Activity Intolerance - Hepatic Cirhosis

Nursing Care Plan: Activity Intolerance in Hepatic Cirrhosis

Nursing Assessment	Nursing Diagnosis	Goal	Nursing Intervention	Rationale	Evaluation
Subjective Data: Reports feeling weak, fatigued, and unable to perform ADLs Complains of malaise and inability to concentrate Difficulty initiating movements Feels dizzy or lightheaded on standing Objective Data: Pallor and jaundice Diaphoresis Weak appearance, limited range of motion Respiratory rate increases with minimal activity Heart rate elevates easily Inability to complete self-care tasks independently	Activity intolerance related to generalized body weakness secondary to progressive disease state as manifested by pallor, body malaise, diaphoresis, inability to concentrate, and inability to perform ADLs, weak in appearance, limited ROM and difficulty initiating movements	Client will achieve maintenance of rest and comfort with improved energy conservation and ability to participate in activities of daily living.	Assess the degree of activity tolerance and degree of fatigue	Provides baseline data for better interventions.	After using above nursing interventions, the patient participated willingly in necessary activities, learned how to conserve energy, and verbalized relief from fatigue.
			Provide adequate rest	Rest reduces metabolic demands on the liver.
			Adjust the patient in a comfortable position in bed	Proper positioning helps in maximal respiratory efficiency and prevents bedsores.
			Encourage patient to take high-protein and high-caloric diet frequently	Provides energy and helps in healing of tissues.
			Administer Oxygen as ordered	Oxygenates damaged cells and prevents further damage.
			Encourage the patient to exercise gradually and do self-care within limits	Regular exercise improves activity tolerance; promotes sense of control and accomplishment.

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