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Student Nurses Community

NURSING CARE PLAN Def Diversional Activities


Assessment

SUBJECTIVE:
Patient verbalizes:
Ugh, I feel so
bored, I wish there
was something to
do

Diagnosis

Deficient
diversional
activity related to
boredom related
to Environmental
lack of diversional
activity (long term
hospitalization)

Inference

Chronic illness

Long term
hospitalization

Lack of motivation

OBJECTIVE:
Lethargy
Restlessness
Inattentiveness
Flat affect

Decreased
stimulation from
or
interest/engagem
ent in recreational
activities

Deficient
diversional
activity

Planning

After 4 hours of
nursing
intervention, the
patient will
engage in
satisfying
activities within
personal
limitation

Intervention

Rationale

Evaluation

Assess the
type of
activities
allowed and
desired as well
as the amount
of motor
activity
needed
(through
medical
protocols for
bed rest or
limitations
imposed by
illness)

Provides
information about
the type of
activities and play
to suggest.

After 4 hours of
nursing
intervention, goal
met. Patient was
able to recognize
own psychological
response and
initiate
appropriate
coping actions; as
well as engage in
satisfying
activities within
personal
limitation.

Assess clients
physical,
cognitive,
emotional, and
environmental
status.

This validates
reality of
environmental
deprivation when
it exists, or
considers
potential for loss
of desired
diversional
activities in order
to plan for
prevention or
early

Student Nurses Community

interventions.

Note impact of
disability or
illness on
lifestyle

Note age and


developmental
level, gender,
cultural
factors, and
the
importance of
a given
activity in
clients life.

Institute and
continue
appropriate
actions to deal
with
concomitant
conditions
such as
anxiety,

Provides
comparative
baseline for
assessments and
interventions.

To support client
participation in
something that
promotes selfesteem and
personal
fulfilment.

These interfere
with the
individuals ability
to engage in
meaningful
diversional
activities.

Student Nurses Community

depression,
grief,
dementia,
physical injury,
isolation and
immobility,
malnutrition,
acute or
chronic pain.

Encourage mix
of desired
activities and
stimuli such as
music, news,
educational
presentations
TV/tapes,
movies,
computer or
Internet
access, books
and other
reading
materials,
visitors, etc.

Encourage
client to assist
in scheduling

Activities
conducted need
to be personally
meaningful and
not physically or
emotionally
overwhelming for
client to stem the
most benefit.

Doing such
enhances the
clients sense of
control, promotes
relaxation and
reduce sense of
boredom

Student Nurses Community

required and
optional
activity
choices. Allow
patient to
participate in
decisions
about timing
and spacing of
lengthy
treatments

Involve
recreational,
occupational,
play, music,
and/or
movement
therapist as
appropriate.

To help identify
enjoyable
activities for
client; to procure
assistive devices
and/or modify
activities for
individual
situation.