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NursingConceptMap1.docx

( 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 Pr esent Illness (HPI), Pathophysiology of Admitting Dx (Cite R eferences ) Medical, Surgical, Social History (1) . Medical History Surgical History Social History ) ( Erickson’s Developmental Stage Related to pt . & Cite References (1) ) ( P atient Education (In Pt.) & Discharge P lanning (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) ) ( Inte rventions # 2 ) ( Assessment/ Evaluation #1 ) ( A ssessment/ 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 )