NR226 Fundamentals – Patient Care RUA: Concept Map Guidelines

Purpose
This assignment is designed to extend the learner’s use of concept mapping as a tool for clinical care planning. The nursing process continues to provide the foundation for organizing information and thought, whereas the mapping becomes the process for intentional critical thinking and clinical reasoning.
Course outcomes: This assignment enables the student to meet the following course outcomes:
CO 1: Demonstrate the nursing process while providing basic care to individuals and families reflecting different stages of the life span in the extended care, acute care, and community-based settings. (PO 1)
CO3: Demonstrate communication skills necessary for interaction with other health team members and for providing basic nursing care to individuals and families. (PO #3)
CO4: Incorporate critical thinking skills into clinical nursing practice. (PO #4)
Due date: Your faculty member will inform you when this assignment is due. The Late Assignment Policy applies to this assignment.
Total points possible: 100 points
Preparing the assignment
Follow these guidelines when completing this assignment. Speak with your faculty member if you have questions.
1. Choose an individual for whom you have cared in the clinical setting or virtual setting.
2. Create a concept map based on the complete physical assessment you performed while providing care using the provided PowerPoint template.
a. Components of the concept map
i. Client’s information (10 points/10%)
1. Age
2. Medical diagnosis/Reason for hospitalization
3. Brief review of underlying pathophysiology
*Describe what functional changes are happening
*Describe process that initiated and maintained disorder or disease
* MUST INCLUDE: Scholarly reference to support information
ii. Assessment Data (15 points; 15%)
b. Provide a comprehensive head to toe assessment to include:
i. General appearance
ii. Inspection
iii. Palpation
iv. Percussion
v. Auscultation
c. Highlight key assessment items of concern regarding this client
i. Nursing Diagnoses (15 points/ 15%)
1. Select three actual nursing diagnoses for this client (not allowed to use ‘RISK FOR’ diagnosis)
a. NANDA of Actual problem/need that is high priority
b. NANDA of Actual problem/need, not necessarily a high priority
c. NANDA that focuses on psychosocial problem/need
ii. Linkages Within and Between Diagnoses (5 points/5%)
1. Short summary rationale for why these diagnoses were chosen and how they connect to the client.

iii. Planning (15 points/15%)
1. Ensure NANDA diagnosis are appropriate priority
2. Develop one (1) short term S.M.A.R.T. goal for each diagnosis
3. Develop one (1) long term S.M.A.R.T. goal for each diagnosis
4. Provides rational for each short- and long-term goal
iv. Implementation (15 points/15%)
1. Provide three (3) client specific interventions to help obtain the short-term goal for each diagnosis
2. Provide three (3) client specific interventions to help obtain the long-term goal for each diagnosis
v. Evaluation of Goal/Outcomes (5 points/15%)
1. Determine if goal/outcomes were met or not.
2. Provide evidence that supports that determination.
3. Describe what changes, if any, are needed to the plan to promote expected outcomes in the future.
vi. Safety-Communication-Infection Control 16 points/16%)
a. What specific communication elements were used when providing care for this client,
b. What safety concerns related to the client you cared for
c. What infection control practices were followed while caring for this patient.
vii. APA Citations and Writing (4 points/4%)
d. At least two (2) scholarly, primary sources from the last 5 years, excluding the textbook, are provided.
e. Uses appropriate APA format and is free of errors.
f. Grammar and mechanics are free of errors.
g. References are submitted with the assignment.

Please note that your instructor may provide you with additional assessments in any form to determine that you fully understand the concepts learned in the review module.

For writing assistance, please visit the Writing Center.
Grading Rubric Criteria are met when the student’s application of knowledge demonstrates achievement of the outcomes for this assignment.

Assignment Section and
Required Criteria
(Points possible/% of total points available) Highest Level of Performance High Level of Performance Satisfactory Level of Performance Unsatisfactory Level of Performance Section not present in paper
Introduction of Disease
(10 points/10%) 10 points 9 points 8 points 4 points 0 points
Required criteria
1. Age
2. Medical diagnosis/Reason for hospitalization
3. Brief review of underlying pathophysiology
a. List what functional changes are happening
b. List the processes that initiated and maintained the disorder or disease
c. Include scholarly citation(s) Includes 5 requirements for section. Includes 4 requirements per section. Includes 3 requirements per section. Includes 2 requirements per section. Includes 1 or fewer requirements per section.
Assessment Data
(15 points/15%) 15 points 13 points 11 points 6 points 0 points
Required criteria
1. Provide a comprehensive head-to-toe assessment to include:
a. General appearance
b. Inspection
c. Palpation
d. Percussion
e. Auscultation
2. Highlight key assessment items of concern regarding this client Includes 6 requirements per section Includes 5 requirements per section Includes 4 requirements per section Includes 3 requirements per section Includes 2 or fewer requirements per section
Nursing Diagnosis
(15 points/15%) 15 points 13 points 6 points 0 points
Required criteria
1. Identifies a NANDA of an actual problem/need that is high priority
2. Identifies NANDA of actual problem/need, not necessarily a high priority
3. Identifies a NANDA that focuses on psychosocial problem/need Includes all requirements per section Includes 2 requirements per section Includes 1 requirement per section No requirements for this section presented.
Linkages Within and Between Diagnoses
(5 points/5%) 5 points 0 points
Required criteria
1. Short summary rationale for why these diagnoses were chosen and how they connect to the client Criterion met.
Criterion not met.

Planning
(15 points/15%) 15 points 13 points 6 points 0 points
Required criteria
1. Ensure NANDA diagnoses are appropriate priority
2. Develop one (1) short-term S.M.A.R.T. goal for each diagnosis
3. Develop one (1) long-term S.M.A.R.T. goal for each diagnosis
4. Provide a rationale for why each goal was selected. Includes all requirements for section. Includes 3 requirements for section. Includes 2 requirement for section.
Includes 1 or fewer requirements for section.
Implementation
(15 points/15%) 15 points 13 points 0 points
Required criteria
1. Provide three (3) client specific interventions to help obtain the short-term goal for each diagnosis
2. Provide three (3) client specific interventions to help obtain the long-term goal for each diagnosis Includes all requirements for section. Includes 1 requirement for section.
No requirements for this section presented.

Evaluation of Goals/Outcomes
(5 points/5%) 5 points 4 points 2 points 0 points
Required criteria
1. Determine if goals/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. Includes all requirements for section. Includes 2 requirements for section.
Includes 1 requirement for section.
No requirements for this section presented.
Safety-Communication-Infection Control
(16 points/16%) 16 points 12 points 8 points 0 points
Required criteria
1. Describe specific communication elements used when providing care for this client.
2. Describe safety concerns related to the client you cared for
3. Describe infection control practices followed while caring for this client Includes all 3 requirements for section. Includes 2 requirements for section.
Includes 1 requirement for section. No requirements for this section presented.
APA Style and Organization
(4 points/4%) 4 points 3 points 2 points 1 point 0 points
Required criteria
1. At least two (2) scholarly, primary sources from the last 5 years, excluding the textbook, are provided.
2. Uses appropriate APA format and is free of errors.
3. Grammar and mechanics are free of errors.
4. References are submitted with the assignment. Includes 4 requirements per section.
Includes 3 requirements per section. Includes 2 requirements per section. Includes 1 requirements per section. No requirements for this section presented.

Total Points Possible = 100 points

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