Diabetes Patient Concept Map Paper.

Assessment 1 Instructions: Diabetes Patient Concept Map Create a concept map graphic and write a 2-4 page narrative on the patient scenario presented in Assessment Case Study: Evidence-Based Patient-Centered Concept Map. Base your report on the information provided in the case study and your own research of 3-5 evidence-based resources. Evidence-based practice is a key skill in the tool kit of the master’s-prepared nurse. Its goal is to ensure that health care practitioners are using the best available evidence to ensure that patients are receiving the best care possible (Godshall, 2020).

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In essence, evidence-based practice is all about ensuring quality care. In this assessment, you will apply evidence-based practice and personalized care concepts to ensure quality care and improve the health of a single patient. The concept map that you will create is an example of a visual tool that you can use for patient and family education. Reference Godshall, M. (2020). Fast facts for evidence-based practice in nursing (3rd ed.). Springer Publishing Company. Scenario The charge nurse at the wellness center has sent you an email to request that you review a patient file before the patient arrives at the clinic. She has asked you to put together a concept map for your patient’s care plan. The concept map is intended to help you think through the best strategy for your patient’s care and for subsequent use for patient education. In addition, the nurse needs a narrative report that describes your patient with up to five diagnoses, in order of urgency. Your Role You are a nurse at a community wellness center who has received a request for patient case review and preparation for an upcoming appointment. Instructions Review the Assessment Case Study: Evidence-Based Patient-Centered Concept Map media activity.

Create your concept map and narrative as separate parts of your document. Be sure to note where you must include your evidence-based support and clarify your strategies for communicating information to the patient and the patient’s family. Integrate relevant evidence from 3–5 current scholarly or professional sources to support your assertions. Part 1: Concept Map • Develop a graphical concept map for the patient based on the best available evidence for treating your patient’s health, economic, and cultural needs. o Many organizations use the spider style of concept maps (see the Taylor and Littleton-Kearney article for an example). o The Assessment Case Study: Evidence-Based Patient-Centered Concept Map, which includes an example of a concept map, may help you prepare your assessment. o If a particular style of concept map is used in your current care setting, you may use it in this assessment. Diabetes Patient Concept Map Paper.

Part 2: Narrative Report • • • Develop a narrative (2–4 pages) for your concept map. Analyze the needs of a patient and his or her family to ensure that the intervention in the concept map will be relevant and appropriate for their beliefs, values, and lifestyle. o Consider how your patient’s economic situation and relevant environmental factors may have contributed to your patient’s current condition or could affect future health. o Consider how your patient’s culture or family should inform your concept map. Determine the value and relevance of the evidence you used as the basis of your concept map. o Explain why your evidence is valuable and relevant to your patient’s case. Explain why each piece of evidence is appropriate for the health issue you are addressing and for the unique situation of your patient and the family. Propose relevant and measurable criteria for evaluating the outcomes the patient needs to achieve. o Explain why your proposed criteria are appropriate and useful measures of success.

Explain how you will communicate specific aspects of the concept map to your patient and the family in an ethical, culturally sensitive, and inclusive way. Ensure that your strategies: o Promote honest communications. o Facilitate sharing only the information you are required and permitted to share. o Are mindful of your patient’s culture. o Enable you to make complex medical terms and concepts understandable to your patient and his or her family, regardless of language, abilities, or educational level. o • • Additional Requirements • • • • • Organization: Use the following headings for your Diabetes Patient Concept Map assessment: o Concept Map. o Patient Needs Analysis. o Value and Relevance of the Evidence. o Proposed Criteria for Patient Outcome Evaluation. o Patient and Family Communication Plan. Length: Your concept map should fit on one page (possibly a horizontal layout) and your narrative report will be 2–4 double-spaced pages, not including title and reference pages. Font: Times New Roman, 12 points. APA Format: Your title and reference pages must follow current APA format and style guidelines. The body of your paper does not need to conform to APA guidelines. Do make sure that it is clear, persuasive, organized, and well written, without grammatical, punctuation, or spelling errors. You also must cite your sources according to APA guidelines. Scoring Guide: Please review this assessment’s scoring guide. The requirements outlined above correspond to the grading criteria in the scoring guide, so be sure to address each point. In addition, you may want to review the performance-level descriptions for each criterion to see how your work will be assessed. Competencies Measured By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria: • • • • Competency 1: Apply evidence-based practice to plan patient-centered care.

o Design an individualized, patient-centered concept map, based upon the best available evidence for treating a patient’s specific health, economic, and cultural needs. o Analyze the needs of a patient, and those of their family, to ensure that the intervention in the concept map will be relevant and appropriate for their beliefs, values, and lifestyle. Competency 3:

