I really need some help here, can someone please give me some assistance please

if you are being asked to make a concept map, then you are being asked to make a care plan. a concept map is merely one type of physical presentation of a care plan. the basic care plan is still present within the concept map, or they are also called care maps. there is a sticky thread on this forum that has information on care maps:

• https://allnurses.com/forums/f205/care-maps-225330.html - care maps

a care plan is the written documentation of the nursing process. the nursing process is nothing more than how we solve patient's problems. it has five distinct steps and you must follow them in sequence:

1. assessment (collect data from medical record, do a physical assessment of the patient, look up information about your patient's medical diseases/conditions)
   
2. 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 diagnosis to use)
   
3. planning (write measurable goals/outcomes and nursing interventions)
   
4. implementation (initiate the care plan)
   
5. evaluation (determine if goals/outcomes have been met)

we use a form of the nursing process to solve problems in our lives all the time although you may not be aware of it. let me give you an example and show you how it also relates to the nursing process:

the information you have posted is a case scenario. it has information in it that you need to extract in order to create a care plan and present it as a concept map. you start by going through the information and picking out the abnormal data. these will be the patient's signs and symptoms. a symptom is an objective observation or a subjective perception of the patient. i see a good many symptoms listed in this scenario. what you need to do is find them. that is step #1 of the nursing process. you also need to look up information about dementia, rheumatoid arthritis, acne rosacea, and squamous cell cancer of the ear (or skin). if you cannot find this information in your books, you can find it on the internet by using the links on this thread:

• https://allnurses.com/forums/f205/medical-disease-information-treatment-procedures-test-reference-websites-258109.html - medical disease information/treatment/procedures/test reference websites

in researching these diseases you are specifically looking for information on their signs and symptoms, about the pathophysiology of each disease and the treatments (medications, therapies and treatments) that the doctors will normally order for them. you may want to add some of the signs and symptoms of these diseases to the list of signs and symptoms that you are going to create for step #2 of the nursing process (see next paragraph) since this is a case scenario of an imaginary patient [note: you would only use a patient's actual symptoms if this were a real patient.] .

you then need to put all of this assessment information into a list, step #2 of the nursing process. there will also be boxes on your concept map where you will need to place this information. (see the information on creating care maps on the link to the above thread i listed.)

i am not going into nursing diagnosis until i know you have created a list of symptoms since that is rather involved. for now, i think you need to just stick to picking out this patient's symptoms and putting them into a list and looking up information about his diseases.

if you want more information on writing a care plan, you can read these two recent threads of mine:

• https://allnurses.com/forums/f205/help-nursing-care-plans-277791.html
  
• https://allnurses.com/forums/f8/desparately-need-help-care-plan-279187.html

there are also two stickys on allnurses on writing care plans:

• https://allnurses.com/forums/f205/desperately-need-help-careplans-170689.html - desperately need help with careplans (in nursing student assistance forum)
  
• https://allnurses.com/forums/f50/careplans-help-please-r-t-aeb-121128-7.html - careplans help please! (with the r\t and aeb) (in general nursing student discussion forum)