For our first care plan, we need to utilize 3 nursing diagnoses (2 priority and one of our choice). My patient is a 72 year old female with a non-malignant tumor at C4, which is causing immobility and neuropathy.
Priority Diagnoses:
1) Chronic pain in lower limbs R/T peripheral nerve injury secondary to non-malignant tumor at C4 AEB patient report of constant pain of 6/10 and burning in both legs.
For my second priority diagnosis, I'm torn between two, and would love some opinions.
Option A) Impaired mobility R/T neuromuscular impairment secondary to paraplegia from non-malignant tumor at C4 AEB (still need my evidence, but she can't move herself)
Option B) Disturbed sleep pattern R/T noise level produced by roommate AEB patient awakening frequently through the night, patient statements of being tired, and unintentional naps during the day.
I like the idea of option B, but can't decide if it is a priority over option A, particularly because my patient is sleeping at least 6 hours.
Non-Priority Diagnosis:
Risk for urinary tract infection R/T indwelling Foley catheter.
Any feedback about the diagnoses themselves, especially the priority ones would be most appreciated.