Evaluate outcomes of evidence-based interventions. o Propose relevant and measurable criteria for evaluating the outcomes the patient needs to achieve. Competency 4: Evaluate the value and relative weight of available evidence upon which to make a clinical decision. o Determine the value and relevance of evidence used as the basis of a patient-centered concept map. Competency 5: Synthesize evidence-based practice and academic research to communicate effective solutions. o Develop a strategy for communicating with patients and their families in an ethical, culturally sensitive, and inclusive way. o Integrate relevant and credible sources of evidence to support assertions, correctly formatting citations and references using APA style. Use the scoring guide to understand how your assessment will be evaluated. Assessment Case Study: Evidence-Based Patient-Centered Concept Map Concept maps are an important tool in patient–centered care planning. A concept map helps to synthesize facts about a patient’s health needs and personal circumstances with available evidence and analysis. Such a tool becomes more useful when a patient has complex health, economic, and cultural needs. In this simulation, you will be given a patient to interview and then assemble a concept map for use in that patient’s care plan. Patient Profiles From: Janie Poole To: Lizeth Gonzalez vargas Good morning, We have a new patient coming in today. Her name is Carole Lund. Carole is a new mother who had gestational diabetes during her pregnancy. She has continued to track her blood glucose postpartum, and is worried that it does not appear to be stabilizing. It probably will be helpful to create a concept map for Carole to show her this care plan in a visual way. Talk to your patient and start planning her care. Thanks! — Janie Poole UPTOWN WELLNESS CLINIC Diabetes Patient Reason for Referral: Carole Lund is a 44–year–old woman of mixed Native American and European descent, and a new mother. She is concerned that she is not recovering from gestational diabetes. Situation: Carole is here with her daughter, Kassandra, who is 10 weeks old. Carole was diagnosed with gestational diabetes at week 30 of her pregnancy. She has carefully logged her blood glucose since the diagnosis, and it shows 150–200 fasting, over 200 following meals. Check in character icon with each character to continue. Carole Lund Diabetes Patient Hide All Diabetes Patient What diabetes treatments did you receive during your pregnancy? Well, they gave me a glucometer, so I started using that. I could see right away that the way I was eating was a problem;

I would usually work straight through the day and then have one big meal in the evening, and that was making my numbers bounce all over. So I set alarms on my laptop, so three times a day I would get interrupted, have a small meal, take a short walk, and then test my blood sugar. That helped. And then I stopped drinking juice and soda, which I should have done years ago, and that helped too. But I don’t think my numbers improved as much as my OB/GYN wanted them to, but she said my blood sugar should return to normal after delivery. Diabetes Patient Did your obstetrician advise you to take insulin during your pregnancy? She did, yeah, and we talked about it.

I don’t like the idea of being dependent on a drug. I called my mother. She’s still on the reservation, so she called the elders, and we all agreed that injecting my body with an animal hormone was a bad idea. But then the doctor told me that they make synthetic insulin now, but that means it’s made in a laboratory somewhere, and I’m not sure that’s any better. By then I was in my third trimester, and all the tests said Kassandra was big but healthy, so I thought we would just ride it out. It was supposed to clear up after she was born. But it hasn’t, and I know you have to be careful having a baby at my age. I want to do what’s best, but I don’t want to believe that insulin is my only option. Diabetes Patient Are there any challenges in your life which you think may be interfering with your ability to follow a treatment plan? It’s harder now than it was before she was born. It’s just the two of us in the apartment, which is wonderful, but I don’t remember the last time I had a good night’s sleep.

A lot of my work is freelance, so I make my own hours, but that also means if I’m not working I don’t get paid. I had family help while I was recovering from the C-section, and they helped cook healthy meals for me, and kept me on my schedule. Now it’s all on me — work, caring for my daughter, and managing my blood sugar. If I fall behind on anything, it will be looking after my health. Diabetes Patient Do you have any other concerns you’d like to have addressed? I worry about Kassandra. She’s healthy and perfect, but I know that she’s at a greater risk for developing Type 2 Diabetes. I want to do whatever I can to reduce that risk, to care for her, and as she grows, to teach her how to care for herself. The resources provided here are optional. You may use other resources of your choice to prepare for this assessment however, you will need to ensure that they are appropriate, credible, and valid. Baker, J. D. (2017). Nursing research, quality improvement, and evidence-based practice: The key to perioperative nursing practice: Editorial. Association of Operating Room Nurses, 105(1), 3. Kessler, C. (2018). Genomics and precision medicine: Implications for critical care. AACN Advanced Critical Care, 29(1), 28–35. Godshall, M. (2020). Fast facts for evidence-based practice in nursing (3rd ed.). Springer Publishing Company. Available in the courseroom via the VitalSource Bookshelf link. Read Chapter 7. Hain D. J., & Kear, T. M. (2015). Using evidence-based practice to move beyond doing things the way we have always done them. Nephrology Nursing Journal, 42(1), 11–20. Evidence-Based Practice in Nursing & Health Sciences. Evidence-Based Practice: What It Is and What It Is Not. Diabetes Patient Concept Map Scoring Guide CRITERIA NON-PERFORMANCE BASIC PROFICIENT DISTINGUISHED Design an individualized, patient-centered concept map, based upon the best available evidence for treating a patient’s specific health, economic, and cultural needs. Does not design an individualized, patient-centered concept map based on the best available evidence for treating a patient’s specific health, economic, and cultural needs. Designs a patientcentered concept map, but the map is not well individualized to treat a specific patient’s health, economic, or cultural needs.

