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thank you very much for the help

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

Thank you very much for all of your thoughts and your times.

Hi, I am a first semester ADN nursing student. I need help on two care plans that I have been working on for my clinical class. Here is the situation: My client is a 70 yrs old female. She is diagnosis with Mulitple sclerosis, wheelchair bound, she has a right ankle ulcer wound meaureed 3.4cmx5.0cm and an ulcer wound on mid-tibia measured 0.6cmx0.8cm, no depth on both wounds, both wounds are covered with 40% yellow slough, I think there are stage 2. She is c/o pain rated as a 5 on a scale of 1 to 10, showed facial grimacing when touch. The nursing diagnosis I pick are: 1. Acute pain r/t inflammation of ulceration wound sites AEB verbalize pain and demonstrate facial grimacing upon touch. 2. Impaired skin integrity r/t altered circulation secondary to MS AEB ulceration wounds. Are these right? I am not sure if I have the right Etiology. Also, which is the higher priority? I am thinking pain, because that is the client's main concern, but than the skin integrity is also important too. I am just lost. I would really appreciate if someone could help me on this. Thanks in advance for your times.