Will Emerson pt Empressed BP-156/60 O2 – 92% on 2L RR- 34 HR – 110 Temp- 103 oral Pain – 4/10; Located all over; chest and back area mainly, feels like an elephant is sitting on him. Nothing relieve the pain. No pain meds taken. Allergic to penicillin and morphine sulfate. Takes Xopenex daily. Not feeling lightheaded or dizzy, feels ok while sitting, doesn’t want to walk anywhere. Fall risk. General appearance – anxious and unkept, breathing at 34bpm, disheveled, weak and tired. Skin – pale, hot, clammy, diaphoretic. Clubbing noted, cap refill <3 secs, 1+ pitting edema lower extremities. Heart – 110 tachy, S1S2 heard in all points, no mummers present, radial, dorsalis pedis, posterior tibialis pulses are weak bilaterally 1+. Carotid 3+. 1+ edema in lower extremities. 2nd intercoastal right of sternal boarder aortic 2nd intercoastal space left of boarder pulmonic 3rd intercoastal space left of boarder Erb’s point 4th intercoastal space Respiratory – History of COPD, use of assessor muscles, SOB, on O2 @ 2L pm Anterior lung sounds; RUL, LUL, RML, LLL, RLL posterior - RUL, LUL, LLL, RLL, LLL, RLL Adventitious rhonchi sounds heard in all fields, barrel chested in appearance, pt shows signs of acute distress. GI- weighs 70kg, and 175cm tall and belly is rounded soft and no pain on palpation, hyperactive bowel sounds heard in all quadrants. GU – voiding dark yellow urine Extremities – generalized weakness, not out of bed Skin – no rashes, clubbing present and cap refill less than 3 seconds, pale, skin is hot and diaphoretic. Neuro - alert and oriented x 4, pupils, equal, round, reactive to light and accommodation, EOM’s are intact, behavior is anxious, speech is clear and coherent. Lymph nodes – Lymph nodes are enlarged and tender. Title slide: delete this and enter your title slide information. See Guidelines. Professor XXXXXXXX Pathophysiology review Medical Diagnoses Assessment Data Student:___________________ Date: ______________________ Patient initials: ______W.E._____ Age: _____ Male / Female Nursing Diagnosis related to --- as evidence by--- Nursing Diagnosis related to --- as evidence by--- Cite Sources using APA additional page Measurable Expected Outcomes Measurable Expected Outcomes Intervention Intervention Intervention Intervention Intervention Intervention Nursing Diagnosis related to --- as evidence by--- Measurable Expected Outcomes Add as many intervention boxes as needed Evaluation Evaluation Evaluation Evaluation Use as many pages as needed to complete your concept map Communication Infection Control Safety Assessment/Patho Use this if needed for more room Reference NR226 Fundamentals – Patient Care RUA: Concept Map Guidelines NR226_RUA_Concept_Map _Guideline_V2.docx Revised: MAR20 1 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 foundatio.

1. Will Emerson pt
Empressed
BP-156/60
O2 – 92% on 2L
RR- 34
HR – 110
Temp- 103 oral
Pain – 4/10; Located all over; chest and back area mainly, feels
like an elephant is sitting on him. Nothing relieve the pain. No
pain meds taken. Allergic to penicillin and morphine sulfate.
Takes Xopenex daily. Not feeling lightheaded or dizzy, feels ok
while sitting, doesn’t want to walk anywhere. Fall risk.
General appearance – anxious and unkept, breathing at 34bpm,
disheveled, weak and tired.
Skin – pale, hot, clammy, diaphoretic. Clubbing noted, cap
refill <3 secs, 1+ pitting edema lower extremities.
Heart – 110 tachy, S1S2 heard in all points, no mummers
present, radial, dorsalis pedis, posterior tibialis pulses are weak
bilaterally 1+. Carotid 3+. 1+ edema in lower extremities.
2nd intercoastal right of sternal boarder aortic
2nd intercoastal space left of boarder pulmonic
3rd intercoastal space left of boarder Erb’s point
4th intercoastal space
Respiratory –
History of COPD, use of assessor muscles, SOB, on O2 @ 2L
pm
Anterior lung sounds; RUL, LUL, RML, LLL, RLL
posterior - RUL, LUL, LLL, RLL, LLL, RLL
Adventitious rhonchi sounds heard in all fields, barrel chested
in appearance, pt shows signs of acute distress.
GI- weighs 70kg, and 175cm tall and belly is rounded soft and
no pain on palpation, hyperactive bowel sounds heard in all
quadrants.

