Diversional Activity Deficit
Diversional Activity Deficit
(_)Actual (_) Potential
(_) Monotonous environment (_) Long-term hospitalization (_) Lack of motivation with signs of depression (_) Skeletal-muscular impairments (_) Other:_____________________________ ____________________________________ ____________________________________ |
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:
(_) 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:
(_) Other:________________ |
__________________________
Patient/Significant other signature
__________________________
RN signature
Friday, May 16, 2008
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