Nursing Careplan Concept Map discussion

1 BOWIE STATE UNIVERSITY DEPARTMENT OF NURSING NURS 411 Concept Mapping/Care Plan The Concept Mapping assignment is worth 100 points and 10% of your NURS 411 grade. Submit this grading tool with your Concept Map. Criteria Admissions Assessment a. Included primary and secondary medical diagnoses b. Included definitions for primary and secondary Medical diagnoses c. Included nursing assessment data: physiological, spiritual psychological, developmental, and socio-cultural. Pathophysiology, Lab & Diagnostic a. Discussed the pathophysiology r/t medical diagnosis b. Nursing Careplan Concept Map discussion

Identified significant lab and diagnostic data and their interpretation as it relates to the client Possible Grade Comments Points 10 points 10 points _____ Nursing Diagnosis 20 points a. Identified at least 3 problems based on assessment data b. Prioritized Nursing diagnoses based on Maslow’s Hierarchy of Needs, and ABC’s (airway, breathing, circulation) c. All three parts of the nursing diagnoses are appropriate Planning a. Goals are appropriate (2) b. Outcomes are measurable (6)) c. Outcomes are specific and relate to the nursing diagnoses _____ 20 points _____ _____ Nursing Interventions 20 points _____ a. Therapeutic interventions reflect: (5) 1. cultural congruence 2. therapeutic communication 3. ethical consideration 4. legal standards 5. caring and concern b. Nursing interventions are stated as dependent, independent, or collaborative c. Rationales are listed for nursing interventions. (text & journal articles) Evaluation 20 points _____ a. Describes clients response to nursing interventions b. States the extent to which each outcome has been obtained c. Nursing Careplan Concept Map discussion

Determines the extent to which overall goals have been met d. Reflects current data collected by the student. 2 3 Concept Map Physiologic Primary Medical Diagnosis: Neurologic Secondary Medical Diagnosis: Cardiovascular Respiratory Gastrointestinal Risk Factors: Urinary Musculoskeletal Integumentary Reproductive Pathophysiology: Psychological (If needed complete on following page) Development (Erickson’S) Diagnostic Findings & Laboratory Values: Sociocultural Spiritual 4 Physiologic If more space is required, please use this box; instead of the box on page one. General: Neurologic Cardiovascular Respiratory Gastrointestinal Genitourinary Musculoskeletal 5 Pathophysiology Primary diagnosis Secondary Diagnosis Pathophysiology Prescribed medications at home: Generic & trade name & classification of medication Dose/route Frequency Purpose Medications ordered this hospitalization: Generic & trade name & classification of medication Dose/route Frequency Reason administered to this client Effects of medication on this client Diagnostic studies: Test & definition Initial admission test results & date performed Significance of results to client’s condition Most recent test results (if test repeated) & date performed Significance of repeated test results to client’s condition Based on your assessment data and the chart above, identify as many problems (listed as problems not medical nor nursing diagnosis) as possible. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Based on the problems you have listed, identify the top three problems, and prioritize them. 1. 2. 3. Nursing Careplan Concept Map discussion

Using the problem with the highest priority, identify an appropriate nursing diagnosis based on NANDA and develop a careplan for your client. Concept Map Tool for Care Planning Goals & Outcomes: #1Nursing Diagnosis: Client’s Primary Medical Dx: Secondary Medical Dx: Evaluation: Nursing Interventions (With Rationale): Goals & Outcomes: #2 Nursing Diagnosis: Client’s Primary Medical Dx: Secondary Medical Dx: Evaluation: Nursing Interventions (With Rationale): # 3 Nursing Diagnosis: Goals & Outcomes: Client’s Primary Medical Dx: Secondary Medical Dx: Evaluation: Nursing Interventions (With Rationale): …Nursing Careplan Concept Map discussion