Nursing Care Plan for Hypoglycemia: Activity Intolerance

Nursing Care Plan for Hypoglycemia: Activity Intolerance

Nursing Care Plan for Hypoglycemia - Activity Intolerance   October 16, 2015

Nursing Care Plan for Hypoglycemia

Activity Intolerance related to imbalance of oxygen supply and demand, weakness.

Defining characteristics:

• Fatigue and weakness.
• The response to activity indicates abnormal pulse and blood pressure.
• Changes in ECG showed arrhythmia / dysrhythmia.
• Dyspnea and discomfort.
• Agitated.

Goal: The client is able to achieve: activity tolerance,

with expected outcomes:

Activity Tolerance:

• Oxygen saturation within normal limits when activity.
• HR in the normal range when the activity.
• Respiration in the normal range when the activity.
• Systolic blood pressure in the normal range when the activity.
• Diastolic blood pressure in the normal range when the activity.
• ECG within normal limits.
• Skin color.
• Breathing efforts when the activity.
• Walking in the room.
• Walk away.
• Climbing up the stairs.
• ADL strength.
• The ability to talk while exercising.

Interventions :

Therapeutic Activities:

• Note the frequency of heart rhythm, changes in blood pressure before, during and after activity as indicated.
• Increase rest, limit activity and provide leisure activities that are not heavy.
• Limit visitors.
• Monitor response to emotional, physical, social and spiritual.
• Describe the pattern of a gradual increase in activity.
• Help clients recognize a meaningful activity.
• Help clients know the options for activity.
• Determine the client's commitment to increase the frequency of the activity.
• Collaboration related to the physical, recreational therapy, proper supervision activity program.
• Help the client make a specific plan for the transfer of routine daily activity.
• Help the client / family know all the quality of a shortage of activity.
• Train the client / family about the role of physical, social, spiritual, sense activity in health care.
• Help the client / family environment with a desire to adjust the activity.
• Provide activities that increase attention in a certain period.
• Facilitation replacement activity when the client has passed the deadline, energy and movement.
• Provide an environment that is not harmful to walk as indicated.
• Provide positive reinforcement for participation in the activity.
• Help the client generates its own motivation.
• Monitor the emotional, physical, social, and spiritual activities.
• Help the client / family getting monitor progress toward achieving the goal.

Energy Management :

• Observation of the client restrictions in activity.
• Encourage to express feelings towards limitations.
• Assess the factors that cause fatigue.
• Monitor nutrition and adequate sources of energy.
• Monitor the client for physical fatigue and emotional excess.
• Monitor the cardiovascular response to activity.
• Monitor patterns of sleep and duration of sleep / rest.

Dysrhythmia Management :

• Knowing for certain clients and families who have a history of heart.
• Monitor and check oxygenation deficiency, acid-base balance, electrolytes.
• Record ECG.
• Advise the client to break every attack.
• Record the frequency and duration of the attack.
• Monitor hemodynamic status.

Activity Intolerance - Hypertensive Heart Disease Care Plan

Activity Intolerance - Hypertensive Heart Disease Care Plan

Nursing Care Plan   November 07, 2013

Hypertensive heart disease refers to heart conditions caused by high blood pressure.

These problems include:

• Coronary artery disease and angina
• Heart failure
• Thickening of the heart muscle (called hypertrophy)

Hypertensive heart disease includes, among other conditions, heart failure, thickening of the heart muscle, and coronary artery disease. Coronary heart disease, for example, occurs when high blood pressure causes narrowing of the blood vessels that supply your heart with blood and oxygen.

Nursing Care Plan for Hypertensive Heart Disease

Nursing Diagnosis : Activity Intolerance related to general weakness, imbalance between supply and oxygen demand.

Goal:

• Clients are able to do activities that are tolerated

Outcomes:

• Clients participate in activities desired / required.
• Reported an increase in tolerance activity can be measured.
• Showed a decrease in physiological signs of intolerance.

Interventions and Rationale:

Interventions:
1. Assess the client's response to the activity, the attention of more than 20 pulse / min above the break frequency; significant increase in BP during / after activity, dyspnea, chest pain; excessive fatigue and weakness; diaphoresis; dizziness or fainting.

2. Instruct patients about energy saving techniques, eg, using a chair in the shower, sitting as combing hair or brushing teeth, doing activities slowly.

3. Encourage daily activity / self-care gradually if tolerated. Provide assistance as needed.

Rationale:

1. Mentioned parameters help in assessing physiological responses to stress and activity when there is an indicator of excess work-related activity levels.

