Is this a Nursing Diagnosis?

[deemarys]

Activity intolerance related to immobility and contractures of the extremities.

My patient is 59, has history of MS and seizure disorders. He has contractures in all of his extremities. He communicates by nodding and shaking his head. He is on gtube and pretty much stays in his room all day.

[hunydew2262]

I would probably use Activity intolerance related to immobility as evidenced by contractures...and whatever else you are basing your Dx on.

[SuesquatchRN, BSN, RN]

The contractures don't provide evidence of activity intolerance. They provide evidence of immobility.

Impaired mobility r/t m.s. a/e/b contractures.

[sunnysideup09]

Impaired mobility r/t contractures AEB immobile extremities

Your r/t needs to be the pathophysiology or cause. You should not use a medical diagnosis in your NANDA since these are nursing diagnoses.

Your AEB are your signs and/or symptoms.

[Daytonite, BSN, RN]

activity intolerance is defined as insufficient physiological or psychological energy to endure or complete required or desired daily activities. this diagnosis is classified in the cardiovascular and pulmonary group of diagnoses and to be diagnosed with this a patient needs to exhibit several features including fatigue with activity as well as cardiac and respiratory symptoms. hypoxia is also usually present with activity. if cardiac and respiratory symptoms are not present with physical activity culminating in fatigue (these patients usually have to stop the activity and sit down) then the patient does not have activity intolerance.

your related factor fails for the following reason: contractures do not lead to hypoxia. contractures are fibrosis of the fascia, muscle and joints that can cause permanent disability and disuse of a body part. the reason immobility is a related factor for this diagnosis is because it is a cause of deconditioning which leads to the cardiac and respiratory symptoms when the patient engages in physical activity. unless this patient becomes sob with activity and the activity must be stopped because of the sob, activity intolerance would be a misdiagnosis. you say the patient stays in his room all day. does he even engage in any physical activity and become sob? sounds more like he has a physical mobility problem, communication problem and risk for injury (because of the seizures).