a.Describes clients response to nursing interventions

DEPARTMENT OF NURSING

NURS 411

Concept Mapping/Care Plan

The Concept Mapping assignment is worth 100 points and 10% of your NURS 411 grade.

Submit this grading tool with your Concept Map .

Criteria Possible Grade Comments

Points

Admissions Assessment

a. Included primary and secondary medical diagnoses 10 points _____

b. Included definitions for primary and secondary

Medical diagnoses

c. Included nursing assessment data: physiological,

spiritual psychological, developmental, and socio-cultural.

Pathophysiology, Lab & Diagnostic 10 points _____

a. Discussed the pathophysiology r/t medical

diagnosis

b. Identified significant lab and diagnostic data

and their interpretation as it relates to the client

Nursing Diagnosis 20 points _____

a. Identified at least 3 problems based on assessment data

b. Prioritized Nursing diagnoses based on Maslow’s Hierarchy

of Needs, and ABC’s (airway, breathing, circulation)

c. All three parts of the nursing diagnoses are appropriate

Planning 20 points _____ a. Goals are appropriate (2)

b. Outcomes are measurable (6))

c. Outcomes are specific and relate to the nursing diagnoses

Nursing Interventions 20 points _____

a. Therapeutic interventions reflect: (5)

1. cultural congruence

2. therapeutic communication

3. ethical consideration

4. legal standards

5. caring and concern

b. Nursing interventions are stated as dependent,

independent, or collaborative

c. Rationales are listed for nursing interventions.

(text & journal articles)

Evaluation 20 points _____

a. Describes clients response to nursing interventions

b. States the extent to which each outcome has been obtained

c. Determines the extent to which overall goals have been met

d. Reflects current data collected by the student.

3

Concept Map

Primary Medical Diagnosis:

Secondary Medical Diagnosis:

Risk Factors:

Pathophysiology:

( If needed complete on following page )

Diagnostic Findings & Laboratory Values:

Sociocultural

Development (Erickson’S)

Psychological

Physiologic

Neurologic

Cardiovascular

Respiratory

Gastrointestinal

Urinary

Musculoskeletal

Integumentary

Reproductive

Spiritual

Pathophysiology

Pathophysiology

Prescribed medications at home:

Medications ordered this hospitalization:

Diagnostic studies:

Based on your assessment data and the chart above, identify as many problems (listed as problems not medical nor nursing diagnosis) as possible.

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

Based on the problems you have listed, identify the top three problems, and prioritize them.

1.

2.

3.

Using the problem with the highest priority, identify an appropriate nursing diagnosis based on NANDA and develop a careplan for your client.

Concept Map Tool for Care Planning

#1Nursing Diagnosis:

Client’s Primary

Medical Dx:

Secondary Medical Dx:

Evaluation:

Nursing Interventions (With Rationale):

Goals & Outcomes:

#2 Nursing Diagnosis:

Client’s Primary

Medical Dx:

Secondary Medical Dx:

Evaluation:

Nursing Interventions (With Rationale):

Goals & Outcomes:

# 3 Nursing Diagnosis:

Client’s Primary

Medical Dx:

Secondary Medical Dx:

Evaluation:

Nursing Interventions (With Rationale):

Goals & Outcomes: