Develop a concept map for the following patient. The concept map is to be no more than 4 pages using 8x11 paper.

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Dorothy Smith is a 67 year-old 225 lb 5’5” female. Dorothy lives with her elderly husband in an assisted living facility. She is independent for all of her activities of daily living, but needs to be reminded to take her medications regularly. Dorothy has a history of hyperlipidemia and Diabetes II that is not well controlled. Dorothy does not take her medication regularly. She only takes her Lipitor 20 mg, her “cholesterol pill” a couple times a week. She does not take any medication for her diabetes as she tries to manage it with her diet. She has a real sweet tooth and enjoys a candy bar every afternoon. Dorothy does not take her blood sugar at home, she has it checked at her primary care provider’s office once a month. In the last 48 hours Dorothy has noticed a “spot” on her right shin. When she first noticed it, it was a pink area about size of a dime. Today her husband is concerned as the area on her leg has become very red and shiny and covers an area about 4 inches by 6 inches. There is also some mild swelling of her right ankle. Dorothy’s husband is trying to convince her to call her primary care provider so she can have her leg assessed in the clinic today. Dorothy is reluctant as she states she is not in any pain at all, and feels that this will resolve if she sits in her recliner, with her feet up, while she watches her “stories”, on the television

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NRSG 2221 Concept Map 2 88 points Develop a concept map for the following patient. The concept map is to be no more than 4 pages using 8x11 paper. Case Study: Dorothy Smith is a 67 year-old 225 lb 5’5” female. Dorothy lives with her elderly husband in an assisted living facility. She is independent for all of her activities of daily living, but needs to be reminded to take her medications regularly. Dorothy has a history of hyperlipidemia and Diabetes II that is not well controlled. Dorothy does not take her medication regularly. She only takes her Lipitor 20 mg, her “cholesterol pill” a couple times a week. She does not take any medication for her diabetes as she tries to manage it with her diet. She has a real sweet tooth and enjoys a candy bar every afternoon. Dorothy does not take her blood sugar at home, she has it checked at her primary care provider’s office once a month. In the last 48 hours Dorothy has noticed a “spot” on her right shin. When she first noticed it, it was a pink area about size of a dime. Today her husband is concerned as the area on her leg has become very red and shiny and covers an area about 4 inches by 6 inches. There is also some mild swelling of her right ankle. Dorothy’s husband is trying to convince her to call her primary care provider so she can have her leg assessed in the clinic today. Dorothy is reluctant as she states she is not in any pain at all, and feels that this will resolve if she sits in her recliner, with her feet up, while she watches her “stories”, on the television Assignment: · General (6 points) · Must be typed (3 points) · Follows guidelines and proper format (3 points) · Page 1: · Create the person you want Ms. Smith to be by adding at least 3 additional subjective and 5 additional objective assessment data. Please note that you cannot change the information already provided, you can only add to it. · Include a section for subjective data (3 points) · Include a section for objective data (5 points) · From this picture you have created, write a brief bio of your patient. (3 points) · Page 2: · Concept map diagram · Identify 4 priority nursing diagnoses using correct format. Of the 4, no more than 2 can be risk diagnoses. (20 points total – 5 points each) · Identify relationships between diagnoses using directional arrows. Be comprehensive. (5 points) · In a separate area on the concept map (where it fits), explain the directional relationships between the diagnoses. (10 points) · Page 3: · Identify at least 1 outcome criteria (goal) per diagnosis (8 points total - 2 points each) · Write 3 interventions per diagnosis. Each intervention must have a well-written scientific rationale (24 points total – 1 point for each intervention (12 points) and 1 point for each rationale (12 points). · Finally assume you have carried out the plan of care and provide appropriate evaluation for Mrs. Smith. (4 points) Concept Map 2 Grading Rubric Name: Evaluator: Content area Criteria Possible points Student points Case summary a. Brief patient bio 3 points Assessment a. Data correctly identified as subjective and objective b. Assessment data is pertinent to case summary 8 points (5 for obj; 3 for subj) Problem identification a. Nursing diagnoses written appropriately (risk are 2 parts and actual are 3 parts) b. Diagnosis is a priority for the case. c. Manifestations in actual diagnoses are present in the assessment data 20 points (5 points each) Diagnoses relationships a. Relationships demonstrated between diagnoses are reasonable b. Explanation for relationship are reasonable 5 points 10 points Outcome criteria / goals a. Appropriate for diagnosis b. Measurable and realistic c. Stated from the pts perspective d. Time limited 8 points (2 points each) Nursing interventions a. Appropriate for goals and diagnosis b. Stated from the nurses perspective c. Rationales are scientific and sound 24 points (2 points per intervention/ rationale dyad) Evaluation a. Goals are evaluated b. Identify met, unmet, or partially met c. Provide rationale d. If partially met or unmet, identify care modifications 4 points (1 point each) Format a. Concept map is legible and follows directions c. Guidelines are followed 3 points 3 points Evaluation Comments: (Max 88 points) Total score: V.Landry Fall 2020

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