1.
Create a concept map based on the
complete physical assessment you performed while providing care using the provided
power point template.
a.
Components of the concept map
i.
Individual’s information (10
points/10%)
1.
Age
2.
Medical diagnosis
3.
Brief review of underlying
pathophysiology
*List what
functional changes are happening
*List process
that initiated and maintained disorder or disease
ii.
Assessment Data (15 points; 15%)
1.
Include all assessment data, not
simply information that supports the selected nursing diagnoses
Inspect
Palpation
Percussion
Auscultate
Neurological Exam
iii.
Nursing Diagnoses (15 points/ 15%)
1.
Select three nursing diagnoses to addresses
a.
One must be an actual problem
b.
One must address a psychosocial
need
c.
The final must be a high priority
for the individual
iv.
Linkages Within and Between
Diagnoses (5 points/5%)
1.
Concept map demonstrates
relationship within and between the nursing diagnoses.
v.
Planning (15 points/15%)
1.
Prioritize diagnoses to reflect
needs of the individual
2.
Set realistic outcome measurement
3.
At least two
(2) scholarly, primary sources from the last 5 years, excluding the textbook,
are provided
vi.
Implementation (15 points/15%)
Interventions
are individualized for patient-provide rationale
1.
Interventions support achievement
of selected outcome measurements-provide rationale
ii.
Evaluation of Outcomes (5
points/15%)
1.
Determine if outcomes were met.
2.
Provide evidence that supports
that determination.
3.
Describe what changes, if any, are
needed to promote expected outcomes in the future.
iii.
Safety-Communication-Infection
Control 16 points/16%)
a.
specific elements of communication
used when providing care,
b.
safety concerns related to the
individual for whom you cared, and
c.
infection control practices
followed while caring for this patient.
APA
Citations and Writing (4 points/4%)