course material

1. Discussion: Diabetes Biopsychosocial Concepts for APNs Concept Map
Narrative
Discussion: Diabetes Biopsychosocial Concepts for APNs Concept Map NarrativeORDER
HERE FOR ORIGINAL, PLAGIARISM-FREE PAPERS ON Discussion: Diabetes Biopsychosocial
Concepts for APNs Concept Map NarrativeCreate a concept map of a chosen condition,
disease, or disorder with glucose regulation or metabolic balance considerations. Write a
brief narrative (2–3 pages) that explains why the evidence cited in the concept map and
narrative are valuable and relevantconcept_map_31.docxexample_31.pdf.docxUnformatted
Attachment PreviewInstructions • You may use the template on the following page to help
you complete your Concept Map assessment. Use the text that you have downloaded from
the Vila Health: Concept Maps as Diagnostic Tools media piece to fill in the elements of this
template. • To get started, you can copy and paste the information you exported into a
Microsoft Word document from the media piece. • Remember to change the title of the
diamonds currently labeled “[Other, Insert Appropriate Title]” to a title that accurately
reflects the category of information in the diamond. • Remember to insert APA style, in-text
citations where appropriate. • Add additional items and connections as appropriate to fully
develop your concept map.• You are not required to use this template. You may use a
different template or tool. • If you encounter accessibility issues while working with this
template, please contact your instructor for assistance and possible alternatives. Nursing
Diagnosis 2: Most Urgent Nursing Diagnosis: Patient Info: Treatment: [Other, Insert
Appropriate Title] Nursing Diagnosis 3: Treatment: Outcomes: Outcomes: Treatment:
Outcomes: [Other, Insert Appropriate Title] [Other, Insert Appropriate Title] Running head:
CONCEPT MAP 1 Concept Map Learner’s Name Capella University Biopsychosocial Concepts
for Advanced Nursing Practice I Concept Map April, 2019 Copyright ©2018 Capella
University. Copy and distribution of this document are prohibited. CONCEPT MAP 2 Concept
Map Patient Info Name: Jane Doe | Gender: Female | Age: 72 Vitals: Temp: 37 °C (98.6 °F),
BP: 162/94, Pulse: 92, Respiratory rate: 26 and shallow Chief complaint: Discussion:
Diabetes Biopsychosocial Concepts for APNs Concept Map NarrativeShortness of breath
(SOB) and difficulty breathing Medical history: Hypertension, hyperlipidemia, and chronic
obstructive pulmonary disease (COPD) Nursing Diagnosis Impaired gas exchange related to
destruction of the alveoli, narrowing of bronchioles, and trapping of air resulting in loss of
lung elasticity Subjective data: Difficulty breathing and SOB Nursing Diagnosis Ineffective
airway clearance related to bronchoconstriction, increased mucus production Subjective

2. data: The patient states she has been sleeping in a recliner chair for the past three nights
because of difficulty breathing Nursing Diagnosis Activity intolerance related to hypoxia
(imbalance between oxygen supply and demand) Subjective data: “I find it difficult to
breathe. I can’t catch my breath when I walk a few feet.” — JaneDoe Objective data: Crackles
and wheezing heard upon auscultation, dyspnea, tachypnea, nasal flaring, use of accessory
muscles, late signs of cyanosis (Linton, 2015), and oxygen saturation is 90% on room air
Objective data: Wheezing heard upon auscultation, dyspnea, tachypnea, and use of
accessory muscles (Linton, 2015) Nursing Interventions Independent intervention (II):
Monitor the patient’s arterial blood gases, oxygen saturation, vital signs, and color and
assess for manifestations such as restlessness, anxiety, lethargy, and confusion Rationale:
This process will help detect potential hypoxemia or hypercapnia (LeMone et al., 2015)
Nursing Interventions II: Demonstrate pursed-lip and diaphragmatic breathing and
encourage the patient to practice them periodically Rationale: These techniques reduce air
trapping and fatigue and help maintain open airways (LeMone et al., 2015)Nursing
Interventions II: Teach and encourage the use of the pursed-lip breathing technique while
performing activities Rationale: This technique can lower breathlessness and improve
respiratory function (Ackley, Ladwig, Makic, 2016) II: Position the patient in an upright or
