Cholecystectomy Nursing Care Plan: Activity Intolerance

Assessment
S> O> The pt. manifested: >difficulty turning from one side to another. > generalized weakness >limited ROM >needs assistance when moving Pt. may manifest: >bed sores >muscle weakness

Nursing Diagnosis
Activity intolerance r/t generalized weakness 2 Cholecystectomy

Scientific Explanation
Post-op pt. usually is under bed rest for few days that may hinder them to their usual activity. Presence of surgical incision procedures causes the pt. to be reluctant in doing personal activities, because those may result in the stimulation of the nerve endings, during movement, thus, increase pain sensation.

Planning (Objective/Goal)
Short term: After 1 of NI, the pt will verbalize understanding on improvement of activity tolerance within his/ her limitation.

Interventions
>establish rapport.

Rationale
>to establish nurse-pt. relationship. >to establish baseline data. >to gather baseline data and compare it with normal findings. >to gather baseline data. >to prevent fatigue and conserve energy. >to participate in activities. >to enhance sense of well being. >to prevent injuries.

Evaluation
Short term: Pt. shall have verbalized understanding on improvement of activity tolerance within his/her limitation

> monitor VS. >assess pt. Condition.

Long term: Long term: After 4 of NI, the pt. will participate in conditioning program to enhance ability to perform activities. >monitor vital signs. >provide adequate rest. >adjust activities to enhance ability. >encourage pt. to maintain a positive outcome >assist pt. to lean and demonstrate safety measures. >teach ways on how to conserve Pt. shall have participated in conditioning program to enhance ability to perform activities.

>to limit fatigue&

energy such as sitting when doing activities. >administer med prior to activity as need.

maximize use of energy. >For pain relief, to permit maximal effort and involvement in activity.