I'm not trying to negate anything and no where did I indicate that this was a solitary diagnosis - I said "if you are creating a prioritized list...", use of the word LIST would indicate more than one. We are also required to list any and all nursing diagnoses for each patient, but they must be in a prioritized order.
Based on what we have been doing, we would treat the acute pain as the top priority because risk for injury or risk for ineffective coping would be manifested based on lack of sleep which is due to the pain, therefore treating the pain first would assist in alleviating the other issues. Perhaps we are interpreting maslow differently, because I would interpret pain as being a physiological need which would be met first and foremost....it could be a difference in teachings at our schools
, this is only my interpretation based on the courses that I am taking - that's why it is good to get input from more than one person.
I was in no way trying to negate anything that you said, all of your points were valid and important to make.