When admitting a client with Parkinson's disease, which nursing diagnosis should have priority?

The priority nursing diagnosis for a client with Parkinson's disease should emphasize impaired physical mobility due to the characteristic muscle rigidity and weakness associated with the condition. In Parkinson's disease, these motor symptoms significantly impact the individual's ability to perform daily activities and maintain independence. Addressing impaired mobility is crucial not only for enhancing the client's quality of life but also for preventing complications such as falls and further physical deterioration.

By focusing on impaired physical mobility, nursing interventions can be directed toward improving the client's ability to move safely and effectively, which is essential in managing the symptoms of Parkinson's disease. Additionally, enhancing mobility can promote overall physical health and facilitate engagement in therapeutic activities, which are vital for cognitive and emotional support.

While the other diagnoses related to coping, breathing patterns, and fear are also important considerations in the holistic care of a person with Parkinson's disease, they are ultimately secondary to addressing the immediate physical mobility challenges. Ensuring that the client can move helps to build a foundation for addressing other issues, such as mental health and respiratory function, later in the care plan.