ConceptMapDemo - Concept Maps AKA Care Maps What are they?...

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Unformatted text preview: Concept Maps AKA Care Maps What are they? Visual guide to nursing care that Employs nursing process (and elements of care plans) Allows you to better look at the whole patient Multiple nsg problems rather than just one Concept (care) Maps include Nursing Diagnoses (problems) Data clustering Subjective Objective Outcomes Nsg interventions Medical problem (what brought Pt here) Nsg Dx / Problem Subj & Objective Data Nsg Interventions: 1. 2. 3. 4. 5. Nsg Dx / Problem Subj & Objective Data Subj & Objective Data Nsg Dx / Problem Subj & Objective Data Nsg Interventions: 1. 2. 3. 4. 5. Nsg Interventions: 1. 2. 3. 4. 5. Nsg Interventions: 1. 2. 3. 4. 5. Nsg Dx / Problem Nsg Dx / Problem Nsg Dx / Problem Nsg Dx / Problem Outcomes Outcomes Outcomes Outcomes COPD (Hx smoking x 50 pack years) Subjective : c/o SOB, no energy Objective : Bibasilar crackles, scattered rhonchi & wheezes, O2 Sats 88% on RA; RR Becomes visibly DOE w/ minimal activity Orders include O2 @ 2 L per NC, nebs q 4 hr & and IS qid Dx of COPD Nsg Interventions: 1. Assess lung sounds q shift 2. Assess RR & character q shift 3. Check VS including O2 Sat q shift 4. Monitor ABGs as available 5. Administer nebs q 4 hr 6. Instruct / enc IS qid 7. Maintain O2 per NC @ 2 L 8. Keep HOB to 30 9. Teach & ecn pursed lip breathing for dyspneic eppisodes Impaired Gas Exchange Outcome : Will demonstrate improved oxygenation AEB ABGs and/or O2 sat by ____ Will be free of Sx of resp distress by ____ COPD (Hx smoking x 50 pack years) Subjective: I can feel phlem in my thoroat but cant cough it up Objective: Freq cough prod of thick, green sputum; Bibasilar crackles, scattered rhonchi & wheezes Subjective : c/o SOB, no energy Objective : Bibasilar crackles, scattered rhonchi & wheezes, O2 Sats 88% on RA; RR Becomes visibly DOE w/ minimal activity Orders include O2 @ 2 L per NC, nebs q 4 hr & and IS qid Dx of COPD Nsg Interventions: 1. Assess lung sounds q shift 2. Assess RR & character q shift 3. Check VS including O2 Sat q shift 4. Monitor ABGs as available 5. Administer nebs q 4 hr 6. Instruct / enc IS qid 7. Maintain O2 per NC @ 2 L 8. Keep HOB to 30 9. Teach & ecn pursed lip breathing for dyspneic eppisodes Nsg Interventions: 1. Enc & provide fluid intake of 2000 ml/day 2. Enc IS use qid 3. Provide room humidifier per order3....
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This note was uploaded on 04/21/2011 for the course NURSING 105 taught by Professor Copeland during the Winter '09 term at Grand Valley State University.

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ConceptMapDemo - Concept Maps AKA Care Maps What are they?...

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