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Diabetes Patient Concept Map Please be familiar with Concept Map Graphic/Templat

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Diabetes Patient
Concept Map
Please be familiar
with Concept Map Graphic/Template and the APA Format of Writing
Create a concept map graphic and write a 2-4 page narrative on the
patient scenario presented in Assessment Case Study: Evidence-Based
Patient-Centered Concept Map. Base your report on the information provided in
the case study and your own research of 3-5 evidence-based resources.
In this assessment,
you will apply evidence-based practice and personalized care concepts to ensure
quality care and improve the health of a single patient. The concept map that
you will create is an example of a visual tool that you can use for patient and
family education.
Your Role
You are a nurse at a
community wellness center who has received a request for patient case review
and preparation for an upcoming appointment
Scenario
The charge nurse at
the wellness center has sent you an email to request that you review a patient
file before the patient arrives at the clinic. She has asked you to put
together a concept map for your patient’s care plan. The concept map is
intended to help you think through the best strategy for your patient’s care
and for subsequent use for patient education. In addition, the nurse needs a
narrative report that describes your patient with up to five diagnoses, in
order of urgency.
Patient Profiles
From: Janie Poole
To: Student
Good morning,
We have a new patient coming in today.
Her name is Carole Lund. Carole is a new mother who had
gestational diabetes during her pregnancy. She has continued to track her blood
glucose postpartum, and is worried that it does not appear to be stabilizing.
It probably will be helpful to create a concept map for Carole
to show her this care plan in a visual way. Talk to your patient and start
planning her care. Thanks!
— Janie Poole
UPTOWN WELLNESS CLINIC
Diabetes Patient
Reason for Referral:
Carole Lund is a 44–year–old woman of mixed Native American
and European descent, and a new mother. She is concerned that she is not
recovering from gestational diabetes.
Situation:
Carole is here with her daughter, Kassandra, who is 10 weeks
old. Carole was diagnosed with gestational diabetes at week 30 of her
pregnancy. She has carefully logged her blood glucose since the diagnosis, and
it shows 150–200 fasting, over 200 following meals.
What diabetes
treatment did you receive during your pregnancy?
Well, they gave me a glucometer, so I started using that. I
could see right away that the way I was eating was a problem; I would usually
work straight through the day and then have one big meal in the evening, and
that was making my numbers bounce all over. So I set alarms on my laptop, so
three times a day I would get interrupted, have a small meal, take a short
walk, and then test my blood sugar. That helped. And then I stopped drinking
juice and soda, which I should have done years ago, and that helped too. But I
don’t think my numbers improved as much as my OB/GYN wanted them to, but she
said my blood sugar should return to normal after delivery.
Did your obstetrician
advise you to take insulin during your pregnancy?
She did, yeah, and we talked about it. I don’t like the idea
of being dependent on a drug. I called my mother. She’s still on the
reservation, so she called the elders, and we all agreed that injecting my body
with an animal hormone was a bad idea. But then the doctor told me that they
make synthetic insulin now, but that means it’s made in a laboratory somewhere,
and I’m not sure that’s any better.
By then I was in my third trimester, and all the tests said
Kassandra was big but healthy, so I thought we would just ride it out. It was
supposed to clear up after she was born. But it hasn’t, and I know you have to
be careful having a baby at my age. I want to do what’s best, but I don’t want
to believe that insulin is my only option.
Are there any
challenges in your life which you think may be interfering with your ability to
follow a treatment plan?
It’s harder now than it was before she was born. It’s just
the two of us in the apartment, which is wonderful, but I don’t remember the
last time I had a good night’s sleep. A lot of my work is freelance, so I make
my own hours, but that also means if I’m not working I don’t get paid. I had
family help while I was recovering from the C-section, and they helped cook
healthy meals for me, and kept me on my schedule. Now it’s all on me — work,
caring for my daughter, and managing my blood sugar. If I fall behind on
anything, it will be looking after my health.
Do you have any other concerns you’d like to have addressed?
I worry about Kassandra. She’s healthy and perfect, but I
know that she’s at a greater risk for developing Type 2 Diabetes. I want to do
whatever I can to reduce that risk, to care for her, and as she grows, to teach
her how to care for herself.
UPTOWN WELLNESS CLINIC
Concept Map
Well, it sounds like this is a more complex case than we
thought at first. I’m going to need you to put together a concept map for your patient’s
care plan.
I need a brief description of your patient, and then up to
five diagnoses (there may not be that many). Go in order of urgency, and make
sure you list the professional or scholarly evidence you used to formulate the
diagnosis
For the Concept Graphic Ideas to include:
Patient Info:
Most Urgent Nursing
Diagnosis Name:
Most Urgent Nursing
Diagnosis Full Description:
Most Urgent Nursing
Diagnosis Assessment/Diagnostics:
Most Urgent Nursing
Diagnosis Treatments/Medications:
Most Urgent Nursing
Diagnosis Outcomes:
Nursing Diagnosis 2:
Nursing Diagnosis 2
Full Description:
Nursing Diagnosis 2
Assessment/Diagnostics:
Nursing Diagnosis 2
Treatments/Medications:
Nursing Diagnosis 2 Outcomes:
Nursing Diagnosis 3:
Nursing Diagnosis 3 Full
Description:
Nursing Diagnosis 3
Assessment/Diagnostics:
Nursing Diagnosis 3
Treatments/Medications:
Nursing Diagnosis 3 Outcomes:

