Primary Nursing dx for hip replacement

[peytonsmom]

I'm waffling between Acute Pain and Impaired Mobility for the primary dx. My pt consistently rated his pain at an 8 or 9 during the entire clinical weekend. He had a fracture in the neck of his femur which was repaired w/ a partial hip replacement (which I got to go to!) and he has a history of chronic pain d/t several back surgeries/injuries. He was loaded w/ pain meds for most of the weekend I was there. He was also on complete bed rest for the weekend.

I keep leaning towards Acute Pain because that was the biggest issue for HIM at that time. BUT he was in the hospital for the hip fracture so I feel like my nursing dx should relate more specifically to that. See, i'm waffling.

Any suggestions?

[peytonsmom]

Okay, I'm still thinking about this and now i'm leaning more towards Impaired Physical Mobility because the pain could be a symptom of the IPM because of the fracture. More waffling.

[Nurse SMS, MSN, RN]

Primary dx is impaired physical mobility, followed secondly by altered tissue perfusion.

[peytonsmom]

Thanks! I had that one on my list too.

[peytonsmom]

gentlywind - I actually had "impaired tissue integrity", can you tell me why 'impaired tissue perfusion" would fit? I'm looking at it in my book and the r/t factor and defining characteristics don't really fit my pt. Thanks!