NSG 120 Yale University Week 8 Pneumonia Infection Concept Map I will like you to do a concept map with Pneumonia infection and always be aware of plagiari

NSG 120 Yale University Week 8 Pneumonia Infection Concept Map I will like you to do a concept map with Pneumonia infection and always be aware of plagiarism Individual Care Map Evaluation Tool
Name: _______________________ Date: ___________ Patient’s initials: _______________
Concept
(Follow instructions
provided and on Moodle)
The student will:
Maximum
Points/
Prepare: Written
Analysis (50 pts) and
Concept Map
Student
points
Selects relevant
objective and subjective
assessment data for the
client situation.
5
Organizes relevant
data into objective
and subjective
data.(2)
Demonstrate appropriate
use of Gordon’s
Functional Patterns by
organizing data into
meaningful data clusters
to determine priority
problem
5
Data cluster
complete the
support Gordon’s
patterns selected
(3)
Empty space
Data clusters
present, < 80% of relevant data uncluded, appropriate Gordon’s pattern selected (2.5) Empty space Data clusters do not support Gordon’s pattern selected. (1) Plans appropriate care for client: • Goal statement • Expected outcomes 10 Goal statement reflects resolution or reduction of priority problem identified. (2) Empty space Empty space Empty space Client goal does not address the nursing diagnosis or Expected outcomes do not support goal achievement or are no written in SMART format. (0.5) Comments: Does not organize data.(1) 20 3 or more nursing interventions listed address the cause of the problem and help the client achieve the goal use evidence based practice, individualized for the patient, each intervention has rationale with APA citation and reference. (20) ? 3 nursing interventions listed address the cause of the problem and help the client achieve the goal, use evidence based practice, each intervention has rationale with APA citation and reference. (18) ? 3 Interventions listed do not address the cause of the problem nor help the client achieve the goal, use evidence based practice, or not relevant for the patient, each intervention has rationale with APA citation and reference. (16) Interventions(s) do not address the cause of the problem nor assist the client to achieve the goal with evidence based practice, Or rationale inappropriate for the selected interventions, each intervention has with APA citation and reference (10) Interventions without rationale or APA citation and reference (0) Format relevant Care Map: Patient is represented and data cues organized into data clusters which reveal 10 Relationships between concepts indicated as cause/effect, indications, examples, leading to conclusions, etc. Indicates how each step in the nursing process affects the others, and is formatted logically. (10) Relationships between concepts indicated as cause/effect, indications, examples, leading to conclusions, etc. Does not indicate how each step in the nursing process affects the others; formatted logically. (9) Does not originate from the client OR Relationships between concepts indicated as cause/effect, indications, examples, leading to conclusions, etc. Indicates how each step in the nursing process affects the others, and is formatted logically. (7) Data originates from the client. Two or more of the following is not present: Relationships between concepts indicated as cause/effect, indications, examples, leading to conclusions, etc. Or Indicates how each step in the nursing process affects the others, Or is formatted logically. (5) Does not originate from the client. Relationships between concepts are illogical or do not indicate cause/effect. Steps in nursing process not included. (2) Total Points Available/ Student Points Earned: 50 Plans appropriate care for client: • Nursing interventions • Clearly support interventions with one individualized EBP rationale per intervention and write a citation for each intervention. Use Care Map to plan client care Faculty signature: ______________________Student signature: __________________________ Concept map template Nsg 120 Assessment Subjective /objective data Gordon Pattern and cluster data Gordon Pattern and cluster data Gordon Pattern and cluster data Gordon Pattern and cluster data Gordon Pattern and cluster data Body Systems Patient Evidence-based rationale for interventions Interventions Priority Nsg D Goal/Expected outcomes Evaluation Nursing 120 Include on the care map all parts of the nursing process using the template provided: 1. Please list all data cluster sets and which Gordon’s pattern are represented by each data cluster in the box on the template. Which Gordon’s patterns are Functional or Dysfunctional? 2. List the identified nursing diagnoses correctly written in priority order from highest to lowest priority. NDx: Problem related to ________ Evidenced by ____________ (include all of the evidence from the cluster): this problem is the priority because…..next problem, etc. 3. Write a patient-centered goal statement to reduce or resolve the problem identified. 4. Write patient-centered expected outcomes in SMART format showing advancement toward the goal. 5. List all chosen nursing interventions and provide evidence based rationale for each intervention. Each interventions chosen needs to help this patient to meet his or her goal? (Look at each intervention and explain.) All nursing interventions and evid based rationales must have a citation. 6. What reassessment data would a nurse expect to assess if the client is meeting his or her goal? And Write at least one reassessment data that would indicate the client is not meeting the goal? Put this in the evaluation box on the template. 7. Please be sure to include all references on your reference page. Concept map template Nsg 120 Assessment Subjective Data: 60 year old male Rates pain in L chest as a 6 on a scale from 1 to 10 objective data: Patient seems anxious when talking about the likelihood a cardiac condition Body Systems: Here you will put your head to toe data. Gordon Pattern: Self Perception Cluster data: Use as many of these as appropriate. You do not have to fill them all. Gordon Pattern: Gordon Pattern: Dysfunctional Activity-Exercise Nutritional-Metabolic Cluster data: inadequate diet, loss of appetite around painful episodes Dysfunctional Cluster data: Gordon Pattern: Gordon Pattern: Cluster data: Cluster data: Inability to complete daily ADLS Patient: Priority Nsg Dx: Impaired tissue perfusion related to cardiac condition as evidenced by chest pain. Evidence-based rationale for interventions: ** you need rationales with a source for each intervention Pt has positive EKG therefore the physician will order oxygen, pain medications, and a cardiac catheterization to rule out or rule in myocardial infarction or MI ( need to have a source to support your rationale.) Interventions: * you need 3 of these Goal/Expected outcomes: Pt pain will be below 6 out of 10 by the end of the end of the shift today. 1. Physician will order an EKG 2. Administratino of pain medication and oxygen. 3. Patient will be prepped for procedure. Evaluation: 7.Patient stated that they are chest pain free Nursing 120 8.Pt states her pain is still a 6 out of 10. References Doenges, M. E., & Moorhouse, M. F. (2013). Application of nursing process and nursing diagnosis: an interactive text for diagnostic reasoning (6th ed.). Philadelphia: F.A. Davis. Laskowski, M. E. (2015, August 22). 2 easy, accurate ways to measure your heart rate. Retrieved from https://www.mayoclinic.org/healthy-lifestyle/fitness/expert-answers/heart-rate/faq-20057979 Pollack, D. (2017 January 24). Nursing Diagnosis & Functional Health Patterns Cheat Sheet. Retrieved from https://www.cheatography.com/davidpol/chea-sheets/nursing-diagnosis-and-functional-healthpatterns/ Purchase answer to see full attachment