Description
I have attached two assignments one is about designing a care map nursing diagnosis and the other is a concept map and plan of care
Design plans for care specific to the older adult Concept Map
1 Consider the scenario below, then follow the instructions underneath it to complete the assignment.
Mrs. Y
Mrs. Y is an 84-year-old client who was recently discharged from the hospital for an infected diabetic ulcer on her left leg. During her
hospitalization, Mrs. Y required intravenous antibiotic therapy through a peripherally inserted central catheter (PICC) line.
Due to Mrs. Y’s long history of diabetes, her physician ordered that intravenous antibiotic therapy be continued at home. Subsequently,
home health services were initiated, a home health nurse was assigned to Mrs. Y’s case, and an initial home visit was scheduled.
The home health nurse arrives at Mrs. Y’s home and introduces herself to the client and the family. The nurse explains the home nursing
services that will be provided, including the PICC line and intravenous antibiotic therapy treatments.
During the initial home visit, the nurse assessed the physiological, psychological, functional, and safety needs of the client. The nurse’s
findings were as follows:
•
•
•
•
Mrs. Y lives alone; however, her daughter checks on her frequently throughout the day.
The client is noted to have moderate functional issues and ambulates with a cane.
The client has several throw rugs in the main walking quarters and minimal lighting throughout the hallways.
Mrs. Y states “I used to get around my house with ease, but now I get a little tired and have to sit down and rest frequently.”
Consider Mrs. Y’s current health status and functional decline, then address the following:
1. Download the Concept Map and Plan of Care worksheet below. An example is also provided for your reference.
o File: Concept Map and Plan of Care worksheet
o File: Concept Map and Plan of Care example
2. Identify three (3) priority nursing diagnoses for Mrs. Y.
3. Create a visual representation of the three (3) priority nursing diagnoses by incorporating them into the Concept Map (template in the worksheet). Be sure
each nursing diagnosis includes the following elements:
o “related to (r/t)” — description of the client’s problem
o “as evidenced by” — description of the client’s symptoms
4. Complete the Nursing Plan of Care (table in the worksheet) describing what should be implemented for Mrs. Y.
o Goals: Establish at least one (1) goal for each of the nursing diagnoses you identified (for a total of 3 goals). Goals should be: patient specific,
measurable, actionable, realistic, and time limited.
o Nursing Interventions: Describe at least three (3) nursing interventions for each of the goals (for a total of 9 nursing interventions). Each
intervention should be in alignment with the goal it is supporting.
5. Complete the assignment using proper spelling, grammar, and APA.
Concept Map: Example
Prioritized Nursing Dx# 1
Prioritized Nursing Dx# 6
•
Prioritized Nursing Dx# 2
•
•
Primary Medical Diagnosis:
•
Prioritized Nursing Dx# 3
Prioritized Nursing Dx# 5
•
•
Prioritized Nursing Dx# 4
•
Nursing Plan of Care
Prioritized Nursing Diagnoses
Goal
Nursing Interventions
Module 06 Assignment – Designing a Care Map
Instructions
Mr. Harry Roost is a 78-year old male being discharge after a fracture of his right tibia and fibula. He has a long leg cast that
he will need to wear for the next 8 weeks. The nurses have observed him using a hanger to scratch the skin under the cast.
The nurses have reminded him each time that he is not to put anything down his cast. He also sits on the side of the bed for
long periods with his leg in a dependent position. He also gets up to go to the bathroom without calling for help. The staff
have observed him hopping to the bathroom without using his crutches.
Develop a care map for Mr. Roost using the template directly after these instructions. Include information important for his
discharge home. For this assignment, include the following: assessment and data collection (including disease process, common
lab work/diagnostics, subjective, objective, and health history data), three NANDA-I approved nursing diagnosis, one SMART
goal for each nursing diagnosis, and two nursing interventions with rationale for each SMART goal for a client with a
musculoskeletal disorder.
Use at least two scholarly sources to support your care map. Be sure to cite your sources in-text and on a reference page using
APA format.