Designs an individualized, patient-centered concept map based on the best available evidence for treating a patient’s specific health, economic, and cultural needs. Designs an individualized, patient-centered concept map based on the best available evidence for treating a patient’s specific health, economic, and cultural needs, and identifies. Outcomes for each diagnosis are aligned and complementary. Analyze the needs of a patient, and those of their family, to ensure that the intervention in the concept map will be relevant and appropriate for their beliefs, values, and lifestyle. Does not analyze the needs of a patient, and those of their family, to ensure that the intervention in the concept map will be relevant and appropriate for their beliefs, values, and lifestyle. Attempts to analyze the needs of a patient, and those of their family, to ensure that the intervention in the concept map will be relevant and appropriate for their beliefs, values, and lifestyle. Analyzes the needs of a patient, and those of their family, to ensure that the intervention in the concept map will be relevant and appropriate for their beliefs, values, and lifestyle. Diabetes Patient Concept Map Paper.

Analyzes the needs of a patient, and those of their family, to ensure that the intervention in the concept map will be relevant and appropriate for their beliefs, values, and lifestyle. Identifies unanswered questions or areas of uncertainty where further information could improve the analysis. Determine the value and relevance of evidence used as the basis of a patientcentered concept map. Does not determine the value and relevance of evidence used as the basis of a patient-centered concept map. Partially determines the value and relevance of evidence used as the basis of a patient-centered concept map. Determines the value and relevance of evidence used as the basis of a patient-centered concept map. Justifies the value and relevance of evidence used as the basis of a patient-centered concept map, and impartially considers conflicting data and other perspectives. Propose relevant and measurable criteria for evaluating the outcomes the patient needs to achieve. Does not propose criteria for evaluating the outcomes the patient needs to achieve. Proposes insufficient or inappropriate criteria for evaluating the outcomes the patient needs to achieve.

Proposes relevant and measurable criteria for evaluating the outcomes the patient needs to achieve. Proposes relevant and measurable criteria for evaluating the outcomes the patient needs to achieve and acknowledges challenges specific to such an evaluation process. Develop a strategy for communicating with patients and their families in an ethical, culturally sensitive, and inclusive way. Does not develop a strategy for communicating with patients and their families in an ethical, culturally sensitive, and inclusive way. Develops a strategy for communicating with patients and their families that falls short of being ethical, culturally sensitive, or inclusive. Develops a strategy for communicating with patients and their families in an ethical, culturally sensitive, and inclusive way. Diabetes Patient Concept Map Paper.

Develops a strategy for communicating with patients and their families in an ethical, culturally sensitive, and inclusive way, and identifies assumptions on which the strategy is based. Integrate relevant and credible sources of evidence to support assertions, correctly formatting citations and Does not integrate relevant and credible sources of evidence to support assertions; does not correctly format Sources lack relevance or credibility, are poorly integrated, or are incorrectly formatted. Integrates relevant and credible sources of evidence to support assertions, correctly formatting Integrates relevant and credible sources of evidence to support assertions, correctly formatting citations and references using APA style. Citations are errorfree. references using APA style. citations and references using APA style. citations and references using APA style. Concept Map Template Instructions • You may use the template on the following page to help you complete your Evidence-Based Patient-Centered Concept Map assessment. The template has been created to mirror the formatting of the draft concept map from the Evidence-Based Patient-Centered Care media piece. • To get started, you can copy and paste the information you exported into a Microsoft Word document from the media piece. Diabetes Patient Concept Map Paper.

• Remember to change the title of the diamonds currently labeled “[Other]” to a title that accurately reflects the category of information in the diamond. • Remember to insert APA style, in-text citations where appropriate. • Add additional items and connections as appropriate to fully develop your concept map. • You are not required to use this template. You may use a different template or tool. • If you encounter accessibility issues while working with this template, please contact your instructor for assistance and possible alternatives. 1 Most Urgent Nursing Diagnosis Nursing Diagnosis 2 Patient Info Treatment Outcomes Nursing Diagnosis

Diabetes Patient Concept Map Paper.