Some background info: my patient was admitted with pneumonia, has a history of COPD, CHF, HTN, former smoker. She has told me that at home where she lives with her daughter she sits in a chair very similar to the one she was sitting in in the hospital and that's about all she likes to do all day. She is O2 dependent (she was on 4 L at the hospital).
Throughout my clinical shift, she got very tired easily. Such as, during AM care (she was sitting down in her recliner chair, she did not want to be in the bed or anywhere else), as I was even washing/wiping her legs, she felt tired. And then my professor wanted me to assess her pressure ulcer on her L & R buttocks, but she refused to stand up/move from her chair at all. I couldn't force her, so my professor really talked her into it. We had the patient stand up as she chose to hold on to the side of her bed while we examined her buttocks, but not even 15 seconds on she wanted to sit down and stop the whole process.
If anyone needs anymore info. I will provide what I can!
I have 2 other nursing diagnoses in mind already that are priority before this one, but based on this information would Activity Intolerance be a good 3rd diagnoses? Like for example:
Activity intolerance related to sedentary lifestyle (?) manifested by patient reports feeling weak when ______ (i'm not quite sure what to say/how to word this part)
Or would it be r/t to her COPD/pneumonia? See this is where I confuse myself. Because for my 2nd diagnoses on my care plan I want to put Impaired skin integrity r/t ___ ? (I want to put sedentary lifestyle here too) manifested by pressure ulcer sores on R & L buttocks; because she does not like to move/get up, even when me & my professor both educated her on importance she just said "yes i know" and all that.
