Scenario
You have already learned about evidence-based practice and quality improvement initiatives in previous courses. You will use this information to guide your assessments, while also implementing new concepts introduced in this course. For this assessment, you will engage in the Vila Health: Using Concept Maps for Diagnosis scenario, develop a concept map, and provide supporting evidence and explanations.
Engage with a Vila Health scenario and then create a concept map that illustrates a plan for achieving high-quality outcomes for a patient.
Introduction
Note: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, you should complete the assessments in this course in the order in which they are presented.
The biopsychosocial (BPS) approach to care is a way to view all aspects of a patient’s life. It encourages medical practitioners to take into account not only the physical and biological health of a patient, but all considerations like mood, personality, and socioeconomic characteristics. This course will also explore aspects of pathophysiology, pharmacology, and physical assessment (the three Ps) as they relate to specific conditions, diseases, or disorders.
The first assessment is one in which you will create a concept map to analyze and organize the treatment of a specific patient with a specific condition, disease, or disorder.
The purpose of a concept map is to visualize connections between ideas, connect new ideas to previous ideas, and to organize ideas logically. Concept maps can be an extremely useful tool to help organize and plan care decisions. This is especially true in the biopsychosocial model of health, which takes into account factors beyond just the biochemical aspects of health. By utilizing a concept map, a nurse can simplify the connection between disease pathways, drug interactions, and symptoms, as well as between emotional, personality, cultural, and socioeconomic considerations that impact health.
Professional Context
The purpose of a concept map is to visualize connections between ideas, connect new ideas to previous ideas, and to organize ideas logically. Concept maps can be an extremely useful tool to help organize and plan care decisions. This is especially true in the context of the biopsychosocial model, which takes into account factors beyond just the biochemical aspects of health. By utilizing a concept map, a nurse can simplify the connection between disease pathways, drug interactions, and symptoms, as well as between the emotional, personality, cultural, and socioeconomic considerations that impact health.
Scenario
You have already learned about evidence-based practice and quality improvement initiatives in previous courses. You will use this information to guide your assessments, while also implementing new concepts introduced in this course. For this assessment, you will engage in the Vila Health: Using Concept Maps for Diagnosis scenario, develop a concept map, and provide supporting evidence and explanations.
Instructions
For this assessment, you will develop a concept map and a short narrative that supports and further explains how the concept map is constructed. The bullet points below correspond to the grading criteria in the scoring guide. Be sure that your evidence-based plan addresses all of the bullet points. You may also want to read the Concept Map scoring guide and Guiding Questions: Concept Map [DOCX] to better understand how each grading criterion will be assessed.
Part 1: Concept Map
Develop an evidence-based concept map that illustrates a plan for achieving high-quality outcomes for acute and chronic stages for a patient with renal failure related to diabetes in both an acute care facility and in the community.
You can achieve this by following the Vila Health scenario.
You will have a total of two concept maps. One will show the acute care facility with three diagnoses, and the other will show a home health community setting with three diagnoses.
Part 2: Additional Evidence (Narrative)
Justify the value and relevance of the evidence you used as the basis for your concept maps.
Analyze how interprofessional strategies applied to the concept map can lead to the achievement of desired outcomes.
Construct the concept maps and linkage to additional evidence in a way that facilitates a reader’s understanding of key information and links. This will be done by adding links in each section of the concept map that will show your value, relevance, and evidence.
Integrate relevant sources to support assertions, correctly formatting citations and references using current APA style.
Submission Requirements
Length of submission: Each concept map should be on a single page, if at all possible. You will add links to each section of your concept map for additional evidence and narratives that support your concept maps.
Number of references: Cite a minimum of 3–5 sources of scholarly or professional evidence that support your concept map, decisions made regarding care, and interprofessional strategies. Resources should be no more than five years old.
APA formatting:
For the concept map portion of this assessment, format resources and citations according to current APA style. Please include references both in-text and in the reference page that follows your narrative.
For the narrative portion of this assessment: An APA Template Tutorial [DOCX] is provided to help you in writing and formatting your analysis. You do not need to include an abstract for this assessment.
Competencies Measured
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:
Competency 1: Design patient-centered, evidence-based, advanced nursing care for achieving high-quality patient outcomes.
Develop an evidence-based concept map that illustrates a plan for achieving high-quality outcomes at the acute and chronic stage for a patient with renal failure related to diabetes in both an acute care facility and in the community.
Justify the value and relevance of the evidence used as the basis for a concept map.
Competency 4: Evaluate the efficiency and effectiveness of interprofessional care systems in achieving desired health care improvement outcomes.
Analyze how interprofessional strategies applied to the concept map can lead to achievement of desired outcomes.
Competency 5: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with organizational, professional, and scholarly standards.
Create links within each section of the concept map for any additional evidence in a way that facilitates understanding of key information.
Integrate relevant sources to support assertions, correctly formatting citations within the concept map and references using current APA style.
You are an ICU nurse (black male) at St. Anthony Medical Center. You have been assigned Mrs. Smith (black female), a 52-year-old with a history of Type II Diabetes Mellitus, who was admitted this morning with high glucose levels and Acute Renal Failure.
Ask her some questions in order to create a concept map.
Mrs. Smith
I see that your HA1C is at 8.5. Can you give me a history of your blood glucose readings over the last 2 weeks?
Hide Response
Mrs. Smith: My fasting blood sugars have been running around 200 with it getting as high as 350+ after each meal. I can tell that I wasn’t feeling very good, and I am swelling in my legs more than usual. I also have some blurred vision and I am very tired.
Are you experiencing any other symptoms?
Hide Response
Mrs. Smith: Yes, I think so but I’m not sure if they are related.
What are some of the other things going on?
Hide Response
Mrs. Smith: I have not voided as often as before, and I feel a little short of breath when I get up to walk to the mailbox. I also feel weak and even a little nauseous.
A draft concept map showing the interrelationships between your diabetes, renal failure, and related symptoms:
Concept Map for Mrs. Smith’s Care
Central Concept:
Management of Type 2 Diabetes Mellitus and Acute Renal Failure
Causes:
Long-term poorly controlled blood glucose (HbA1c 8.5+) (ADA, 2023)
Diabetic nephropathy damaging kidneys over time (NIDDK, 2022)
Contributing Factors:
Genetic predisposition (ADA, 2023)
Obesity (CDC, 2020)
Sedentary lifestyle (ADA, 2023)
Diagnoses:
Hyperglycemia (ADA, 2023)
Dehydration (MedlinePlus, 2022)
Acute renal failure (MedlinePlus, 2022)
Symptoms:
Fatigue (NIDDK, 2022)
Nausea (Mayo Clinic, 2022)
Blurred vision (Mayo Clinic, 2022)
Edema (MedlinePlus, 2022)
Shortness of breath (Mayo Clinic, 2022)
Decreased urination (MedlinePlus, 2022)
Goals of Treatment:
Normalize blood glucose (ADA, 2023)
Hydrate and replenish electrolytes (MedlinePlus, 2022)
Improve kidney function (NIDDK, 2022)
Manage symptoms and prevent complications (Mayo Clinic, 2022)
Interprofessional Strategies:
IV fluids and insulin drip to lower BG (ADA, 2023; MedlinePlus, 2022)
Dietary changes and medications for diabetes and renal disease (ADA, 2023; NIDDK, 2022)
Activity, rest, and symptom management (Mayo Clinic, 2022; NIDDK, 2022)
Follow-up appointments with endocrinologist and nephrologist (ADA, 2023; NIDDK, 2022)
