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