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Disease Process/Pathophysiology/Risk Factors

1.

2.

3.

4.

Recognizing Cues

WGU Nursing Concept Map - EXAMPLE

Analyzing Cues/Concerns

Supporting

Concerning

Prioritizing Hypotheses

1.

2.

3.

Take ActionsGenerated Solutions

1.

2.

3.

4.

Evaluations Outcomes

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2.

3.

4.

Painful urination Abdominal pain Back pain due to inflammation/full bladder Fever Confusion Recurrent UTI history Current complaint

unable to empty bladder completely

1. 2. 3. 4. 5. 6. 7.

a.

Fever due to infection Confusion due to urine retention Back pain due to inflammation

1. 2. 3.

Fever over 101.5F Residual urine > 250 mL Pain score < 5

1. 2. 3.

The patient will be free from infection due to the use of antibiotics within three days.

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.

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.

The patient will be free from pain with urination and bladder irritation with the use of phenazopyridine within 3 days.

The patient will be free from infection due to the use of antibiotics within three days.

The patient no longer has a fever and infection is improving during the clinical shift.

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.

The patient has been pain free for the last four hours for the clinical shift.

The patient verbalized understanding of initial education on medications and risk factors for UTI by the end of the clinical shift.

Administration of TMP/SMX 800mg by mouth every 12 hrs. and documented in the EHR after every dose.

Encourage fluid intake of 8 oz. of fluid every four hrs. during the clinical shift, and document the intake each clinical shift.

Administer phenazopyridine 1 tablet three times a day for three days, and document in the EHR after every dose.

Educate patient on the risk factors each clinical shift until discharge, and document in the EHR after each session.

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.

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.

Admitted with UTI

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.

Catheterization, cystoscopic examinations, prior trauma to the urethra, urinary retention, improper hygiene, sexual intercourse.

Disease process:

Pathophysiology:

Risk Factors:

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?

Disease Process/Pathophysiology/Risk Factors

1.

2.

3.

4.

Recognizing Cues

WGU Nursing Concept Map - EXAMPLE

Analyzing Cues/Concerns

Supporting

Concerning

Prioritizing Hypotheses

1.

2.

3.

Take ActionsGenerated Solutions

1.

2.

3.

4.

Evaluations Outcomes

1.

2.

3.

4.

Painful urination Abdominal pain Back pain due to inflammation/full bladder Fever Confusion Recurrent UTI history Current complaint

unable to empty bladder completely

1. 2. 3. 4. 5. 6. 7.

a.

Fever due to infection Confusion due to urine retention Back pain due to inflammation

1. 2. 3.

Fever over 101.5F Residual urine > 250 mL Pain score < 5

1. 2. 3.

The patient will be free from infection due to the use of antibiotics within three days.

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.

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.

The patient will be free from pain with urination and bladder irritation with the use of phenazopyridine within 3 days.

The patient will be free from infection due to the use of antibiotics within three days.

The patient no longer has a fever and infection is improving during the clinical shift.

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.

The patient has been pain free for the last four hours for the clinical shift.

The patient verbalized understanding of initial education on medications and risk factors for UTI by the end of the clinical shift.

Administration of TMP/SMX 800mg by mouth every 12 hrs. and documented in the EHR after every dose.

Encourage fluid intake of 8 oz. of fluid every four hrs. during the clinical shift, and document the intake each clinical shift.

Administer phenazopyridine 1 tablet three times a day for three days, and document in the EHR after every dose.

Educate patient on the risk factors each clinical shift until discharge, and document in the EHR after each session.

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.

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.

Admitted with UTI

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.

Catheterization, cystoscopic examinations, prior trauma to the urethra, urinary retention, improper hygiene, sexual intercourse.

Disease process:

Pathophysiology:

Risk Factors: