Concept Map (Gordons patterns)

Description

Pt # 3-Huber miller is 88yo &admitted to the medical unit with a diagnosis of pneumonia. He is widowed and lives in a skilled nursing facility. His granddaughter has the medical Power of attorney. He has dementia and CAD with CHF. He is confused and pulls off his o2 mask. He is sob with wheezing and o2 sats of 90% on 4lnc, His vital signs are stable and he has an iv infusing, He has fallen already once since admisssion. His orders are

)2 via nc at 4l, Duo neb ts every 6 hours for sob and wheezing

daily chest xraY ,

cbc and BMP

Falls risk precautions

IV D5 NS TKO

CL LIQ diet

Resp consult

Pt/OT consult

Upoob with waLKER

Digoxin 0.25 mg po daily

Xanax 0.25mg hs for agitation

Lopressor 50 mg po bid for htn and cad

Discharge planning to return to SNF

HE I

FOLLOWUP APPT IWTH PCP IN ONE MONTH

*****Part A: Using the above patient information, come up with a Concept map

– pick 3 of gordons patterns-state functional of dysfunctional/ (total of 3 boxes)

– Pick 2 nursing diagnoses for each gordons pattersn (total of 6 boxes)

– Pick 3 nursing interventions per diagnoses (total of 18 boxes)

Pick a goal or outcome

Subjective/objective /fill out template

Do writeup

References apa format

***** Part B:

Now please write a BRIEFpaper that explains your care map in words. This will show your thinking.Each Gordon’s Patterns box will be a paragraph. Tell me about all the thinking you did to develop the associated nursing diagnoses for that pattern. Then, move on to the next and make that a new paragraph. Don’t assume I know anything about your thought process, because I don’t. Show me how you are thinking!

Then answer these in the rest of the paper:

1. what were the identified nursing diagnoses and why? Remember to use the:

“Problem” Related to “_____“ Evidenced by “____” format.

2.Which nursing diagnosis is most important to address with this client? Explain how this was determined.

3. Which nursing diagnosis is second most important to address with this client? Explain how this was determined.

4. Which nursing diagnosis is least important to address with this client? Explain how this was determined.

à Then Complete the Nursing process by answering the questions below and including the information in the last paragraph:

1.What is the goal for the client to show that the priority problem is reduced or resolved?

2.What would a nurse (you) need to do for the client to help the client meet the goal?

3.How would you know that the client has met the goal?

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References:

Nursing Standards

Nursing and Midwifery Board of Australia. (2018). Code of conduct for midwives. https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards.aspx

Clinical Guidelines

Guideline Adaption Committee. (2016). Clinical practice guidelines and principles of care for people with dementia. NHMRC Partnership Centre for Dealing with Cognitive and Related Function Decline in Older People. https://cdpc.sydney.edu.au/wp-content/uploads/2019/06/CDPC-Dementia-Guidelines_WEB.pdf

Living Guideline

Stroke Foundation. (2022). Australian and New Zealand living clinical guidelines for stroke management – chapter 1 of 8: Pre-hospital care. https://app.magicapp.org/#/guideline/NnV76E

Evidence-based practice

BMJ Best Practice

Goldfarb, S., & Josephson, M. (2020). Cystic fibrosis. BMJ Best Practice. https://bestpractice.bmj.com/

Schub, T., & Cabrera, G. (2018). Bites: Head lice [Evidence-based care sheet]. Cinahl Information Systems. https://www.ebscohost.com

Beyea, S. C., & Slattery, M. J. (2006). Evidence-based practice in nursing: A guide to successful implementation. http://www.hcmarketplace.com/supplemental/3737_browse.pdf

JBI: Evidence summary

Swe, K. K. (2022). Blood glucose levels: Self-monitoring [Evidence summary]. JBI EBP Database. https://jbi.global

JBI: Best practice information sheet

Bellman, S. (2022). Experiences of living with juvenile idiopathic arthritis [Best practice information sheet]. JBI EBP Database, 24(1), 1-4.

Cochrane Database of Systematic Reviews

Srijithesh, P. R., Aghoram, R., Goel, A., & Dhanya, J. (2019). Positional therapy for obstructive sleep apnoea. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD010990.pub2

Drug Information

Codeine. (2023, January). In Australian medicines handbook. Retrieved February 2, 2023, from https://amhonline.amh.net.au

Colorado State University. (2011). Why assign WID tasks? http://wac.colostate.edu/intro/com6a1.cfm

Dartmouth Writing Program. (2005). Writing in the social sciences. http://www.dartmouth.edu/~writing/materials/student/soc_sciences/write.shtml

Rutherford, M. (2008). Standardized nursing language: What does it mean for nursing practice? [Abstract]. Online Journal of Issues in Nursing, 13(1). http://ojin.nursingworld.org/MainMenuCategories/ThePracticeofProfessionalNursing/Health-IT/StandardizedNursingLanguage.html

Wagner, D. (n.d.). Why writing matters in nursing. https://www.svsu.edu/nursing/programs/bsn/programrequirements/whywritingmatters/

Writing in nursing: Examples. (n.d.). http://www.technorhetoric.net/7.2/sectionone/inman/examples.html

Perth Children’s Hospital. (2022, April). Appendicitis [Emergency Department Guidelines]. Child and Adolescent Health Service. https://www.pch.health.wa.gov.au/For-health-professionals/Emergency-Department-Guidelines/Appendicitis

Department of Health. (n.d.). Who is being active in Western Australia? https://ww2.health.wa.gov.au/Articles/U_Z/Who-is-being-active-in-Western-Australia

Donaldson, L. (Ed.). (2017, May 1). Healthier, fairer, safer: The global health journey 2007-2017. World Health Organisation. https://www.who.int/publications/i/item/9789241512367

NCBI Bookshelf

Rodriguez Ziccardi, M., Goyal, G., & Maani, C. V. (2020, August 10). Atrial flutter. In Statpearls. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK540985/

Royal Perth Hospital. (2016). Procedural management: Pre and post (24-48 hours) NPS. Canvas. https://courses.ecu.edu.au

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