Nursing Concept Maps



hey guys it's Bette here from easy RN and today we're going to be going over concept maps as you may or may not know nursing is all about looking at the big picture when it comes to your patients early on in school you'll you'll learn by breaking down typical med surg diagnoses as you get closer to graduation your school will hopefully transition you into looking at each patient as a whole as you get patients in clinical you'll find that they'll have many many many medical diagnoses with an extensive health history as you start to dig deeper into your patient you'll find that everything will start to interlink when you understand the patient as a whole rather than looking at the pieces you're then starting to think like a registered nurse all right so let's give you a basic scenario you have a patient mr. Smith on your unit who is a 75 year old male admitted for a hypotensive crisis from a nursing home upon admission the patient had a blood pressure of 65 over 40 elevated b1 creatinine and was lethargic the patient has a history of hypertension diabetes mellitus dementia coronary artery disease arthritis constipation and balls currently he has been stabilized in his waiting discharge let's look over the patient and draw up a concept map for this hospital visit in the center we're going to put his admitting diagnosis hypotensive crisis around it we will put all his history and problems hypertension diabetes dementia CA D arthritis constipation falls in the e d his blood pressure was 65 over 40 since his b1 and creatinine are elevated we'll start to think that he's probably probably dehydrated on top of that we have to dig a little bit deeper based on his history of hypertension and CA D we see that he's on metoprolol every morning this morning it looks like the nurse at the nursing home gave it to him according to his chart his blood pressure upon giving it was 101 over 55 since he normally runs hypertensive the nurse should have probably held the medication we could see that mr. Smith was probably dehydrated to begin with this is common in the elderly due to their decrease in thirst mechanism by giving him his metoprolol the nurse accidentally impacted his blood pressure by dropping it lower given his history we could begin to see a link between everything I like to tell students to think that everything affects everything what does this mean let's dig a bit deeper mr. Smith has a history Falls what is causing him to fall is it because of his dementia and he's confused trying to get out of bed in the middle of the night possibly what else could cause him to fall well he came in for a hypotensive crisis is this something that happens frequently does his low blood pressure caused him to become fatigued and fall his dehydration could be caused from simply not drinking enough water which he forgets to do because of his dementia what about is arthritis he could have been having pain with range of motion and that could contribute to his falling or he could be taking narcotics for his arthritis which could also contribute narcotics could also make mr. Smith constipated constipation could also be caused by being dehydrated not being able to defecate would make the patient feel like he constantly has to go this leads to frequent trips to the bathroom which could lead to a fall I also mentioned that he's diabetic our Sugar's too high or too low and affecting his mental status diabetes is a huge risk factor for coronary artery disease what medications is he on for this could he be taking nitrates what about the metoprolol the beta blocker for his heart these medications could cause dizziness lightheadedness and contribute to a fall this is just a fraction of the list of things I could add to this concept map as you can see everything affects everything now you may be asking how do I make a concept map there is no right or wrong way to make concept map each school and every book you read will have a different way to go about it no one way is better than any other the point of the concept map is just to draw connections if you're creating concept map for a class assignment please follow the guidelines provided by your instructor to start put your patient in the center if this is your patient from clinical make the center state they're emitting diagnosis and the bubbles or boxes around it you can put their health health history under each item you can list vital signs medication lab values and any assessment findings that you currently have about the patient you may put the same findings in more than one bubble if it pertains for example mr. Smith takes metoprolol for his coronary artery disease as well as his hypertension so you can list it under both from there begin to list nursing diagnosis for each area if you do not know how to write the proper nursing diagnosis please see our other video on nursing diagnosis once all that is listed you can begin to make the connections for example hypertension leads to coronary artery disease which leads to fall remember everything affects everything you could basically draw an arrow from one thing to the next to the next to the next it keeps going and going and going your skills on making concept maps will evolve over time by learning and through your experience you will begin to make the connections as a student you will be limited as you are still at the beginning stages of your nursing career as you gain more and more nursing experience and knowledge it will become second nature and you will see the patient as a whole when they say think like a nurse this is what they're talking about thinking the patient as a whole

3 comments

  1. TL:DR Link every disease with each other and there's no right-wrong answer. Just follow your tutor's guide and marking criteria.

    Everybody cool with that?

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