Final Answer:
Impaired Physical Mobility related to surgical incision and pain as evidenced by a pain rating of 7 on a scale of 0-10, wincing during movement, guarding the incisional area, and expressing discomfort.
Step-by-step explanation:
In this case, the nursing diagnosis is "Impaired Physical Mobility." The "P" in the PES format stands for "Problem," which is the nursing diagnosis itself. The patient's limited ability to move, as indicated by wincing during movement, guarding the incisional area, and expressing discomfort, suggests impaired physical mobility. The "E" in the PES format stands for "Etiology," which is the cause of the problem. The etiology in this case is the surgical incision and pain associated with it. The patient's pain rating of 7 out of 10 further supports the identification of impaired physical mobility. Finally, the "S" in the PES format stands for "Signs and Symptoms," which are the defining characteristics that validate the nursing diagnosis. These include the patient's pain rating, wincing during movement, and guarding the incisional area.
The impaired physical mobility nursing diagnosis is appropriate in this scenario because it addresses the patient's difficulty in moving due to pain and surgical site discomfort. The nurse's assessment of the patient's pain level and observed behaviors during movement provides a comprehensive picture of the impaired physical mobility. By using the PES format, the nurse ensures a clear and concise communication of the nursing diagnosis, facilitating effective collaboration with the healthcare team to develop an appropriate care plan. The identification of impaired physical mobility guides the nursing interventions to alleviate pain, promote mobility, and support the patient's recovery.