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Concept Mapping
4832 Nursing Care of Children and Families

P. Schuster, Concept Mapping: A Critical Thinking Approach, Davis

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Step 1. Write the key problems the patient has based on the data collected. The key
problems are also known as the concepts. Start by centering the reason for seeking health
care (often a medical diagnosis). Next, list the major problems you have identified based
on the assessment data collected on the patient.

SLOPPY COPY

Key Problem Key Problem Key Problem

ACUTE PAIN INEFFECTIVE RISK FOR INFECTION

AIRWAY CLEARANCE

Key Problem
Key Problem Reason For Needing Health Care
ANXIETY R/T
DIFFICULTY TONSILLECTOMY SURCIGAL
SWALLOWING R/T ADENOIDECTOMY PROCEDURE AND
PAIN HOSPITALIZATION

Key Problem Key Problem Key Problem

RISK FOR BLEEDING FALL RISK ALTERED NUTRITION

AT SURGICAL SITE AND RISK FOR
DEHYDRATION

P. Schuster, Concept Mapping: A Critical Thinking Approach, Davis

 Data don’t
know where
3 to put in
boxes:
-Zofran 1.18
mg IV to
Step 2. Support problems with clinical patient data, including abnormal physical prevent
assessment findings, treatments, medications, and IV’s, abnormal diagnostic and lab vomiting
tests, medical history, emotional state and pain. Also, identify key assessments that are -Vomiting
related to the reason for health care (chief medical diagnosis/surgical procedure) and put causes strain
on surgical
these in the central box. If you do not know what box to put data in, then put it off to the
site
side of the map.
#5 ACUTE PAIN #1 INEFFECTIVE #4 RISK FOR INFECTION
-Rated 5 on FLACC pain AIRWAY CLEARANCE -Impaired esophageal
scale -Obstructive sleep apnea mucosal integrity
-Patient restless and cries leading to need of tonsil -Temperature readings
when swallowing and adenoid removal q4hrs
-BP elevated for age at -Inability to clear -Assess for the presence of
128/72 secretions due to acute pain infection by observing the
-Motrin 120mg PO and -Continuous Pulse Ox surgical site
Hydrocodone- -SpO2 96% -Teach parents to monitor
acetaminophen 2.3 mg PO for signs and symptoms of
alternated q6hrs infection: fever, swelling,
drainage from surgical site
#6
DIFFICULTY
SWALLOWING R/T ACUTE #8
PAIN
-Patient cries during meal time ANXIETY R/T
-Patients head jerks forward TONSILLECTOMY & SURGICAL
when swallowing ADENOIDECTOMY PROCEDURE AND
-Pain related to surgical incision HOSPITALIZATION
located in the throat Key Assessments: -Patient is irritable
-HOB 45 degrees -Observe surgical site for drainage and -Patient will accept nurse
-Soft diet (T&A diet) bleeding within 5 minutes of care
-Pulse ox attempt
-Lung sounds -Anxious facial expressions
-Pain assessment
-Turgor
-I & O #7

ALTERED NUTRITION
AND RISK FOR
#3 FALL RISK DEHYDRATION
-Related to the administration -Impaired ability to swallow
of general anesthesia during the -Patient is anxious to take down
RISK FOR BLEEDING AT morning shift fluid
#2
SURGICAL SITE -T&A soft diet
-Assist patient when leaving the
-Impaired mucosal integrity bed to ambulate -3 ounces PO prior to discharge
-Monitor for frequent -Dextrose 5% lactated ringers
-Teach parents to pick child up
swallowing when moving from bed to IV 40 mL/hr IV continuous for
-Monitor Blood Pressure supplementation
couch in room
-Examine surgical site for -Bed in lowest position
bleeding -Side rails up

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Step 3. Draw lines between related problems. Number to prioritize problems. LAST-
label the problem with a nursing diagnosis.

Step 4: Identification of goals, outcomes and interventions.

Step 5: Evaluation of Outcomes
Problem # _______:

Predicted Behavioral Outcome Objective (s):

…on the day of care.

Nursing Interventions Patient Responses

1. 1.
2. 2.
3. 3.
4. 4.
5. 5.
6. 6.
7. 7.
8. 8.

Evaluation of outcomes objectives:

Problem # _________________:
General Goal:

Predicted Behavioral Outcome Objective (s): The patient will……

on the day of care.

Nursing Interventions Patient Responses

1. 1.
2. 2.
3. 3.
4. 4.
5. 5.
6. 6.
7. 7.
8. 8.

Evaluation of outcomes objectives:

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Problem # _________________:
General Goal:

Predicted Behavioral Outcome Objective (s): The patient will……

on the day of care.

Nursing Interventions Patient Responses

1. 1.
2. 2.
3. 3.
4. 4.
5. 5.
6. 6.
7. 7.
8. 8.

Evaluation of outcomes objectives:

Problem # _________________:
General Goal:

Predicted Behavioral Outcome Objective (s): The patient will……

on the day of care.

Nursing Interventions Patient Responses

1. 1.
2. 2.
3. 3.
4. 4.
5. 5.
6. 6.
7. 7.
8. 8.

Evaluation of outcomes objectives:

P. Schuster, Concept Mapping: A Critical Thinking Approach, Davis

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Problem # _________________:
General Goal:

Predicted Behavioral Outcome Objective (s): The patient will……

on the day of care.

Nursing Interventions Patient Responses

1. 1.
2. 2.
3. 3.
4. 4.
5. 5.
6. 6.
7. 7.
8. 8.

Evaluation of outcomes objectives:

Problem # _________________:
General Goal:

Predicted Behavioral Outcome Objective (s): The patient will……

on the day of care.

Nursing Interventions Patient Responses

1. 1.
2. 2.
3. 3.
4. 4.
5. 5.
6. 6.
7. 7.
8. 8.

Evaluation of outcomes objectives:

P. Schuster, Concept Mapping: A Critical Thinking Approach, Davis

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Problem # _________________:
General Goal:

Predicted Behavioral Outcome Objective (s): The patient will……

on the day of care.

Nursing Interventions Patient Responses

1. 1.
2. 2.
3. 3.
4. 4.
5. 5.
6. 6.
7. 7.
8. 8.

Evaluation of outcomes objectives:

Problem # _________________:
General Goal:

Predicted Behavioral Outcome Objective (s): The patient will……

on the day of care.

Nursing Interventions Patient Responses

1. 1.
2. 2.
3. 3.
4. 4.
5. 5.
6. 6.
7. 7.
8. 8.

Evaluation of outcomes objectives:

P. Schuster, Concept Mapping: A Critical Thinking Approach, Davis

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P. Schuster, Concept Mapping: A Critical Thinking Approach, Davis