high Fowler’s position Rationale: This posture promotes lung ventilation (LeMone et al.,
2015) II: Advise the patient to take rest periods before and after activities Rationale:
Resting reduces fatigue and lowers the demand for oxygen (LeMone et al., 2015)
Collaborative intervention (CI): Supervise oxygen (O2) at 2 L/min through nasal cannula as
ordered. Instruct the patient and kin not to increase the O2 level Rationale: Oxygen therapy
is used to treat hypoxia and is prescribed for chronic and acute breathing problems (Rees,
2017). However, a sudden increase in the O2 level can lead to respiratory failure (Linton,
2015) II: Position the patient in an upright or high Fowler’s position (Linton, 2015)
Rationale: This posture promotes lung ventilation (LeMone et al., 2015) II: Instruct and
teach the patient to perform the pursed-lip breathing technique Rationale: This technique
slows the respiratory rate and reduces air trapping and fatigue (LeMone et al., 2015)
Expected Outcomes Arterial blood gases and vital signs will be consistent with patient
norms, indicating improvement in gas exchange (Linton, 2015) The pursed-lip breathing
technique will reduce dyspnea (Linton, 2015) CI: Encourage deep breathing and the use of
an incentive spirometer Rationale: Using an incentive spirometer prevents complications
such as pneumonia and atelectasis (LeMone et al., 2015) CI: Collaborate with a respiratory
therapist to teach the patient how to cough effectively Rationale: Discussion: Diabetes
Biopsychosocial Concepts for APNs Concept Map NarrativeThis technique helps open distal
alveoli and remove secretions (LeMone et al., 2015) II: Provide emotional support to the
patient Rationale: This intervention will be therapeutic, make the patient feel comfortable,
and help her cope with the diagnosis (Kazanowski, 2017; LeMone et al., 2015) Expected
Outcomes The patient will have open airways. Signs of clear and open airways are normal
depth and rate of respiration, normal breathing sounds, and effective coughing of secretions
(Linton, 2015) Copyright ©2018 Capella University. Copy and distribution of this document
are prohibited. Objective data: Late signs of cyanosis, crackles and wheezing heard upon
auscultation, and use of accessory muscles (Linton, 2015) CI: Recommend a pulmonary

3. rehabilitation program Rationale: Pulmonary rehabilitation can lower exertional dyspnea
and perceived intensity of breathlessness (Ackley et al., 2016) CI: Collaborate with a
respiratory therapist for cough control and improved breathing Rationale: This will help
improve or maintain oxygenation in the patient (Boon, 2018) CI: Supervise oxygen (O2) at 2
L/min through nasal cannula as ordered. Instruct the patient and kin not to increase the O2
level Rationale: Oxygen therapy is used to treat hypoxia and is prescribed for chronic and
acute breathing problems (Rees, 2017). However, a sudden increase in the O2 level can lead
to respiratory failure (Linton, 2015) Expected Outcomes The vital signs of the patient will
show normal fluctuation during physical activity, which is a measure of activity tolerance
(LeMone et al., 2015) CONCEPT MAP 3Introduction This paper presents an evidence-based
concept map that illustrates a nursing care plan to achieve high-quality outcomes for a
patient experiencing SOB and difficulty breathing. The concept map contains urgent
diagnoses, possible nursing interventions, and opportunities for interprofessional
collaboration as well as rationales and possible high-quality outcomes. The narrative
justifies the value and relevance of the evidence used in the concept map and provides
additional evidence, conflicting data, and the scope of interprofessional collaborations in
achieving high-quality outcomes. Additional Evidence Jane Doe is a 72-year-old female
experiencing SOB and difficulty breathing. The suspected diagnoses are based on the
patient’s medical history and physical examination. The evidence used in the concept map is
a combination of subjective (patientreported distress) and objective (symptoms or
characteristics related to a condition observed in the patient) data obtained after an
investigation. Doe also suffered from emphysema in the past. Fatigue, SOB, edema, and
