Activity intolerance is a hallmark symptom of heart failure, and it can also appear after having a heart attack. Other medical conditions, such as COPD and hypothyroidism may also lead to activity intolerance.
There are various physical factors that can reduce activity tolerance, including advanced age, pain, bone and joint problems, heart disease, and dementia. Psychological factors, such as stress and depression, can also decrease the ability to endure daily activities.
Optimize Activity Tolerance Preplan and pace activity; balance activity with periods of rest; allow for uninterrupted sleep. Support coping and manage anxiety to minimize energy expenditure. Encourage gradual increase of activity as condition improves.
Follow your provider's instructions for building your tolerance to exercise. That will likely mean getting a certain amount of physical activity at a set level of effort. It could mean eating more protein or making sure you manage the condition that caused your intolerance to exercise.
Encourage gradual increase of activity as condition improves. Position for optimal comfort and activity tolerance (e.g., sitting for self-care). Monitor physiologic response to activity; adjust ingly. Provide range of motion actions (active, passive or assistive) per prescribed limitations.
Exercise intolerance is the primary symptom of chronic diastolic heart failure (DHF). It is part of the definition of heart failure and is intimately linked to its pathophysiology. Further, exercise intolerance affects the diagnosis and prognosis of heart failure.
Activity intolerance can be described as insufficient physiological or psychological energy to complete required or desired daily activities. Activity intolerance is a common side effect of heart failure and can be related to generalized weakness and difficulty resting and sleeping.
NANDA explains the descriptive characteristics and nursing intervention of the di- agnosis of activity intolerance, defining activity intolerance as insufficient physiological energy to complete necessary or desired activities. Individuals cannot tolerate activities that require an effort.
Activity intolerance falls under the physiological needs in Maslow's hierarchy as it relates to health, which is vital for survival. This condition indicates a reduced ability to perform physical activities, impacting an individual's overall well-being.
Assess the client's level of activity tolerance and difficulties in mobility Take the resting pulse, blood pressure, and respiration. Consider the rate, rhythm, and quality of the pulse. If the signs are normal, have the client perform the activity. Obtain the vital signs immediately after activity.