Activity Intolerance: Improving Energy Conservation and Increasing Activity Tolerance, Exams of Nutrition

Information on activity intolerance, its signs and symptoms, causes, and measures to increase activity tolerance. It emphasizes the importance of energy conservation techniques and offers suggestions for prioritizing, planning, pacing, and positioning to conserve energy. The document also includes practical tips for dressing, shopping, housework, and cooking.

Typology: Exams

2021/2022

Uploaded on 09/07/2022

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CPT Educational Group
Activity Intolerance
Purpose: Purpose of this group is to educate patient on how to improve activity
tolerance, to promote an increased ability to tolerate daily activities, and ability to
function with increased independence.
Admission Criteria:
Impaired activity Tolerance
Free of illness/ isolation precautions
Able to follow 2 step instructions
Able to tolerate sitting for at least 30 minutes
Objectives/Goals:
Increase patient knowledge of energy conservation techniques
Increase knowledge of strategies to increase activity tolerance
Suggested Materials:
Printouts of Fatigue Impact Scale From Medigraph (Attached-PDF)
Suggested Activities:
Review Fatigue Impact Scale From Medigraph (Attached-PDF)
Review and discuss the energy conservation Techniques as listed in
attached materials
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CPT Educational Group

Activity Intolerance

Purpose: Purpose of this group is to educate patient on how to improve activity tolerance, to promote an increased ability to tolerate daily activities, and ability to function with increased independence. Admission Criteria:

  • Impaired activity Tolerance
  • Free of illness/ isolation precautions
  • Able to follow 2 step instructions
  • Able to tolerate sitting for at least 30 minutes Objectives/Goals:
  • Increase patient knowledge of energy conservation techniques
  • Increase knowledge of strategies to increase activity tolerance Suggested Materials: Printouts of Fatigue Impact Scale – From Medigraph (Attached-PDF) Suggested Activities:
  • Review Fatigue Impact Scale – From Medigraph (Attached-PDF)
  • Review and discuss the energy conservation Techniques as listed in attached materials

Signs and symptoms of activity intolerance in response to activity:

  • Excessive increase or decrease in blood pressure with activity
  • Excessive increase or decrease in pulse with activity
  • Shortness of breath
  • Excessive fatigue or weakness
  • Sweating
  • Dizziness
  • Pallor or cyanosis Factors that can cause decreased activity:
  • Poor nutrition
  • Depression
  • Stress
  • Advancing age
  • Sedentary lifestyle
  • Bed rest
  • Pain
  • Dehydration
  • Surgery
  • Heart disease
  • Respiratory disease
  • Multiple other diseases Measures to increase activity tolerance:
  • Use energy conservation techniques (give examples)
  • Gradually increase exercise with planned rest periods
  • Stop smoking
  • Use assistive devices, such as walker, wheelchair, cane, etc.
  • Eat a nutritious, well-balanced diet
  • Lose weight if overweight
  • Rest after meals
  • Set realistic goals
  • Use an activity log to record exercise and exercise tolerance
  • Stop activity immediately if cardiac symptoms such as chest pain, increased shortness of breath, or excessive fatigue occur
  1. Position
    • Too much bending and reaching can cause fatigue and shortness of breath. Use a reacher, sock aid, long handled shoe horn and/or elastic shoelaces. Avoid bending and reaching too much.
    • Always maintain a nice upright posture when sitting and standing. This helps you get more oxygen into your lungs and around your body to work better.
    • Sit when you can. Sitting supports your body so you can focus on your breathing and activities while conserving your energy. Sitting reduces energy use by 25%. Energy Conservation Tips Dressing and Hygiene:
    • Sit when you can.
    • Organize and lay out clothing the night before.
    • Begin dressing your lower half first as this uses more energy.
    • Avoid bending and reaching. Instead, use a reacher, sock aid or long handled shoe horn or lift your legs up onto the bed or chair.
    • Dry off with terry cloth robe. You use less energy than drying off with a towel.
    • If you have a weaker limb or limbs, it is easier to dress the weaker limb first. It is easier to undress your strong limb first.
    • Wear clothes that are easy to put on and take off. For example, use clothes and shoes with velcro® instead of small buttons, clasps or laces.
    • Avoid using scented products such as hair products and lotions. These can irritate your lungs and cause shortness of breath for you and others around you. Many people are allergic to scents. These types of products are not allowed in the hospital.
    • Be cautious when bathing. Use warm, not hot water. This helps eliminate shortness of breath from a buildup of steam and condensation.
    • Use the bathroom equipment suggested by your Occupational Therapist. For example using a bath bench, bath stool, grab bars or a raised toilet seat can make bathing and toileting easier and safer. Shopping:
    • Bring a prepared list of things you need to buy.
    • Organize your shopping list by aisle or section of the store.
    • Transport items in a buggy or shopping cart rather than carrying them in a basket.
    • Load and carry grocery bags that are only half full or shop with someone who can help pack and carry bags.
  • Avoid going out during rush hour when stores and streets are crowded. Consider using a delivery service. Housework
  • Divide activities and do them throughout the week. Balance light with heavy tasks.
  • Make one side of the bed at a time. Sit to change pillow cases and unfold linen.
  • Avoid spray cleaners that may irritate your lungs.
  • Clean the bathtub by sitting or kneeling.
  • Clean one whole room at a time instead of going back and forth between rooms to do each job.
  • Consider asking for help from family members or hiring a cleaning service or housekeeper.
  • After washing dishes, allow them to air dry.
  • Have work in front of you rather than at your side.
  • Slide rather than lift objects.
  • Use long handled dustpans and cleaning sponges to decrease the need for bending.
  • Make a weekly plan for major jobs such as laundry, cleaning and changing sheets on beds. Do one job each day.
  • Keep a trash can in every room to avoid too much walking.
  • Buy more than one of each item you use around the house. For example, keep sink cleaner in the bathroom and kitchen. Keep a vacuum on each level of your home. Cooking
  • Cook and bake in steps to reduce energy use.
  • Gather all ingredients and utensils before starting.
  • Plan ahead with meal preparation.
  • Make large meals and freeze in servings for later use.
  • Use lightweight cookware and dishes to conserve energy.
  • Use paper plates and cups to eliminate dishwashing.
  • Use electric appliances such as can openers, blenders, food processors and dishwasher to conserve energy.
  • Consider buying easy to prepare or frozen meals, or using a meal delivery service. Key Points:
  • Prioritize activities of the day. Do heavier tasks when you have more energy.
  • Plan your days’ and weeks’ activities. Set up your work area so you do not have to move around a lot looking for items to complete the task. Plan rest times.