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DEFICIENT DIVERSIONAL ACTIVITY Nursing Care Plan

Deficient diversional activity is a state when a person is experiencing decreased simulation from a particular activity. Deficient diversional activity may be due to long-term hospitalization, bedridden, fatigue, pain, and depression. Below is an example of nursing care plan for patients with deficient diversional activity.

ASSESSMENT
Subjective:
"I'm bored, I wish there is something I can do," as verbalized by the patient.

Objectives:
The patient is lethargic, inattentive, restless and lack of interest in eating. When you feel lethargic, you are sluggish and lacking of energy. It makes anything hard to be done when you are lethargic. Vital signs was taken and noted as follows: Body temperature is 36.8 degrees Celcius, blood pressure is 120/80 mmHg, respiratory rate is 16 cycles per minute, and pulse rate of 90 beats per minute. Only his/her respiratory rate is normal, his/her pulse rate is below normal range, the client's body temperature is above normal and also the blood pressure which is categorize as pre-hypertension. 

DIAGNOSIS
Deficient diversional activity related to boredom as manifested by lethargy and inattentiveness.

PLANNING
After 4 hours of nursing intervention, the patient will engage in satisfying activities within personal limitation. (Time frame may increase since this kind of deficiency does not overcome so easily and quick. It may gradually manage over time.)

INTERVENTION
You must determine the client's actual ability to participate in available activities. Review client's physical, cognitive, emotional, and environmental status. With this, it can validate reality of environmental deprivation when it's exists or considers potential for loss of desired diversional activities in order to plan for prevention or early interventions.

Note the age and the developmental level, gender, cultural factors, and the importance of a given activity in client's life in order to support client participation in something which promotes self-esteem and personal fulfillment.

After that, provide comparative baseline for assessment and intervention to check for any disability and illness in lifestyle. Establish therapeutic relationship and support hopeful emotions by acknowledging reality of situation and feelings of the client. Review history of lifelong activities and hobbies client has enjoyed. Discuss reasons client is not doing these activities now and determine whether client would like to resume these activities.

Continue appropriate actions to engage with concomitant conditions such as anxiety, depression poor grief because these interfere the individual's ability to engage in meaningful diversions activities. Encourage client to assist in scheduling required and optional activities such as if client's favorite TV show occurs at bathtime, reschedule bath for a later time. Structure the client's schedule according to his/her wishes for time of care, relaxation and promotional activities. This could increase client's sense of control. Refrain from making changes in schedule without discussing with client. This is very important for staff to be responsible in making and following through on commitments to client.

EVALUATION
After 4 hours of nursing intervention, the patient engaged in satisfying activities within his/her personal limitations.

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