Nurse's Pocket Guide

isk for ACTIVITY INTOLERANCE
Understanding these relationships can help with acceptance
of limitations or reveal opportunity for changes of
practical value.
• Provide information regarding potential interfering factors
with activity, such as smoking when one has respiratory problems
or lack of motivation/interest in exercise, which may be
amenable to modification.
• Assist client/SO(s) with planning for changes that may
become necessary, such as use of supplemental oxygen
to improve client’s ability to participate in desired
activities.
• Identify and discuss symptoms for which client needs to
seek medical assistance/evaluation, providing for timely
intervention.
• Refer to appropriate resources for assistance and/or equipment,
as needed, to sustain activity level.
Documentation Focus
ASSESSMENT/REASSESSMENT
• Identified/potential risk factors for individual.
• Current level of activity tolerance and blocks to activity.
PLANNING
• Treatment options, including physical therapy/exercise program,
other assistive therapies and devices.
• Lifestyle changes that are planned, who is to be responsible for
each action, and monitoring methods.
IMPLEMENTATION/EVALUATION
• Responses to interventions/teaching and actions performed.
• Attainment/progress toward desired outcome(s).
• Modification of plan of care.
DISCHARGE PLANNING
• Referrals for medical assistance/evaluation.
SAMPLE NURSING OUTCOMES & INTERVENTIONS
CLASSIFICATIONS (NOC/NIC)
NOC—Endurance
NIC—Energy Management
Information in brackets added by the authors to clarify and enhance
the use of nursing diagnoses.
76 Cultural Collaborative Community/Home Care