Tag: Nursing

  • [Solved] Week 2 discussion peer reviews

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    **Respond** to **two** of your colleagues by sharing cultural considerations that may impact the legal or ethical issues present in their articles. Peer 1 ### Reply from Kevin Bruce The ethical topic I chose was informed assent/consent and capacity. Consent is an agreement with someone who fully und…

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    Assignment Prompt & Instructions

    **Respond** to  **two** of your colleagues  by sharing cultural considerations that may impact the legal or ethical issues present in their articles.
    Peer 1
    ### Reply from Kevin Bruce
    The ethical topic I chose was informed assent/consent and capacity. Consent is an agreement with someone who fully understands what they are giving consent to. "This consists of receiving comprehensive information about a proposed medical treatment, procedure, surgery, or clinical drug or medical device trial and its possible risks; having all questions satisfactorily answered; and signing a consent form to undergo the proposed course of action" (De Vine,2024). The person who gives consent must be legally of age, which is 18 years old in the United States.
    ### Informed Consent and Assent in Children and Adolescents
    Children and adolescents are vulnerable when it comes to medication and  legally they cannot provide consent on thier own without a legal guardian or parent present. Ethically, some healthcare workers believe that children/adolescents should be heavily involved in thier health when it comes to making decisions. Assent is the agreement of someone who is not able to give legal consent. The way assent matters is if the parent wants to involve and respect the child's developing autonomy by including them in the decision-making process, even if the final legal consent rests with the parent or guardian.
    ### **Ethical Considerations for Adults**
    **2. Singh, B. S. T. P., Dixit, N., Samal, K., Mohapatra, L., Kar, B. R., & Nayak, M. K. (2024). Informed consent in pediatric patients.** _**Indian Journal of Paediatric Dermatology, 25**_ **(3), 262–264. https://doi.org/10.4103/ijpd.ijpd_40_24**
    The article "Informed Consent in Pediatric Patients" explores how medical professionals obtain consent for treatment when working with children. It explains that since minors cannot legally give full consent, parents or guardians usually make those decisions, though children should still be included through a process called assent. Different types of consent—like written, verbal, or implied—are described, along with exceptions in emergencies. The article also outlines specific age-related rules in India and emphasizes the importance of respecting a child’s developing autonomy in healthcare decisions. The article reports that assent should be sought for children/adolescents when developmentally appropriate.
    **3. Shah, P., Thornton, I., Kopitnik, N. L., & Hipskind, J. E. (2024). Informed Consent. In** _**StatPearls**_ **. StatPearls Publishing.**
    Shah and the other authors pointed out several legal concerns throughout the article.They made it clear that for consent to count legally, the person giving it has to truly understand what they’re agreeing to. This means being aware of the risks, the possible benefits, and any other choices they have, without being confused, misled, or pressured in any way. Consent is legal evidence to carry on for treatment and is usually discussed and signed at the beginning. If there is a language barrier, an interpreter must be present. The right to refuse treatment must be respected by healthcare workers to avoid futher problems such as malpractice, claims of negligence and battery. The article also mentioned that if the consent process is poorly conducted it can result into legal action.
    **4. Alotaibi T. S. (2024). Ethical Challenges with the Informed Consent Process in Pediatric Research Studies.** _**Medical archives (Sarajevo, Bosnia and Herzegovina)**_ **,** _**78**_ **(1), 65–67. https://doi.org/10.5455/medarh.2024.78.65-67**
    In the article, Alotaibi (2024) points out that while getting consent from a parent is legally required in pediatric research, it’s also ethically important to include the child in the process through assent. He explains that giving children a voice in decisions about their participation respects their growing ability to think for themselves. Ethically, it’s not enough to treat children as passive participants—researchers have a duty to involve them in a way that’s appropriate for their age and understanding. This means talking to them in simple terms they can follow and making sure they don’t feel pressured to say yes.
    ### **Clarifying Consent and Assent in Medical and Research Settings**
    The article "Informed Consent in Clinical Research: Revisiting Few Concepts and Areas" by Arun Bhatt takes a closer look at what makes consent legally sound in research involving adults. It explains that for consent to hold up legally, the person giving it must fully understand what they’re agreeing to, including the purpose of the study, its risks, and any other options they might have. The article also emphasizes the importance of verifying someone's mental capacity to make such decisions and stresses that consent should always be given freely, without any pressure. Lastly, it reminds researchers that participants have the right to walk away at any time—and that this right needs to be clearly explained from the beginning.
