This was one of the questions from a facebook users. Please see my feedback below for more insight into this type of scenario if you encounter a similar one...
I'm writing a care plan and using impaired skin integrity. In my Mosby book it says related to factors could be "mechanical factors (e.g., friction, shearing forces, prrssure, restraints)". So my question is can my nursing dx say: Impaired skin integrity r/t pressure AEB reddened areas on back and sacrum.
If you'll allow me to elaborate a little about this scenario. In Mosby's (this is the book that CEs use the most and are used to) related to factors are listed by category External and Internal and you can use more than one if these apply, for example R/T pressure, and impaired circulation. On the other hand, I've always recommended to my students to see if there are any R/T factors that match in front of the book for that particular ailment, then these are best ones to use. If you look in front of the book in Mosby's 4th ed, Pg 131, then you can use it directly from there: Impaired Skin Integrity: (Stage I pressure ulcer - write this only if it has already been categorized or leave this part out) R/T physical immobility, mechanical factors, altered circulation, skin irritants (pick and choose which ever ones that apply) Thank you