Acute pain diagnosis

Published

I have just started my first hospital clinical and I am working on a care plan for client who was hospitalized for intractible diarrhea and abdominal pain.

For one of my diagnoses I am using "Acute Pain R/T ????? AEB client stating she was experiencing continuous, sharp pain, rated 4 on a 0-10 scale and holding lower abdomen". My obvious problem is that I don't know what to put into the R/T area. At this point they do not know why she is having diarrhea and pain.

Thank you for any enlightenment you are able to provide :).

Up Vote Up Vote ×

i would ask your patient to describe the pain sensation in greater depth. Is there a history of abdominal injury/disease? At the very least maybe you get her to identify a usable noun like "cramping". Not sure if it would be kosher but maybe you could go with RT unknown abdominal etiology. Hope this helped.

Up Vote Up Vote ×
Specializes in med/surg, telemetry, IV therapy, mgmt.

Acute Pain R/T unknown pathological process AEB continuous, sharp abdominal pain, rated 4 on a 0-10 scale and holding (guarding) lower abdomen.

Up Vote Up Vote ×

Thank you. Unknown was the only thing I could think of, but I wasn't sure if it was acceptable. Again thanks, I really appreciate your help!

Up Vote Up Vote ×
Acute Pain R/T unknown pathological process AEB continuous, sharp abdominal pain, rated 4 on a 0-10 scale and holding (guarding) lower abdomen.

Ahh the master reveals themself to say exactly what i was trying to get across but stumbled through. Thank you Daytonite.

Up Vote Up Vote ×
+ Join the Discussion