help with etiology for acute pain

[12learn]

Hello everyone,

My client is a 82 yrs old female that was admitting for severe leg pain. She rated her pain as a 9/10, appeared lethargic, demostrated facial grimacing and moaning. she is unable to ambulate or perform ADLs without assisting. She was later diagnosis with lumbar spinal stenosis. I wanted to pick Acute pain as my nursing diagnosis, but is having a hard time coming up with the etiology part. Please help!

This is what I come up with so far: Acute pain r/t pinched nerves secondary to lumbar spinal stenosis amb verbalized pain level of 9/10, facial grimacing and moaning, inability to ambulate.

I was told by my instructor said the etiology part must be something that the nurse can change. I don't think the one I have will work because I cannot do anything about the pinched nerves.

Thanks

[Christine2009]

Hello everyone,

My client is a 82 yrs old female that was admitting for severe leg pain. She rated her pain as a 9/10, appeared lethargic, demostrated facial grimacing and moaning. she is unable to ambulate or perform ADLs without assisting. She was later diagnosis with lumbar spinal stenosis. I wanted to pick Acute pain as my nursing diagnosis, but is having a hard time coming up with the etiology part. Please help!

This is what I come up with so far: Acute pain r/t pinched nerves secondary to lumbar spinal stenosis amb verbalized pain level of 9/10, facial grimacing and moaning, inability to ambulate.

I was told by my instructor said the etiology part must be something that the nurse can change. I don't think the one I have will work because I cannot do anything about the pinched nerves.

Thanks

Well, you can not do anything about the lumbar stenosis, but you are able to assist in getting her ambulating. As far as the Acute Pain r/t pinched nerves...you can not change the pinched nerves or lumbar stenosis, but you can change her pain level with medication management.

You also have a Dx of activity intolerence r/t pinched nerves; your intervention can be "assist pt with ambulating exercises once per shift" outcome would be "pt able to ambulate with little or no assistance as evidenced by use of walker/cane, etc.

HTH!

[12learn]

thank you very much for the help