hi, while doing a nursing care plan on a patient with CML, one of the nursing diagnosis that we were looking on is: ineffective breathing pattern related to decreased energy or fatigue as manifested by shortness of breath. I was not pleased with the related to factor, however, when i checked my nursing nanda list it was there as a related to factor but knowing the pathophysiology of o CML, i still cannot buy the related to factor. Please i need some help.