ASSESSMENT
DIAGNOSIS
Activity Intolerance
related to
exhaustion
“Hindi na ako
associated with
masyado
interruption in usual
nakakakilos simula
nung nagkasakit ako. sleep pattern
because of
Hindi ako masyado
discomfort and
nakakatulog”,as
excessive coughing
verbalized by the
patient
SUBJECTIVE:
OBJECTIVE:
(+) exertional
dyspnea
(+) crackles on left
field
(+) persistent
productive cough
with whitish sputum
(+) tachypnea 105
bpm
(+) general
weakness
(+) Jackson-Pratt
drain on the Right
SCIENTIFIC
RATIONALE
PLANNING
The common
etiology of Activity
Intolerance is
related to
generalized
weakness and
debilitation from
acute or chronic
illnesses. It also
results from
obesity,
malnourishment,
anemia, and side
effect medications.
Short term: Patient
will demonstrate
relaxed manner,
resting/sleeping and
engaging in activity
appropriately.
(Bruners and
Suddarths medical
surgical 12th
edition)
INTERVENTION
Auscultate lungs for
air movement and
abnormal breath
sounds. Note
respiratory rate,
depth, and ease of
respiration.
Long term:
The patient will
demonstrate a
measurable
increase in
tolerance to activity
with absence of
Assess cough
dyspnea and
effectiveness and
excessive fatigue,
productivity
and vital signs
within normal range.
Assess patient
RATIONALE
It helps to determine
areas of good air
exchange.
Manifestations of
respiratory distress are
indicative of the degree
of lung involvement and
underlying general health
status as patients will
adapt their breathing
patterns to facilitate
effective gas exchange.
Coughing is the most
effective way to remove
secretions. Pneumonia
may cause thick and
tenacious secretions to
patients.
Extra activity can worsen
shortness of breath.
Ensure the patient rests
between strenuous
response to activity.
Encourage rest
periods and limit
activities to patient
tolerance.
Assist patient to
assume comfortable
position for rest and
sleep.
Encourage and assist
with deep-breathing
exercises and pursedlip breathing as
appropriate.
Provide a quiet
environment and limit
visitors during acute
phase as indicated.
activities.
Patient may be
comfortable with head of
bed elevated because it;
enhances lung
expansion and
ventilation. Appropriate
sleep promotes healing.
Deep breathing
exercises facilitates
maximum lung
expansion and improves
the productivity of cough.
This method relaxes
muscles and increases
the patient’s oxygen
level. Coughing and
deep breathing
encourages
expectoration, which
enables better gas
exchange.
Reduces stress and
excess stimulation,
promoting rest. Extra
activity can worsen
shortness of breath.
Ensure the patient rests
between strenuous
activities.
Assist with self-care
activities as
necessary.
Teach patient about
performing relaxation
techniques and
scheduling activities
to avoid fatigue and
provide for rest
periods.
Minimizes exhaustion
and helps balance
oxygen supply and
demand.
Effective coughing may
exhaust an already
compromised patient.
Fatigue may be a
contributing factor to
ineffective coughing.
Bedrest is encouraged to
decrease metabolic
demands, thus
conserving energy for
healing.