Concept Map:

Nursing Plan of Care

Prioritized Nursing Diagnoses (write in correct format) *Risk: Nursing diagnosis____Related to_____ *Actual: Nursing diagnosis____Related to____ as evidenced by  Goal   *Specific and measurable with a timeline. Find from the nursing diagnosis book (under client or expected outcomes section) and individualize to your patientNursing Interventions *From nursing diagnosis book under interventions section. Choose 3 and individualize to patient. Cite these interventions.
  1. 2. 3.  
  1. 2. 3.  
  1. 2. 3.  

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TOPIC: – Case Study Concept Map and Plan of Care

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Use this template to complete the assignment, example is below case study.

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Concept Map and Plan of Care worksheet-1.docx

Course Competency :

  • Design plans for care specific to the older adult.

Consider the scenario below, then follow the instructions underneath it to complete the assignment.

Mrs. Y

Mrs. Y is an 84-year-old client who was recently discharged from the hospital for an infected diabetic ulcer on her left leg. During her hospitalization, Mrs. Y required intravenous antibiotic therapy through a peripherally inserted central catheter (PICC) line.

Due to Mrs. Y’s long history of diabetes, her physician ordered that intravenous antibiotic therapy be continued at home. Subsequently, home health services were initiated, a home health nurse was assigned to Mrs. Y’s case, and an initial home visit was scheduled.

The home health nurse arrives at Mrs. Y’s home and introduces herself to the client and the family. The nurse explains the home nursing services that will be provided, including the PICC line and intravenous antibiotic therapy treatments.

During the initial home visit, the nurse assessed the physiological, psychological, functional, and safety needs of the client. The nurse’s findings were as follows:

  • Mrs. Y lives alone; however, her daughter checks on her frequently throughout the day.
  • The client is noted to have moderate functional issues and ambulates with a cane.
  • The client has several throw rugs in the main walking quarters and minimal lighting throughout the hallways.
  • Mrs. Y states “I used to get around my house with ease, but now I get a little tired and have to sit down and rest frequently.”

Consider Mrs. Y’s current health status and functional decline, then address the following:

  • Download the Concept Map and Plan of Care worksheet below. An example is also provided for your reference.

Concept Map and Plan of Care example

  • Identify three (3) priority nursing diagnoses for Mrs. Y. Consider using the resource below to assist you.
  • Create a visual representation of the three (3) priority nursing diagnoses by incorporating them into the Concept Map (template in the worksheet). Be sure each nursing diagnosis includes the following elements:
  • “related to (r/t)” — description of the client’s problem
  • “as evidenced by” — description of the client’s symptoms
  • Complete the Nursing Plan of Care (table in the worksheet) describing what should be implemented for Mrs. Y.
  • Goals: Establish at least one (1) goal for each of the nursing diagnoses you identified (for a total of 3 goals). Goals should be: patient specific, measurable, actionable, realistic, and time limited.
  • Nursing Interventions: Describe at least three (3) nursing interventions for each of the goals (for a total of 9 nursing interventions). Each intervention should be in alignment with the goal it is supporting.
  • Complete the assignment using proper spelling, grammar, and APA.

THREE REFERENCES

WRITE FROM NURSING PERSPECTIVE

NO CONSIDERATION FOR PLAGIARISM

APA 7 EDITION FORMAT AND IN TEXT CITATION

ORDER COURSEWORKS HERE

Case Scenario:

Mrs. J is admitted to the emergency department with a diagnosis of congestive heart failure. She was discharged from the hospital 10 days ago and comes in today stating, “I just had to come to the hospital today because I can’t catch my breath and my legs are swollen.” After further questioning, you learn that Mrs. J is strictly following the fluid and salt restriction ordered during her last hospital admission. Mrs. J reports gaining 1 to 2 pounds every day since her discharge.

USE FORMAT OF MAP TO COMPLETE THE YOUR ASSISGEMNT

Concept Map:

Identify two (2) priority nursing diagnoses for Mrs. J and develop a concept map to illustrate them (see example below).


Nursing Plan of Care

For each of the priority nursing diagnoses, establish one (1) goal. For each goal create two (2) nursing interventions.

Prioritized Nursing DiagnosesGoalNursing Interventions
1. Ineffective Gas ExchangePt will maintain oxygen saturations greater than 95% during my shift1. Give oxygen as ordered 2. Monitor clients oxygen saturations
2. Fluid Volume ExcessPt will have decreased swelling in extremities by the end of my shift.1. Administer diuretic as ordered 2. Monitor Intake and Output