I am also doing a care plan for ineffective tissue perfusion. my patient was admitted to the ER for atrial fibrillation, having chest pain as a primary symptom. he also has diet controlled diabetes. I had difficulty finding a very weak pedal pulse in his right foot after he had a catheter to correct his atrial fibrillation. He had a pulsox of 94%, is a smoker, and had slight 1+ edema in his lower extremities which is slowly going down. I need to write a diagnostic and outcome statement with a goal that I can attain in a 6 hour clinical period. My instructor suggested perfusion as my key problem #1 although i do know what goals I could easily accomplish successfully in 6 hours. Any suggestions? Maybe I can just make my goal having his pulseox, BP, and pulse within his normal range. I really could use all the help you have to offer. Thanks in advance.