Concept Map and Nursing Diagnoses for Peds

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    Hi,

    I am about to do a concept map with pediatric assessment and evaluation. Mine is for a 4month old baby girl diagnosed with UTI and upgraded to pylonephritis. I cant find a book to help me out for such a small child.
    So i need help in coming up with three problems, behavioral outcomes, interventions or whatever help i can have. I would like to give in this concept map tomorrow at clinical so i need to finish it today.
    Please help.
    Thanks a lot:typing
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    a concept map is merely a type of physical presentation of a nursing care plan. if you have never done one of these before there are examples and weblinks to explanations of how they are done on this sticky thread in the nursing student assistance forum:
    a care plan is written documentation of your problem solving process. we use the nursing process to help us do that. this outline of the steps of the nursing process will give you direction and should be followed to accomplish a care plan for this patient.
    • assessment (collect data from medical record, do a physical assessment of the patient, assess adl's, look up information about your patient's medical diseases/conditions to learn about the signs and symptoms and pathophysiology)
      • a physical assessment of the patient
      • assessment of the patient's ability and any assistance they need to accomplish their adls (activities of daily living) with the disease
      • data collected from the medical record (information in the doctor's history and physical, information in the doctor's progress notes, test result information, notes by ancillary healthcare providers such as physical therapists and dietitians
      • knowing the pathophysiology, signs/symptoms, usual tests ordered, and medical treatment for the medical disease or condition that the patient has. this includes knowing about any medical procedures that have been performed on the patient, their expected consequences during the healing phase, and potential complications. if this information is not known, then you need to research and find it.
      • http://allnurses.com/forums/f205/med...es-258109.html - medical disease information/treatment/procedures/test reference websites
    • determination of the patient's problem(s)/nursing diagnosis (make a list of the abnormal assessment data, match your abnormal assessment data to likely nursing diagnoses, decide on the nursing diagnoses to use)
      • it helps to have a book with nursing diagnosis reference information in it. there are a number of ways to acquire this information.
      • your instructors might have given it to you.
      • you can purchase it directly from nanda. nanda-i nursing diagnoses: definitions & classification 2007-2008 published by nanda international. cost is $24.95 http://www.nanda.org/html/nursing_diagnosis.html
      • many authors of care plan and nursing diagnosis books include the nanda nursing diagnosis information. this information will usually be found immediately below the title of a nursing diagnosis.
      • the nanda taxonomy and a medical disease cross reference is in the appendix of both taber's cyclopedic medical dictionary and mosby's medical, nursing, & allied health dictionary
      • there are also two websites that have information for about 75 of the most commonly used nursing diagnoses that you can access for free:
    • planning (write measurable goals/outcomes and nursing interventions)
      • goals/outcomes are the predicted results of the nursing interventions you will be ordering and performing. they have the following overall effect on the problem:
        • improve the problem or remedy/cure it
        • stabilize it
        • support its deterioration
      • interventions are of four types
        • assess/monitor/evaluate/observe (to evaluate the patient's condition)
          • note: be clear that this is assessment as an intervention and not assessment done as part of the initial data collection during step 1.
        • care/perform/provide/assist (performing actual patient care)
        • teach/educate/instruct/supervise (educating patient or caregiver)
        • manage/refer/contact/notify (managing the care on behalf of the patient or caregiver)
    • implementation (initiate the care plan)
    • evaluation (determine if goals/outcomes have been met)


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