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Vila Health: Concept Maps as Diagnostic Tools

Your Concept Map

Concept map diagram.
Concept map diagram.

MSN-FPX6021 Concept Map

Concept Map

Marilyn Melendez

Capella University

NURS-FPX6021 – Biopsychosocial Concepts for Advanced Nursing Practice I

Dr. Hooven

October 24, 2021

This study source was downloaded by 100000772470296 from on 05-10-2022 10:26:23 GMT -05:00

Concept Map COPD


Oral corticosteroids such as
beclomethasone (Qvar),
budesonide (Pulmicort),

fluticasone (Flovent),
mometasone (Asmanex)

(Hanania et al.,2017).

Patient Info:

54 yr old African American appears7 0 yrs old
with dx of COPD , Hx seizures Smokes (1 ½

pack a day.) Pt has O2 2L/min via Nasal
cannula. Unable to performed ADL’s due SOB

when walking short distances.


Reduced episodes of
dyspnea during an



Teach the patient on exercises
that enhances breathing
capacity such as diaphragmatic
and purse-lip breathing.


Improvement of
breathing pattern.

Most Urgent Nursing Diagnosis: Impaired Gas Exchange r/t

altered oxygen supply AEB SOB and the need to use oxygen.




2.Activity Intolerance

3. Irregular Lung Sounds


Demonstrate improved
ventilation and adequate
oxygenation of tissues by

ABGs within patient’s
normal range and be free of

symptoms of respiratory


Spirometer use.Treatment:O2 2l/via nasal

canula Terbutaline 0.3 mg

SQ every 3 hr prn for SOB,

Aerosol Alupent 0.25cc’s in

2 cc’s NS q 6h.

Nursing Diagnosis 3: Activity Intolerance Related to an
Imbalance between oxygen supply and demand due to
inefficient work breathing AEB dyspnea when walking
short distances.

[Other, Insert



Nursing Diagnosis 2: Ineffective Breathing Pattern r/t
Ineffective inspiration and expiration occurring with chronic
airflow constraints, AEB irregular lung sounds.
Wheezes/crackles on auscultation on both lung fields

This study source was downloaded by 100000772470296 from on 05-10-2022 10:26:23 GMT -05:00
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5/10/22, 11:29 AM Vila Health: Concept Maps as Diagnostic Tools Transcript 1/3

Vila Health: Concept Maps
as Diagnostic Tools

The Interview
The Concept Map

Vila Health: Concept Maps as
Diagnostic Tools
Concept maps are an important tool in patient-centered care
planning. A concept map helps to synthesize facts about a
patient’s health needs and personal circumstances with
available evidence and analysis. Such a tool becomes more
useful when a patient has complex health, economic, and
cultural needs.

In this simulation, you will be conducting a short interview with a patient
and then assembling a concept map for use in that patient’s care plan.

St. Anthony Medical
Exam Room
You are a nurse at St. Anthony Medical Center. You have been asked to
interview Carrie, an incoming patient. Carrie Alves is a 31-year-old
woman who is concerned about problems with her menstrual cycle. Ask
her some questions to find out more about her situation.

5/10/22, 11:29 AM Vila Health: Concept Maps as Diagnostic Tools Transcript 2/3

Your intake form says that you’re experiencing
irregularities in your menstrual cycle. Can you tell me
Yeah. I’m kind of freaked out. I used to be really regular, but for the past
six months or so, my cycle’s been way, way off. I think I’ve only had three
periods in that time frame, and the timing between them has been really

That sounds very upsetting.
Yes, definitely! At first, I was excited when I didn’t get my period- my
husband and I have been trying to get pregnant for a while now, and I
thought we’d succeeded. Then I took a pregnancy test and saw that
wasn’t what was going on. Still, I thought maybe the change to my cycle
was because my body was getting used to quitting birth control.

Are you experiencing any other symptoms?
I’m not sure. I guess I have a few other things going on, but I’m not sure if
they’re related or not.

Such as?
I’ve had a lot of trouble sleeping lately. I have these really vivid dreams
and then just pop awake and can’t get back to sleep. I guess I’m putting
on weight… I was kind of afraid to weigh myself at home, but I’ve noticed
my pants haven’t been fitting very well. Then I got weighed here and…
sigh. Looks like I’m up 12 pounds.

I’ve also– and I know this is weird – I’ve been having really bad acne
breakouts. I thought maybe that was from my hormones getting out of
whack from getting off birth control, too, but it’s been going on for a while.
I don’t know. And – this is also weird– I’ve had a bunch of hairs growing
on my chin all the sudden. I pluck them, and they grow right back.

The Concept Map


Running head: CONCEPT MAP 1

Copyright ©2018 Capella University. Copy and distribution of this document are prohibited.

Concept Map

Learner’s Name

Capella University

Biopsychosocial Concepts for Advanced Nursing Practice I

Concept Map

April, 2019


Copyright ©2018 Capella University. Copy and distribution of this document are prohibited.

Concept Map

Patient Info

Name: Jane Doe | Gender: Female | Age: 72
Vitals: Temp: 37 °C (98.6 °F), BP: 162/94, Pulse: 92, Respiratory rate: 26 and shallow
Chief complaint: Shortness of breath (SOB) and difficulty breathing
Medical history: Hypertension, hyperlipidemia, and chronic obstructive pulmonary disease (COPD)

Nursing Diagnosis
Impaired gas exchange related to destruction of the alveoli, narrowing of
bronchioles, and trapping of air resulting in loss of lung elasticity

Subjective data: Difficulty breathing and SOB

Objective data: Crackles and wheezing heard upon auscultation, dyspnea,
tachypnea, nasal flaring, use of accessory muscles, late signs of cyanosis (Linton,
2015), and oxygen saturation is 90% on room air

Nursing Diagnosis
Activity intolerance related to hypoxia (imbalance between oxygen supply and

Subjective data: “I find it difficult to breathe. I can’t catch my breath when I walk a
few feet.” — Jane Doe

Objective data: Late signs of cyanosis, crackles and wheezing heard upon
auscultation, and use of accessory muscles (Linton, 2015)

Nursing Diagnosis
Ineffective airway clearance related to bronchoconstriction, increased mucus
Subjective data: The patient states she has been sleeping in a recliner chair for the
past three nights because of difficulty breathing

Objective data: Wheezing heard upon auscultation, dyspnea, tachypnea, and use
of accessory muscles (Linton, 2015)

Nursing Interventions

Independent intervention (II): Monitor the patient’s arterial blood gases, oxygen
saturation, vital signs, and

Create a concept map of a chosen condition, disease, or disorder with glucose regulation or metabolic balance considerations. Write a brief narrative (2-3 pages) that explains why the evidence cited in the concept map and narrative are valuable and relevant, as well as how specific interprofessional strategies will help to improve the outcomes presented in the concept map.


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.


As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.

The assessment will be based on the case of a specific patient with a specific condition, disease, or disorder. Think about an experience you have had treating a patient with a condition, disease, or disorder that interests you, or one of the cases presented in the 
Vila Health: Concept Maps as Diagnostic Tools
 media simulation.

· What is the primary condition, disease, or disorder affecting the patient?

. What types of experience have you had working wit