NURSING CARE PLAN
PROBLEM: Activity intolerance
NURSING DIAGNOSIS: Activity Intolerance related to generalized weakness and pain secondary to sleep deprivation
TAXONOMY: Activity-Exercise Pattern
CAUSE ANALYSIS: Pain and weakness limit patient’s activity. Individual has insufficient physiological or psychological energy to endure or complete required or desired daily activites. Lack of
sleep may cause fatigue thereby affecting the physical activity, and decrease responsiveness to external stimuli.
CUES
SUBJECTIVE:
Patient report of fatigue or
weakness, discomfort. Patient
verbalized that he had difficulty in
performing his daily activities due to
the pain she felt over right lower
quadrant. He also reports of
inadequate sleep at night due to tha
pain she felt.
OBJECTIVE NURSING INTERVENTIONS
STO: INDEPENDENT:
After 30 mins. of nursing Determine cause of activity
intervention and management, the intolerance
patient will able to:
--identify activities and factors that
contribute to intolerance Monitor and record client’s ability to
-- 5 measures to enhance activity tolerate activity; note pulse rate,
tolerance blood pressure, monitor pattern,
dyspnea, use of accessory muscles,
and skin color before and after
LTO: activity.
After 3 days of nursing intervention
and management, the patient will be Teach client the need to pace activity
able to demonstrate activity and rest after meals
tolerance
Observe for pain before activity and,
if possible treat pain before activity.
Encourage client to change position
from supine to sitting several times
daily and to avoid prolonged bedrest.
Perform passive range-of-motion
exercise if client is unable to tolerate
activity
RATIONALE EVALUATION
Demonstrate activity tolerance.
Determining the cause of a disease Absence of signs and symptoms.
can help direct appropriate
interventions
Rest periods decrease oxygen
consumption
Pain restricts the client from
achieving a maximum activity level
and is often exacerbated by
movement.
Immobilization and enforced bedrest
in the supine position have
considerable adverse effects on
nearly every system in the body.
Inactivity rapidly contributes to
muscle shortening and changes in
periarticular and cartilaginous joint

Implement measures to conserve the
client’s energy during activity
Suggest that the client perform
activities more slowly and for shorter
time periods, resting more often, and
using more assistance as required.
Instruct client in energy-conserving
techniques, e.g., sitting to brush
teeth or comb hair, carrying out
activities at a slower pace.
Encourage progressive activity/ self-
care when tolerated. Provide
assistance as needed.
Referrence: Kozier, et. al .Fundamentals of Nursing, 5th edition.
Doenges, et. al. Nursing Care Plans, 6th edition.
structure. These factors contribute to
contracture and limitation of motion
Measures to conserve the client’s
energy enable the client to increase
activity tolerance
Shorter activity periods performed
more slowly and more frequent rest
periods promote optimal
performance and achievement levels.
Appropriate assistance ensure safety
and prevents falling.
Energy-saving techniques reduce the
energy expenditure, thereby assisting
in equalization of oxygen supply and
demand.
Gradual activity progression
prevents a sudden increase in
cardiac workload. Providing
assistance only as needed encourages
independence in performing
activites.