Decreased diversional activity engagement

Decreased diversional activity engagement

Domain 1.Health promotion
Class 1. Health awareness
Diagnostic Code: 00097
Nanda label: Decreased diversional activity engagement
Diagnostic focus: Diversional activity engagement

Nursing diagnosis “decreased diversional activity engagement” involves identifying a patient’s lack of participation in leisure activities and taking appropriate interventions such as providing an opportunity and motivation for the patient to engage in recreational activities. Inadequate understanding or poor ability to recognize and enjoy pleasurable activities may result in disengagement from diversional activities, which can have detrimental effects on the individual’s physical and mental health.

NANDA Nursing Diagnosis Definition

The NANDA International (NANDA-I) lists “Decreased Diversional Activity Engagement” as a nursing diagnosis. This nursing diagnosis is defined as “lack of participation in leisure activities.”
The required related factors that must be included with this diagnosis are:
1. Inability to engage in desired recreational activities.
2. Lack of knowledge about leisure activities.
3. Inability to find meaning or purpose in leisure activities.
4. Barriers to participation in recreational activities.

Defining Characteristics

Subjective defining characteristics for Decreased Diversional Activity Engagement include verbalization of boredom with leisure activities; lack of enjoyment in recreational activities; non-participation in activities previously enjoyed; inability to find meaning or purpose in recreational activities; statements of frustration or difficulty initiating or maintaining leisure activities; and displeasure in recreational activities.

Objective defining characteristics of Decreased Diversional Activity Engagement include inability or decreased ability to engage in recreational activities; disinterest in or avoidance of recreational activities; restlessness or agitation when given opportunities to participate in leisure activities; decrease in social interaction; and lack of participation in previous hobbies or interests.

Related Factors

There are several factors related to Decreased Diversional Activity Engagement. These may include physical or medical problems, such as pain or fatigue. Psychological or emotional issues, such as depression, anxiety, or trauma, may also contribute to decreased diversional activity engagement. Time constraints due to work or family commitments may limit the opportunities available for leisure activities. Age-related physical or cognitive changes; social isolation; and cultural differences in leisure activities enjoyed can all cause an individual to become less interested in recreational activities.

At Risk Population

High risk groups for Decreased Diversional Activity Engagement include elderly individuals, those with physical disabilities, terminally ill patients, and those admitted to hospital for an extended period of time. People who experience psychological or emotional issues, or suffer from social or economic deprivation, may also be at higher risk of disengaging from leisure activities.

Associated Conditions

Decreased Diversional Activity Engagement can lead to a number of associated conditions, including impaired physical and mental health. A decrease in physical activity can lead to weight gain, increased risk of chronic diseases, and deconditioning. In addition, lack of engagement in leisure activity can cause feelings of boredom, loneliness, and depression. Cognitive abilities can also be negatively affected by a lack of diversional engagement, resulting in apathy and inactivity.

Suggestions for Use

Nurses caring for individuals with decreased diversional activity engagement should consider implementing a variety of strategies. These can range from providing educational support and motivation to accessing community services and making referrals. Nurses should also assess and identify situations contributing to the individual’s reduced interest in leisure activities, including the patient’s physical and psychological state, environmental issues, and barriers of accessibility.

Suggested Alternative NANDA Nursing Diagnoses

In addition to Decreased Diversional Activity Engagement, nurses may consider other diagnoses such as Activity Intolerance; Impaired Social Interaction; Social Isolation; and Disuse Syndrome, as these may all be related to an individual’s lack of interest in recreational activities.

Usage Tips

When assessing a patient, it is important to consider their attitude towards recreational activities, their age and level of function, their physical health, and their psychological wellbeing. It is also important to consider cultural norms when discussing leisure activities with a patient, as the concept of recreational activities may be unfamiliar to some patients. Additionally, it may be helpful to incorporate family members or caregivers into the leisure education process, as they may be better able to identify enjoyable recreational activities for the patient.

NOC Outcomes

Nursing outcomes classification (NOC) includes several outcomes related to Decreased Diversional Activity Engagement. These include Activity Tolerance; Leisure Participation; Social Interaction; Leisure Relaxation; and Personal Well-Being.

