gmoore00

So acute pain should be my nursing diagnosis

Yeah I was confuse on how to choose between diagnosis #1: Impaired Comfort r/t injury of tendon aeb client states pain from fall. #2: Acute Pain r/t injury of tendon aeb clients report of symptoms ( the nanda book has acute pain and impaired comfort with the same related factors such client reports or demonstrates discomfort facial mask of pain, being uncomfortable, then it had related factors related to inflammation or tendon or injury of tendon which she has a medical diagnosis of Patellar tendonitis # I also looked at impaired mobility ? now how do I decide which to choose..this is where I'm kinda lost its my first care plan we just started all this

Nursing school has been so awful...I need to do good on this care plan & final the tests are very challenging. I have a care plan but I'm unsure if I'm doing it right. Mrs. Garcia been seen in the ortho clinic for steadily worsening pain in right knee. The pain began four months ago when she fell and hyperextended the knee. She reports that's the pain is more intense with weight bearing activities including walking & standing. Because of this, she is limiting her physical activities. She also reports a recent onset of muscle spasms in the right leg, both with activity and rest. The pain and muscle spasms are disrupting her sleep and making it difficult for her to enjoy daily activities. At home she is testing discomfort with acetaminophen and stretching exercises but no relief. On physical exam, you notice a marked limp with walking, decreased extension in right knee, and a reluctance to allow her knee to be touched or manipulated. The knee is slightly swollen and warm to touch. During X-ray she grimaces in pain when placed in kneeling position. Her dpmedical diagnosis is Patellar Tendonitis, and she is started on regimen of NSAID. She is a widow and lives alone in her apartment. i did the assessment of subjective and objective data looked up her medical diagnoses and its background I looked up several nursing diagnosis but I'm like lost on how to decide on which one impaired comfort r/t a cure pain aeb pain states pain is more intense with weight bearing activities. or impaired physical mobility r/t pain or do I use pain as the diagnosis Acute Pain r/t fall aeb patient states pain as worsen.