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Concept Mapping...for the slightly confused<br />Diana Benton RN - 2010<br />
What’s a concept map anyway?<br />...an innovative approach to planning and organizing nursing care <br />...focused on a ...
For the student<br />...helps with organizing the problems and care of patients in a logical fashion <br />...guides the s...
For the instructor<br />... a visual representation of the  critical thinking ability of inexperienced nurses<br />
A description we’ll expand upon is...<br />
A concept map is<br />adiagram<br />of the sequential steps<br />of the nursing process.<br />1.  assessment<br />2.  nurs...
Let’s get started...<br />This is D.J. - he fractured his right femur when he jumped <br />off the roof. You’d think a 42 ...
Although there are many different ways to make a concept maplet’sdo it my way  and...<br />D.J.<br />42 year old male<br ...
Then, to plan the patient’s care, you’ll utilize... <br />the nursing process<br />
To begin....<br />ssess the patient        and gather subjective and objective data <br />
MY LEG   <br /> HURTS !<br />I feel awful.<br />When I sit up I get dizzy headed.<br />Subjective Assessment<br />Data<br ...
Signs<br />Concurrent Health <br />Problems<br />Weight<br />200#<br />Xray: <br />(R) femoral  neck fracture<br />Objecti...
Let’s see how this assessment data looks when added toyour concept map <br />
Needs Further Assessment<br />Subjective Assessment<br />Data<br />D.J.<br />42 year old male<br />Admitting dx: <br /> Fx...
Now to come up with a...<br />ursing<br />iagnosis<br />
Look at the assessment data. <br />Identify patterns of related responsesto an actual or potential health problem. <br />B...
ACUTE PAIN<br />Based on the problem identified, chose an appropriate nursing diagnosis from the NANDA list. <br />
Add this nursing diagnosis to your concept map.<br />Nursing Diagnosis:ACUTE PAIN<br />Subjective Assessment<br />Data<br ...
As you add more diagnoses...<br />Another Diagnosis<br />ACUTE PAIN<br />Another Diagnosis<br />... your map can begin to ...
Instead... use a 3 part nursing diagnosis that includes:<br />Nursing Diagnosis:ACUTE PAIN<br /> Diagnosis<br />R/T (R) fe...
When added to your concept map it should look like this:<br />Nursing Diagnosis:ACUTE PAIN<br />R/T    (R) femoral  neck f...
After you have decided on a nursing diagnosis, set a patient-focused...<br />oal<br />specific<br />measurable<br />attain...
ACUTE PAIN<br />So what’s gonna be your patient-focused goal<br />     The                 will...<br />...have no pain<br...
How are you gonna determine if the pain is tolerable<br />specific<br />“reports pain levels of < 5 <br />on a scale of 0 ...
Put this goal on your <br />concept map.<br />Nursing Diagnosis:ACUTE PAINR/T    (R) femoral  neck fractureAEBc/o Pain (R)...
Now you need to decide on nursing...nterventionsthat, when implemented, will enable the patient to achieve the stated goal...
I know some!<br />Explain 0 to 10 pain scale / need not wait          until pain is severe <br />Administer ordered pain m...
Add your interventions.<br />Nursing Diagnosis:ACUTE PAINR/T    (R) femoral  neck fractureAEBc/o Pain (R) leg / moaning / ...
Following the same sequence of steps, you can develop additional nursing diagnoses along with goals and  interventions.<br...
At this point...prioritize the needs of your patient based on Maslow’s Hierarchy of Needs. <br />
Maslow’s Hierarchy of Needs <br />Self-actualization<br />Esteem<br />feeling of accomplishment<br />Love and belonging<br...
Nursing Diagnosis:ACUTE PAINR/T    (R) femoral  neck fractureAEBc/o Pain (R) leg / moaning /  BP 150/68 / pulse 98        ...
Lastly, do an...<br />valuation<br />of the effectiveness of the interventions in relation to goal set<br />     if goal i...
1<br />Nursing Diagnosis:ACUTE PAINR/T    (R) femoral  neck fractureAEBc/o Pain (R) leg / moaning /  BP 150/68 / pulse 98 ...
