you have posted about using gordon's functional health patterns before. i am unclear if you need help where the health patterns are concerned or not. the health patterns are merely one way of dividing the collection of information you are getting from the patient during step #1, the assessment phase, of the nursing process. here are several weblinks that also have some guidelines on questions you can ask during this assessment phase when following gordon's plan:
as for concept mapping, there is a sticky thread on the nursing student assistance forum that gathered together all the pertinent information on this. it includes links to other threads about concept mapping on the student forums here which have weblinks to awesome information that explain concept mapping for care plans step-by-step, samples of student concept maps that several students thoughtfully posted, links to free software you can use to create the concept map for your assignment and a link to a concept map constructor from one of the nursing textbook publishers.
there is also a book that was written on how to do concept mapping for care plans. i have listed it on one of the care map threads in the above link, but this is the book: concept mapping: a critical-thinking approach to care planning
by pamela mchugh schuster. when i bought it the cost was only $26 and it expands on each step of care planning mostly and then putting the information into a concept map. you can also see a chapter from pamela schuster's book on creating a concept map here: http://www.fadavis.com/related_resources/1_1890_1.pdf
and i recommend that you copy and save it. also see http://cord.org/txcollabnursing/onsite_conceptmap.htm
lastly, remember that a concept map is merely another way of physically presenting a care plan. a care plan is nothing more than problem solving. that means determining what the patient's nursing problems are. in our world of nursing everyone wants a diagnosis plastered on the problem, or in other words they want the nursing problem given a name. then, you develop strategies to do something about these problems (nursing interventions). this all requires using a tool called the nursing process:
- 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
- for this and health history, you are being specifically asked to use gordon's 11 functional health needs
- 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.
- 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
- how to write goal statements: http://allnurses.com/forums/2509305-post158.html
- 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)