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make a concept map.

Rasmussen University
Name:
Date:
Care Plan #
CONCEPT MAP
Pathophysiology – (to the cellular level)
Causes/Risk Factors (chemical,
environmental, psychological, physiological
and genetic)
Complications
Medical Diagnosis
Gestational Diabetes
Treatment (Medical, medications,
intervention and supportive)
Signs & Symptoms/Clinical
Manifestations (all data subjective
and objective: labs, radiology, all
diagnostic studies) (What symptoms
does your client present with?)
Rasmussen University
.
REMEMBER THAT THE EXPECTED OUTCOMES MUST BE MEASURABLE. THE INTERVENTIONS ARE WHAT YOU DO TO ASSURE THE OUTCOME AND THE CLIENT’S
RESPONSE IS SPECIFICALLY HER RESPONSE.
PLAN OF CARE:
NANDA NURSING DIAGNOSIS
use NANDA definition
NRS DX:
Problem Statement:
Expected outcomes of care
Interventions
(Goals)
Short term goal: Create a
This is specific to the patient
SMART goal that relates to
that you are caring for. A list
hospital stay/shift/day.
of planned actions that will
assist the patient to achieve
the desired goal. (i.e. obtain
foods that the patient can
eat/ likes)
R/T: (What is the cause of
the symptom)
Long term goal: Create a
SMART goal that is
appropriate for discharge.
Manifested by: (Specific
symptoms)
Summer 2021 JM
Use your top two priorities
Patient response
Identify what the patients Was it met or not met there
response or “outcome is to is no partially met.
the goal or care that you
have provided. i.e. patient
ate 45% of lunch)
Interventions for short-term
goal:
1.
2.
3.
Reassess for short-term goal:
1.
2.
3.
Interventions for long term
goal:
1.
2.
3.
Reassess for long-term goal:
1.
2.
3.
2
Goal evaluation
Rasmussen University
Summer 2021 JM
3
Rasmussen University
Name:
Date:
Care Plan #
CONCEPT MAP
Pathophysiology – (to the cellular level)
Causes/Risk Factors (chemical,
environmental, psychological, physiological
and genetic)
Complications
Medical Diagnosis
Preterm Labor
Treatment (Medical, medications,
intervention and supportive)
Signs & Symptoms/Clinical
Manifestations (all data subjective
and objective: labs, radiology, all
diagnostic studies) (What symptoms
does your client present with?)
Rasmussen University
.
REMEMBER THAT THE EXPECTED OUTCOMES MUST BE MEASURABLE. THE INTERVENTIONS ARE WHAT YOU DO TO ASSURE THE OUTCOME AND THE CLIENT’S
RESPONSE IS SPECIFICALLY HER RESPONSE.
PLAN OF CARE:
NANDA NURSING DIAGNOSIS
use NANDA definition
NRS DX:
Problem Statement:
Expected outcomes of care
Interventions
(Goals)
Short term goal: Create a
This is specific to the patient
SMART goal that relates to
that you are caring for. A list
hospital stay/shift/day.
of planned actions that will
assist the patient to achieve
the desired goal. (i.e. obtain
foods that the patient can
eat/ likes)
R/T: (What is the cause of
the symptom)
Long term goal: Create a
SMART goal that is
appropriate for discharge.
Manifested by: (Specific
symptoms)
Summer 2021 JM
Use your top two priorities
Patient response
Identify what the patients Was it met or not met there
response or “outcome is to is no partially met.
the goal or care that you
have provided. i.e. patient
ate 45% of lunch)
Interventions for short-term
goal:
1.
2.
3.
Reassess for short-term goal:
1.
2.
3.
Interventions for long term
goal:
1.
2.
3.
Reassess for long-term goal:
1.
2.
3.
2
Goal evaluation
Rasmussen University
Summer 2021 JM
3

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