cues)

    NURSING DIAGNOSIS
    (ProbIem and EtioIogy)
    GOALS AND
    OBJECTIVES
    NURSING INTERVENTIONS AND
    RATIONALE
    EVALUATION
    Subjective:
    "Galisod ko og lihok kay sakit
    ang tuo na bahin sa ako tiyan"
    as verbalized by the patient.



    Objective:
    -dyspnea
    -pain scale of 9/10
    - guarding behavior
    -grimacing face
    -slow movement
    - assisted ADL's




    Activity intolerance: level V
    (dyspnea, fatigue at rest) related
    right flank pain.

























    Within 3 hours of
    nursing interventions the
    patient will be able to
    demonstrate
    techniques/behaviors
    that enable resumption
    of activities and will
    experience pain relief.

















    ndependent nursing interventions:
    1. Monitor vital signs.

    R: baseline data of the patient's
    condition

    2. nstruct the use of side rails.

    R: for position changes and transfer.

    3. Splint affected body parts during
    movement.

    R: to maintain position of function
    and alleviate pain

    4. TTS every two hours.

    5. Encourage participation in self
    care

    R: to enhance self-concept and
    sense of independence.





    Goals met. After 3
    hours of nursing
    intervention, the
    patient stated pain
    scale of 5/10 and
    demonstrated position
    changes and transfer
    with minimal
    assistance.









    Dependent nursing interventions:

    1. Administer Acalka, 1 tab, once a
    day as prescribed by the doctor for
    treatment in potassium depletion.

    2. Gave supplemental oxygen as
    ordered (2LPM via nasal cannula)

    R: helps in giving adequate oxygen
    to the client

    Collaborative nursing interventions:
    1. Consult with the
    physical/occupational therapist as
    indicated.

    R: to develop individual
    exercise/mobility program and
    identify appropriate mobility devices.

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