Domain 1.Health promotion
Class 2. Health management
Diagnostic Code: 00307
Nanda label: Readiness for enhanced exercise engagement
Diagnostic focus: Exercise engagement
Nursing Diagnosis Readiness For Enhanced Exercise Engagement
Introduction
The topic of nursing diagnosis readiness for enhanced exercise engagement is an important one on both the patient’s and clinician’s part. This nursing diagnosis looks at the patient’s readiness to begin, continue or increase their level of physical activity. It can also be used to help identify areas in which the patient could improve upon in order to be more safe and efficient while exercising.
NANDA Nursing Diagnosis Definition
According to NANDA International (NANDA-I): “Readiness for enhanced exercise engagement is an ability to access and make use of resources to actively pursue physical activity for health benefit and well-being.” The main goal of this diagnosis is to evaluate the patient’s willingness and ability to engage in physical activity and how it could potentially affect their overall health.
Defining Characteristics
Subjectives
- Expresses intention to increase physical activity level
- Expresses knowledge of physical activity benefits
- Identifies available physical activity resources
- Identifies potential barriers to physical activity participation
Objectives
- Demonstrates system use to access physical activity resources
- Initiates contact/makes referrals to external resources
- Utilizes knowledge obtained from physical activity resource materials
- Participates in physical activity
- Tweaks activity plan based on response to activity
Suggestions of Use
The goal of this particular nursing diagnosis is to provide physical activity guidance to those individuals who are not familiar with where to obtain it or do not understand the best ways to gain health benefits from such activities. The nursing team can work with the patient to help them become ready for enhanced exercise engagement by:
- Assessing the patient’s body composition, physicality and individual goals
- Developing a plan tailored specifically to the patient’s needs which provides access to physical activity resources
- Creating environmental and supportive conditions that facilitate physical activity participation
- Establishing realistic and challenging objectives
- Monitoring the patient’s progress and providing appropriate support and counseling as needed
Suggested Alternative NANDA Nursing Diagnosis
- Exercise Limitation – Impaired ability of an individual to initiate and participate in physical activity due to certain barriers and limitations.
- Activity Intolerance – Inability to perform or withstand a physically demanding activity due to fatigue, physical weakness or pain.
- Risk for Injury – Potential for harm due to inadequate knowledge and physical capacity to engage in physical activity.
Usage Tips
When assessing for this diagnosis, it is important for the nurses to stay organized. Before patient contact, the nurse should have a template and list of questions ready to assess. During the evaluation, the nurse should ask open-ended questions and guide the patient to explain their thoughts and feelings related to physical activity. After the assessment is complete, the nurse should form a plan of care that is specific to the patient and provides clear expectations.
NOC Outcomes
- Execution of Physical Activity – Ability to apply the physical exertion necessary to perform an activity.
- Physical Fitness – Ability to improve physical health status through the habitual performance of structured exercise.
- Exercise Therapy Self-Management – Ability to assess, select and independently manage physical activity programs.
Evaluation Objectives and Criteria
In order to evaluate the success of this diagnosis, the nurse should consider a few things. First, the patient should be able to demonstrate a knowledge of beneficial physical activity resources and be able to access them successfully. Secondly, the patient should be physically active and engaged in their activity plan, reporting improvements in their physical activity levels and physical health as time passes. Lastly, the patient should be able to modify their plan as needed and self-manage their exercise appropriately in order to ensure safety and positive outcomes.
NIC Interventions
- Equipment Training – Instruct the patient in the proper usage and application of exercise and activity equipment.
- Exercise Promotion – Educate the patient about the health benefits and characteristics of physical activity, as well as encourage them to participate in physical activity regularly.
- Follow-Up Care – Monitor the patient’s physical activity levels, provide support and counseling, and adjust the exercise plan accordingly.
Nursing Activities
Nurses should assess the patient’s overall physical and mental health before implementing any physical activity program. After assessment, they should develop a personalized exercise plan which they should review and discuss with the patient. The nurse should also assess the patient’s knowledge of physical activity resources and provide adequate counseling, education and support as needed. Additionally, the nurse should monitor the patient’s progress and modify the plan as necessary in order to ensure positive outcomes.
Conclusion
Nursing diagnosis readiness for enhanced exercise engagement is an important diagnostic tool for evaluating the patient’s willingness and ability to engage in physical activity. Through the assessment of the patient’s physical and mental health, the development of an individualized plan, counseling and education, and regular follow up visits, nurses can help patients reach their physical activity goals.
5 FAQs
1) How do I know if I am ready for increased physical activity?
Answer: You can assess your own level of readiness by evaluating your intentions and knowledge related to physical activity, and accessing your available resources. A nurse or healthcare provider can also assess your physical health and make their own determination regarding your readiness for enhanced exercise engagement.
2) What should I consider when creating a physical activity plan?
Answer: When creating a physical activity plan, you should consider the type of activity, frequency, intensity and duration. It’s important to set realistic and challenging objectives, and modify the plan as needed based on how your body responds to physical activity.
3) What physical activity resources are available?
Answer: There are many physical activity resources available, including books, videos, websites and gyms. Your healthcare provider can help you locate and access resources which are appropriate for your individual needs.
4) Is monitoring important for physical activity success?
Answer: Yes, monitoring the progress of your physical activity is important for helping you stay on track. Regular follow-up visits with your healthcare provider are recommended to assess your progress, provide additional counseling and support, and adjust the plan as necessary.
5) How can a nurse help me become ready for enhanced exercise engagement?
Answer: Nurses can provide guidance, education and support throughout the process of becoming ready for exercise engagement. They can help create an individualized plan based on your physical health, goals and resources, and provide ongoing monitoring, counseling and reinforcement as needed.
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