nursing dx

Rather than "as evidenced by irritation", what does the patient rate his pain? That gives much more information than just a generic "irritation", which could refer to many things- patient's mood, etc.

but does the dx and r/t would work?

moved to Nursing Student Assist forum

Keep it simple. That's what my school likes. What about impaired mobility? Or decreased tissue perfusion?

The "related to" should be what is causing the pain, like neuropathy, or immobility, or decreased tissue perfusion, or whatever. The "as evidenced by" is how do you know he is in pain? For an alert and oriented patient, the pain scale or reports of pain would work.

hello guys,

im here again for another question. im working on my care plan for a pt. whose been complaining about his leg pain. he has ulceration on his both heels and healing. he has also an edema but lost his sensation on his toes. i was thinking about a nursing dx like "pain related to peripheral neuropathy as evidence by irritability" it seems to me that it could be worded better but I couldnt figure out the appropriate ones. could anyone out there throw a suggestion? thanks

You don't figure out how to word nursing diagnosis. It's all done for you. You can only make a nursing diagnosis by making an assessment, and then making the diagnosis based on specific findings. Its like a doctor checking a CBC and diagnosing an infection with a hi WBC, or anemia from a low hct.

You can only use the NANDA diagnoses. Helpfully, they come with all the assessment findings to support making them. Get the book from Amazon, the NANDA-I book, not a nurising diagnosis handbook. It comes in two days. P. 440 Self report of pain is a defining characteristic for acute pain, which is all you need. There are more if you are observant of your pt. You don't need a r/t for cute, because sometimes you don't konw what is causing pain. If you do, fine, but the definition doesn't require it. Chronic pain does have defining characteristics and r/t factors, so you would have to find both to make that diagnosis.

Acute pain is a nursing diagnosis. So is chronic pain. Which one has the assessment findings that matches this pt?