I would like to make a couple of suggestions. First of all, if you are going to use self-care deficit you must specify a type of self-care deficit. Self-care deficits concern accomplishing daily ADLs such as bathing, dressing, eating and toileting. Having some personal experience with radiculopathy in the lower extremities I am wondering why you aren't using a diagnosis of Impaired Physical Mobility. Impaired Physical Mobility is more appropriate to use with someone who has difficulty with the use of any of their limbs--in this case, the leg(s). It is often extremely difficult for people with very painful radiculopathy to ambulate and/or find comfortable positions to sit, lie or stand. That is a mobility problem. If the patient is able to move her arms normally then she should be able to perform nearly all of her own hygiene, toileting, eating and elimination problems with only minor accommodations that she should have figured out herself already. I am also wondering if she is having problems with sleeping due to the pain and positioning which would capture another nursing diagnosis: Disturbed Sleep Pattern R/T positioning. Another potential problem is constipation. Being on PCA narcotics is most likely going to cause some problems with bowel movements. Secondarily, the radiculopathy may also be causing some nerve disturbance to the bowel as well which could also contribute to the development of constipation. Fluids and a high fiber diet are definitely in order for her. Being a "Risk for" nursing diagnosis gives something like this a last place priority because it is an anticipatory problem.
As for a psychosocial diagnosis, I would consider Powerlessness. Having gone through a number of years of lower leg radiculopathy following spinal surgery I could write you a book on the depression and the life changes that accompanied it and the pain that went with it. I suggest it only as an alternative to using the diagnosis of anxiety.
These would be my suggestions, in order of priority, for the nursing diagnoses for this patient based on the information you supplied, what I know about this condition, and based on Maslow's Hierarchy of Needs:
- Acute Pain R/T nerve root irritation
- Impaired Physical Mobility R/T neuromuscular impairment AEB being hardly able to move
- Disturbed Sleep Pattern R/T positioning
- Powerlessness R/T life situation of constantly being in pain AEB [crying, anxiety, expressions of dissatisfaction and frustration over inability to perform previous tasks and activities, resentment, anger, guilt]
- Risk for Constipation R/T slowed peristalsis