Nursing diagnosis – SEDENTARY LIFESTYLE

SEDENTARY  LIFESTYLE

DEFINITION

Reports a habit of life that is characterized by a low physical activ-

ity level

DEFINING CHARACTERISTICS

• Chooses a daily routine lacking physical exercise

• Demonstrates physical deconditioning

• Verbalizes preference for activities low in physical activity

RISK FACTORS

• Deficient knowledge of health benefits of physical exercise

• Lack of interest, motivation, resources, and/or training

ASSESSMENT FOCUS    (Refer  to  comprehensive  assessment  parameters.)

• Activity/exercise

• Nutrition

• Growth and development

• Risk management

• Knowledge

EXPECTED OUTCOMES

The patient will

• Maintain independent living status with reduced risk for falling.

• Identify barriers to increasing physical activity level.

• Identify health benefits to increasing physical activity level.

• Increase physical activity and limit inactive forms of diversion,

such as television and computer games.

• Seek professional consultation to develop an appropriate plan to

increase physical activity.

• Identify factors that enhance readiness for sleep.

• Demonstrate readiness for enhanced sleep through the use of

appropriate sleep hygiene measures.

• Have amount of sleep congruent with developmental needs and

experience rapid-eye-movement (REM) sleep.

• Express a feeling of being rested after sleep.

• Increase lean muscle and bone strength and decrease body fat.

• Demonstrate weight control and, if appropriate, weight loss.

• Exhibit enhanced psychological well-being and reduced risk of

depression.

• Have reduced depression and anxiety and an improved mood.

• Demonstrate increased ability to perform activities of daily living

within limits of chronic, disabling conditions.

SUGGESTED NOC OUTCOMES

Activity Intolerance; Endurance; Energy Conservation; Health-

Promoting Behavior; Immobility Consequences: Physiologic

INTERVENTIONS AND RATIONALES

Determine: Identify barriers and enhancers to increasing physical

activity, including time management, diet, lifestyle, access to

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facilities, and safe environments in which to be active. Breaking

down barriers and building opportunities for activity increase the

probability of consistent physical activity.

Perform: Develop a behavior modification plan based on patient’s

condition, history, and precipitating factors to maximize physical

activity and compliance.

Inform: Instruct patient to keep a daily activity and dietary log to

help him or her achieve a more objective view of his or her behav-

ior.

Educate patient about how sedentary lifestyle affects cardiovascu-

lar risk factors (such as hypertension, dyslipidemia,

hyperinsulinemia, insulin resistance) to motivate patient to be more

active.

Teach exercises for increasing strength and endurance to maintain

mobility and prevent musculoskeletal degeneration.

Educate patient about using the bedroom only for sleep or sexual

activity and avoiding other activities such as watching television,

reading, and eating to increase sleep efficiency.

Attend: Provide counseling tailored to patient’s risk factors, needs,

preferences, and abilities to enhance emotional well-being and moti-

vation for physical activity.

Discuss the need for activity that will improve psychosocial well-

being to encourage compliance with activities.

Discuss behavioral risk factors in lack of motivation such as

ingestion of carbohydrates, caffeine, nicotine, alcohol, sedatives, hyp-

notics, and fluid intake, to focus behavior on positive outcomes of

increased physical activity.

Manage: Provide education about community resources available to

increase physical activity to decrease barriers to activity.

SUGGESTED NIC INTERVENTIONS

Activity Therapy; Energy Management; Teaching: Prescribed Activity/

Exercise

Reference

Zabinski, M. F., et al. (2007, January). Patterns of sedentary behavior among

adolescents. Health Psychology, 26(1), 113–120.

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