Assessment
and
Data Collection
Three NANDA-I Approved
Nursing Diagnosis
One Smart Goal for EACH
Nursing Diagnosis
Two Nursing Interventions
with Rationale for EACH
Nursing Diagnosis
Disease Process:
Nursing Diagnosis:
SMART Goal:
1.
2.
Common
Labwork/Diagnostics:
Nursing Diagnosis:
SMART Goal:
1.
2.
Nursing Diagnosis
Assessment Data (consider
subjective, objective, and
heath history):
SMART Goal:
1.
2.
Module 06 Assignment – Designing a Care Map Rubric
Total Assessment Points – 65
Levels of Achievement
Emerging
Competence
Proficiency
Lacks basic factors of the
disease process, common labs,
diagnostic tests, and subjective,
objective, and health history
data.
Failure to submit
Assessment/Data Collection will
result in zero points for this
criterion.
Points – 7
Briefly identifies the factors including
the disease process, common labs,
diagnostic tests, and subjective,
objective, and health history data.
Clearly identifies the
factors including the
disease process,
common labs, and
diagnostic tests, and
subjective, objective,
and health history data.
Thoroughly identifies all
factors including the
disease process, common
labs, diagnostic tests, and
subjective, objective, and
health history data with a
deep understanding.
Points – 8
Points – 9
Points – 10
Nursing diagnosis are
insufficient and/or do not fit
the data.
Failure to submit Nursing
Diagnosis will result in zero
points for this criterion.
Writes ONE NANDA-I approved
nursing diagnosis in the correct
format (including related to/as
evidenced by) with a strong
connection to identified data.
Points – 7
Points – 8
Writes TWO NANDA-I
approved nursing
diagnoses in the correct
format (including related
to/as evidenced by) with
a strong connection to
identified data.
Points – 9
Writes THREE NANDA-I
approved nursing diagnoses
in the correct format
(including related to/as
evidenced by) with a strong
connection to identified
data.
Points – 10
Writes ONE goal for
TWO nursing diagnoses
and the goals meet all
the SMART goal
guidelines and are
related to the nursing
diagnoses.
Points – 13
Writes ONE goal for THREE
nursing diagnoses and the
goals meet all the SMART
goal guidelines and are
related to the nursing
diagnoses.
Criteria
Assessment / Data
Collection
(10 Pts)
Nursing Diagnosis
(should fit the data)
(10 Pts)
The goals meet few SMART goal
SMART Goal (should guidelines and/or are not
related to the nursing
reflect the diagnosis
diagnoses.
and follow guidelines) Failure to submit SMART goals
will result in zero points for this
(15 Pts)
criterion.
Points – 11
Writes ONE goal for ONE nursing
diagnosis and the goal meets all the
SMART goal guidelines and are
related to the nursing diagnosis.
Points – 12
Mastery
Points – 15
Interventions and
Rationale
(20 Pts)
APA Citation
(5 Pts)
Lacks appropriate interventions
and rationale to assist the client
in resolving the issues leading
to the problem.
Failure to submit Interventions
and Rationale will result in zero
points for this criterion.
Writes 3 interventions with rationale
to assist the client in resolving the
issues leading to the problem with
appropriate references.
Writes 5 interventions
with rationale to assist
the client in resolving
the issues leading to the
problem with
appropriate references.
Writes more than 5
interventions with rationale
to assist the client in
resolving the issues leading
to the problem with
appropriate references.
Points – 15
Points – 16
Points – 18
Points –20
APA in-text citations and
references are missing.
Attempted to use APA in-text
citations and references.
APA in-text citations and
references are used with
few errors.
APA in-text citations and
references are used
correctly.
Points- 3
Points- 4
Few spelling and
grammar errors.
Points- 5
Minimal to no spelling and
grammar errors.
Points- 4
Points- 5
Points- 2
Numerous spelling and
grammar errors, which detract
Spelling and Grammar from the audience’s ability to
(5 Pts)
comprehend material.
Points- 2
Some spelling and grammar errors,
which detract from the audience’s
ability to comprehend material.
Points- 3
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