2. GU – voiding dark yellow urine
Extremities – generalized weakness, not out of bed
Skin – no rashes, clubbing present and cap refill less than 3
seconds, pale, skin is hot and diaphoretic.
Neuro - alert and oriented x 4, pupils, equal, round, reactive to
light and accommodation, EOM’s are intact, behavior is
anxious, speech is clear and coherent.
Lymph nodes – Lymph nodes are enlarged and tender.
Title slide: delete this and enter your title slide information. See
Guidelines.
Professor XXXXXXXX
Pathophysiology review
Medical Diagnoses
Assessment Data
Student:___________________
Date: ______________________
Patient initials: ______W.E._____
Age: _____ Male / Female
Nursing Diagnosis related to --- as evidence by---
Nursing Diagnosis related to --- as evidence by---
Cite Sources using APA additional page
Measurable Expected Outcomes
Measurable Expected Outcomes

3. Intervention
Intervention
Intervention
Intervention
Intervention
Intervention
Nursing Diagnosis related to --- as evidence by---
Measurable Expected Outcomes
Add as many intervention boxes as needed
Evaluation
Evaluation
Evaluation
Evaluation
Use as many pages as needed to complete your concept map
Communication
Infection Control

4. Safety
Assessment/Patho
Use this if needed for more room
Reference
NR226 Fundamentals – Patient Care
RUA: Concept Map Guidelines
NR226_RUA_Concept_Map _Guideline_V2.docx Revised:
MAR20 1
Purpose
This assignment is designed to extend the learner’s use of
concept mapping as a tool for clinical care planning. The

5. 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.
2. Create a concept map based on the complete physical
assessment you performed while providing care.
a. Components of the concept map
i. Individual's information (10 points/10%)

6. 1. Age
2. Medical diagnosis
3. Brief review of underlying pathophysiology
*List what functional changes are happening
*List process that initiated and maintained
disorder or disease
ii. Assessment Data (15 points; 15%)
1. Include all assessment data, not simply information that
supports the selected nursing diagnoses
Inspect
Palpation
Percussion
Auscultate
Neurological Exam
iii. Nursing Diagnoses (15 points/ 15%)
1. Select three nursing diagnoses to addresses
a. One must be an actual problem
b. One must address a psychosocial need
c. The final must be a high priority for the individual
iv. Linkages Within and Between Diagnoses (5 points/5%)
1. Concept map demonstrates relationship within and between
the nursing diagnoses.
v. Planning (15 points/15%)
1. Prioritize diagnoses to reflect needs of the individual
2. Set realistic outcome measurement
3. At least two (2) scholarly, primary sources from the last 5
years, excluding the textbook, are provided
vi. Implementation (15 points/15%)

7. 1. Interventions are individualized for patient-provide rationale
2. Interventions support achievement of selected outcome
measurements-provide rationale
2
NR226 Fundamentals – Patient Care
RUA: Concept Map Guidelines
NR226_RUA_Concept_Map _Guideline_V2.docx Revised:
MAR20 2
vii. Evaluation of Outcomes (5 points/15%)
1. Determine if 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.
viii. Safety-Communication-Infection Control 16 points/16%)
a. specific elements of communication used when providing
care,
b. safety concerns related to the individual for whom you cared,
and
c. infection control practices followed while caring for this
patient.
ix. APA Citations and Writing
a. References are submitted with assignment.
b. Uses appropriate APA format (6th ed.) and is free of errors.
c. Grammar is free of errors.
d. Spelling is free of errors.
e. Mechanics of writing are free of errors.

