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Problem #3: Deficient diversional activity

Cues NursingDiagnosis

ScientificExplanation

Objectives NursingInterventions

Rationale Evaluation

SNaiinip naako dito

OMuscle grade

of 2/5LethargicMoves from

side to side

RestlessnessWith V/S as

follows90/60mmHg

18cpm72bpm36.5

0C

Deficientdiversional

activityrelated to

environmental lack of

diversionalactivity as

evidenced byrestlessness

The nervoussystemprofoundlyaffects bothpsychologicaland physiologicfunctions. Itreceives stimulifrom the internaland externalenvironmen5through a variedafferent orsensorypathways thatwillcommunicatesinformationbetween thedistant parts ofthe body toCNS that willalso transmitsinformationrapidly overvaried efferentor motorpathways toeffector organsfor body actioncontrol ormodifications.

After 4 hours ofnursing

intervention, thepatient will be

able to engagein satisfying

activities withinpersonal

limitations.

Assess/reviewclients physical,cognitive,emotional, andenvironmentalstatus.

Determineavocation andhobbies clientpreviously pursued.Incorporateactivities, ifappropriate, intopresent program.

Introduce activitiesat clients currentlevel of functioning,progressing to morecomplex activities,as tolerated.

Establishtherapeuticrelationship,acknowledgingreality of situation

Validates reality ofdiversional deprivationwhen it exists, oridentifies the potentialfor loss of desireddiversional activity, inorder to plan forprevention or earlyintervention wherepossible.

Encouragesinvolvement and helpsto stimulate clientmentally and physicallyto improve overallcondition and sense ofwell-being.

Provides opportunityfor client to experiencesuccesses, reaffirmingcapabilities andenhancing self-esteem.

May be feeling senseof loss when unable toparticipate in usualactivities or to interactsocially as desired.

What is thepatients physical,cognitive, emotionaland environmentalstatus?

What are thepatients hobbiesbeforehospitalization?

Did the patientcomply with theactivity?

Determine what thepatient feels abouther situation?

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(MedicalSurgicalNursing 2

nd

Edition, Udan2009)

and clientsfeelings.

Participate in

decisions abouttiming and spacingof visitors, leisureand care activities

Encourageparticipation in mixof activities andstimuli, such asmusic, news

program,educationalpresentations,crafts, and socialinteractions, asappropriate.

Provide change of

scenery whenpossible, alterpersonalenvironment.

To promote

relaxation/reducesense of boredom aswell as preventoverstimulation andexhaustion.

Offering differentactivities helps client totry out new ideas anddevelop new interests.

Activities need to be

personally meaningfulfor the client to derivethe most enjoymentfrom them such astalking or Braille booksfor the blind andclosed-caption TVbroadcasts for the deafor hearing impaired.

Stimulates energy and

provides new outlookfor client.

Did the patient feel

comfortable?

Did the patientparticipate in thegiven activity?

Did the patient feel

comfortable?