Nursing Care Plan assistance...PLEASE!!

[fireball78]

Hi,

I am writing a paper on Iron Deficiency Anemia with a partner. In the paper, we have to include two developed care plans for a client with IDA. One of our care plans will be using NANDA diagnosis: Imbalanced Nutrition, less than body requirements. However, I am having trouble trying to figure out which NANDA diagnosis to use for the second: Fatigue or Activity Intolerance. In our Med-Surg textbook, Fatigue is listed as the #1 nursing diagnosis for Anemia, however in a nursing journal article I have and in the care plan book I am using, it seems like Activity Intolerance is the most appropriate nursing diagnosis.

Can someone please provide me some advice on which nursing diagnosis I should use and why??? The fictitious patient we compiled for our paper is a 30-year-old female who presented to the ER with lack of energy/fatigue, shortness of breath, dizziness, weakness, and irritability. She also has a history of Celiac Disease, but admits non-compliance with her diet as manifested by abdominal bloating, diarrhea, and weight loss. (I haven't compiled the CBC results yet...but everything will point to IDA w/ need for blood transfusion)

Possible diagnostic statements:

Fatigue related to decrease in hemoglobin as manifested by verbalization of lack of energy and increased periods of rest.

--or--

Activity Intolerance related to imbalance between oxygen supply and demand as manifested by fatigue and increased periods of rest.

I am at a loss for which diagnosis to use for IDA--which is most appropriate for IDA...not necessarily for our fictitious patient.

Thanks in advance for your advice!!!

[choc0late]

I would use the fatigue Dx. Only because that's why she came in! My top Dx is always the reason the person saught care in the first place. I hope that helps =-)

[fireball78]

Thank you!! :-)