Concept Map

Patient Information

(1)

Name:

Age:

Gender:

Code Status:

DPOA:

Living Will:

Cultural considerations, ethnicity, occupation, religion, family support, insurance. (1) (14)

Chief Complaint

Admitting Diagnosis

Medical Management/ Orders/ Medications & Allergies (2)

Name

Dose

RT

Freq.

MOA

RN Considerations

Onset/Peak/Duration

(Insulin)

History of Present Illness (HPI), Pathophysiology of Admitting Dx (Cite References) Medical, Surgical, Social History (1).

Medical History

Surgical History

Social History

Erickson’s Developmental Stage Related to pt. & Cite References (1)

Patient Education (In Pt.) & Discharge Planning (home needs )

Diagnostic Test/ Lab Results with dates and Normal Ranges (3)

Test

Norms

Date

Current Value

Concept Map

Student Name:

Instructor:

PC Outcomes/Goal

Priority nursing diagnosis #2

Respiratory (7)

Vital Signs (4)

Integumentary (12)

Interventions # 2

Assessment/ Evaluation #1

Assessment/ Evaluation #2

PC Evaluation Plan

Potential Complications/ at risk for

PC Interventions

Psychosocial (14)

Cardiovascular (6)

Endocrine (13)

Misc. (Ht/Wt)

GU (10)

GI (9)

Nutrition/Hydration

(8)

Rest/ Exercise (11)

Neurological (5)

Outcome/Goal #1

Priority nursing diagnosis #1

Outcome/Goal #2

Interventions #1