Free Activity Intolerance Nursing Care Plan Template
Activity Intolerance Nursing Care Plan
Prepared by: [YOUR NAME]
Contact: [YOUR EMAIL]
Patient Information
|
Name |
Age |
Gender |
Diagnosis |
Date of Plan |
|---|---|---|---|---|
|
Jarvis White |
67 |
Male |
Chronic Heart Failure |
March 15, 2050 |
Nursing Diagnosis:
Activity Intolerance related to reduced oxygen supply, fatigue, and generalized weakness secondary to chronic heart failure.
Goal Statement:
The patient will demonstrate improved activity tolerance, as evidenced by the ability to perform activities of daily living (ADLs) without excessive fatigue or a significant drop in oxygen saturation by April 30, 2050.
Plan of Care
Assessment
|
Assessment Area |
Details |
|---|---|
|
Baseline Vital Signs |
Heart rate: 92 bpm, BP: 130/85 mmHg, SpO2: 93% at rest |
|
Physical Limitations |
Fatigue after walking 50 feet, shortness of breath after minimal exertion |
|
Psychological Factors |
Anxiety about physical deterioration |
Nursing Interventions
|
Intervention |
Frequency |
Expected Outcome |
|---|---|---|
|
Monitor vital signs pre- and post-activity |
Every activity session |
Vital signs remain stable post-activity |
|
Teach energy conservation techniques (e.g., sitting while dressing) |
Daily |
Patient reports reduced fatigue during ADLs |
|
Encourage progressive ambulation with assistive devices |
Twice daily |
Patient can walk 75 feet without significant fatigue by the end of Week 4 |
|
Provide emotional support and involve family in care planning |
Weekly |
Patient verbalizes reduced anxiety and confidence in managing activity levels |
Evaluation
|
Goal/Outcome |
Achieved? |
Date Evaluated |
Next Steps |
|---|---|---|---|
|
Patient walks 75 feet without fatigue |
No |
April 1, 2050 |
Adjust ambulation distance to smaller increments |
|
Demonstrates energy conservation skills |
Yes |
April 7, 2050 |
Progress to teaching advanced techniques for ADLs |
Summary
The patient's progress will be closely monitored, with interventions adjusted to ensure safe and gradual improvement in activity tolerance. Care coordination will involve the patient's family and [YOUR COMPANY NAME], if applicable, for additional resources.
