Choose an individual for whom you have cared in the clinical setting or virtual setting.
Create a concept map based on the complete physical assessment you performed while providing care using the provided PowerPoint template.
NR226 Fundamentals – Patient Care
RUA: Concept Map Guidelines
Purpose
This assignment is designed to extend the learner’s use of concept mapping as a tool for clinical care planning. The nursing process continues to provide the foundation for organizing information and thought, whereas the mapping becomes the process for intentional critical thinking and clinical reasoning.
Course outcomes: This assignment enables the student to meet the following course outcomes:
CO 1: Demonstrate the nursing process while providing basic care to individuals and families reflecting different stages of the life span in the extended care, acute care, and community-based settings. (PO 1)
CO3: Demonstrate communication skills necessary for interaction with other health team members and for providing basic nursing care to individuals and families. (PO #3)
CO4: Incorporate critical thinking skills into clinical nursing practice. (PO #4)
Due date: Your faculty member will inform you when this assignment is due. The Late Assignment Policy applies to this assignment.
Total points possible: 100 points
Preparing the assignment
Follow these guidelines when completing this assignment. Speak with your faculty member if you have questions.
1. Choose an individual for whom you have cared in the clinical setting or virtual setting.
2. Create a concept map based on the complete physical assessment you performed while providing care using the provided PowerPoint template.
a. Components of the concept map
i. Client’s information (10 points/10%)
1. Age
2. Medical diagnosis/Reason for hospitalization
3. Brief review of underlying pathophysiology
*Describe what functional changes are happening
*Describe process that initiated and maintained disorder or disease
* MUST INCLUDE: Scholarly reference to support information
ii. Assessment Data (15 points; 15%)
b. Provide a comprehensive head to toe assessment to include:
i. General appearance
ii. Inspection
iii. Palpation
iv. Percussion
v. Auscultation
c. Highlight key assessment items of concern regarding this client
i. Nursing Diagnoses (15 points/ 15%)
1. Select three actual nursing diagnoses for this client (not allowed to use ‘RISK FOR’ diagnosis)
a. NANDA of Actual problem/need that is high priority
b. NANDA of Actual problem/need, not necessarily a high priority
c. NANDA that focuses on psychosocial problem/need
ii. Linkages Within and Between Diagnoses (5 points/5%)
1. Short summary rationale for why these diagnoses were chosen and how they connect to the client.
iii. Planning (15 points/15%)
1. Ensure NANDA diagnosis are appropriate priority
2. Develop one (1) short term S.M.A.R.T. goal for each diagnosis
SMART=
Specific
Measurable
Achievable
Realistic
Timed
3. Develop one (1) long term S.M.A.R.T. goal for each diagnosis
4. Provides rational for each short- and long-term goal
iv. Implementation (15 points/15%)
1. Provide three (3) client specific interventions to help obtain the short-term goal for each diagnosis
2. Provide three (3) client specific interventions to help obtain the long-term goal for each diagnosis
v. Evaluation of Goal/Outcomes (5 points/15%)
1. Determine if goal/outcomes were met or not.
2. Provide evidence that supports that determination.
3. Describe what changes, if any, are needed to the plan to promote expected outcomes in the future.
vi. Safety-Communication-Infection Control 16 points/16%)
a. What specific elements of communication were used when providing care for this client,
b. What safety concerns related to the client you cared for
c. What infection control practices were followed while caring for this patient.
vii. APA Citations and Writing (4 points/4%)
a. Minimum of two (2) scholarly nursing references, within 5 years submitted with assignment.
b. Includes intext citation(s) in all appropriate areas (pathophysiology, planning, etc.)
c. Uses appropriate APA format and is free of errors.
d. Grammar is free of errors.
e. Spelling is free of errors.
f. Mechanics of writing are free of errors.
x. Power Point Template (0 points/0%) (deduction if not used)
a. Used provided Power Point Template for assignment completion or an alternate that is approved by faculty.
For writing assistance, visit the Writing Center.
Please note that your instructor may provide you with additional assessments in any form to determine that you fully understand the concepts learned in the review module.
NR226 Fundamentals – Patient Care
RUA: Concept Map Guidelines
NR226 Fundamentals – Patient Care
RUA: Concept Map Guidelines
© 2023 Chamberlain University. All Rights Reserved.
NR226_RUA_Concept_Map _Guideline_V5.docx Revised: Jan 2023 1
© 2023 Chamberlain University. All Rights Reserved.
NR226_RUA_Concept_Map _Guideline_V5.docx Revised: Jan 2023 2
2
Grading Rubric Criteria are met when the student’s application of knowledge demonstrates achievement of the outcomes for this assignment.
