Original literature support available at www.nanda.org

Domain 1. Health Promotion      Class 2. Health Management

00257

Defining Characteristics

• Activity intolerance (00092)
  
• Bathing self-care deficit (00108)
  
• Decreased cardiac output (00029)
  
• Dressing self-care deficit (00109)
  
• Fatigue (00093)
  
• Feeding self-care deficit (00102)
  
• Hopelessness (00124)
  
• Imbalanced nutrition: less than body requirements (00002)
  
• Impaired memory (00131)
  
• Impaired physical mobility (00085)
  
• Impaired walking (00088)
  
• Social isolation (00053)
  
• Toileting self-care deficit (00110)

Related Factors

• Alteration in cognitive functioning
  
• Chronic illness
  
• History of falls
  
• Living alone
  
• Malnutrition
  
• Prolonged hospitalization
  
• Psychiatric disorder
  
• Sarcopenia
  
• Sarcopenic obesity
  
• Sedentary lifestyle

Original literature support available at www.nanda.org

Domain 1. Health Promotion      Class 2. Health Management

00231

Risk Factors

• Activity intolerance
  
• Age > 70 years
  
• Alteration in cognitive functioning
  
• Altered clotting process (e.g., Factor VII, D-dimers)
  
• Anorexia
  
• Anxiety
  
• Average daily physical activity is less than recommended for gender and age
  
• Chronic illness
  
• Constricted life space
  
• Decrease in energy
  
• Decrease in muscle strength
  
• Decrease in serum 25-hydroxyvitamin D concentration
  
• Depression
  
• Economically disadvantaged
  
• Endocrine regulatory dysfunction (e.g., glucose intolerance, increase in IGF-1, androgen, DHEA, and cortisol)
  
• Ethnicity other than Caucasian
  
• Exhaustion
  
• Fear of falling
  
• Female gender
  
• History of falls
  
• Immobility
  
• Impaired balance
  
• Impaired mobility
  
• Insufficient social support
  
• Living alone
  
• Low educational level
  
• Malnutrition
  
• Muscle weakness
  
• Obesity
  
• Prolonged hospitalization
  
• Sadness
  
• Sarcopenia
  
• Sarcopenic obesity
  
• Sedentary lifestyle
  
• Sensory deficit (e.g., visual, hearing)
  
• Social isolation
  
• Social vulnerability (e.g., disempowerment, decreased life control)
  
• Suppressed inflammatory response (e.g., IL-6, CRP)
  
• Unintentional loss of 25% of body weight over one year
  
• Unintentional weight loss >10 pounds (>4.5 kg) in one year
  
• Walking 15 feet requires >6 seconds (4 meter >5 seconds)

Original literature support available at www.nanda.org

Domain 1. Health Promotion      Class 2. Health Management

00215