Diversional Activity Deficit

Diversional
Activity Deficit

(_)Actual (_)
Potential

Related
To:
[Check
those that apply]
(_)
Monotonous environment
(_) Long-term hospitalization
(_) Lack of motivation with signs of depression

(_) Skeletal-muscular impairments
(_) Other:_____________________________
____________________________________
____________________________________

 

As
evidenced by:
[Check
those that apply]
Major:

(
Must be
present
)
(_)
Observed statement of boredom/depression fro inactivity.
Minor:

(
May be
present
)
(_)
Constant expression of unpleasant thoughts or feelings.
(_) Yawning or inattentiveness.
(_) Flat facial expression. (_) Restlessnes/fidgeting.
(_) Body language (shifting of body away from speaker).
(_) Immobile (on bed rest or confined).
(_) Weight loss or gain. (_) Hostility.

 

Date &
Sign.
Plan and Outcome
[Check
those that apply]
Target
Date:
Nursing Interventions
[Check
those that apply]
Date

Achieved:

  The
patient will:

(_)
Recognize feelings of boredom and discuss methods of
finding diversional activities.

(_) Engage in group or
individual diversional activity.

(_) State satisfaction
with use of one’s time.

(_) Other:

  (_)
Assess causative factors:
  • Monotony
  • Inability to make
    decisions
  • Diminished
    socialization.
  • Lack of
    motivation

(_) Obtain an activity
assessment (find our hobbies, likes and dislikes):
________________________
________________________
________________________

(_) Assist in
selection of an activity that is seen as having value and
importance:
________________________
________________________

(_) Include above
activity in daily routine of care.

(_) Involve patient in
own care by:
________________________

________________________
________________________

(_) Increase
environmental stimulation of sight and sound by:
________________________
________________________
________________________

(_) Consult wiith
other departments:

  • Pastoral care
  • Occupational
    therapy
  • Volunteers

(_)
Other:________________

________________________
________________________
________________________

 

 

__________________________
Patient/Significant other signature

 

__________________________
RN signature