Nursing diagnosis – deficient diversional activity

Deficient Diversional Activity
DEFINITION
Decreased stimulation from (or interest or engagement in)
recreational or leisure activities
DEFINING CHARACTERISTICS
• Usual hobbies are not performed in hospital setting.
• Patient states feelings of boredom or wishing for something to do.
RELATED FACTORS
• Environmental lack of diversional activity
ASSESSMENT FOCUS (Refer to comprehensive assessment parameters.)
• Cardiac function
• Emotional status
• Neurocognition
EXPECTED OUTCOMES
The patient will
• Express interest in using leisure time meaningfully.
• Express interest and participate in activities that can be provided
(e.g., watch selected television program, listen to radio or music
daily).
• Report satisfaction with use of leisure time.
• Modify environment to provide maximum stimulation (e.g.,
hanging posters or cards and moving bed next to a window).
SUGGESTED NOC OUTCOMES
Leisure Participation; Motivation; Social Involvement
INTERVENTIONS AND RATIONALES
Determine: Assess leisure activity preferences. Identify the type of music
patient prefers; seek help from family and hospital resources to provide
selected music daily that relieves boredom and stimulates interest.
Perform: Provide supplies and set time to indulge in hobby. Obtain
radio, television, or crochet hook and yarn (if desired). Allow
patient to (if TV or radio) select programs. Communicate patient’s
desires to coworkers (e.g., Turn on television set at _____ [time]
to _____ [channel]. Give crochet hook and yarn to patient daily
at _____ [time]). Specifying time for activity indicates its value.
Avoid scheduling activities during leisure time, which is integral
to quality of life.
Ask volunteers (friends, family, or hospital volunteer) to read
newspapers, books, or magazines to patient at specific times.
Personal contact helps alleviate boredom.
Engage patient in conversation while carrying out routine care.
Discuss patient’s favorite topics as much as possible. Conversation
conveys caring and recognition of patient’s worth.
• DEFICIENT DIVERSIONAL ACTIVITY
• Physical status
• Respiratory function
Provide talking books or I-Pod if available. These provide loweffort
sources of enjoyment for bedridden patient.
Obtain an adapter for television to provide captions for hearingimpaired
patient.
Provide plants for the patient to tend to. Caring for live plants
may stimulate interest.
Change scenery when possible; for example, take the patient outside
in a wheelchair to help reduce boredom.
Attend: Encourage discussion of previously enjoyed hobbies,
interests, or skills to direct planning of new activities. Suggest performing
an activity helpful to others or otherwise productive to promote
interest.
Encourage patient’s family or caregiver to bring personal articles
(posters, cards, and pictures) to help make environment more stimulating
(the patient may respond better to objects with personal
meaning).
Manage: Make referral to recreational, occupational, or physical
therapist for consultation on adaptive equipment to carry out
desired activity; arrange for therapy sessions. Adaptive equipment
allows patient to continue enjoying activities or may stimulate interest
in new activities.
SUGGESTED NIC INTERVENTIONS
Activity Therapy; Animal-Assisted Therapy; Art Therapy; Recreation
Therapy
Reference
Wheeler, S. L., & Houston, K. (2005, March–April). The role of diversional
activities in the general medical hospital setting. Holistic Nursing Practice,
19(2), 87–89.

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