Concept Map for Acute Care Facility

Concept Map
Student’s Name
Institution
Course Code and Title
Instructor
Due Date
Part One: Concept Maps
Acute care Facility
Patient Information: P.M., a seventy-five-year-old male with acute kidney failure and a history of type 2 diabetes. Current fasting blood sugar is 15Mmol/L.
Nursing Diagnosis 1: Excess fluid volume related to decreased kidney function, as evidenced by bilateral pitting edema.
Treatment:
Regular weight monitoring and recording
Accurate measurement of fluid input and output (Novak & Ellison, 2022).
Assessment and further classification of the edema
Biochemical and clinical assessments such as heart rate, X-rays, and consciousness (Novak & Ellison, 2022).
Assessment of urine gravity
Outcomes:
A clear and detailed history of the patient’s weight fluctuations will inform further treatment.
Measurement of fluid input and output will categorize and calculate the amount of fluid retained (Novak & Ellison, 2022).
Nursing Diagnosis 2: Risk of Infection related to prolonged catheterization and malnutrition.
Treatment:
Maintenance of good hygiene and infection prevention and control measures before, during, and after handling the patient.
Adoption of aseptic techniques (Kusano et al., 2017).
Consistent and regular measurement of vital signs
Regular WBC count measurement and assessment (Kusano et al., 2017).
Administration of antibiotics when indicated
Sufficient medical nutrition therapy to cater to and address any nutrient deficiencies.
Outcomes:
The patient’s risk for infection will reduce (Kusano et al., 2017).
Adequate nutrient intake
Effective and timely care delivery and coordination among different healthcare professionals.
Nursing Diagnosis 3: Decreased Cardiac output related to reduced blood circulation and myocardial workload.
Treatment:
Assess and check for heart and lung murmurs, edema, shortness of breath, and congestion.
Assess for changes in blood pressure and hypertension signs (Wenning et al., 2021).
Assess for pain in the chest, changes in activity level, and responses to activity
Regularly monitor blood parameters.
Take Chest X-rays (Wenning et al., 2021).
Outcomes:
Accurate information on the condition of the heart and lungs
Accurate hypertension diagnosis and any blood pressure alterations (Wenning et al., 2021).
Accurate diagnosis of abnormalities in the blood parameters, activity levels, and response to activity (Wenning et al., 2021).
Community
Nursing Diagnosis 1: Risk of Malnutrition related to several dietary restrictions and drug management, as evidenced by vomiting and nausea.
Treatment:
Assessment of dietary history and current dietary intake (MacLaughlin et al., 2022).
Introducing small, frequent meals.
Offering several food choices and allowing the patient to make their own choices
Daily weight monitoring
Collaboration with a registered dietitian who will prepare a high-calorie, low-protein, and electrolyte-balanced meal plan (MacLaughlin et al., 2022).
Outcomes:
Improved appetite and capability to retain oral food.
Information on patient’s progress through regular weight monitoring (MacLaughlin et al., 2022).
Follow-up and coordinated care between the dietitian, dialysis nurse, and nephrologist (MacLaughlin et al., 2022).
Nursing Diagnosis 2: Poor knowledge of renal failure management, as evidenced by the patient’s inability to follow instructions on drug use and major lifestyle modifications.
Treatment:
Thoroughly educate the patient on the illness’s prognosis and available treatment options, such as different dialysis modalities to improve its efficiency and kidney transplantation (Teasdale et al., 2017).
Educating the patients regularly on diet restrictions and modifications and following up to ensure they follow the guidelines as advised.
Regular weight monitoring and fluid input and output measurement.
Emotional support (Teasdale et al., 2017).
Outcomes:
The patient will increase their knowledge of treatment options and understand the disease’s prognosis (Teasdale et al., 2017).
The patient will have a wide knowledge of their dietary recommendations and restrictions.
The patient will have moral and emotional support (Teasdale et al., 2017).
Nursing Diagnosis 3: Disturbance in thought processes as evidenced by behavior changes.
Treatment:
Assess attention span and orientation in time, person, and space.
Allow the patient to enjoy and thrive in a quiet and peaceful environment
Offer knowledge in simple phrases and sentences that the patient can easily understand.
Regular follow-up.
Outcomes:
Improved comprehension of required facts and knowledge of the disease
Improved mental wellness