wheezing are common symptoms of COPD. The diagnoses in the concept map are related to
various conditions related to COPD such as emphysema and chronic bronchitis. This
evidence suggests that the client’s current distress could be related to COPD. However,
symptoms such as wheezing, edema, SOB, and fatigue can also be observed in a person
suffering from congestive heart failure (LeMone et al., 2015). Discussion: Diabetes
Biopsychosocial Concepts for APNs Concept Map NarrativeEven though COPD and
congestive heart failure have several risk factors and symptoms in common, the causes and
treatments are different. Interprofessional Strategies An interprofessional collaboration
between health care professionals, patients, and their caregivers is required for high-quality
outcomes. Successful collaborations require positive reinforcement and mutual feedback in
an objective and non-discriminatory setting (Amalakuhan & Adams, 2015). COPD will
benefit from a combination of pharmacological and non-pharmacological interventions
guided by an interprofessional collaborative practice. The concept map clearly identifies
interventions that can be performed independently and those that need interprofessional
collaboration. For instance, it is necessary to collaborate with a respiratory therapist to
teach and assist a patient in coughing effectively. Similarly, referring the patient to a
pulmonary rehabilitation program can help lower exertional dyspnea and the perceived
intensity of breathlessness. The concept map also facilitates communication in an
interprofessional team by identifying the types of nursing interventions required, thereby
preventing conflict. Health care professionals must collaborate with caregivers and COPD
patients to achieve high-quality outcomes. This collaboration should effectively optimize

4. non-pharmacological interventions such as providing smoking cessation counseling for
patients who find it difficult to quit the habit, promoting pulmonary rehabilitation
programs, and administering appropriate vaccinations.Interprofessional collaborations
should also focus on helping patients gradually incorporate more physical activity into their
lifestyles and managing comorbidities common in COPD in addition to the interventions
discussed in the concept map. Health care professionals, caregivers, and COPD patients
must work together to deliver the prescribed pharmacotherapy (Amalakuhan & Adams,
2015). Value and Relevance of Evidence An evidence-based concept map with
interprofessional strategies allows health care professionals to collaborate and analyze
patient data as well as think critically (Aein & Aliakbari, 2017). According to Cook, Dover,
Dickson, and Colton, concept map development is an alternative to a traditional nursing
care plan for evidence-based practices. The traditional linear format of a nursing care plan
may not have the scope to record a holistic picture of patients’ requirements. It does not
facilitate visualization of the interrelated nature of patient data. On the other hand, a
concept map allows for a systematic visualization of psychological, physiological, and
pathophysiological relationships and interactions, which promotes quality analysis (as cited
in Aein & Aliakbari, 2017). The findings of a study conducted by Gerdeman, Lux, and Jacko
show that medical students approached concept mapping as Copyright ©2018 Capella
University. Copy and distribution of this document are prohibited. CONCEPT MAP 4 an
instrument to improve clinical judgment and make better clinical decisions. Finally, the
minimal use of text in a concept map facilitates easy searching for terms related to the
disorder or condition being treated (as cited in Aein & Aliakbari, 2017). Conclusion COPD is
a group of progressive lung diseases such as emphysema and bronchitis. Interprofessional
strategies to treat COPD can improve outcomes, and collaboration between health care
professionals can aid in providing comprehensive care to patients. Concept mapping is
useful in improving critical thinking among professionals. Discussion: Diabetes
Biopsychosocial Concepts for APNs Concept Map NarrativeA concept map helps in
recording a holistic picture of the patient’s needs and facilitates visualization of the data.
