I need help with a care plan. My pt is 55 y/o female with PVD, DMII, CHF, CAD, neuropathy, chronic pain, hx of CABG. She was admitted for surgery- (her operation dx was: Ischemic rt leg w/impending limb loss) She had an open arteriogram of popliteal anterior tibial, tibiopernoeal, and peroneal arteries via rt groin. Cryoballoon angio x6 of popliteal artery. She has been seeing a pain mgmt dr for over 6 years and is taking methadone as well as other pain meds.
I feel her primary nursing dx should be acute pain b/c it was so hard to control and was really the main thing requiring constant attention, but I've already done an acute pain care plan, so I can not do that this week. I was thinking the next would be Impaired tissue perfusion, but she had surgery to open up these arteries to restore blood flow, so I don't think I can still say that it's impaired. Any ideas? Is there an appropriate dx for neuropathy of her lower limbs? That along with her pain was huge. Thanks in advance for any insight!