00168 Sedentary Lifestyle

Domain 1: health promotion
Class 1: health awareness
Diagnostic Code: 00168
Nanda label: sedentary lifestyle
Diagnostic focus: lifestyle
Approved 2004 • Revised 2020 • Evidence level 3.2

NANDA Nursing Diagnosis Definition

The Nanda nursing diagnosis « sedentary lifestyle is defined as: style of acquired behavior characterized by activities during active hours that require the use of Little energy.

Definite characteristics

  • Average daily physical activity is lower than recommended according to sex and age
  • Choose a daily routine with lack of physical exercise
  • Do not exercise during free time
  • Express preference for low physical activity
  • Perform most activities in reclined position
  • Perform most of the activities in sedestiation
  • Loss of physical condition

Related factors

  • Conflicts between cultural beliefs and health practices
  • Decrease in activity tolerance
  • Difficulty adapting areas for physical activity
  • It exceeds the recommended time of use of screens according to age
  • deterioration of physical mobility
  • Inappropriate interest in physical activity
  • Inappropriate knowledge of the consequences of sedentary lifestyle
  • Inappropriate knowledge about the healthy benefits associated with physical activity
  • Inadequate motivation for physical activity
  • Inadequate resources for physical activity
  • Inappropriate role models
  • Inadequate social support
  • Inappropriate skills for time management
  • Inappropriate training for physical exercise
  • Low self -efficacy
  • Low self -esteem
  • Negative affection towards physical activity
  • Pain
  • Breedness practices that inhibit the practice of physical activity by the child
  • Perception of physical disability
  • Security risk perception

Risk population

  • teenagers
  • People> 60 years of age
  • People living in urban areas
  • People living as a couple
  • People with a high educational level
  • People with high socioeconomic status
  • People with significant limitations of time
  • Married people
  • Women

Suggestions of use

If there are other unhealthy behaviors (such as bad eating habits, lack of sleep) and are related to the patient’s limited skills, a broader diagnosis should be considered, such as ineffective health maintenance.

Suggested alternative diagnostics

  • Activity, intolerance to
  • Failure (specify)
  • ineffective health maintenance

NOC Results

  • Good physical form: Performing physical activities with vigor
  • Motivation: Interior desire that drives or makes a person perform positive actions

Evaluation objectives and criteria

  • It demonstrates good physical form, as manifested by the following indicators (specify from 1 to 5: severely, substantially, moderately, slightly or not compromised):
    • blood pressure
    • Body mass index
    • Heart rate to be achieved during exercise
    • Heart rhythm at rest
  • Other examples

    • Verbally express that he is aware of the risks of a sedentary lifestyle
    • Describe the benefits of regular physical exercise
    • Gradually increase the amount of physical exercise you perform
    • Increase your physical resistance through exercise
    • Improves your muscle strength
    • Improve joint flexibility

    NIC Interventions

    • Support for personal change: reinforcement of self -directed change, initiated by the patient to achieve personal importance objectives
    • Teaching: prescribed activity/exercise: preparation of a patient to reach or maintain a prescribed level of activity
    • Facilitation of personal responsibility: impulse to a patient to assume greater responsibility for their own behavior
    • Promotion of the exercise: facilitation of a regular physical activity to maintain or raise the level of health and physical form
    • Promotion of exercise: strength training: facilitation of muscle training against resistance and regular, to maintain or increase muscle strength
    • Activity therapy: prescription and help in carrying out specific physical, cognitive, social and spiritual activities to increase the rank, frequency or duration, of the activity of an individual (or a group)

    Nursing Activities

    Valuations

    • Assess the usual patient of patient exercise
    • Value tolerance to patient activity (for example, changes in vital signs during activity)
    • Assess the patient’s motivation to incorporate the exercise into his lifestyle
    • Determine the reasons for the lack of physical exercise (for example, lack of time, resources, depression, etc.)

    Patient and family education

    • Explain the benefits of regular exercise
    • Place a gradual start of exercise

    Collaboration activities

    • Channel to the patient with a physical coach or therapist for the allocation of special exercises, as required

    Others

    • Help the patient develop an adequate exercise program for their physical abilities, personal preferences and daily habits
    • Suggest that it is easy to incorporate the walks into the daily routine, which is not an expensive exercise, which does not require a great physical condition and that can be done with a partner that serves as support
    • For patients with a good (but not excellent) physical condition, recommend aerobic exercise in water and swimming (in addition to walks)
    • Help the patient develop short -term goals that will serve as motivators to continue with the exercise program
    • Suggest exercises with a relative or friend
    • Help establish priorities to reserve time for exercise
    • Suggest that a record of activities and exercise is carried out

    At home

    • Previous nursing activities are suitable for home care
    • Evaluate housing to detect obstacles to mobility

    Babies and Children

    • Help the child make plans to walk more; Encourage you to use a pardometer
    • For adolescents, highlight the benefits of exercise for strength and physical appearance

    Older people

    • emphasize the importance of physical activity to age healthy (and, in women, to prevent osteoporosis)
    • Use the test “get up and walk” to evaluate the mobility and resistance of the patient (sit in a chair, stand up 3 meters, turn around, return to the chair and sit)
    • Recommend a low impact exercise, such as Tai Chi
    • Channel with a physical therapist to perform resistance exercises, in order to delay muscle atrophy
    • Evaluate if depression is presented
    • Help the patient obtain auxiliary devices for mobility (for example, a walker)