Yea, you just made a...<br />... concept map!<br />Wasn’t that easy?<br />
Concept Mapping... for the slightly confused
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Concept Mapping... for the slightly confused

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Concept Mapping... for the slightly confused

  1. 1. Concept Mapping...for the slightly confused<br />Diana Benton RN - 2010<br />
  2. 2. What’s a concept map anyway?<br />...an innovative approach to planning and organizing nursing care <br />...focused on a holistic nursing view of the patient, rather than a disease model<br />
  3. 3. For the student<br />...helps with organizing the problems and care of patients in a logical fashion <br />...guides the student’s focus so he or she can learn to analyze relationships in clinical data and to prioritize the needs of a specific client <br />
  4. 4. For the instructor<br />... a visual representation of the critical thinking ability of inexperienced nurses<br />
  5. 5. A description we’ll expand upon is...<br />
  6. 6. A concept map is<br />adiagram<br />of the sequential steps<br />of the nursing process.<br />1. assessment<br />2. nursing diagnosis<br />3. goal<br />4. intervention<br />5. evaluation<br />
  7. 7. Let’s get started...<br />This is D.J. - he fractured his right femur when he jumped <br />off the roof. You’d think a 42 year old <br />guy woulda known better! <br />
  8. 8. Although there are many different ways to make a concept maplet’sdo it my way  and...<br />D.J.<br />42 year old male<br />Admitting dx: <br /> Fx Right Femur<br />...start with a circle in the center of the paper identifying the patient.<br />
  9. 9. Then, to plan the patient’s care, you’ll utilize... <br />the nursing process<br />
  10. 10. To begin....<br />ssess the patient and gather subjective and objective data <br />
  11. 11. MY LEG <br /> HURTS !<br />I feel awful.<br />When I sit up I get dizzy headed.<br />Subjective Assessment<br />Data<br />(information that only the client <br />feels and can describe)<br />I’m depressed.<br />I feel like I’m gonna throw up.<br />Symptoms<br />
  12. 12. Signs<br />Concurrent Health <br />Problems<br />Weight<br />200#<br />Xray: <br />(R) femoral neck fracture<br />Objective Assessment<br />Data<br />(observable or <br />measurable facts)<br />Pertinent Labs<br />and <br />Diagnostic Tests <br />Vital Signs<br />BP 150/68 - Pulse 96<br />Pallor<br />Buck’s traction (R) leg<br />Moaning<br />Make 2 more circles.<br />It will help you remember to check D.J.’s chart for additional objective data and besides, you could use the extra space!<br />
  13. 13. Let’s see how this assessment data looks when added toyour concept map <br />
  14. 14. Needs Further Assessment<br />Subjective Assessment<br />Data<br />D.J.<br />42 year old male<br />Admitting dx: <br /> Fx Right Femur<br />c/o<br />Pain (R) leg<br />If you realize you need to get more information .. make a note here to remind yourself<br />c/o nausea<br />“depressed”<br />“dizzy”<br />Concurrent Health <br />Problems<br />None<br />Objective Assessment <br />Data<br />Pertinent Labs and Diagnostic Tests<br />BP = 150/68<br />Pulse = 98<br />Xray: <br />(R) femoral neck fracture<br />Pallor<br />Buck’s traction (R) leg<br />Moaning<br />
  15. 15. Now to come up with a...<br />ursing<br />iagnosis<br />
  16. 16. Look at the assessment data. <br />Identify patterns of related responsesto an actual or potential health problem. <br />BP = 150/68<br />Moaning<br />c/o<br />Pain (R) leg<br />Pulse = 98<br />Xray: <br />(R) femoral neck fracture<br />
  17. 17. ACUTE PAIN<br />Based on the problem identified, chose an appropriate nursing diagnosis from the NANDA list. <br />
  18. 18. Add this nursing diagnosis to your concept map.<br />Nursing Diagnosis:ACUTE PAIN<br />Subjective Assessment<br />Data<br />Needs Further <br />Assessment<br />c/o<br />Pain (R) leg<br />c/o nausea<br />D.J.<br />42 year old male<br />Admitting dx: <br /> Fx Right Femur<br />“depressed”<br />“dizzy”<br />Concurrent Health <br />Problems<br />None<br />You must be able to show the relationship between each nursing diagnosis you chose and the assessment data upon which it was based. <br />Objective Assessment<br />Data<br />Pertinent Labs <br />and Diagnostic Tests<br />BP = 150/68<br />Pulse = 98<br />Xray: <br />(R) femoral neck fracture<br />Pallor<br />Buck’s traction (R) leg<br />Moaning<br />
