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Cherry99 
6 months ago
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files (21)8381c3f2ef63f80f98812747f06537771.docx
e0470ba8b58792d670471650cd7e25f5.pdf
76d3e04d2234c63010808098fc0aa4902.docx
ab0b24848dac1c59070d5b8f409e7762.pdf
bsrn_bsprnproblem-basedcareplanning1.docx
4e475caa8070bb7d8b2aaf8dfe4160eb1.docx
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8381c3f2ef63f80f98812747f06537771.docx
WGU Nursing Concept Map Accessible Version – 2023 – Example
WGU Nursing Concept Map - EXAMPLE”
1. First Block: “Recognizing Cues”
1. Painful urination
2. Abdominal pain
3. Back pain due to inflammation/full bladder
4. Fever
5. Confusion
6. Recurrent UTI history
7. Current complaint
8. unable to empty the bladder completely
2. Second Block: “Analyzing Cues/Concerns”
a. Supporting
1. Fever due to infection
2. Confusion due to urine retention
3. Back pain due to inflammation
b. Concerning
1. Fever over 101.5F
2. Residual urine > 250 ml
3. Pain score < 5
3. Third Block: “Prioritizing Hypotheses”
1. There is a good likelihood that antibiotic therapy, and use of phenazopyridine will decrease the bacteria count in the urine, and therefore eradicate the infection.
2. There is a likelihood that increased fluid intake will increase the frequency of urination which will decrease the irritability of the bladder, which will help decrease the risk of further infection.
3. There is a decreased risk of recurrent infections when the patient is educated on the importance of proper hygiene, medication adherence, increased fluid intake, and all other risk factors with verbalization of understanding.
4. Fourth Block: “Generated Solutions”
1. The patient will be free from infection due to the use of antibiotics within three days.
2. The patient will no longer experience pain with urination, will have straw colored urine, and will have adequate urine output due to the increase in fluid intake within 3 days.
3. The patient will be free from pain with urination and bladder irritation with the use of phenazopyridine within 3 days.
4. The patient will be free from infection due to the use of antibiotics within three days.
5. Fifth Block: “Take Actions”
1. Administration of TMP/SMX 800mg by mouth every 12 hrs. and documented in the EHR after every dose.
2. Encourage fluid intake of 8 oz. of fluid every four hrs. during the clinical shift and document the intake each clinical shift.
3. Administer phenazopyridine 1 tablet three times a day for three days, and document in the EHR after every dose.
4. Educate patient on the risk factors each clinical shift until discharge, and document in the EHR after each session.
6. Sixth Block: “Evaluations Outcomes”
1. The patient no longer has a fever, and the infection is improving during the clinical shift.
2. The patient drank 8 oz. of fluids three times during the clinical shift and the color of the urine changed from amber to dark yellow.
3. The patient has been pain-free for the last four hours for the clinical shift.
4. The patient verbalized understanding of initial education on medications and risk factors for UTI by the end of the clinical shift.
7. Seventh Block: “Disease Process/Pathophysiology/Risk Factors”
1. Disease Process
a. Admitted with UTI
2. Pathophysiology
a. The organisms that cause UTI originate in the perineum. They are introduced via the ascending route from the urethra. Caused by gram-negative bacilli normally found in the GI system. Gram-positive bacilli can also cause a UTI.
3. Risk Factors
a. Catheterization, cystoscopic examinations, prior trauma to the urethra, urinary retention, improper hygiene, sexual intercourse.
e0470ba8b58792d670471650cd7e25f5.pdf
Disease Process/Pathophysiology/Risk Factors
1.
2.
3.
4.
Recognizing Cues
WGU Nursing Concept Map
Analyzing Cues/Concerns
Supporting
Concerning
Prioritizing Hypotheses
1.
2.
3.
Take ActionsGenerated Solutions
1.
2.
3.
4.
Evaluations Outcomes
1.
2.
3.
4.
- Text1:
- Text2:
- Text3:
- Text4:
- Text5:
- Text6:
- Text7:
- Text8:
76d3e04d2234c63010808098fc0aa4902.docx
WGU Nursing Concept Map Accessible Version - 2023
“WGU Nursing Concept Map”
1. First Block: “Recognizing Cues”
1. Add text here for any cues that you recognize about your patient:
2. Second Block: “Analyzing Cues/Concerns”
a. Text: “Supporting”
1. Add text here regarding any supporting cues about your patient:
b. Text: “Concerning”
1. Add text here regarding any concerns about your patient:
3. Third Block: “Prioritizing Hypotheses”
a. Add three hypotheses you have in prioritizing order about your patient:
1. [text]
2. [text]
3. [text]
4. Fourth Block: “Generated Solutions”
a. Add in this section, the generated solution is to identify what you think should be the expected solution set for the intervention. :
1. [text]
2. [text]
3. [text]
4. [text]
5. Fifth Block: “Take Actions”
a. Add up to four texts here to summarize your actions for your patient's care.
1. [text]
2. [text]
3. [text]
4. [text]
6. Sixth Block: “Evaluations Outcomes”
a. Add four evaluations outcomes for your patient here:
1. [text]
2. [text]
3. [text]
4. [text]
7. Seventh Block: “Disease Process/Pathophysiology/Risk Factors”
a. Add here any disease process, pathophysiology, and risk factors you came up with on your patient. Note: here, you can start the process over again to re-evaluate your patient.
ab0b24848dac1c59070d5b8f409e7762.pdf
Disease Process/Pathophysiology/Risk Factors
1.
2.
3.
4.
