Complete the attached Nursing concept map using the patient in the case scenario provided.

Cultural considerations, ethnicity, occupation, religion, family support, insurance. (1) (14)

Erickson’s Developmental Stage Related to pt. & Cite References (1)

Patient Information

(1)

Name: J.J

Age: 54 years old

Gender: Male

Code Status: Full code

DPOA: N

Living Will: N

Chief Complaint

JJ is a 54 year old African American man who came to the ED with the complaint of “worst headache of my life and feeling nauseous x 2 hours” now

Admitting Diagnosis

Subarrachnoid hemorrhage

Medical Management/ Orders/ Medications & Allergies (2)

NKDA

Name

Dose

RT

Freq.

MOA

RN Considerations

Onset/Peak/Duration

(Insulin)

History of Present Illness (HPI), Pathophysiology of Admitting Dx (Cite References) Medical, Surgical, Social History (1).

Medical History

Surgical History

Social History

Patient Education (In Pt.) & Discharge Planning (home needs)

Diagnostic Test/ Lab Results with dates and Normal Ranges (3)

Head CT: revealed JJ suffered a right SAH as a result of a hypertensive emergency.

CMP: electrolytes were all normal. State them and also the abnormal one

CBC: WBC within normal limit. State them etc

Test

Norms

Normal Value

Current Value

Concept Map

Student Name: ____________________________

Instructor: Ms. Emerson RN, MSN


Respiratory

Priority nursing diagnosis #2

Vital Signs

Integumentary

Interventions # 2

Assessment/ Evaluation #1

(Met/Not Met)

Assessment/ Evaluation #2

(Met/Not Met)

PC Evaluation Plan

(Met/Not Met)

Potential Complications/ at risk for

PC Interventions

Psychosocial

Cardiovascular

Endocrine

Misc. (Ht/Wt)

GU (10)

GI (9)

Nutrition/Hydration

(8)

Rest/ Exercise (11)

Neurological

Outcome/Goal #1

Priority nursing diagnosis #1

Ineffective cerebral tissue perfusion related to interruption of blood flow as evidenced by altered level of consciousness (evans, 2014)


Outcome/Goal #2


PC Outcomes/Goal

Interventions #1