Activity Tolerance is the ability to engage in recreational activities without becoming fatigued. Leisure Participation involves actively engaging in leisure activities. Social Interaction is the ability to communicate and associate effectively with peers. Leisure Relaxation refers to the ability to relax in a leisure setting. Finally, Personal Well-Being relates to the individual’s overall sense of well-being.

Evaluation Objectives and Criteria

Nursing evaluation criteria for outcomes related to Decreased Diversional Activity Engagement include the frequency and duration of recreational activities, the individual’s level of engagement in recreational activities, and the number and intensity of observations indicating the patient’s improved wellbeing following activity engagement.

NIC Interventions

Nursing interventions classification (NIC) includes several interventions related to Decreased Diversional Activity Engagement. These include Leisure Education; Recreational Activity Facilitation; Social Support; Activity Therapy; and Exercise Promotion.

Leisure Education promotes leisure awareness and emphasizes the importance of leisure activities. Recreational Activity Facilitation encourages and assists individuals in planning leisure activities. Social Support involves providing encouragement and facilitating opportunities for social interaction. Activity Therapy includes providing physical activities to improve functioning. Exercise Promotion involves providing guidance on regular exercise.

Nursing Activities

When caring for a patient with Decreased Diversional Activity Engagement, nurses should assess the individual’s understanding of leisure activities and current level of engagement. Nurses should then develop a plan taking into consideration the patient’s physical abilities, mental condition, interests, and culture. The plan should focus on restoring participation in leisure activities, identifying barriers and providing coping strategies, and developing appropriate interventions. Nursing activities should include the provision of information, advocacy, and psychosocial support and positive reinforcement for participation in recreational activities.

Conclusion

Nursing diagnosis “Decreased Diversional Activity Engagement” identifies a patient’s lack of involvement in recreational activities and provides an opportunity for nurses to intervene. Its related factors, at-risk population, associated conditions, suggestions of use, and relevant nursing interventions must be understood by nurses in order to provide comprehensive care. When evaluating the patient’s response to these interventions, nurses must take into account the degree of participation in leisure activities, evaluation objectives and criteria, and nursing outcomes.

FAQs

  • Q1: What is Nursing Diagnosis “Decreased Diversional Activity Engagement”?
    A1: Nursing diagnosis “decreased diversional activity engagement” involves identifying a patient’s lack of participation in leisure activities and taking appropriate interventions such as providing an opportunity and motivation for the patient to engage in recreational activities.
  • Q2: What are the NANDA Nursing Diagnosis Definition?
    A2: The NANDA International (NANDA-I) lists “Decreased Diversional Activity Engagement” as a nursing diagnosis. This nursing diagnosis is defined as “lack of participation in leisure activities.”
  • Q3: What are the Defining Characteristics for this nursing diagnosis?
    A3: Subjective defining characteristics for Decreased Diversional Activity Engagement include verbalization of boredom with leisure activities; lack of enjoyment in recreational activities; non-participation in activities previously enjoyed; inability to find meaning or purpose in recreational activities; statements of frustration or difficulty initiating or maintaining leisure activities; and displeasure in recreational activities. Objective defining characteristics of Decreased Diversional Activity Engagement include inability or decreased ability to engage in recreational activities; disinterest in or avoidance of recreational activities; restlessness or agitation when given opportunities to participate in leisure activities; decrease in social interaction; and lack of participation in previous hobbies or interests.
  • Q4: What are the Related Factors the nurse must consider when caring for a patient with this diagnosis?
    A4: Related factors that must be considered when caring for a patient with decreased diversional activity engagement include physical or medical problems; psychological or emotional issues; time constraints; age-related physical or cognitive changes; social isolation; and cultural differences in leisure activities enjoyed.
  • Q5: What Nursing Interventions can be used to help address this diagnosis?
    A5: Nursing interventions to help address decreased diversional activity engagement include leisure education, recreational activity facilitation, social support, activity therapy, and exercise promotion. Additionally, assessing and identifying situations contributing to the individual’s reduced interest in recreational activities, including the patient’s physical and psychological state, environmental issues, and barriers of accessibility may be of assistance.