Another nursing diagnosis that is evident in Sallie Mae is activity intolerance related to reduction of oxygen (O2) supply, generalized weakness, and lack of motivation. Is manifest that Sallie is unable to complete or tolerate activities of daily living (ADL’s), due to lack of, not only of physical, but emotional energy or enthusiasm. Activity intolerance is a clinical symbol related with increased mortality and morbidity in patients with chronic conditions, affecting and decreasing their quality of life (McCoy, et al, 2017).
As Sallie’s heart condition progress and her heart becomes weaker, the ability of the heart muscle to pump the required amount of blood to meet her body’s needs, gets compromised. Therefore, essential organs and tissues are not receiving the O2 they need to function properly and as a consequence, Sallie feels tired, weak and shorter of breath. Sallie is likewise, displaying signs of depression, which could come to aggravate the situation,…show more content… • Monitor signs and symptoms of activity intolerance, as well as vital signs and O2 saturation with activity: which will help to evaluate the physiological response of the patient to activity, including sign of O2 deficiency, increase heart rate (HR), decrease blood pressure (BP), irregular heartbeat, tachycardia, etc.
• Identify situations that lead to activity intolerance: will help to create an individualized and adequate activity based on the patient specific needs.
• Provide and encourage the use of O2 supply as needed: Sallie has refused to use the O2 at home, as per the physician recommendation, which could be contributing to her fatigue and
