ZBest2

Hello everyone, I am a student nurse and need some assistance with my nursing diagnoses. Before I tell you what I'd like to use, I want to give a little info about this particular patient. Without going into too much detail, his main issue is his c/o feeling weak and fatigued. He is independent and able to use the bathroom on his own when he needs to. He has no desire to ambulate, although his son and I were able to get him out of bed for a walk. He denies any dizziness, not hypotensive, he is not at risk for falls. He is NPO, on TPN and his skin is very dry. I would like to use risk for impaired skin integrity as my NDX, but I am not sure what to use as the "related to." I don't want to say "immobility" because he does get up to use the bathroom without any issues. I know that "r/t" is pathophys. Could I say risk for impaired skin integrity r/t lack of desire to ambulate? He ambulates, but just not enough to prevent any skin breakdowns, if that makes any sense. Plus the dryness of his skin because he is malnourished. I need help! My brain is going in all sorts of directions. I just need someone to steer me in the right direction.