00097 Decreased Involvement In Recreational Activities

Domain 1: health promotion
Class 1: health awareness
Diagnostic Code: 00097
Nanda label: decreased involvement in recreational activities
Diagnostic focus: involvement in recreational activities
Approved 1980 • Revised 2017 • Evidence level 2.1

NANDA Nursing Diagnosis Definition

Nanda nursing diagnosis « decreased involvement in recreational activities ” is defined as: reduction in stimulation, interest or participation in recreational or time activities free

Definite characteristics

  • alteration of the mood
  • boredom
  • Express discontent with the situation
  • Inexpressivity
  • Frequent naps
  • Loss of physical condition

Related factors

  • The usual environment does not allow it to be involved in activities
  • Limitations of the environment
  • deterioration of physical mobility
  • Inadequate available activities
  • Inadequate motivation
  • Insufficient physical resistance
  • Physical discomfort
  • Psychological discomfort

Risk population

  • People with extreme ages
  • People who experience prolonged hospitalization
  • People who experience prolonged institutionalization

Associated problems

  • Restriction of prescribed mobility
  • Therapeutic isolation

Suggestions of use

The deficit of recreational activities must be diagnosed from the patient’s point of view, because only he can determine if the activities available are declined to meet their needs.

Suggested alternative diagnostics

NOC Results

  • motivation : Interior desire that drives or makes a person perform positive actions
  • participation in recreational activities : relaxing, interesting and pleasant activities, to promote well -being
  • Participation in Games : A child activities between one and 11 years of age to encourage enjoyment, entertainment and development
  • social participation : social interactions with people, groups or organizations

Evaluation objectives and criteria

  • The deficit of recreational activities is reduced, as demonstrated by motivation, participation in recreational activities and games, as well as social participation
  • demonstrates social participation, which is manifested by the following indicators (specify from 1 to 5: never, rarely, once, often or usually):
  • Interact with close friends, family members, or members of work groups
  • Participate as a member of a church, in an organized activity, as an official in an organization or as a volunteer
  • Other examples

    the patient will be able to:

    • Demonstrate socially acceptable behaviors during activities
    • Express the acceptance of the limitations that interfere with the usual recreational activities
    • Identify recreation activities
    • Express your satisfaction with entertainment activities
    • Participate in appropriate games
    • Prove or verbally express that you enjoy the game

    NIC Interventions

    • family support : Promotion of family values, interests and objectives
    • Support for Automoding : Reinforcement of a self -directed change and initiated by the patient to achieve personal importance objectives
    • facilitate personal responsibility : breath to a patient to assume greater responsibility for their own behavior
    • Socialization promotion : use of another person’s ability to interact with others
    • therapeutic game : Deliberate and directed use of toys or other materials to help children communicate their perception and knowledge of the world and to contribute to increase the domain of their environment
    • maintenance of family processes : reduce the effects of destabilization of family processes
    • Activity therapy : Prescription of specific physical, social and spiritual activities (and help to perform them) to increase the range, frequency or duration of the activity of a person or group < /li>
    • Recreation therapy : Deliberate application of free time to promote relaxation and improve social skills

    Nursing Activities


    • Identify the interests of the patient
    • Monitor emotional, physical and social responses to recreational activity
    • (NIC) Facilitate personal responsibility: assess the responsibility assumed by the patient

    Collaboration activities

    • Identify resources, as occupational volunteers and therapists, who could help the patient in recreational and free time activities


    • Present and foster new activities or specific alternatives for free times
    • Present the patient with other patients who have successfully resolved similar situations
    • Offer adequate stimuli, such as music, games, puzzles, visitors and relaxation therapy to vary monotonous routines and stimulate thought
    • Look for a compatible roommate, if possible
    • Supervise recreational activities, if necessary
    • Encourage family, friends and people close to visiting him
    • (NIC) Facilitate personal responsibility:
      • Encourage the patient to take responsibility for their self -care, as much as possible
      • Promote independence, but help the patient when he is not able to achieve it
      • Offer positive feedback by accepting additional responsibilities and/or for a change in behavior

    Notes to apply in the nursing diagnosis

    at home

    • Help the patient choose recreational activities appropriate to their abilities (physical, psychological and social)
    • Channel to occupational therapy, if necessary
    • Recommend friends and family to visit the patient, or at least get in touch by phone, even send computer messages

    Babies and Children

    • (NIC) Facilitate personal responsibility: help parents identify tasks appropriate to age, of which the child can take responsibility, if necessary
    • In hospital frames, have adequate toys at their age at the time of the child, take it to the game room and organize the interaction with other children, if necessary
    • Encourage the family to take to the hospital the favorite toys and games of the child who has at home

    Older people

    • suggest that they participate in voluntary activities (for example, bring food to people who cannot leave home) to patients who can do it
    • Help the patient identify areas of interest that could be dedicated as recreation
    • Provide that the patient participates in a group of older people (for example, a group of exercises, group meals)
    • Determine if the patient has how to transport to perform the activities; support it if necessary
    • Provide an environment with good lighting for crafts and reading
    • In the case of prolonged hospitalization, consider an animal assisted therapy program
    • For patients who require prolonged care, consider daily recreational therapy exercises and recreation educational programs for those who can benefit from them