Concept Care Map
Concept Care Map
Nursing Practicum PNUR 1375
Conestoga College
Huong Giang Pham
March 23, 2012
Professor: Natalie Tidd
Activity intolerance
Related to: Bedrest, generalized weakness, pain
As evidence by: Patient complains of fatigue; walked short distance with 4 wheel walkers and 2 people assisted. Patient had pain at the shoulders, hardly moved himself or transfer from bed to wheelchair.
Increases the risk for
Impaired skin integrity
Related to: Bedrest
As evidence by: Redness on coccyx area (around 2cm), redness on perineum and auxiliary area
Impaired walking
Related to: Insufficient muscle strength; impaired balance; pain; obesity
As evidence by: Bed rest, weight: 122kgs, impaired ability to walk required distances; walk with assistive device (4 wheels walker) and 2 people assist.
Risk for electrolyte imbalance
Related to: Renal failure
As evidence by: Going on dialysis 3 times a week, Insulin Dependent Diabetes Mellitus
Patient name: H
Age: 73
Gender: Male
Diagnosis: Pneumonia
Allergies: NKA
Past medical history: Peripheral Artery Disease, Hemodialysis, Insulin Dependent Diabetes Mellitus
Lead to
Bowel incontinence
Related to: Toileting self-care deficit
As evidence by: Urgency, inability to delay defecation
Self care deficit: bathing, dressing, toileting
Related to: Pain, musculoskeletal impairment, impaired transfer ability
As evidence by: Food setup for breakfast; inability to get bath supply, wash body, assess bathroom, dry body; inability to maintain appearance at a satisfactory level, put clothing on upper or lower body, put on socks or shoes; inability to get to toilet or commode, sit or rise from toilet or commode, carry out proper toilet hygience.
Lead to
Causes
Increases the risk for
Nursing Diagnosis Worksheet #1
Nursing Diagnosis #1 (three parts)Impaired WalkingRelated to: Insufficient muscle strength; impaired balance; pain; obesity As Evidence By: Bed rest, weight: 122kgs, impaired
Nursing Practicum PNUR 1375
Conestoga College
Huong Giang Pham
March 23, 2012
Professor: Natalie Tidd
Activity intolerance
Related to: Bedrest, generalized weakness, pain
As evidence by: Patient complains of fatigue; walked short distance with 4 wheel walkers and 2 people assisted. Patient had pain at the shoulders, hardly moved himself or transfer from bed to wheelchair.
Increases the risk for
Impaired skin integrity
Related to: Bedrest
As evidence by: Redness on coccyx area (around 2cm), redness on perineum and auxiliary area
Impaired walking
Related to: Insufficient muscle strength; impaired balance; pain; obesity
As evidence by: Bed rest, weight: 122kgs, impaired ability to walk required distances; walk with assistive device (4 wheels walker) and 2 people assist.
Risk for electrolyte imbalance
Related to: Renal failure
As evidence by: Going on dialysis 3 times a week, Insulin Dependent Diabetes Mellitus
Patient name: H
Age: 73
Gender: Male
Diagnosis: Pneumonia
Allergies: NKA
Past medical history: Peripheral Artery Disease, Hemodialysis, Insulin Dependent Diabetes Mellitus
Lead to
Bowel incontinence
Related to: Toileting self-care deficit
As evidence by: Urgency, inability to delay defecation
Self care deficit: bathing, dressing, toileting
Related to: Pain, musculoskeletal impairment, impaired transfer ability
As evidence by: Food setup for breakfast; inability to get bath supply, wash body, assess bathroom, dry body; inability to maintain appearance at a satisfactory level, put clothing on upper or lower body, put on socks or shoes; inability to get to toilet or commode, sit or rise from toilet or commode, carry out proper toilet hygience.
Lead to
Causes
Increases the risk for
Nursing Diagnosis Worksheet #1
Nursing Diagnosis #1 (three parts)Impaired WalkingRelated to: Insufficient muscle strength; impaired balance; pain; obesity As Evidence By: Bed rest, weight: 122kgs, impaired
References: Doenges, M. Moorhouse, M., & Murr, A. (2010) Nurse’s pocket guide, prioritized interventions and rationales (12thed.) Philadelphia, PA: F.A. Davies Company. Gulanick, M. & Myers, J. L. (2010). Nursing Care Plans: Diagnoses, Interventions, and Outcomes (7th ed.). Missouri, USA: Elsevier Mosby