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sharon's coggle- Activity Engagement - Nurse Alice is visiting the…

- - - - Due to my tremors, I am not as active as I like to be.
        
        Were you active prior to your diagnosis
        
        Very! I was a PE teacher. even as I got older I made sure to go on regular walks and exercise. Every week I used to go golfing with my friends.
        
        I see! I would like to go over some goals with you for improving your activity engagement
        
        that's sad.
        
        I see! I would like to go over some interventions with you to improve you activity engagement
        
        interventions
        
        engage in group activities that involve dance, music, singing, and theatre as much as possible as appropriate.
        
        Collaborate with a physiotherapist to create an exercise schedule that is in your capability and needs.
        
        encourage your wife to engage in activities with you so that you can receive additional support
        
        Just ignore your tremors
        
        Hard to do
        
        Are you involved in activities or social groups currently?
        
        I go to church on sunday with my wife but other than that I have not been doing much.
        
        sounds like you haven't been very engaging
        
        I see! I would like to go over some goals with you for improving your activity engagement
        
        Goals
        
        you will continue to be active and engaged in your preferred physical activities, 3-5 times weekly
        
        you you will express satisfaction with type of activities and level of activity involvement when asked
        
        you will be open and willing to try new social/hobbies/exercise
        
        The goals sound good to me! How can I achieve them?
        
        1 more item...
        
        I see! I would like to go over some interventions with you to improve you activity engagement
        
        Interventions
        
        Encourage Doug to record physical activity using a chart to help track progress. Advise the patient that fatigue and lack of motivation are two symptoms that make it challenging for some persons living with PD to stay active.
        
        Collaborate with physiotherapist, occupational, speech and language, and/or recreational therapists in planning and monitoring a therapy program, as appropriate.
        
        Actively participate in social groups
    - - Ya
    - - My tremors have made it difficult fo me to be active.
- - - - Evaluation
        
        Monitor level of fatigue and adjust activities accordingly.
        
        Reports not feeling fatigued after activitis
        
        Monitor hydration and nutritional status to ensure the person has adequate fluid and nutritional intake to maintain a normal activity level.
        
        Report of nutrition and hydration status proves to be adequate
        
        Observe, document, and report to physician any signs and symptoms of immobility (presence of pain, contractures forming, skin breakdown, fall-related injuries, poor posture, poor balance, decreased range of movement, decreased strength, tendency to stoop forward, and decreased endurance)
        
        No signs or symptoms observed
    - - Yes! through the interventions i am now more physically active and happy