Concept Mapping

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Author:
NurseFaith
ID:
258761
Filename:
Concept Mapping
Updated:
2014-01-27 22:44:17
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Concept Mapping
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Concept Mapping
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  1. What is Concept Care Mapping?
    Innovative approach for planning and organizing nursing care...

    • Used to:
    •  -organize patient data
    •  -analyze relationships in the data
    •  -establish priorities
    •  -build on prior knowledge
    •  -figure out what you don't understand
    •  -take a holistic view of the patient's situation
  2. Purpose of Concept Care Maps:
    • Enhance critical thinking skills
    • Enhance clinical reasoning

    (allows the caregiver to visualize priorities and identify relationships in clinical patient data clearly and succinctly)
  3. Theoretical Basis of Concept Mapping: (assimilation theory)
    New knowledge is built upon previous knowledge, and new concepts are integrated by identifying relationships with those concepts already understood
  4. Important data links that should occur through concept mapping:
    • Patient Problems
    • Pathophysiology 
    • Medications
    • Lab Data
    • Treatments for the patient's problems
  5. Data collection should consist of:
    • Current health problems,
    • Medical histories,
    • Medications (home and ordered)
    • Cultural/Spiritual Assessment
    • Social/Functional Assessment
    • Learning Assessment
    • Physical assessment data
    • Risks for Falls assessment
    • Braden Scale
  6. Steps to concept mapping:
    -Development of basic diagram

    -Analysis & Categorization of Data

    -Labeling, Prioritizing, & Analyzing Nursing Diagnoses Relationships

    -Identification of goals, outcomes, and interventions

    -Evaluation of patient's responses
  7. What is a GOAL in a care plan?
    Broad statement of a desired outcome for the identified Nursing Diagnosis (client centered)

    Ex: Skin integrity will be maintained, Pain will be controlled, Airways will remain clear and patent
  8. Outcomes are:
    Specific, Realistic, Measurable, Individualized, Time-specific

    • Ex:
    • Pain will be less than 2 on a 10 point scale within 1 hour of oral analgesics

    Breath sounds clear to auscultation throughout the shift

    Urine output greater than 30 ml per hour
  9. Nursing Interventions need to include:
    • Assessments and Monitoring
    • Procedures, Treatments, and Medications
    • Patient Teaching
    • Specific Time Unit for Actions

    Assess, Treat, Teach!
  10. Interventions for Pain:
    Assess pain level every 4 hours and prn

    Assess pain level using the 10 point scale

    Reposition for comfort prn

    Administer Lortab 5/325 mg 1-2 tabs po every 4-6 hours for moderate pain

    Plan quiet periods for rest and sleep
  11. Evaluation should include:
    • Patient's response to interventions
    • (record physical and psychosocial responses)

    • Summarize patient's progress toward the outcome objectives for each nursing diagnosis
    • (include your clinical judgments)

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