Diversional Activity Deficit

Diversional Activity Deficit

(_)Actual (_) Potential

Related To:
[Check those that apply]
(_) Monotonous environment
(_) Long-term hospitalization
(_) Lack of motivation with signs of depression
(_) Skeletal-muscular impairments
(_) Other:_____________________________
____________________________________
____________________________________

As evidenced by:
[Check those that apply]
Major:
(
Must be present)
(_) Observed statement of boredom/depression fro inactivity.
Minor:
(
May be present)
(_) Constant expression of unpleasant thoughts or feelings.
(_) Yawning or inattentiveness.
(_) Flat facial expression. (_) Restlessnes/fidgeting.
(_) Body language (shifting of body away from speaker).
(_) Immobile (on bed rest or confined).
(_) Weight loss or gain. (_) Hostility.

Date &
Sign.
Plan and Outcome
[Check those that apply]
Target
Date:
Nursing Interventions
[Check those that apply]
Date
Achieved:
The patient will:

(_) Recognize feelings of boredom and discuss methods of finding diversional activities.

(_) Engage in group or individual diversional activity.

(_) State satisfaction with use of one's time.

(_) Other:

(_) Assess causative factors:
  • Monotony
  • Inability to make decisions
  • Diminished socialization.
  • Lack of motivation

(_) Obtain an activity assessment (find our hobbies, likes and dislikes):
________________________
________________________
________________________

(_) Assist in selection of an activity that is seen as having value and importance:
________________________
________________________

(_) Include above activity in daily routine of care.

(_) Involve patient in own care by:
________________________
________________________
________________________

(_) Increase environmental stimulation of sight and sound by:
________________________
________________________
________________________

(_) Consult wiith other departments:

  • Pastoral care
  • Occupational therapy
  • Volunteers

(_) Other:________________
________________________
________________________
________________________

__________________________
Patient/Significant other signature

__________________________
RN signature

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