Final answer:
The most appropriate nursing diagnosis for a patient with osteoarthritis who struggles with mobility due to pain is 'Impaired physical mobility, related to pain.' This diagnosis focuses on the difficulties in movement and performing daily tasks that are central to the patient's concerns. Option c is the answer.
Step-by-step explanation:
Nursing Diagnosis for Osteoarthritis
A patient with osteoarthritis in both knees and shoulders and who is having difficulty managing household tasks without pain would match the nursing diagnosis of Impaired physical mobility, related to pain. Option C is the most appropriate diagnosis. This diagnosis directly addresses the patient's expressed concern about the impact of pain on their ability to move and perform daily tasks. Ineffective coping could also be a concern, but it doesn't concentrate on the primary issue of mobility. The risk of disuse syndrome is a potential outcome of impaired mobility, but it does not describe the current status. Finally, activity intolerance also does not specifically address the patient's mobility issues related to pain.
Osteoarthritis is characterized by joint pain, stiffness, and potential swelling that can lead to reduced range of motion and an increased difficulty in carrying out activities of daily living, due to the loss of cartilage and subsequent alteration of bone. Treatment can range from non-pharmacological interventions such as exercise and weight loss to pharmaceutical means or even surgical options in severe cases, like joint replacement surgery.