Posted: March 30th, 2022

Concept map – Assessment (Recognizing Cues)

Concept map

The assignment states to use ONE of my weakest areas so here are 3 you can chose from, Idc which one. Cognition Oxygenation-Gas Exchange Comfort Concept Map Assignment Instructions Identify a patient case to build this concept map for. You may use a current patient, such as from an on-ground DFC, or a patient situation from a previous encounter. If you do not have access to a current/live patient experience to complete your concept map on, you may access a simulated patient experience from a previous VCBC. Gather the patient data, and organize the information on the Nursing Process Template. Link and connect the relationships of patient information and concept application on the Concept Map Template

NURSING PROCESS TEMPLATE:
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.

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?

Analysis (Prioritizing Hypotheses)
What explanations are most likely? What is the most serious explanation? What is the priority order for safe and effective care?

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)

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)

Assessment (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?

CONCEPT MAP TEMPLATE:
Recognizing Cues, (S&S) Disease Process/Pathophysiology/Risk Factors

Analyzing Cues/Concerns Prioritizing Hypotheses

Generate Solutions/Outcomes/Interventions Taking Action – (How To)
SMART Planning
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Sample Answer Guide:
To complete this concept map, you can follow these steps:

Select a patient case: Choose a current or previous patient case that you have access to, or use a simulated patient experience.

Gather patient data: Collect relevant patient information such as signs and symptoms, lab work, patient statements, and health history and physical examination.

Fill in the Nursing Process Template: Use the patient data to fill in the Assessment, Analysis, Planning, Implementation, and Assessment sections of the template. Consider the subjective and objective data, patient conditions, and cues that are consistent with the patient’s condition.

Analyze the cues: Identify which patient conditions are consistent with the cues and which cues are a cause for concern. Consider what other information is needed to establish the significance of the cues.

Prioritize hypotheses: Determine the most likely explanations for the patient’s condition and what the priority order for safe and effective care is.

Generate solutions: Identify desirable outcomes and interventions that can achieve these outcomes. Use SMART planning to set specific, measurable, attainable, realistic/relevant, and time-restricted goals.

Take action: Determine how to implement the interventions and what the priority interventions are.

Evaluate outcomes: Observe the patient’s status and determine what interventions were effective. Consider what signs point to improving, declining, or unchanged status, and if there are other interventions that could be more effective.

Fill in the Concept Map Template: Connect the relationships of patient information and concept application to fill in the Recognizing Cues, Analyzing Cues/Concerns, Generate Solutions/Outcomes/Interventions, Taking Action, and Evaluating Outcomes sections of the template.
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One possible patient scenario for the Concept Map Assignment on Recognizing Cues could be a 68-year-old man named Mr. Johnson who was admitted to the hospital with shortness of breath and chest pain.

Assessment (Recognizing Cues)
Relevant patient information in this case includes Mr. Johnson’s symptoms of shortness of breath and chest pain, his past medical history of hypertension and hyperlipidemia, and his current vital signs, such as blood pressure and oxygen saturation levels. In addition, lab work such as an electrocardiogram (ECG) and chest x-ray could provide further information on Mr. Johnson’s condition.

Analysis (Analyzing Cues)
The patient’s symptoms and lab results support the hypothesis of a potential cardiac event, such as acute myocardial infarction (AMI). The shortness of breath and chest pain, along with the ECG results, indicate a reduced oxygen supply to the heart and a potential blockage in the coronary arteries. The presence of hypertension and hyperlipidemia, as well as his age, also increase the likelihood of AMI as risk factors for cardiovascular disease.

Analysis (Prioritizing Hypotheses)
Given the potential severity of AMI, this explanation should be prioritized as the most serious and likely explanation for Mr. Johnson’s symptoms. Further tests, such as a troponin test, may be necessary to confirm the diagnosis.

Planning (Generate Solutions)
The desirable outcome for Mr. Johnson would be to reduce the risk of further cardiac damage, stabilize his condition, and prevent the progression of AMI. Interventions that can achieve these outcomes include administering aspirin, nitrates, and oxygen as appropriate, as well as preparing for potential reperfusion therapy such as angioplasty or thrombolysis.

Implementation (Take actions)
The priority interventions in this case would be to administer aspirin, initiate oxygen therapy, and prepare for potential reperfusion therapy. The nursing staff should communicate these interventions to the physician and other members of the healthcare team, as well as monitor Mr. Johnson’s vital signs and response to treatment.

Assessment (Evaluating Outcomes)
Indicators of improving/declining/unchanged status include changes in Mr. Johnson’s symptoms, such as improvement in shortness of breath and chest pain, as well as changes in his vital signs and lab results, such as an improvement in oxygen saturation levels and ECG results. The effectiveness of the interventions can be evaluated by monitoring Mr. Johnson’s response to treatment and the progress of his condition over time.

References:
American Heart Association. (2022). Acute myocardial infarction (AMI or heart attack). Retrieved from https://www.heart.org/en/health-topics/heart-attack/what-is-a-heart-attack
Centers for Disease Control and Prevention. (2021). Cardiovascular disease: risk factors. Retrieved from https://www.cdc.gov/heartdisease/risk_factors.htm

Evaluating Outcomes

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