sostuck

Hi, I am highly stuck with an assignment. It is in two parts. In the first part of the assignment, I have to identify four nursing diagnoses with rationale and prioritization and one patient-centered goal for each diagnosis with an explanation for the goal. I am stuck with which diagnoses to use and the prioritization. This is my scenario: You are a registered nurse employed by a residential aged care facility to undertake comprehensive nursing assessments, develop care plans, and monitor the implementation and evaluation of this care. Mr. Bonnici is 68 and was admitted to the aged care facility two days ago. Mr. Bonnici speaks little English, refuses to take his medications, and spends much time lying on his bed. When approached by a staff member, he speaks rapidly and loudly. Mr. Bonnici has a reddened area at the base of his spine and right elbow. He is overweight, has mild right-sided weakness from a stroke (Cerebral Vascular Accident - CVA), mobilizes independently with a frame, and has a history of severe right-sided shoulder pain. He has had no bowel actions since entering the facility. I have had so many thoughts about this, and they keep changing that I cannot write the assignment. I was thinking: Impaired skin integrity (reddened areas - pressure ulcer) is priority one Constipation (no bowel action) is priority two Chronic pain (history of severe right-sided shoulder pain) priority three Noncompliance (refusing to take medications) is priority four Any ideas, tips, or suggestions? Thanks.