What nursing diagnosis is the priority for this patient and why?

The priority nursing diagnosis for this patient is risk for impaired skin integrity related to altered circulation and mechanical trauma from prolonged immobility. This is a priority because the patient’s immobility can lead to decreased circulation which can cause long-term damage to the skin, increase their risk of infection, and impair wound healing processes. The nurse should assess the patient’s skin regularly, monitor pressure points (elbows, heels, sacrum) closely, provide support surfaces such as pillows or mattresses that will allow better distribution of weight evenly over the body when lying down. The nurse should also provide appropriate interventions that may include repositioning every two hours or more frequently if needed; teaching regular range of motion exercises; and providing good hygiene care with moisturizing creams/lotion as necessary.