ACTIVITY INTOLERANCE IHP

Changes/Updates?

I welcome any and all suggestions regarding the wording of this IHP.  Please contact me via this Contact Form to share your thoughts, comments, or need for additional choices.  Thank you in advance.

 

All the best, Cyndi

 

Student’s Name *
Accepted file types: jpg, gif, png, jpeg, Max. file size: 100 MB.

DoB
Would you like to add the student’s ID number?
Would you like to add the student’s homeroom number and teacher’s name?

Address
Emergency Contact List is attached to IHP.

Treating Physician
Physician Phone Number
Physician Fax Number
Add More

Add a medication or procedure?

Nursing Diagnosis: Activity Intolerance related to Physical Injury
Nursing Diagnosis: Risk for Injury related to Reduced Mobility or Impaired Balance
Nursing Diagnosis: Impaired Physical Mobility related to Activity Restrictions
Nursing Diagnosis: Risk for Social Isolation related to Limited Participation in Activities
Nursing Diagnosis: Acute Pain related to Injury and Healing Process
Nursing Diagnosis: Deficient Knowledge related to Activity Restrictions and Recovery Process
Would you like to add another nursing diagnosis?

IHP Developed By

Name
Date
Do you want to include physician and parent signature lines?

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