Concept mapping, Biology

Assignment Help:

Mrs. Jackson is a 76 year old woman living in a skilled nursing facility. She has Hx: CVA with left-sided weakness, incontinent of bowel and bladder, PEG tube, GERD, HTN, Dementia, and Parkinson's. Recently she was diagnosed with a UTI.

VS: T 98.6F HR 88 RR 16 BP 155/78 SPO2 98% RA

Assessment: A&Ox1. L pupil 4mm sluggish, R pupil 3mm brisk. L-sided weakness with LUE contracture Follows commands on the R side. Short term memory not intact. Slurred speech. Tremor at rest. Difficulty initiating movement. Drooling out of L side of mouth. No c/o pain. HR regular, no edema, abd soft, non-tender. PEG tube patent, insertion site clean and dry, residual 10mL.  Incontinent of malodorous urine in a diaper. Hoyer lift to wheelchair.

Abnormal Labs: UA positive for WBC, bacteria, sediment, leukocyte esterase, and nitrites.

Orders:

Aspirin 325mg pFT daily

Bactrim DS 1 tab pFT BID x3 days

Benztropine 1mg pFT daily

Carbidopa/Levodopa 25/100mg pft TID

Clopidogrel 75mg pFT daily

Docusate 250mg pFT BID

Donezepil 10mg pFT qHS

Furosemide 20mg pFT BID

Lansoprazole 30mg pFT daily

Metoprolol 50mg pFT BID

Potassium chloride 10mEQ pFT daily

NPO

Probalance with Fiber at 100ml/hr via PEG tube

Water bolus 250mL q6h pFT

Directions

1. Identify abnormal findings and discuss WHY these are present.

2. Create a problem list, with ACTUAL problems. You can also list potential problems if they are directly related to a medication or abnormal lab value.

3. For each problem, list appropriate nursing interventions.

Concept Mapping Instructions

Learning objectives:

1.       To create a concept map based on a patient you encountered at clinical

2.       To begin creating logical connections between patient diagnoses, medications, s/sx, and lab values.

3.       To identify incorrect connections between patient diagnoses, medications, s/sx, and lab values.

4.       To modify concept map to reflect new connections

5.       To reflect on how concept mapping has affected your learning

Directions:

1.  Put your patient's initials in a BOX in the middle of the paper.

2. Put each of your patient's medical diagnoses and (including medical history) in CIRCLES around their initials.  Connect the CIRCLES to the BOX with straight lines.

è Glaucoma

Atrial fibrillation ß  John Doe à HTN

è CVA

3. Connect each of your patient's medications to one of their medical diagnoses.  For example: metoprolol is directly connected to HTN.

John Doe à HTN à metoprolol

4. Some medications are not directly related to a specific diagnosis.  If this is the case, you can add more boxes to explain why the patient is on that medication.  For example, a patient may be on docusate but not have a diagnosis of constipation.  They may be taking docusate to prevent constipation related to narcotic use.  Narcotics are related to pain, which is related to their recent surgical procedure.

John Doe à Surgical procedure à pain à narcotic à risk for constipation à docusate

5.  Connect your patient's lab values to something, either their diagnoses or medications.

John Doeà Afib à warfarin à INR 2.5

6.  Connect abnormal s/sx that you observed at clinical to a diagnoses or medication or lab value. 

John Doe à Afib à HR 115

è Irregular heart rate

7.  Include any nursing interventions you performed for your patient. 

8.  Give  your first draft concept map to a peer and ask them to comment on your concept map using the peer feedback form.  Does it make sense?  Are your connections logical?  Do you need to be more clear by identifying more indirect connections?

9.  Revise your concept map with the information from your peer.  This will be your second draft.

10. Reflect on how creating the concept map and discussing it with your peer has affected your learning using the Reflective Summary Form.

11.   Paper clip IN THIS ORDER

a.   First Draft                  (b)      Second Draft

Concept Map Reflective Summary

1. What did you learn from creating this concept map?


Related Discussions:- Concept mapping

Diagnosis of galactosemia, Diagnosis of galactosemia is by measuring the ac...

Diagnosis of galactosemia is by measuring the activity of gal-l-P-transferuse in erythrocytes. Galactose should be restricted if the gal-1 -P-transferase is elevated above 2 mg/dl.

Dna replication, DNA Replication Deoxyribonucleic acid (DNA) is the car...

DNA Replication Deoxyribonucleic acid (DNA) is the carrier of genetic data for all living creatures. An organism's genome, made of DNA, encodes the genetic blueprint for buildi

What is the difference between lungs and gills, Q. What is the difference b...

Q. What is the difference between lungs and gills? Lungs and Gills are richly vascularized organs that serve for gas exchange between the environment and the circulatory system

Gases will be taken in and given out by a green plant, What gases will be t...

What gases will be taken in and given out by a green plant (a) in darkness, (b) in bright sunlight?   a) In low light intensities a green plant will be taking in oxygen and

Do sponges have circulatory system, Q. Do sponges have circulatory, nervous...

Q. Do sponges have circulatory, nervous and excretory systems? Sponges do not have a nervous system neither excretory system nor circulatory system.

Endosperm with lateral haustoria, Endosperm with Lateral Haustoria In...

Endosperm with Lateral Haustoria In Monochoria, in which the endosperm development is of helobial type, the haustorium is neither chalazal nor micropylar but lateral. The cha

Transport system in higher animals, Transport system in higher animals ...

Transport system in higher animals The circulatory system in higher animals has undergone several changes during evolution. The heart has become totally muscular. It p

What is the ph inside the stomach, Q. What is the pH inside the stomach? Wh...

Q. What is the pH inside the stomach? Why is there a need to keep that pH level? How is it maintained? Which are the cells that produce that pH? The normal pH of the gastric ju

Off pump coronary artery bypass surgery opcab, Application :  Off Pump...

Application :  Off Pump Coronary Artery Bypass Surgery (OPCAB) CABG is done on epicai-dial vessels. Cardio pulmonary by pass is used only to get a still h

Write Your Message!

Captcha
Free Assignment Quote

Assured A++ Grade

Get guaranteed satisfaction & time on delivery in every assignment order you paid with us! We ensure premium quality solution document along with free turntin report!

All rights reserved! Copyrights ©2019-2020 ExpertsMind IT Educational Pvt Ltd