Create a concept map graphic and write a 2-4 page narrative
on the patient scenario presented in Assessment Case Study: Evidence-Based
Patient-Centered Concept Map. Base your report on the information provided in
the case study and your own research of 3-5 evidence-based resources.
Evidence-based practice is a key skill in the tool kit of
the master’s-prepared nurse. Its goal is to ensure that health care
practitioners are using the best available evidence to ensure that patients are
receiving the best care possible (Godshall, 2019). In essence, evidence-based
practice is all about ensuring quality care.
In this assessment, you will apply evidence-based practice
and personalized care concepts to ensure quality care and improve the health of
a single patient. The concept map that you will create is an example of a
visual tool that you can use for patient and family education.
Demonstration of Proficiency
By successfully completing this assessment, you will
demonstrate your proficiency in the following course competencies and
assessment criteria:
Competency 1: Apply evidence-based practice to plan
patient-centered care.
Analyze the needs of a patient, and those of their family,
to make sure that the intervention in the concept map will be relevant and
appropriate for their beliefs, values, and lifestyle.
Design an individualized, patient-centered concept map,
based upon the best available evidence for treating a patient’s specific
health, economic, and cultural needs.
Competency 3: Evaluate outcomes of evidence-based
interventions.
Propose relevant and measurable criteria for evaluating the
outcomes the patient needs to achieve.
Competency 4: Evaluate the value and relative weight of
available evidence upon which to make a clinical decision.
Determine the value and relevance of evidence used as the
basis of a patient-centered concept map.
Competency 5: Synthesize evidence-based practice and
academic research to communicate effective solutions.
Develop a strategy for communicating with patients and their
families in an ethical, culturally sensitive, and inclusive way.
Integrate relevant and credible sources of evidence to support
assertions, correctly formatting citations and references using APA style
A Possible Reference
Godshall, M. (2019). Fast facts for evidence-based practice
in nursing (3rd ed.). Springer Publishing Company.
Instructions
Create your concept
map and narrative as separate parts of your document. Be sure to note where you
must include your evidence-based support and clarify your strategies for
communicating information to the patient and the patient’s family.
Integrate relevant
evidence from 3-5 current scholarly or professional sources to support your
assertions.
Part 1: Concept Map
Develop a graphical
concept map for the patient based on the best available evidence for treating
your patient’s health, economic, and cultural needs.
Many organizations
use the spider style of concept maps (see the Taylor and Littleton-Kearney
article for an example).
The Assessment Case
Study: Evidence-Based Patient-Centered Concept Map, which includes an example
of a concept map, may help you prepare your assessment.
If a particular style
of concept map is used in your current care setting, you may use it in this
assessment.
Part 2: Narrative
Report
Develop a narrative
(2-4 pages) for your concept map.
Analyze the needs of
a patient and his or her family to ensure that the intervention in the concept
map will be relevant and appropriate for their beliefs, values, and lifestyle.
Consider how your
patient’s economic situation and relevant environmental factors may have
contributed to your patient’s current condition or could affect future health.
Consider how your
patient’s culture or family should inform your concept map.
Determine the value
and relevance of the evidence you used as the basis of your concept map.
Explain why your
evidence is valuable and relevant to your patient’s case.
Explain why each
piece of evidence is appropriate for the health issue you are addressing and
for the unique situation of your patient and the family.
Propose relevant and
measurable criteria for evaluating the outcomes the patient needs to achieve.
Explain why your
proposed criteria are appropriate and useful measures of success.
Explain how you will
communicate specific aspects of the concept map to your patient and the family
in an ethical, culturally sensitive, and inclusive way. Ensure that your
strategies:
Promote honest
communications.
Facilitate sharing
only the information you are required and permitted to share.
Are mindful of your
patient’s culture.
Enable you to make
complex medical terms and concepts understandable to your patient and his or
her family, regardless of language, abilities, or educational level.
Additional
Requirements
Organization: Use the
following headings for your Diabetes Patient Concept Map assessment:
Concept Map.
Patient Needs
Analysis.
Value and Relevance
of the Evidence.
Proposed Criteria for
Patient Outcome Evaluation.
Patient and Family
Communication Plan.
Length: Your concept
map should fit on one page (possibly a horizontal layout) and your narrative
report will be 2-4 double-spaced pages, not including title and reference
pages.
Font: Times New
Roman, 12 points.
APA Format: Your
title and reference pages must follow current APA format and style guidelines.
The body of your paper does not need to conform to APA guidelines. Do make sure
that it is clear, persuasive, organized, and well written, without grammatical,
punctuation, or spelling errors. You also must cite your sources according to
APA guidelines.

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