Problem #3: Deficient diversional activity

Cues
S Naiinip na
ako dito
O
Muscle grade
of 2/5
Lethargic
Moves from
side to side

Restlessness
With V/S as
follows
90/60mmHg
18cpm
72bpm
36.50C

Nursing
Diagnosis
Deficient
diversional
activity
related to
environment
al lack of
diversional
activity as
evidenced by
restlessness

Scientific
Explanation
The nervous
system
profoundly
affects both
psychological
and physiologic
functions. It
receives stimuli
from the internal
and external
environmen5
through a varied
afferent or
sensory
pathways that
will
communicates
information
between the
distant parts of
the body to
CNS that will
also transmits
information
rapidly over
varied efferent
or motor
pathways to
effector organs
for body action
control or
modifications.

Objectives
After 4 hours of
nursing
intervention, the
patient will be
able to engage
in satisfying
activities within
personal
limitations.

Nursing
Interventions
Assess/review
clients physical,
cognitive,
emotional, and
environmental
status.

Rationale

Evaluation

Validates reality of
diversional deprivation
when it exists, or
identifies the potential
for loss of desired
diversional activity, in
order to plan for
prevention or early
intervention where
possible.

What is the
patients physical,
cognitive, emotional
and environmental
status?

Determine
avocation and
hobbies client
previously pursued.
Incorporate
activities, if
appropriate, into
present program.

Encourages
involvement and helps
to stimulate client
mentally and physically
to improve overall
condition and sense of
well-being.

What are the

patients hobbies
before
hospitalization?

Introduce activities
at clients current
level of functioning,
progressing to more
complex activities,
as tolerated.

Provides opportunity
for client to experience
successes, reaffirming
capabilities and
enhancing self-esteem.

Did the patient

comply with the
activity?

Establish
therapeutic
relationship,
acknowledging
reality of situation

May be feeling sense

of loss when unable to
participate in usual
activities or to interact
socially as desired.

Determine what the

patient feels about
her situation?

(Medical
Surgical
Nursing 2nd
Edition, Udan
2009)

and clients
feelings.
Participate in
decisions about
timing and spacing
of visitors, leisure
and care activities

To promote
relaxation/reduce
sense of boredom as
well as prevent
overstimulation and
exhaustion.

Did the patient feel

comfortable?

Encourage
participation in mix
of activities and
stimuli, such as
music, news
program,
educational
presentations,
crafts, and social
interactions, as
appropriate.

Offering different
activities helps client to
try out new ideas and
develop new interests.
Activities need to be
personally meaningful
for the client to derive
the most enjoyment
from them such as
talking or Braille books
for the blind and
closed-caption TV
broadcasts for the deaf
or hearing impaired.

Did the patient

participate in the
given activity?

Provide change of
scenery when
possible, alter
personal
environment.

Stimulates energy and

provides new outlook
for client.

Did the patient feel

comfortable?