1. Deanna B. Hiott MSN,RN

2. • Are not as abstract as
they seem
• The concept map is a
visual of all your
patient’s problems.
• The care plan is just
your plan of care for
your patient!

3. • Who is your patient?
• What is the medical
diagnosis?
• What are the patient’s
presenting symptoms?
• What does the
assessment ‘say’ about
the patient?
• The review of systems?
• The vital signs?
• Any
social, cultural, psychologi
cal or spiritual concerns…

4. • The concept map
• The care map
• The concept care map
• Yeah, that thing…

6. • They promote critical
analysis
• They help clarify
nursing diagnoses
• It takes the guesswork
out of the picture

7. • Based on the patient’s
reason for seeking
care.
• Based on the
assessment and vital
signs.
• Based on the medical
diagnosis, labs, tests,
Vital signs 96.4 R, 68/48, P- 170, R-
80
medications and
32 week premie, treatments.
Mother SROM, meconium stained,
Beta strep positive – no treatment
• Write this information
on the concept map.

8. • Lonely?
• Bedridden?
• Malnourished?
• Sick?
• Pain?
• Infection?
• Dehydration?

9. • Social isolation
• Altered nutritional
status
• Ineffective tissue
perfusion
• Altered fluid and
electrolytes
• Impaired tissue
integrity
• At risk for infection

10. • It is impossible to
develop an
individualized plan of
care unless you have
identified and prioritized
the patient’s problems.
• The medical diagnosis
focuses on the signs
and symptoms of the
pathological process.
• Nursing diagnoses
focus on patient
responses to health
problems.

11. • Look for linkages and
associations.
• Define your nursing
diagnoses.
• Prioritize!
• The #1 problem
usually has the most
supporting data.

12. • Identify therapeutic
goals, outcomes and
strategies to address
each nursing
diagnosis.
• Set mutual goals with
your patient.
• Interventions help
meet these goals.
• Lastly, evaluate your
care.

13. • My patient will: • My patient’s pain level
• Experience bonding will be <3 before shift
and physical touch change.
with parents for 30
minutes today.
• Consume 40% of their
meals today.
• Maintain oxygen
saturation levels of
>95% today.

14. • Assess, observe for
signs and symptoms of
problems.
• Administer medications,
treatments, oxygen,
suctioning.
• Provide comfort The infant will be assessed hourly
O2 as needed, thermoregulation,
measures, therapeutic Pacifier provided, feeding via NG tube
communication. Parents encouraged and advised
about therapeutic touch, hand washing
• Teach patient and family
as needed.

15. • Lastly, care will be
evaluated.
• Goals were met or not
met.
• What went well and
was successful.
• What was not
accomplished and
may need amending.

16. • Gather data
• Identify problems on
concept map
• Translate problems
into nursing diagnosis
• Set goals
• Intervene
• Evaluate