Activity Intolerance related to musculoskeletal impairment secondary to Diabetes Mellitus

Cues: Subjective: Nahihirapan ako gumalaw at lumakad ng hindi tinitulungan ng ba Objectives: Observed that he needed support and assistance in moving. Limited ROM of lower extremeties Decrease ability to perform ADL Functional level classification of: 2

Intervention
Assess presence of factors contributing to fatigue Rationale: Fatigue affects both the client s actual and perceived ability to participate in activities.

 Evaluate client s actual and perceived limitations in light of usual status Rationale: Provides comparative baseline and provides information about needed interventions regarding quality of life

 Ascertain ability to stand and move about and degree of assistance or necessary use of equipment Rationale: To determine current status and needs associated with participation in needed or desired activities

 Performed and demonstrate single ROM exercises (simple abduction, adduction)and monitor for response to activity. Rationale: To promote idea of need for normally of progressive abilities inn this area

 Identified the activities that can perform which are very essential like passive ROM and isometric exercises such as extension, flexion and rotation. Rationale: ROM exercises will promote good circulation and will determine the functionality from the certain specific parts of symptoms.

 Educated and encouraged to perform activities more slowly or for a shorter period of time with more rest pauses and more assistance Rationale: To increase the patient s tolerance for activity

 Educated regarding the deep breathing, change in positioning with his tolerance in comfortable limits Rationale: To alleviate pain and promote relaxation

 Established rapport with the client Acknowledge client s participation in plan of care Rationale: To gain patient s trust for effective therapeutic care.