concept map patient scenario

Description

Points Received/

Total Points Possible

Comments

Diagnosis #1

Diagnosis #2

Totals

Patient Information and Health Assessments

· Complete patient demographics, health assessments, and interventions

____/ 3

Pharmacology:

· Complete& accurate description of current meds, including purpose for this patient, side effects, and all other data listed in chart

____/ 3

Pathophysiology:

· Includes “signs and symptoms”

· Includes APA references cited

____/ 3

Nursing Diagnosis (Include ALL 2 Dx):

· Reflects the primary diagnosis

· Appropriate for patient scenario as well as priority level

· In acceptable NANDA format

· Includes all parts stem, R/T, AEB

· Only 1 ‘Risk For’ diagnosis can be used

____/ 3

Provided 2 nursing diagnoses: 2 points per diagnosis

____/ 4

Assessment:

· Appropriate for chosen diagnosis

· Includes objective & subjective historical support diagnosing data

____/3

+ ____/3

= ____/ 6

Patient Outcomes:

· Include at least 2 outcomes for each diagnosis

· Specific to the patient diagnosis

· Contains the following 4 criteria:

measurable, attainable, realistic, and timed

· All criteria present for patient’s expected outcome

____/3

+ ____/3

= ____/ 6

Intervention/Implementation:

· Include at least 3 nursing interventions for each patient outcome

· Includes interventions/ nursing actions directly relating to pt. outcomes

· Specific in action, frequency and contain rationale

· # of interventions is appropriate to help pt./ family meet their outcomes

____/3

+ ____/3

= ____/ 6

Evaluation:

· Must have an evaluation statement written for each patient outcome

· Includes all data that is listed as criteria in outcomes

· Outcomes are determined to be met, partially met, or not met

· If outcome was not met/ partially met, plan of care is revised/ continued & new evaluation date/time is set

____/3

+ ____/3

= ____/ 6