2. Energy saving techniques reduce energy reduction also helps balance between supply and oxygen demand.

3. Progress activity increased gradually to prevent sudden cardiac work. Provide only limited assistance needs will encourage independence in their daily activities.

Nursing Care Plan for Congestive Heart Failure - CHF

Nursing Diagnosis for Ischemic Heart Disease

Nursing Interventions for Ischemic Heart Disease - Acute Pain

Nursing Diagnosis and Interventions of Activity Intolerance in Elderly

Nursing Diagnosis and Interventions of Activity Intolerance in Elderly

Nursing Diagnosis and Interventions   October 06, 2013

Assessment

1. Physical examination:

• Musculoskeletal: decreased tone, strength, muscle size and endurance; range of motion of joints and skeletal strength.
• Cardiovascular: the formation of thrombosis, thrombophlebitis signs include: erythema, edema, tenderness and signs of positive Humans.
• Respiration: atelectasis and pneumonia symptoms, early signs include an increase in temperature and heart rate.
• Integument: ischemia injury against the first tissue is inflammatory, early changes seen on the surface of the skin as an irregular area of erythema.
• Urinary function: physical signs such as urinating a little and often, lower abdominal distension and bladder limits that can be touched.
• Gastrointestinal: constipation and faecal going small, hard and dry.
• Environment: bathroom without handles, loose rugs, lighting is not adequate, a high ladder, slippery floor and toilet seat that lowers the client mobility.

2. Assessing the skeletal body: The deformity and alignment. Abnormal bone growth due to bone tumors. Shortening of limb, amputation and body parts that are not in anatomical alignment. Abnormal angulation of the long bones or movement at a point other than the joints usually indicate the presence of fractures.

3. Assessing the spine:

• Scoliosis (curvature of the lateral deviation of the spine)
• Kyphosis (curvature of the spine increase the chest)
• Lordosis (quack, the curvature of the lumbar spine over)

4. Assessing joint system: Broad movement was evaluated both active and passive, deformity, stability, and the lumps, the joint stiffness.

5. Assessing muscle system: The ability to change the position, muscle strength and coordination, and the size of each muscle. Limb circumference to mementau or atropfi edema, muscle pain.

6. Assessing how patients walk: The irregular movements are not considered normal. If one limb shorter than the other. A variety of neurological conditions associated with abnormal gait (eg walking spastic hemiparesis way - stroke, patients go step by step - lower motor neuron disease, patients walked vibrate - Parkinson's disease).

7. Assessing the skin and the peripheral circulation: palpation of the skin can indicate a temperature hotter or colder than others and the edema. Peripheral circulation was evaluated by assessing peripheral pulses, color, temperature and capillary refill time.

8 . Assessment of functional status :

• Baths : Told independent when in client activity just need help to scrub or clean up a certain portion of the body member , said the dependent if the client requires assistance to more than one body part .
• Dress : Independent if unable to take his own clothes in a closet or drawer .
• To the toilet : Independent when the elderly can not afford to own a toilet , getting out of the toilet and hem itself . Dependent when it need a bed pan or pot .
• Transferring : Independent themselves when able to climb down from a bed or wheelchair . Dependent if always require assistance for activities above or unable to perform one or more activities of transferring .
• Continence : Independent shitting themselves when able ( urinary and defecation ) . When dependent on one or both of micturition or sefekasi require enema or catheter .
• Eating : Independent if it is able to bribe their own food , take away from the plate .

Nursing Diagnosis and Interventions of Activity Intolerance in Elderly

Nursing Diagnosis : Impaired Physical Mobility related to depression

Goal : Depression can be resolved and activities to do.

Outcomes:

Clients can perform daily activities , and depression disappeared .

Intervention :

1. The prevention of osteoporosis , either through medical intervention , nutrition , as well as lifestyle adjustments .
2. The prevention of falls in accordance with the results of the assessment of the environmental factors as well as risk factors does surgery on the risk of environmental factors .
3. Maintenance of strength and resilience of the musculoskeletal system , which includes daily exercise conditioning program both isometric and isotonic muscle contraction , strengthening and aerobic activity , nutrition and protein anabolism to increase bone formation and attitude of commitment to exercise .
4. Maintaining the flexibility of the joints involved in range of motion exercises , proper positioning and activities of daily living .
5. Maintenance of normal ventilation and hyperinflation include mobilization and eliminate secretions .
6. Maintenance of adequate circulation include supporting measures to maintain vascular tone , compression stockings to put external pressure on the limbs and adequate fluid intake to prevent dehydration effect on blood volume .
7. Maintenance of urinary and bowel function were normal relies on nutritional support and environmental structure and routines to facilitate elimination .