Ordering nursing diagnoses!?

Nursing Students Student Assist

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My care plan is on a 64 y/o with cellulitis around a wound on her right leg that has been sutured and is almost healed. She also has 2 incision sites on her back from surgery a week ago. Other info: overweight, c/o headache and discomfort around leg wound.

I am just having trouble with diagnoses and putting them in order. So far I have come up with:

1- excess fluid volume r/t infection secondary to cellulitis aeb lower leg edema

2- impaired skin integrity r/t lower right leg injury impaired circulation, edema secondary to cellulitis aeb reported discomfort around leg injury site, disrupted skin surface (3 inches) on right leg, incision site over spine (5 inches) and incision site on left lower back (4 inches)

3- ineffective peripheral tissue perfusion r/t sedentary lifestyle, obesity secondary to bilateral lower extremity venous stasis disease aeb bilateral lower extremity pooling, bilateral lower extremity edema, bilateral lower extremity hair loss

4- acute pain r/t leg injury, headache aeb grimacing when changing positions, with increased lighting, or increased noise, and reported pain of 4/10 on scale of 0-10

Please let me know if you think this is the right order for these diagnoses. Or if you think I should change something about the wording of these.

Thanks in advance!

Do you have more information than what you have shared? I'm having a hard time making the link between what you've shared and some of your diagnoses - fluid volume overload, ineffective tissue perfusion.

We didn't have to do strict nursing diagnoses when I was in school, but I would say infection (cellulitis) and pain dt cellulitis/ headache are your main problems

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