Activity Intolerance Nursing Care Plan

Activity intolerance nursing care plan should be developed in case a patient suffers from activity intolerance. This condition is normally described as an inability of a patient or lack of physical or psychological health in patient to complete daily routine.

The development of this condition among patients is possible due to different reasons. Some of them may include side effect of medication, avoidance of physical activities performance, extended rest, pain, insufficient intake of fresh air, stress, sedentary lifestyle, insufficient motivation, etc. Age is also one of the factors that may lead to development of activity intolerance, especially among the elderly population.

Nursing care plan for activity intolerance may identify such factors leading to the condition development as:

  • Weakness caused by age
  • Lack of sleep
  • Depression
  • Inadequate rest
  • Immobility
  • Insufficient motivation
  • Lack of oxygen intake caused by, for example, disease
  • Stress
  • Sedentary lifestyle
  • Restriction to do physical exercises


Activity intolerance nursing care plan should also contain symptoms of a certain condition. There are such signs of activity intolerance as:

  1. A person feels weak all the time and shows signs of dizziness and fatigue;
  2. A person feels discomfort in the process of performing physical activities;
  3. A person find it difficult to perform daily routine;
  4. A person’s body reacts to physical activities by increased heart rate and unusual blood pressure.

Activity Intolerance Nursing Care Plan: Outcomes

Expected outcome of any health care plan and particularly of nursing care plan activity intolerance is to improve health of the patient and to enable him/her to perform daily activities without showing any signs of activity intolerance. Other expected outcomes may include the following:

  • The patient is aware of and actively uses different techniques aimed at energy conservation;
  • The patient positively reacts on the treatment and shows signs of improvement;
  • The patient performs different basic physical exercises and other daily activities without feeling tired or exhausted;
  • Visible physiological improvement;
  • Cardiovascular functions are perfectly maintained in the process of performing activities of different kind.

The other part of healthcare plan deals with assessment of activity intolerance related to COPDpatients and any other patients experiencing the condition. The following assessment strategies are useful for problem detection.


Regular assessments of patients are extremely important in the process of treatment as they help identify positive and negative sides of implementing care plan and make necessary modifications if something changes in the health of a patient.

Different techniques and practices should be used while implementing nursing care plan for COPD patient,as well as any other patient suffering the condition. Some of them include:

  1. It is important to identify if the patient has any visible or invisible injuries or if he or she suffers some additional illnesses. Moreover, it is important to determine whether all the conditions long or short-term.
  2. It is important to assess cardiopulmonary status of a patient prior to doing planned activities and after that. If is necessary for monitoring the progress of patient’s health.
  3. Communication with patient will help determine patient’s concerns in relation to treatment, as well as address problems that may arise.
  4. The other important activity is monitoring of patient’s sleep quality and length. It is necessary to identify issues that prevent patient from having sufficient sleep and address them to reach the desired progress.
  5. Monitoring of patient’s emotional response to treatment and performing scheduled activities in order to avoid episodes of depression or stress, as well as development of inner emotional conflicts.
  6. Prior to scheduling exercises, it is crucial to assess patient’s ability to perform them. If the mobility level of an individual is low, it is necessary to start from easy exercises, which may include stretching. It will help avoid undesired injuries.
  7. Assessment of nutritional habits is also important to provide patients with enough energy.
  8. In the process of performing activities, it is necessary to monitor patient’s condition and immediately stop procedures if an individual experiences dizziness, pain, stress or other changes, including increased heart rate, etc.
  9. Constant recording of patients’ conditions is important for tracking any changes in health.
  10. Monitoring of skin integrity is another assessment technique important to avoid complications, especially among elderly patients.
  11. Assessment of pain level before and after completing the tasks. If the pain is experiences, it has to be determined whether it can be reduced or eliminated prior to activities performance.


The following interventions are important for health improvement among patients suffering activity intolerance.

  • It is important to develop proper exercise programs for patients and follow their completion. It will help improve physical health of patients and prevent atrophy of muscles. Moreover, exercising can have a positive effect on psychological condition of a patient. However, it is also important to develop some motivational and encouragement techniques, as not all patients may be willing to perform such activities.
  • Monitoring of patient’s condition and speed of recovery will help make necessary modifications and prevent cases of overloading or not sufficient training.
  • In order to ensure maximal performance level during sessions, it is important for patients to have a sufficient rest. It has to be allowed between the exercises.
  • Determine and avoid performing unnecessary or ineffective tasks to save energy for more important activities.
  • In order to encourage patients, it is important to provide feedback on their performance and overall improvements achieved during sessions.
  • In order to ensure proper level of energy for performing exercises, it is important to create a well-balanced dietary plan for patients.
  • Education is one of the important elements of treatment process. Education on healthy life choices, importance of regular physical activities, etc. is a sufficient step to health improvement.
  • Educate patients on importance of proper breathing habits development.
  • It is necessary to make sure that the patients avoid wearing items of clothes that restricts free blood flow, negatively affects oxygen level, etc.
  • In case a patient does not feel well in the process of exercising and shows signs of dizziness or any other activity intolerance symptoms, the training should be stopped and exercise program should be changed.