princessnik1976

I am having trouble with coming up with a nursing dx for my caremap. We have to come up with 3 nursing dx with 3 outcomes and interventions (2 short term and 1 long term). My patient was admitted with a DVT and has had a DVT last year also. She is 84 and uses a walker and has an unsteady gait. She has plus 2 edema on her left ankle and leg. He is on blood pressue medications, and has a history of chronic renal insufficiency, htn, gerd, asthma, heart murmur, hypothyroid, ht (not sure what this actually is??), and diverticulitis. Would this be accurate? I have so far... Nursing DX: Acute pain r/t edema as evidence by client stating "I have shooting pains from my left ankle to my calf" secondary to DVT. Outcome: Client will state pain is Intervention: Assess client for pain using the pain rating scale when doing vital signs. Not sure about the outcome though... Then I was thinking I could use risk of falls as a 2nd dx? Can anyone help me out? I just need a push in the right direction...