    **References:**
    Alotaibi T. S. (2024). Ethical Challenges with the Informed Consent Process in Pediatric Research Studies. _Medical archives (Sarajevo, Bosnia and Herzegovina)_, _78_(1), 65–67. https://doi.org/10.5455/medarh.2024.78.65-67
    De Vine, C. L. (2024). Informed consent. _Salem Press Encyclopedia of Health_. Research Starters database.
    Shah, P., Thornton, I., Kopitnik, N. L., & Hipskind, J. E. (2024). Informed Consent. In _StatPearls_. StatPearls Publishing.
    Singh, B. S. T. P., Dixit, N., Samal, K., Mohapatra, L., Kar, B. R., & Nayak, M. K. (2024). Informed consent in pediatric patients. _Indian Journal of Paediatric Dermatology, 25_(3), 262–264. [https://doi.org/10.4103/ijpd.ijpd_40_24Links to an external site.](https://doi.org/10.4103/ijpd.ijpd_40_24)
    peer 2
    [**Sherline Sauveur**](https://waldenu.instructure.com/courses/173413/users/16324) J
    ### Reply from Sherline Sauveur
    **Discussion: Ethical and Legal Considerations of Informed Consent and Capacity in PMHNP Practice**
    **Selected Topic: Informed Consent and Capacity**
    Informed consent is a cornerstone of ethical psychiatric-mental health nurse practitioner (PMHNP) practice, ensuring respect for patient autonomy and self-determination. However, assessing a patient's capacity to provide informed consent presents unique challenges, especially when comparing adult and pediatric populations.
    **Ethical Considerations**
    **Adults:** The ethical principle of autonomy underpins the requirement for informed consent in adult psychiatric care. Patients must have the capacity to understand, appreciate, reason about, and express a choice regarding their treatment options (WCG Clinical, n.d.; American Medical Association, n.d.). Mental health conditions can impair these abilities, necessitating careful assessment by clinicians. Ethically, practitioners must balance respect for autonomy with beneficence, ensuring that patients receive appropriate care without coercion (Verywell Mind, n.d.).
    **Children and Adolescents:** In pediatric populations, the ethical landscape is more complex due to the involvement of guardians in decision-making. While parents or legal guardians provide consent, obtaining the child's assent is ethically important, respecting their developing autonomy (PubMed Central, n.d.). The degree of assent required varies with the child's age and maturity (PubMed Central, n.d.).
    **Legal Considerations**
    **Adults:** Legally, adults are presumed competent to consent to treatment unless adjudicated otherwise. Landmark cases, such as _Rogers v. Okin_, affirm the right of competent psychiatric patients to refuse treatment, emphasizing the necessity of respecting patient autonomy and due process (American Medical Association, n.d.).
    **Children and Adolescents:** Legal standards for minors vary by jurisdiction. Generally, minors cannot consent to treatment; however, exceptions exist under the "mature minor doctrine," where adolescents deemed sufficiently mature may consent to certain treatments without parental involvement (Rosato, 1996). Additionally, specific statutes may allow minors to consent to treatments related to sexual health, substance abuse, or mental health services (Rosato, 1996)
    **Application to Clinical Practice in Georgia**
    In Georgia, PMHNPs must navigate state-specific laws regarding informed consent and capacity. Adults are presumed competent; however, if a patient exhibits signs of impaired decision-making, a formal capacity assessment is warranted (PubMed Central, n.d.). For minors, Georgia law requires parental consent for most treatments but allows minors aged 12 and older to consent to outpatient mental health services without parental involvement under certain conditions (PubMed Central, n.d.). PMHNPs must stay informed about these legal nuances to ensure compliance and uphold ethical standards.
    **Conclusion**
    Understanding the ethical and legal dimensions of informed consent and capacity is vital for PMHNPs. By carefully assessing each patient's ability to consent and being aware of jurisdiction-specific laws, practitioners can uphold ethical principles and provide patient-centered care across the lifespan.
    **References**
    American Medical Association. (n.d.). _Code of medical ethics_. https://code-medical-ethics.ama-assn.org/
    PubMed Central. (n.d.). _Decisional capacity to consent to treatment in children and adolescents._ https://www.ncbi.nlm.nih.gov/pmc/
    Rosato, J. L. (1996). _Let’s Get Real: Quilting a Principled Doctrine of Adolescent Medical Decision-Making. University of Pennsylvania Law Review_, 144(2), 227–317. https://scholarship.law.upenn.edu/penn_law_review/vol144/iss2/1/
    Verywell Mind. (n.d.). _Informed consent in mental health_. https://www.verywellmind.com/
    WCG Clinical. (n.d.). _Informed consent in adult psychiatry._ https://www.wcgclinical.com/