Recognizing Cues
WGU Nursing Concept Map - DIRECTIONS
Analyzing Cues/Concerns
Supporting
Concerning
Prioritizing Hypotheses
1.
2.
3.
Take ActionsGenerated Solutions
1.
2.
3.
4.
Evaluations Outcomes
1.
2.
3.
4.
Identify relevant and important information from different sources (medical records, signs and symptoms, and vital signs).
What does the patient look like? What are the patient’s complaints? Does the patient have anything in their medical history that would indicate this could be a problem? What are the patient’s vital signs?
What are the patient’s cues that support the diagnosis? List three
Organize and connect the recognized cues to the client’s clinical presentation.
Which of these supporting cues is most concerning? List two
What do you want to happen if the patient drinks fluids? What do you want to happen if you give the patient antibiotics?
You must have four solutions. Identify expected solutions and use the hypotheses to define a set of interventions for the expected solutions.
Solutions for this section
This section is for you to evaluate your desired solution within the clinical shift. You should have four evaluations: one for each desired solution.
Example: Despite giving the patient acetaminophen for a fever, the patient continued to have a low-grade fever (100.1 degrees) for the entire clinical shift.
What was the admitting diagnosis?
Go to your book, look up the disease process, and write down the pathophysiology of the disease process.
What are the risk factors for this disease process? What causes this disease process?
Disease process
Pathophysiology
Risk Factors
Evaluate and prioritize hypotheses. Utilize words such as, urgency, likelihood, risk, difficulty, time, and constraints.
You want to write what happen if.... Forecasting or predicting response.
List three hypotheses.
List one action for each solution. List the most important action of each solution.
Based on the solutions identified, what interventions (solutions) would you implement to address what is happening to the patient?
bsrn_bsprnproblem-basedcareplanning1.docx
YNM1 Task 2
<Assessment Code: Task Title> <Attachment Title>
Problem-Based Care Planning with NCJMM Competencies:
|
Assessment (Recognizing Cues) Which patient information is relevant? What patient data is most important? Which patient information is of immediate concern? Consider signs and symptoms, lab work, patient statements, H & P, and others. Consider subjective and objective data. |
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Analysis (Analyzing Cues) Which patient conditions are consistent with the cues? Do the cues support a particular patient condition? What cues are a cause for concern? What other information would help to establish the significance of a cue? |
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Analysis (Prioritizing Hypotheses) What explanations are most likely? What is the most serious explanation? What is the priority order for safe and effective care? |
|
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Planning (Generate Solutions) What are the desirable outcomes? What interventions can achieve these outcomes? What should be avoided? (SMART Planning- specific, measurable, attainable, realistic/relevant, time-restricted goal setting) |
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Implementation (Take Actions) How should the intervention or combination of interventions be performed, requested, communicated, taught, etc? What are the priority interventions? (Mark with asterisk |
|
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Evaluation (Evaluating Outcomes) What signs point to improving/declining/unchanged status? What interventions were effective? Are there other interventions that could be more effective? Did the patient’s care outlook or status improve? |
|
PAGE 1
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4e475caa8070bb7d8b2aaf8dfe4160eb1.docx
WGU Nursing Concept Map Accessible Version – 2023 - Directions
“WGU Nursing Concept Map - DIRECTIONS”
1. First Block: “Recognizing Cues”
a. Add text here for any cues that you recognize about your patient: Identify relevant and important information from different sources (medical records, signs and symptoms, and vital signs).
· What does the patient look like?
· What are the patient’s complaints?
· Does the patient have anything in their medical history that would indicate this could be a problem?
· What are the patient’s vital signs?
2. Second Block: “Analyzing Cues/Concerns”
a. Text: “Supporting”
1. Add text here regarding any supporting cues about your patient: Organize and connect the recognized cues to the client’s clinical presentation. What are the patient’s cues that support the diagnosis? List three
b. Text: “Concerning”
1. Add text here regarding any concerns about your patient: Which of these supporting cues is most concerning? List two
3. Third Block: “Prioritizing Hypotheses”
a. Add three hypotheses you have in prioritizing order about your patient:
1. [text]
2. [text]
3. [text]
4. Fourth Block: “Generated Solutions”
a. Add in this section, the generated solution is to identify what you think should be the expected solution set for the intervention: You must have four solutions. Identify expected solutions and use the hypotheses to define a set of interventions for the expected solutions.
Solutions for this section: What do you want to happen if the patient drinks fluids? What do you want to happen if you give the patient antibiotics?
1. [text]
2. [text]
3. [text]
4. [text]
5. Fifth Block: “Take Actions”
a. Add up to four texts here to summarize your actions for your patient's care. Based on the solutions identified, what interventions (solutions) would you implement to address what is happening to the patient? List one action for each solution. List the most important action of each solution.
1. [text]
2. [text]
3. [text]
4. [text]
6. Sixth Block: “Evaluations Outcomes”
a. Add four evaluations outcomes for your patient here: This section is for you to evaluate your desired solution within the clinical shift. You should have four evaluations: one for each desired solution. Example: Despite giving the patient acetaminophen for a fever, the patient continued to have a low-grade fever (100.1 degrees) for the entire clinical shift.
1. [text]
2. [text]
3. [text]
4. [text]
7. Seventh Block: “Disease Process/Pathophysiology/Risk Factors”
a. Add here any disease process, pathophysiology, and risk factors you came up with on your patient. Note: here, you can start the process over again to re-evaluate your patient. Disease process: What was the admitting diagnosis? Pathophysiology: Go to your book, look up the disease process, and write down the pathophysiology of the disease process. Risk Factors: What are the risk factors for this disease process? What causes this disease process?
