I'm not sure if this is the right place for this, but I looked for a while under the "student nurse" tab and didn't find what I was looking for.
Anyway, I'm an LPN to RN student and I am working on a care plan for myself in my Mental Health Class and I have a part of my care plan that is driving me crazy (pardon the pun).
The teacher requires 3 "Needs" for every diagnosis. My needs are "Relief from Pain" "Improved Physical Mobility" and "Physical Therapy". The associated diagnosis is "Impaired physical mobility related to musculoskeletal impairment secondary to scoliosis AEB gait changes, limited ROM, and postural instability. "
I don't like it, especially as this is the diagnosis I used for the Education part of my care plan. Let me explain.
I have scoliosis with poor abdominal muscle strength. This means that my back muscles are doing all the work of keeping me upright and this is the perfect storm for the pain that I have. Pain makes me angry, irritable, and it's a significant source of my stress. However, because of my back issues, including the pain, I have the impaired physical mobility that's due to the musculoskeletal impairment. I DO have the limited ROM, postural instability and gait difficulties.
My problem is this: I keep going back and forth over whether or not I need to make pain the diagnosis or keep it as it is. This is one of two diagnosis in this care plan that aren't strictly mental health- the other is imbalanced nutrition more than bodily requirements, but I relate it to my anxiety.
So, can you help me out? I know I am probably over thinking this, but I'm a perfectionist at heart. <3 Thanks!