Psychosocial or psychological can be expressed as ego integrity issues.. e.g., Your patient may report anxiety, apprehension, or fear, evidence stress related to illness/financial concerns (loss of job, loss of role in society/family, cost of medical care). May exhibit various behavioral manifestations e.g. anxiety, anger, fear, irritability.
As meownsmile stated lugging around the portable 02 can cause a myriad of issues. My mom has COPD and you should just see people stare! Some are extremely cruel as well, so enter self image issues, self esteem, body changes etc. Not to mention activity tolerance r/t imbalanced 02 supply/demand and generalized weakness how does this affect a person's social schedule? Even with the 02 people generally fatigue easier.
Spiritually, is a tougher nut to crack. What is their religious/spiritual orientation? Current involvement in church/belief system practice? Will their spiritually carry them through this time? Or will they begin to question their version of the divine? Is now when they face thier own mortality?
As to diagnosis:
Sociological: Role Performance, ineffective r/t presence of chronic illness AEB (pick your pt's defining symptoms)
Social: Activity tolerance r/t generalized weakness AEB
Spiritually: Spiritual distress r/t loss of ______ AEB
If you have a Taber's check the nsg dx section they have good ones. The careplan book we use is NANDA accepted diagnosis and includes NIC/NOC. Though I have noticed that is seems all schools
teach care plans
differently. Either way a good care plan book is a must.
And I am sure there are people far more skilled than myself at this so jump on in!!