  19. 19. As you add more diagnoses...<br />Another Diagnosis<br />ACUTE PAIN<br />Another Diagnosis<br />... your map can begin to look like a confusing mess.<br />Skip the lines.<br />
  20. 20. Instead... use a 3 part nursing diagnosis that includes:<br />Nursing Diagnosis:ACUTE PAIN<br /> Diagnosis<br />R/T (R) femoral neck fracture<br />Cause<br />“related to”<br />AEB c/o Pain (R) leg / moaning /<br /> BP = 150/68 / pulse 98<br />Indicators<br />“as evidenced by”<br />
  21. 21. When added to your concept map it should look like this:<br />Nursing Diagnosis:ACUTE PAIN<br />R/T (R) femoral neck fracture<br />AEBc/o Pain (R) leg / moaning / <br /> BP 150/68 / pulse 98 <br />Subjective Assessment<br />Data<br />Needs Further <br />Assessment<br />c/o<br />Pain (R) leg<br />c/o nausea<br />D.J.<br />42 year old male<br />Admitting dx: <br /> Fx Right Femur<br />“depressed”<br />“dizzy”<br />Concurrent Health <br />Problems<br />None<br />Objective Assessment<br />Data<br />Pertinent Labs <br />and Diagnostic Tests<br />BP = 150/68<br />You gotta admit...that looks a lot better! <br />Pulse = 98<br />Xray: <br />(R) femoral neck fracture<br />Pallor<br />Buck’s traction (R) leg<br />Moaning<br />
  22. 22. After you have decided on a nursing diagnosis, set a patient-focused...<br />oal<br />specific<br />measurable<br />attainable<br />realistic <br />timely<br /> so you will be able to determine if desired outcomes of care are achieved<br />
  23. 23. ACUTE PAIN<br />So what’s gonna be your patient-focused goal<br /> The will...<br />...have no pain<br /> he just broke his leg...it’s gonna hurt!<br />...report pain controlled at a <br /> tolerable level<br />this is more realistic but... <br />
  24. 24. How are you gonna determine if the pain is tolerable<br />specific<br />“reports pain levels of < 5 <br />on a scale of 0 to 10<br />within the next 24 hours”<br />measurable<br />attainable<br />realistic<br />timely<br />Nowthat’sa smart goal<br />
  25. 25. Put this goal on your <br />concept map.<br />Nursing Diagnosis:ACUTE PAINR/T (R) femoral neck fractureAEBc/o Pain (R) leg / moaning / BP 150/68 / pulse 98 <br />Subjective Assessment<br />Data<br />Needs Further <br />Assessment<br />c/o<br />Pain (R) leg<br />Goal:<br />The patient will report pain controlled at levels of < 5 on a scale of 0 to 10 within the next 24 hours <br />c/o nausea<br />D.J.<br />42 year old male<br />Admitting dx: <br /> Fx Right Femur<br />“depressed”<br />“dizzy”<br />Concurrent Health <br />Problems<br />None<br />Objective Assessment<br />Data<br />Pertinent Labs <br />and Diagnostic Tests<br />BP = 150/68<br />Pulse = 98<br />Xray: <br />(R) femoral neck fracture<br />Pallor<br />Buck’s traction (R) leg<br />Moaning<br />
  26. 26. Now you need to decide on nursing...nterventionsthat, when implemented, will enable the patient to achieve the stated goal<br />
  27. 27. I know some!<br />Explain 0 to 10 pain scale / need not wait until pain is severe <br />Administer ordered pain meds prn / assess <br /> pain relief 30 min. after medicating <br />Maintain Buck’s traction to  muscle spasms<br />Refresh ice to right femur prn<br />Provide periods of uninterrupted rest<br />
  28. 28. Add your interventions.<br />Nursing Diagnosis:ACUTE PAINR/T (R) femoral neck fractureAEBc/o Pain (R) leg / moaning / BP 150/68 / pulse 98 <br />Subjective Assessment <br />Data<br />Goal:<br />The patient will report pain controlled at levels of < 5 on a scale of 0 to 10 within the next 24 hours <br />Needs Further <br />Assessment<br />c/o<br />Pain (R) leg<br />c/o nausea<br />D.J.<br />42 year old male<br />Admitting dx: <br /> Fx Right Femur<br />“depressed”<br />Interventions:<br />Explain 0 to 10 pain scale / need not <br /> wait until pain is severe. <br />Administer ordered pain meds prn / <br /> assess pain relief 30 min. after <br /> medicating. <br />Maintain Buck’s traction to  <br /> muscle spasms. <br />Refresh ice to right femur prn. Provide periods of uninterrupted <br /> rest.<br />“dizzy”<br />Concurrent Health <br />Problems<br />None<br />Objective Assessment <br />Data<br />Pertinent Labs <br />and Diagnostic Tests<br />BP = 150/68<br />Pulse = 98<br />Xray: <br />(R) femoral neck fracture<br />Pallor<br />Buck’s traction (R) leg<br />Moaning<br />
