Here is a proper definition of activity intolerance.
“Activity intolerance occurs when our body does not have enough energy that is required to do daily tasks.”
Activity intolerance mainly occurs due to weakness and some chronic or acute disease. It is a significant problem with the patients of grown age, who had cardiopulmonary, orthopedic or diabetic issues earlier. The growing age produces a decrease in muscle strength and function. It also affects the people who are athletes or spend more time sitting. It is indeed disturbing for active people who workout regularly. Activity intolerance is often mixed with fatigue, but these are two different terms having separate goals. Fatigue can cause tiredness in the patient, but the objective of activity tolerance is to enhance the tolerance and endurance of activity. In contrast, fatigue does not raise endurance.
Causes of Activity Intolerance:
Factors that results in activity intolerance are given below.
- A side effect of medications
- Long bed rests
- Improper oxygen supply
- Less sleep
- Extreme Depression
- Serious Pain
- Critical Stress
- High metabolic demands
Symptoms of Activity Intolerance:
- Unusual discomfort / Dyspnea during activity
- Irregular blood pressure
- Incapacity to perform normal operations
- Signs of fatigue, dizziness, and weakness
- Lack of sleep and motivation
- An abundance of depression and pain
- Enfeeble pulse, dizziness, and reduction in breath
Expected Outcome of a Successful Activity Intolerance Care Plan:
- The patient is capable of providing constructive verbal feedback in response to activity level
- The patient is capable of showing and using effective energy management
- The patient is capable of performing primary activities without loss of energy
- The patient is capable of displaying physiological improvements
- The patient is capable of maintaining well organized cardiovascular and respiratory functions
Activity Intolerance Interventions:
Activity intolerance interventions are adopted to make better the condition of the patient or end the activity intolerance. Interventions are managed by the patient alone or by the medical team. The interventions that may help patient dealing with activity intolerance include:
- Enhance body movement, begin regular exercise routine but make sure the muscles don’t stretch and it should power the cardiovascular system. Exercising will help to improve the patient’s psychological status.
- Pay attention to patient recovery speed from time to time and make sure he/she is making good progress.
- Stimulate regular rest periods between exercise drills.
- Do not waste energy in irrelevant activities and save it for productive activities.
- Help patient with planning and scheduling activities and appreciate based on improvements in performance.
- Start a diet plan and eating habits for the patient.
- Minimize cardiovascular deconditioning through proper exercises.
- Retain a gradual progression of activities to enhance performance.
- Teach patient about healthy habits.
- If the condition of the patient becomes worse at any point then stop the rehabilitation process.
- Make good breathing habits to the patient and motivate him/her to increase cardiovascular functions and decrease stress levels.
- The patient should wear such clothes in which there should not hinder blood flow or oxygen supply.
Nursing Interventions for Activity Intolerance:
- Create instructions and objectives of activity with a patient
- Assess the need for extra help at home
- Is patient acting rather slowly or in a long time with breaks?
- Step by step increase the activity of sitting and standing
- Hang legs on the bedside daily for at least ten minutes
- Don’t do any un-necessary action
- Help with activities of daily living in avoiding patient dependency
- Make sure there is crapper near to the patient
- Motivate the patient for physical activities according to the patient’s energy levels
- Plan activities in times when the patient has the maximum energy level
- Inspire verbalization of feelings
- Stimulate range of motion exercises also make sure patient is taking part in planning activities
- Give psychological help and positive behavior towards his/her abilities
- Provide the patient with the most comfortable equipment to use
- Educate the patient in recognizing signs of physical overactivity
Cautiously Improve Patient Activities with below points:
- Sitting and standing exercise
- Deep breathing exercise daily at least three times
- Sitting up in chair exercise for at least thirty minutes a day
- Walking indoor for at least one minute a day
- And then walking through the house to walk outdoor
Educate the patient with following energy conservation techniques:
- Doing tasks while sitting
- Change in positions frequently
- Pushing instead of pulling
- Sliding instead of lifting
- Working at steady speed
- Place most commonly used things closer to bed
- Relax for one hour at least before the new activity starts
- Organize a work and rest plan
Goals and Outcomes of Activity Intolerance Nursing Care Plan:
Following are the goals and outcomes of the activity intolerance nursing diagnose care plan:
- The patient will know about the aspects which will aggravate activity intolerance
- The patient will describe the capability to show activities of daily living
- The patient will use energy-conservation methods
- The patient will know about techniques of reduction in activity intolerance
- The patient will sustain blood pressure in lower time after activity
- The patient will show tolerance during physical activity