HLee2015

Hello! We have an assignment in my Med-surg class to make a concept map based on a patient scenario. We have a very long patient scenario and we have to come up with five nursing diagnoses. From the scenario we have diagnoses for pain, skin, nutrition, and mobility. We are now trying to find a diagnosis that fits the respiratory information. We have the following information concerning/involving the respiratory system: Pt is a 62 y/o African American male admitted to ICU for complications after open heart surgery. Patient is a former coal miner History of: Type 2 diabetes oral antihyperglycemic medication hypertension high cholesterol highly active before surgery, able to ambulate long distances smokes one pack of cigarettes per day Currently, the patient has vital signs of bp 168/84, hr 72, respiration 18/minute, O2 97% on room air patient is on O2 through nasal cannula reports he is tired with movement and is refusing to get out of bed We are having a hard time finding a nursing diagnosis that fits the information we have about the respiratory system. Right now we have two potential options: activity intolerance and/or impaired comfort. Can anyone think of anything else or have any advice? I'm thinking our best bet might be to abandon the respiratory idea all together and use some of our other information from the patient scenario and making a box about infection. Help, please! Thank you!