Activity Intolerance
Activity Intolerance
(_)Actual (_) Potential
(_) Alterations in O2 transport (_) Chronic disease:____________ ____________________________ (_) Depression (_) Diabetes Mellitus (_) Fatigue (_) Lack of motivation (_) Malnourishment | (_) Pain (_) Prolonged immobility (_) Stressors (_) Other:_____________________________ ____________________________________ ____________________________________ |
Major: (Must be present) | (_) _____________________________________________________ ________________________________________________________ ________________________________________________________ |
Date & | Plan and Outcome [Check those that apply] | Target Date: | Nursing Interventions [Check those that apply] | Date Achieved: |
The patient will: (_) Identify factors that reduce activity tolerance. (_) Progress to highest level of mobility possible. Describe:
(_) Exhibit a decrease in anoxic signs of increased activity. (eg: BP, pulse, resp.) (_) Other: | (_) Reduce or eliminate contributing factors by:
(_) Other:________________ |
__________________________
Patient/Significant other signature
__________________________
RN signature
Thursday, May 15, 2008
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Labels:
care plan
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This entry was posted on Thursday, May 15, 2008
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