Follow us on Twitter!Diversional Activity Deficit
Diversional Activity Deficit
(_)Actual (_) Potential
| (_)
Monotonous environment (_) Long-term hospitalization (_) Lack of motivation with signs of depression (_) Skeletal-muscular impairments (_) Other:_____________________________ ____________________________________ ____________________________________ |
| Major:
(Must be present) |
(_) Observed statement of boredom/depression fro inactivity. |
| Minor:
(May be present) |
(_)
Constant expression of unpleasant thoughts or feelings. (_) Yawning or inattentiveness. (_) Flat facial expression. (_) Restlessnes/fidgeting. (_) Body language (shifting of body away from speaker). (_) Immobile (on bed rest or confined). (_) Weight loss or gain. (_) Hostility. |
| Date & Sign. |
Plan and Outcome [Check those that apply] |
Target Date: |
Nursing Interventions [Check those that apply] |
Date Achieved: |
| The
patient will: (_) Recognize feelings of boredom and discuss methods of finding diversional activities. (_) Engage in group or individual diversional activity. (_) State satisfaction with use of one's time. (_) Other: |
(_)
Assess causative factors:
(_) Obtain an activity
assessment (find our hobbies, likes and dislikes): (_) Assist in
selection of an activity that is seen as having value and
importance: (_) Include above activity in daily routine of care. (_) Involve patient in
own care by: (_) Increase
environmental stimulation of sight and sound by: (_) Consult wiith other departments:
(_)
Other:________________ |
__________________________
Patient/Significant other signature
__________________________
RN signature
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