8. For writing assistance (APA, formatting, or grammar) visit the
APA Citation and Writing page in the online library.
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_RUA_Concept_Map _Guideline_V3.docx Revised:
MAR20 3
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
Performanc
e

9. 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
3. Brief review of underlying pathophysiology
*List what functional changes are happening
*List process that initiated and maintained disorder or
disease
Includes no
fewer than 3
requirements
for section.
Includes no fewer
than 2 requirements
for section.

10. 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. Include all assessment data, not simply information that
supports the selected nursing diagnoses
Inspect
Palpation
Percussion
Auscultate
Neurological Exam
Includes all
assessment
data.
No requirements for
this section
presented.
Nursing Diagnosis

11. (15 points/15%)
15 points 14 points 13 points 6 points 0 points
Required criteria
1. Select three nursing diagnoses to addresses
a. One must be an actual problem
b. One must address a psychosocial need
c. One must be a high priority for the individual
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
NR226 Fundamentals – Patient Care
RUA: Concept Map Guidelines
NR226_RUA_Concept_Map _Guideline_V3.docx Revised:
MAR20 4
Assignment Section and
Required Criteria

12. (Points possible/% of total points available)
Highest
Level of
Performanc
e
High Level of
Performance
Satisfactory Level
of Performance
Unsatisfactory
Level of
Performance
Section not
present in paper
Required criteria
1. Concept map demonstrates relationship within and between
the nursing diagnoses.
Criterion met.
Criterion not met.
Planning
(15 points/15%)

13. 15 points 13 points 6 points 0 points
Required criteria
1. Prioritize diagnoses to reflect needs of the individual
2. Set realistic outcome measurement
3. At least two (2) scholarly, primary sources from the last 5
years, excluding the textbook, are provided
Includes all requirements for section. Includes 2
requirements for
section.
Includes 1
requirement for
section.
No requirements for
this section
presented.
Implementation
(15 points/15%) 15 points 13 points 0 points
Required criteria
1. Interventions are individualized for patient-provide rationale
2. Interventions support achievement of selected outcome
measurements-provide rationale
Includes all requirements for section. Includes 1
requirement for
section.

14. No requirements for this section presented.
Evaluation of Outcomes
(5 points/5%)
5 points 4 points 2 points 0 points
Required criteria
1. Determine if 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

15. Required criteria
1. Describe specific elements of communication used when
providing care.
2. Describe safety concerns related to the individual for whom
Includes all 3 requirements for
section.
Includes 2
requirements for
section.
Includes 1
requirement for
section.
No requirements for
this section
presented.
NR226 Fundamentals – Patient Care
RUA: Concept Map Guidelines
NR226_RUA_Concept_Map _Guideline_V3.docx Revised:
MAR20 5
Assignment Section and
Required Criteria
(Points possible/% of total points available)

16. Highest
Level of
Performanc
e
High Level of
Performance
Satisfactory Level
of Performance
Unsatisfactory
Level of
Performance
Section not
present in paper
you cared for.
3. Describe infection control practices followed while caring for
this patient.
APA Style and Organization
(4 points/4%)
4 points 3.6 points 3.4 points 1.5 points 0 points
Required criteria
1. References are submitted with assignment.
2. Uses appropriate APA format (6th ed.) and is free of errors.
3. Grammar is free of errors.
4. Spelling is free of errors.
5. Mechanics of writing are free of errors.

17. 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.
Total Points Possible = 100 points
PurposePreparing the assignmentGrading Rubric Criteria are
met when the student’s application of knowledge demonstrates
achievement of the outcomes for this assignment.