Nursing diagnosis for Chronic pain

  1. I'm a first semester nursing student and I'm writing a nursing diagnosis for my patient. She has chronic back pain caused by a Fx to her dorsal and lumbar vertabra. I wrote my diagnosis like this,

    Chronic pain related to compression of the spine as evidence by client rating pain an 8 on a scale of 1-10, client grimacing and showing great difficulty while standing and sitting, an exaggerated rounding of her back, and the medical chart stating a prior fracture to the dorsal and lumbar vertebra.

    Does that sound alright? I'm still very new at writing these and I'm not sure what I can and cannot use for related to and as evidence by factors. Thanks in advance!
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    Joined: Apr '12; Posts: 1; Likes: 1


  3. by   nurseprnRN
    sounds perfect. my compliments to your faculty.

    there are those who say you cannot mention a medical diagnosis when you write your nursing diagnoses. however, since nanda-i is not among them (many, many nursing diagnoses have a medical diagnosis as one of many defining factors), i would ignore that when you hear it.
  4. by   Rebecca929
    This may be the way I was taught but we have always had to use a pain scale of 0-10. Although your patient's diagnosis is chronic pain, it is possible for another client to experience a "zero" or no pain. Good job though!