Ineffective activity planning

Domain 9. Coping-stress tolerance
Class 2. Coping responses
Diagnostic Code: 00199
Nanda label: Ineffective activity planning
Diagnostic focus: Activity planning

Introduction to Nursing Diagnosis Ineffective Activity Planning

Nursing is a profession that strives to provide quality care to those in need. In order to do so, nurses must be aware of how to correctly identify a patient’s illness or condition, and how to create appropriate plans of action to treat patients. One such intricate area of planning for nurses is that of activity diagnosis and planning. Activity diagnosis and planning involves assessing a patient’s abilities, capabilities, and limitations for performing activities on their own, and then creating plans to ensure that the patient can safely complete activities in the most effective manner. The concept of nursing diagnosis is that of managing an individual’s individual level of functioning and interventions in order to ensure a safe, positive result from completing an activity.

NANDA Nursing Diagnosis Definition

The NANDA- International (NANDA-I) is a professional organization for Nursing Diagnostics. Specifically, it provides a means to establish standards of care to evaluate and diagnose patient conditions. Through this organization, nursing practitioners are able to develop nursing diagnoses specific to a patient's situation and create plans of action tailored to that individual's needs. According to the NANDA-I, the definition of ineffective activity planning is "the patient's ability to plan, coordinate, and complete activities is decreased due to difficulty with concentration, problem solving, sequencing, memory, or risk assessment." The key to assessing this condition is to identify which activity needs to be accomplished and then determine the best course of action for assisting the patient in achieving that activity.

Defining Characteristics List

The defining characteristics of a patient with ineffective activity planning provide clues as to what may be causing the issue and how it can be addressed. The following is a list of some of the common defining characteristics:

• Subjective: Patients may report difficulty concentrating, feeling disoriented or overwhelmed, being easily distracted, short-term memory impairment, being ill equipped to assess risks associated with activities, and/or feeling powerless to sequence activities.
• Objective: Health care professionals may note confusion or inappropriate activity choices, problems completing tasks or activities, trouble meeting self-care needs, poor coordination or balance when completing activities, and/or difficulty problem solving.

Related Factors

There are many related factors when it comes to ineffective activity planning. For example, patients may have a lack of knowledge about a particular activity, physical or psychological impairments, reduced physical abilities, traumatic brain injury, or substance abuse. Additionally, feeling overloaded as a result of too many activities or having multiple responsibilities could also cause difficulty in effectively planning activities.

At Risk Population

Patients who are at risk of exhibiting an ineffective activity planning issue are typically those with disabilities and illnesses, the elderly, and people living with mental health diagnoses. Additionally, those who are facing poverty, who experience social isolation, or who are members of racial and ethnic minorities are more likely to struggle with this condition.

Suggestions of Use

In order to properly address ineffective activity planning, nurses should assess the patient’s condition by collecting information on risk factors and related medical history. In addition to physical assessments, clinicians should also consider the patient’s goals and review their medication use. Focusing on realistic activities that generate positive outcomes and reducing task steps when appropriate, can help. Additionally, nurses can help patients by providing guidance, demonstrating activities or structures for monitoring progress, helping with decision-making, or providing reassurance when needed.

Suggested Alternative NANDA Nursing Diagnosis

When considering an alternative to ineffective activity planning, nurses may consider one of the following NANDA-I diagnoses:

• Impaired Self-Care: This diagnosis occurs when patients have difficulty managing their own activities of daily living, such as bathing, feeding, dressing, hygiene, and mobility.
• Activity Intolerance: This diagnosis indicates the patient lacks the energy to engage in regular, planned activities.
• Impaired Memory: When a patient has a cognitive impairment and is unable to store, recall, or use information related to tasks and planned activities, they may be diagnosed with impaired memory.
• Risk for Falls: The risk for falls diagnosis is given to those who are at an increased risk of falling due to age, physical impairments, incontinence, or vision problems.

Usage Tips

In order to use nursing diagnoses properly and accurately, nurses should remember a few important tips. First, all related factors should be thoroughly investigated. Second, nurses should not make diagnoses based solely on one factor as multiple factors could be involved. Third, nurses should always obtain confirmation from other sources whenever possible. Additionally, nurses need to evaluate and update the diagnosis as the patient progresses through their care plan.

NOC Outcomes

Nursing Outcome Classification (NOC) is a nursing process that focuses on patients’ outcomes. With NOC, nurses can develop and measure goals, evaluate interventions, and track patient progress. As relating to ineffective activity planning, these outcomes will include activities such as: directed goal setting and development, self-care practices, safety assessments, engaged problem-solving, independent living, and improved level of functioning. Each of these outcomes can be assessed and tracked to measure the patient's progress in relation to the diagnosis.

Evaluation Objectives and Criteria

In order for a plan of effective activity planning to be successful, nurses must ensure that their evaluation objectives meet the following criteria:

• The objectives should be realistic, achievable and measurable.
• The objectives should take both short and long-term goals into account.
• The objectives should focus on the patient's current level of functioning.
• The objectives should allow for continuous monitoring and assessment of progress.

NIC Interventions

Nursing Intervention Classification (NIC) is a tool used to identify, select, and classify nursing interventions. When selecting nursing interventions, nurses should consider if the interventions are appropriate for the patient and if they will improve the patient's level of functioning. Some NIC interventions that are suitable for treatment of ineffective activity planning include education, activities of daily living (ADL) establishment, activity analysis, environmental adaptations, activity stimulation, adaptation instruction, energy conservation instruction, and support for the patient's psychological needs.

Nursing Activities

Nurses can also assist patients with ineffective activity planning through direct observation of the patient, providing direction, guidance and encouragement, analyzing and monitoring activities, developing goals, and evaluating both short-term and long-term progress.

Conclusion

In conclusion, nurses must be aware of how to assess and diagnose patients who exhibit issues related to ineffective activity planning. Through the NANDA-I definition, defining characteristics, and related factors, the nurse can identify and classify the issue and properly develop and implement a plan of action to address the issue. Along with NIC and NOC outcomes, the nurse can ensure that the individualized plan of action is realistic, achievable, and effective in improving the patient's functioning.

5 FAQs

• What is Nursing Diagnosis Ineffective Activity Planning? Nursing Diagnosis Ineffective Activity Planning is a condition in which a patient’s ability to plan, coordinate, and complete activities is decreased due to difficulty with concentration, problem solving, sequencing, memory, or risk assessment.
• Who is at Risk of Ineffective Activity Planning? Those who are more likely to suffer from Ineffective Activity Planning include people with disabilities and illnesses, the elderly, those living with mental health diagnoses, as well as those dealing with poverty, social isolation, and/or membership of minority groups.
• What are some Suggestions of Use for Ineffective Activity Planning? Nurses can assist patients with this issue by conducting physical assessments and collecting information on risk factors and related medical history. Additionally, nurses can focus on realistic activities that generate positive outcomes, reduce task steps when appropriate, provide guidance, demonstrate activities or structures for tracking progress, assisting with decision-making, or offering reassurance.
• Which alternative NANDA Nursing Diagnosis should be considered? When considering alternatives to Ineffective Activity Planning, nurses may look at Impaired Self-Care, Activity Intolerance, Impaired Memory, and Risk for Falls.
• What are some Evaluation Objectives and Criteria for Ineffective Activity Planning? Nurses should ensure that their evaluation objectives for Ineffective Activity Planning are realistic, achievable and measurable; take both short- and long-term goals into account; focus on the patient's current level of functioning; and allow for continuous monitoring and assessment of progress.

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