Therefore, a concept map is an essential tool to develop nursing care plans to achieve high-
quality outcomes. Copyright ©2018 Capella University. Copy and distribution of this
document are prohibited. CONCEPT MAP 5 References Ackley, B. J., Ladwig, G. B., & Makic,
M. B. F. (2016). Nursing diagnosis handbook: An evidence-based guide to planning care
(11th ed.). Retrieved from
https://books.google.co.in/books?id=s3OKCwAAQBAJ&lpg=PP1&pg=PP1#v=onepage&q&f
=false Aein, F., & Aliakbari, F. (2017). Effectiveness of concept mapping and traditional
linear nursing care plans on critical thinking skills in clinical pediatric nursing course.
Journal of Education and Health Promotion, 6(13). Amalakuhan, B., & Adams, S. G. (2015).
Improving outcomes in chronic obstructive pulmonary disease: The role of the
interprofessional approach. International Journal of Chronic Obstructive Pulmonary
Disease, 10(1), 1225–1232. Boon, C.W. (2018). Oxygenation. In Potter, P. A., Perry, A. G.,
Stockert, P. A., & Hall, A. M. (Eds.), Essentials for nursing practice (9th ed., pp. 865–916).
Retrieved from
https://books.google.co.in/books?id=wDtRDwAAQBAJ&lpg=PP1&pg=PR3#v=onepage&q&f

5. =false Kazanowski, M. K. (2017). End-of-life-care concepts. In Ignatavicius, D. D., Workman,
M. L., & Rebar, C. R. (Eds.), Medicalsurgical nursing:Concepts for interprofessional
collaborative care (9th ed., pp. 103–116). Retrieved from
https://books.google.co.in/books?id=Qzg1DwAAQBAJ&lpg=PA244&dq=incentive%20spiro
meter%20prevent%20pneumonia &pg=PA112#v=onepage&q&f=false LeMone, P., Burke,
K., Dwyer, T., Levett-Jones, T., Moxham, L., & Reid-Searl, K. (2015). Medical-Surgical nursing:
Critical thinking for person-centred care (2nd Australian ed.). Retrieved from
https://books.google.co.in/books?id=MDXiBAAAQBAJ&lpg=PP1&dq=LeMone%2C%20Burk
e%2C%20Dwyer%2C%20Lev ett-
Jones%2C%20Moxham%2C%20ReidSearl%2C%202015&pg=PP1#v=onepage&q=LeMone,
%20Burke,%20Dwyer,%20Levett-Jones,%20Moxham,%20ReidSearl,%202015&f=false
Linton, A. D. (2015). Introduction to medical-surgical nursing (6th ed.). Retrieved from
https://books.google.co.in/books?id=o5jTBgAAQBAJ&lpg=PP1&pg=PP1#v=onepage&q&f=f
alse Rees, H. (2017). Care of patients requiring oxygen therapy or tracheostomy. In
Ignatavicius, D. D., Workman, M. L., & Rebar, C. R. (Eds.), Medical-surgical nursing: Concepts
for interprofessional collaborative care (9th ed., pp. 529–546). Retrieved from
https://books.google.co.in/books?id=Qzg1DwAAQBAJ&lpg=PA244&dq=incentive%20spiro
meter%20prevent%20pneumonia &pg=PA529#v=onepage&q&f=false Copyright ©2018
Capella University. Copy and distribution of this document are prohibited. Create a concept
map of a chosen condition, disease, or disorder with glucose regulation or metabolic
balance considerations. Write a brief narrative (2–3 pages) that explains why the evidence
cited in the concept map and narrative are valuable and relevant, as well as how specific
interprofessional strategies will help to improve the outcomes presented in the concept
map. The assessment will be based on the case of a specific patient with a specific condition,
disease, or disorder. Think about an experience you have had treating a patient with a
condition, disease, or disorder that interests you, or one of the cases presented in the Vila
Health: Concept Maps as Diagnostic Tools media simulation. • Discussion: Diabetes
Biopsychosocial Concepts for APNs Concept Map NarrativeWhat is the primary condition,
disease, or disorder affecting the patient? o What types of experience have you had working
with patients with this condition, disease, or disorder? o How does this condition, disease,
or disorder typically present? o What are the recommended treatment options? o • • What,
if any, characteristics of an individual patient should be kept in mind when determining a
course of treatment. How have you used concept maps to help plan and organize care? o
What are the advantages of concept maps, from your point of view? o How could concept