Assignment Section and Required Criteria (Points possible/% of total points available) |
Highest Level of Performance |
High Level of Performance |
Satisfactory Level of Performance |
Unsatisfactory Level of Performance |
Section not present in paper |
Introduction of Disease (10 points/10%) |
10 points |
9 points |
8 points |
4 points |
0 points |
Required criteria 1. Age 2. Medical diagnosis/Reason for hospitalization 3. Brief review of underlying pathophysiology *List what functional changes are happening *List process that initiated and maintained disorder or disease * include references/citations |
Includes no fewer than 3 requirements for section. |
Includes no fewer than 2 requirements for section. |
Includes no less than 1 requirement for section. |
Present, yet includes no required criteria. |
No requirements for this section presented. |
Assessment Data (15 points/15%) |
15 points |
14 points |
13 points |
6 points |
0 points |
Required criteria 1. Provide a comprehensive head to toe assessment of the client including: General appearance Inspect Palpation Auscultate 2. Highlight key areas of concern in the assessment |
Includes all assessment data. |
No requirements for this section presented. |
|||
Nursing Diagnosis (15 points/15%) |
15 points |
14 points |
13 points |
6 points |
0 points |
Required criteria 1. Select three nursing diagnoses to addresses a. NANDA of Actual problem/need that is high priority b. NANDA of Actual problem/need, not necessarily a high priority c. NANDA that focuses on psychosocial problem/need |
Three nursing diagnoses are present and adhere to expectations. |
No requirements for this section presented. |
|||
Linkages Within and Between Diagnoses (5 points/5%) |
5 points |
0 points |
|||
Required criteria 1. Short summary rationale for why these diagnoses were chosen and how they connect to the client |
Criterion met. |
Criterion not met. |
|||
Planning (15 points/15%) |
15 points |
13 points |
6 points |
0 points |
|
Required criteria 1. Ensure NANDA diagnosis are appropriate priority 2. Develop one (1) short term S.M.A.R.T. goal for each diagnosis 3. Develop one (1) long term S.M.A.R.T. goal for each diagnosis 4. Provides rational for why each goal was selected. |
Includes all requirements for section. |
Includes 3 requirements for section. |
Includes 2 requirement for section. |
No requirements for this section presented. |
|
Implementation (15 points/15%) |
15 points |
13 points |
0 points |
||
Required criteria 1. Provide three (3) client specific interventions to help obtain the short-term goal for each diagnosis 2. Provide three (3) client specific interventions to help obtain the long-term goal for each diagnosis |
Includes all requirements for section. |
Includes 1 requirement for section. |
No requirements for this section presented. |
||
Evaluation of Goals/Outcomes (5 points/5%) |
5 points |
4 points |
2 points |
0 points |
|
Required criteria 1. Determine if goals/outcomes were met. 2. Provide evidence that supports that determination. 3. Describe what changes, if any, are needed to promote expected outcomes in the future. |
Includes all requirements for section. |
Includes 2 requirements for section. |
Includes 1 requirement for section. |
No requirements for this section presented. |
|
Safety-Communication-Infection Control (16 points/16%) |
16 points |
12 points |
8 points |
0 points |
|
Required criteria 1. Describe specific elements of communication used when providing care for this client. 2. Describe safety concerns related to the client you cared for 3. Describe infection control practices followed while caring for this client |
Includes all 3 requirements for section. |
Includes 2 requirements for section. |
Includes 1 requirement for section. |
No requirements for this section presented. |
|
APA Style and Organization (4 points/4%) |
4 points |
3.6 points |
3.4 points |
1.5 points |
0 points |
Required criteria 1. Minimum of two (2) scholarly nursing references, within 5 years submitted with assignment. 2. Includes intext citation(s) in all appropriate areas (pathophysiology, planning, etc.) 3. Uses appropriate APA format and is free of errors. 4. Grammar is free of errors. 5. Spelling is free of errors. 6. Mechanics of writing are free of errors. |
Includes no fewer than 5 requirements for section. |
Includes no fewer than 4 requirements for section. |
Includes no fewer than 3 requirements for section. |
Includes 1-2 requirements for section. |
No requirements for this section presented. |
Power Point Template (0 points/0%) |
0 Points |
-10 points |
|||
1. Power Point template is used to complete concept map (or alternate template approved by faculty.) |
Includes 1 criteria |
Does not include 1 criteria |
|||
Total Points Possible = 100 points |
© 2023 Chamberlain University. All Rights Reserved.
NR226_RUA_Concept_Map _Guideline_V5.docx Revised: Jan 2023 5
5
image1.png
,
Your paper must follow APA guidelines Title slide: please include title of RUA, your name, name of school, number and name of course, instructor name, due date or session. All information should be on its own line and centered.-FOLLOW APA GUIDELINES! Please delete the highlighted areas when submitting, this is only for your reference.
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Assessment
Highlight key areas of concern
General appearance:
Vitals:
Neuro:
HEENT:
Cardiac:
Respiratory:
GI:
GU/Elimination:
Integumentary:
Musculoskeletal:
Psychosocial:
Labs/Diagnostics:
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Pathophysiology (include what functional changes are occurring and what processes or issues initiated, lead, and are maintaining the disorder/disease)
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Pertinent Medical diagnoses/Reason for hospitalization:
Student name: ______________________
Date: ______________________
Client initials:__________ Age: ________________
Male/Female/Nonbinary
High priority NANDA diagnosis
NANDA diagnosis
Psychosocial NANDA diagnosis
Short term (ST) goal:
Long term (LT) goal:
Short term(ST) goal:
Long term (LT) goal:
Short term (ST) goal:
Long term (LT) goal:
ST interventions
1.
2.
3.
LT interventions
1.
2.
3.
ST interventions
1.
2.
3.
LT interventions
1.
2.
3.
ST interventions
1.
2.
3.
LT interventions
1.
2.
3.
Evaluation
Evaluation
Evaluation
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Linkages and Rationale of Diagnosis
Short summary rationale for why these diagnosis were chosen and how they connect to the client’s current situation/condition
Rationale for why goals were selected
Should have a rationale for each short- and long-term goal. Provide references as applicable
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Infection control:
Safety:
Communication:
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References:
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