Concept mapping, Biology

Mrs. Jackson is a 76 year old woman living in a skilled nursing facility. She has Hx: CVA with left-sided weakness, incontinent of bowel and bladder, PEG tube, GERD, HTN, Dementia, and Parkinson's. Recently she was diagnosed with a UTI.

VS: T 98.6F HR 88 RR 16 BP 155/78 SPO2 98% RA

Assessment: A&Ox1. L pupil 4mm sluggish, R pupil 3mm brisk. L-sided weakness with LUE contracture Follows commands on the R side. Short term memory not intact. Slurred speech. Tremor at rest. Difficulty initiating movement. Drooling out of L side of mouth. No c/o pain. HR regular, no edema, abd soft, non-tender. PEG tube patent, insertion site clean and dry, residual 10mL.  Incontinent of malodorous urine in a diaper. Hoyer lift to wheelchair.

Abnormal Labs: UA positive for WBC, bacteria, sediment, leukocyte esterase, and nitrites.


Aspirin 325mg pFT daily

Bactrim DS 1 tab pFT BID x3 days

Benztropine 1mg pFT daily

Carbidopa/Levodopa 25/100mg pft TID

Clopidogrel 75mg pFT daily

Docusate 250mg pFT BID

Donezepil 10mg pFT qHS

Furosemide 20mg pFT BID

Lansoprazole 30mg pFT daily

Metoprolol 50mg pFT BID

Potassium chloride 10mEQ pFT daily


Probalance with Fiber at 100ml/hr via PEG tube

Water bolus 250mL q6h pFT


1. Identify abnormal findings and discuss WHY these are present.

2. Create a problem list, with ACTUAL problems. You can also list potential problems if they are directly related to a medication or abnormal lab value.

3. For each problem, list appropriate nursing interventions.

Concept Mapping Instructions

Learning objectives:

1.       To create a concept map based on a patient you encountered at clinical

2.       To begin creating logical connections between patient diagnoses, medications, s/sx, and lab values.

3.       To identify incorrect connections between patient diagnoses, medications, s/sx, and lab values.

4.       To modify concept map to reflect new connections

5.       To reflect on how concept mapping has affected your learning


1.  Put your patient's initials in a BOX in the middle of the paper.

2. Put each of your patient's medical diagnoses and (including medical history) in CIRCLES around their initials.  Connect the CIRCLES to the BOX with straight lines.

è Glaucoma

Atrial fibrillation ß  John Doe à HTN


3. Connect each of your patient's medications to one of their medical diagnoses.  For example: metoprolol is directly connected to HTN.

John Doe à HTN à metoprolol

4. Some medications are not directly related to a specific diagnosis.  If this is the case, you can add more boxes to explain why the patient is on that medication.  For example, a patient may be on docusate but not have a diagnosis of constipation.  They may be taking docusate to prevent constipation related to narcotic use.  Narcotics are related to pain, which is related to their recent surgical procedure.

John Doe à Surgical procedure à pain à narcotic à risk for constipation à docusate

5.  Connect your patient's lab values to something, either their diagnoses or medications.

John Doeà Afib à warfarin à INR 2.5

6.  Connect abnormal s/sx that you observed at clinical to a diagnoses or medication or lab value. 

John Doe à Afib à HR 115

è Irregular heart rate

7.  Include any nursing interventions you performed for your patient. 

8.  Give  your first draft concept map to a peer and ask them to comment on your concept map using the peer feedback form.  Does it make sense?  Are your connections logical?  Do you need to be more clear by identifying more indirect connections?

9.  Revise your concept map with the information from your peer.  This will be your second draft.

10. Reflect on how creating the concept map and discussing it with your peer has affected your learning using the Reflective Summary Form.

11.   Paper clip IN THIS ORDER

a.   First Draft                  (b)      Second Draft

Concept Map Reflective Summary

1. What did you learn from creating this concept map?

Posted Date: 2/21/2013 12:05:59 AM | Location : United States

Related Discussions:- Concept mapping, Assignment Help, Ask Question on Concept mapping, Get Answer, Expert's Help, Concept mapping Discussions

Write discussion on Concept mapping
Your posts are moderated
Related Questions
Explain Intensity of heart sound? Intensity of S 1, particularly M 1 depends on the position of the bellies of mitral leafets when the LV begins to contract since S 1 is loudes

Explain about the Biuret Method? The Biuret reaction was one of first colorimetric assays developed for protein estimation. It is most often used in applications requiring a fa

Techniques :  Depending on the type of surgery planned, the heart may be approached through median sternotomy, left or right thoracotomy. The problems encountered could be due to

What is meant by terminal electron acceptor? Give examples of e acceptors for aerobic and anaerobic respiration.

Q. Difference between plant systematic and taxonomy? Before coming to principles of taxonomy let us discuss the difference between taxonomy and systematic. Systematic is the sc

Q. Pathophysiology of Cardiac tamponade? Progressive increase in pericardial fluid results in progressive increase in intrapericardial pressure, till a critical volume is reach

Ruminate Endosperm - Variants of Endosperm In certain plants the surface of the mature cellular endosperm shows a high degree of irregularity and unevenness, giving a ruminate

What is Defective Colour Vision Defective colour vision is often called colour blindness. The ability to appreciate one or more of the primary colours is lacking. This can be e

how does these phylem parasites????

Occupational Lung Diseases The common occupational lung diseases include silicosis due to inhalation of inorganic dust, allergic alveolitis due to inhalation of organic dus