maps be more useful? How can interprofessional communication and collaboration
strategies assist in driving patient safety, efficiency, and quality outcomes with regard to
specific clinical and biopsychosocial considerations? o What interprofessional strategies do
you recommend health care providers take in order to meet patient-centered safety and
outcome goals? Scenario For this assessment, you will develop a concept map and provide
supporting evidence and explanations. Some example conditions, diseases and disorders
that are relevant to metabolic balance and glucose regulation considerations are: • Diabetes
(type 2). • HIV/AIDS. • Obesity. Instructions Develop a concept map and a short narrative
that supports and further explains how the concept map is constructed. You may choose to

6. use the Concept Map Template (in the Resources) as a starting point for your concept map,
but are not required to do so. The bullet points below correspond to the grading criteria in
the scoring guide. Be sure that your evidence-based plan addresses all of them. You may
also want to read the Concept Map scoring guide and the Guiding Questions: Concept Map
document to better understand how each grading criterion will be assessed. Part 1: Concept
Map • Develop an evidence-based concept map that illustrates a plan for achieving high-
quality outcomes for a condition that has impaired glucose or metabolic imbalance as
related aspects. Part 2: Additional Evidence (Narrative) • Justify the value and relevance of
the evidence you used as the basis for your concept map. • Analyze how interprofessional
strategies applied to the concept map can lead to achievement of desired outcomes. •
Construct concept map and linkage to additional evidence in a way that facilitates
understanding of key information and links. • Integrate relevant sources to support
assertions, correctly formatting citations and references using current APA style. Diabetes
(Type 2 and Complications)• American Diabetes Association. (2017). Type 2 diabetes.
Retrieved from http://www.diabetes.org/diabetes-basics/type-2/?loc=util-header_type2 •
American Diabetes Association. (2017). Complications. Retrieved from
http://www.diabetes.org/living-with-diabetes/complications/ • American Diabetes
Association. (2017). Standards for medical care in diabetes—2017 abridged for primary
care providers. Clinical Diabetes, 35(1), 5–26. Retrieved from
http://clinical.diabetesjournals.org/content/35/1/5 • American Diabetes Association.
(n.d.). DiabetesPro. Retrieved from http://professional.diabetes.org/?loc=bb-dorg • Geisz,
M. B. (2010). The diabetes initiative. Retrieved from
http://www.rwjf.org/en/library/research/2010/04/the-diabetes-initiative.html • Office on
Women’s Health. (2016). Diabetes. Retrieved from
https://www.womenshealth.gov/publications/our-publications/fact-sheet/diabetes.html
HIV/AIDS • AIDS Foundation of Chicago. (n.d.). About HIV. Retrieved from
http://www.aidschicago.org/page/about-hiv • Mody, A., Bartz, S., Hornik, C. P., Kiyimba, T.,
Bain, J., Muehlbauer, M., . . . Freemark, M. (2014). Effects of HIV infection on the metabolic
and hormonal status of children with severe acute malnutrition. PLoS One, 9(7), e102233. •
Office on Women’s Health. (2017). HIV and AIDS. Retrieved from
https://www.womenshealth.gov/hiv-and-aids Obesity • AACE Obesity Resource Center.
(n.d.). Stay current with ongoing developments in the management of patients with obesity.
Retrieved from http://obesity.aace.com/ • Obesity Action Coalition. (2017). Retrieved from
http://www.obesityaction.org/ • Office on Women’s Health. (2012). Overweight, obesity,
and weight loss fact sheet. Retrieved from
https://www.womenshealth.gov/publications/our-publications/fact-
sheet/overweightweight-loss.html Concept Map Scoring Guide CRITERIA Develop an
evidencebased concept map that illustrates a plan for achieving high-quality outcomes for a
condition that has impaired glucose or metabolic im …