  29. 29. Following the same sequence of steps, you can develop additional nursing diagnoses along with goals and interventions.<br />Nursing Diagnosis:ACUTE PAINR/T (R) femoral neck fractureAEBc/o Pain (R) leg / moaning / BP 150/68 / pulse 98 <br />Goal:<br />The patient will report pain controlled at levels of < 5 on a scale of 0 to 10 within the next 24 hours. <br />Interventions:<br />Explain 0 to 10 pain scale / <br /> need not wait until pain is <br /> severe. <br />Administer ordered pain meds <br /> prn / assess pain relief 30 <br /> min. after medicating. <br />Maintain Buck’s traction to  <br /> muscle spasms. <br />Refresh ice to right femur prn. <br />Provide periods of <br /> uninterrupted rest. <br />Subjective Assessment<br />Data<br />c/o<br />Pain (R) leg<br />Needs Further <br />Assessment<br />c/o nausea<br />D.J.<br />42 year old male<br />Admitting dx: <br /> Fx Right Femur<br />“depressed”<br />“dizzy”<br />Nursing Diagnosis:<br />Goal:<br />Concurrent Health <br />Problems<br />None<br />Objective Assessment<br />Data<br />Nursing Diagnosis:<br />Interventions:<br />BP = 150/68<br />Goal:<br />Pulse = 98<br />Pertinent Labs <br />and Diagnostic Tests<br />Pallor<br />Buck’s traction (R) leg<br />Xray: <br />(R) femoral neck fracture<br />Interventions:<br />Moaning<br />
  30. 30. At this point...prioritize the needs of your patient based on Maslow’s Hierarchy of Needs. <br />
  31. 31. Maslow’s Hierarchy of Needs <br />Self-actualization<br />Esteem<br />feeling of accomplishment<br />Love and belonging<br />intimate relationships and acceptance<br />Safety<br />feel safe and avoid danger<br />Physiological needs basic to human survival<br />oxygen, water, food, shelter, and sleep<br />
  32. 32. Nursing Diagnosis:ACUTE PAINR/T (R) femoral neck fractureAEBc/o Pain (R) leg / moaning / BP 150/68 / pulse 98 <br />Number each nursing diagnosis on your concept map in order of priority.<br />1<br />Nursing Diagnosis:ACUTE PAIN<br />Goal:<br />The patient will report pain controlled at levels of < 5 on a scale of 0 to 10 within the next 24 hours. <br />Subjective Assessment<br />Data<br />Interventions:<br />Explain 0 to 10 pain scale / <br /> need not wait until pain is <br /> severe. <br />Administer ordered pain meds <br /> prn / assess pain relief 30 <br /> min. after medicating. <br />Maintain Buck’s traction to  <br /> muscle spasms. <br />Refresh ice to right femur prn. <br />Provide periods of <br /> uninterrupted rest. <br />c/o<br />Pain (R) leg<br />Needs Further <br />Assessment<br />c/o nausea<br />D.J.<br />42 year old male<br />Admitting dx: <br /> Fx Right Femur<br />“depressed”<br />“dizzy”<br />3<br />Nursing Diagnosis:<br />Goal:<br />2<br />Concurrent Health <br />Problems<br />None<br />Objective Assessment<br />Data<br />Nursing Diagnosis:<br />Interventions:<br />BP = 150/68<br />Pulse = 98<br />Pertinent Labs <br />and Diagnostic Tests<br />Goal:<br />Pallor<br />Buck’s traction (R) leg<br />Xray: <br />(R) femoral neck fracture<br />Moaning<br />Interventions:<br />
  33. 33. Lastly, do an...<br />valuation<br />of the effectiveness of the interventions in relation to goal set<br /> if goal is not being met, what changes <br />do you need to make? <br />
  34. 34. 1<br />Nursing Diagnosis:ACUTE PAINR/T (R) femoral neck fractureAEBc/o Pain (R) leg / moaning / BP 150/68 / pulse 98 <br />Subjective Assessment<br />Data<br />c/o<br />Pain (R) leg<br />Needs Further <br />Assessment<br />c/o nausea<br />Goal:<br />The patient will report pain controlled at levels of < 5 on a scale of 0 to 10 within the next 24 hours. <br />D.J.<br />42 year old male<br />Admitting dx: <br /> Fx Right Femur<br />“depressed”<br />“dizzy”<br />Interventions:<br />Explain 0 to 10 pain scale / need not <br /> wait until pain is severe. <br />Administer ordered pain meds prn / <br /> assess pain relief 30 min. after <br /> medicating. <br />Maintain Buck’s traction to  <br /> muscle spasms. <br />Refresh ice to right femur prn. Provide periods of uninterrupted <br /> rest. <br />Concurrent Health <br />Problems<br />None<br />Objective Assessment<br />Data<br />BP = 150/68<br />Pertinent Labs <br />and Diagnostic Tests<br />Pulse = 98<br />Xray: <br />(R) femoral neck fracture<br />Pallor<br />Buck’s traction (R) leg<br />Evaluation:<br />Goal met – patient reports pain controlled between levels 1 - 4 during past 24 hours<br />Moaning<br />
  35. 35. Yea, you just made a...<br />... concept map!<br />Wasn’t that easy?<br />

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