A nursing care plan concept map example is a graphical tool used to define patient issues, organize assessment results, select relevant diagnoses and procedures, and assess outcomes. Using the services and tools provided by this concept map, nursing students can devise effective and efficient strategies. Spider maps spread outwardly, with sub-themes grouped around the element. Concept maps help students accurately obtain the necessary details and are among the most effective teaching methods. A nursing care plan concept map example is a learning method that introduces people to real-world problems. Nursing concept maps are utilized to incorporate theory and practice, educational journals, and the study techniques of nursing students.
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Job BurnsFour year-oldfemale
Red urine, Hct high,hgb low, Na low, lowspecific gravit
Tonsils @ 2+
Capaillary refill 4 seconds
Hgb 10
Burns to face, arms, hands and legs
Rectal temp 35.8
Hyperkalemia K=5.9
Risk for Cardiac Output:Decresed 2*Dysrythmias
Crying in pain,unable to move fingers
Position for comfort
pain
Administer Morphine 0.2 mg/kg I.V.Not to exceed 15 mg in 24 hours
Immunizations behindschedule
Knowledge Deficit:Immunizations
Mother is 3 weekspost-partum
Respirator rate 32
Fear/Anzoety
Include information innurses notes:Give information onimmunizationsduring discharge teaching
Encourage parents toremain at bedside
Caregiver Role Strain
Encourage parent to express feelings
Nurses notes: recommendsocial worker consult when pt.arrives to floor
Use distraction techiques: music, tv.
Assess family resources
Contact clergy for support
Immpbility
Continuous Pulse OXmonitoring
Child only memberof family injuredin fire
Risk for Altered Family Process
Explore parental coping mechanisms::forther's lighter found at scene,possible guilt reaction
Facillitate communicationbetween family, social worker andinvesitgators
Contact granparents for providecare for siblings
ABG's QH or prn
Be mindful of signs ofdevelopmental regression
Be mindful of signs ofdevelopmental regression
Administer O2as prscribed
Risk for Ineffective Tissue Perfusion: Peripheral
Seif-Care Deficit
Perform self-careactivities for patient
Possible respiratory compromisedue to hx of reactive airway disease
Continuous airway monitoring
Have intubation tray at bedside
Risk for Ineffective Airway Clearance
Hx of Asthma
Monitor CBC for WBC levels
Administer Oxacillin 50 mg/kg/24 hours I.V.in divided doses Q6H
Monitor temp Q2H
Be aware of jehovah's witnesssttus: No blood Products
Risk for Infection
Impaired skin integrity
Risk for Acute Renal Failure
Monitor Urinary
Send UA for myoglobin
Avoid pressure on sites of skin impairment
Assess site of skin impairment for conditionand degree of burn
Cover pt. with light sheet
Monitor temp Q2H
Thermoregulation:Ineffective
Low Diastolic blood pressureof 40
Fluid Volume: Deficient
Administer Albumin 0.5 g/kg/does in 5%as Prescribed by M.D.
Administer IV fluids as prescribed by M.D.
Monitor B/P Q15 min
Run EKG
Continous CardiacMonitoring
Kayexalate PO/Rectal1g/kg/Q6H as longas K+ renains elevated
Use sterile technique for urgentdebriding of burns