Concept maps Flashcards
What is the reason for concept maps?
- Identifies primary patient problems with evidence-based assessments
- Categorize & analyze patient data to identify/describe problems
- Find relationships between problems
- Assist with prioritization
What occurs during step one of the concept map?
(Assessment NP)
• Completion of database
• Student should highlight abnormal data or pertinent information that will be transcribed onto
the sloppy copy
What occurs during step two in the concept map?
(Analysis)
categorize & analyze and specific patient assessment data (Sloppy Copy)
What occurs during the third step of the concept map?
(Analysis)
Identifies relationships between nursing and
medical diagnoses
• Prioritize problems: faculty and student need to agree
• on the top three, not necessarily their order
• ABCs are first used to determine priorities
• Encouraged students to use Maslow’s Hierarchy if ABCs are
• not the primary concern
• Identify NANDA stem for top three priority boxes
• before writing nursing diagnostic statement
What occurs during step four of the concept map
Write formal nursing diagnosis statement (ND) for top
• 2 priority problems
• NANDA stem related/to (R/T) pathophysiology of the problem as evidenced by (AEB)
signs and symptoms secondary to usually medical diagnosis
• Risk for diagnoses only have the NANDA stem and the R/T
What is a short-term outcome?
• The patient will accomplish before discharge (use specific date) or transfer to a less acute setting
What is a longterm outcome?
• Broader in scope
o Example: client will successfully maintain control of (110-130 mg/dL, or number determined by provider) blood glucose level over the next three months
What are the aspects of positive client-centered statments
- Focus on addressing the client behavior
- Direct the selection of nursing interventions
- Begin with “client will”
- Are: cognitive, psychomotor, affective, or other (physiological)
What is an actual nursing diagnosis?
- Describes human responses to health condition or life processes that exist in an individual, family, or community.
- Supported by defining characteristics (manifestations, signs, and symptoms) that cluster in patterns of related cues or inferences.
What is a risk nursing diagnosis?
• Describes human responses to health conditions or life processes that may develop in a
vulnerable individual, family, or community.
What is a wellness nursing diagnosis?
• Describes human responses to levels of wellness in an individual, family, or community that have a
potential for enhancement to a higher state.
How many levels are there to prioritzation?
3
What is the first level of prioritzation?
threats to a patient’s immediate survival, safety or loss of
limb and demand immediate nursing intervention. ABC’s
airway, breathing, circulation
What is the sencond level to prioritaztion?
concerns such things as mental status change, acute pain, changes in urinary elimination, potential problems requiring immediate attention (paraplegic needing skin assessment; depressed patient needing caring presence) abnormal pathology lab results, risks of infection, safety or security
What is the third level of prioritization?
those that do not fit into the above two categories such as monitoring for medication side effects, lack of patient knowledge, longer-term problems with living activities, etc.