  • [Solved] Nursing MOD 1 WEEK 2 ASSIGNMENT

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    – Explain the concept of a knowledge worker. – Define and explain nursing informatics and highlight the role of a nurse leader as a knowledge worker. – Include one slide that visually represents the role of a nurse leader as knowledge worker. – Your PowerPoint should Include the hypothetical scenari…

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    – Explain the concept of a knowledge      worker.
    – Define and explain nursing      informatics and highlight the role of a nurse leader as a knowledge      worker.
    – Include one slide      that visually represents the role of a nurse leader as knowledge      worker.
    – Your PowerPoint should Include the      hypothetical scenario you originally shared in the Discussion Forum.      Include your examination of the data that you could use, how the data      might be accessed/collected, and what knowledge might be derived from that      data. Be sure to incorporate feedback received from your colleagues’      responses.
    \
    MODULE1-WEEK2ASSIGNMENTPROMPT.docx](https://www.sweetstudy.com/files/module1-week2assignmentprompt-docx "MODULE1-WEEK2ASSIGNMENTPROMPT.docx")
    \
    MAINPOSTANDRESPONSESNEEDEDFORWEEK2ASSIGNMENT.docx](https://www.sweetstudy.com/files/mainpostandresponsesneededforweek2assignment-docx "MAINPOSTANDRESPONSESNEEDEDFORWEEK2ASSIGNMENT.docx")

  • [Solved] 6051C-47

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    **Post** a description of experiences or observations about how nurse informaticists and/or data or technology specialists interact with other professionals within your healthcare organization. Suggest at least one strategy on how these interactions might be improved. Be specific and provide example…

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    **Post** a description of experiences or observations about how nurse informaticists and/or data or technology specialists interact with other professionals within your healthcare organization. Suggest at least one strategy on how these interactions might be improved. Be specific and provide examples. Then, explain the impact you believe the continued evolution of nursing informatics as a specialty and/or the continued emergence of new technologies might have on professional interactions.
    \
    MODULE2WEEK3DISCUSSION.docx](https://www.sweetstudy.com/files/module2week3discussion-docx "MODULE2WEEK3DISCUSSION.docx")

  • [Solved] Assess if the United States’ foreign policy during the 1930s helped to promote World War II

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    In-depth study guidance and analytical solution covering Assess if the United States’ foreign policy during the 1930s helped to promote World War II.

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  • [Solved] Advance Practice Register Nurse Role and Goals

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    look at file with instructions. These are the links you will use for this. 2 links below: https://nursejournal.org/careers/advanced-practice-nursing/ https://www.npjournal.org \ IMG_7943.jpg](https://www.sweetstudy.com/files/img-7943-jpg-10315327 "IMG_7943.jpg")

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    look at file with instructions. These are the links you will use for this. 2 links below:
    https://nursejournal.org/careers/advanced-practice-nursing/
    https://www.npjournal.org
    \
    IMG_7943.jpg](https://www.sweetstudy.com/files/img-7943-jpg-10315327 "IMG_7943.jpg")

  • [Solved] week 5 pediatric soap note

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    APA format, evidence based practice. Due in 24 hrs. Previous soap note and feedback from instructor provided. – ## PEDSSOAPNoteTemplateweek5.docx – feedbackfocusedWeek3-pedssoapnotetemplate1.docx **## PEDSSOAPNoteTemplateweek5.docx** J06.9 | Acute upper respiratory infection, unspecified J30.9 | A…

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    APA format, evidence based practice. Due in 24 hrs. Previous soap note and feedback from instructor provided.

    – ## PEDSSOAPNoteTemplateweek5.docx

    – feedbackfocusedWeek3-pedssoapnotetemplate1.docx

    **## PEDSSOAPNoteTemplateweek5.docx**

    J06.9 | Acute upper respiratory infection, unspecified
    J30.9 | Allergic rhinitis, unspecified

    Patient 13 months old comes in with mom for complains of wet cough that started on 5/23 with decreased activity, voice changed and decreased appetite . Patient voice change ,activity level and appetite resolved. Patient started to have nasal congestion yesterday 5/28/25. Patient mom denies any fever, rash, signs of ear pain.
    A: nasal congestion noted, ears TMs pearly clear BL,
    throat not irritated, BL tonsils +1
    RUL, RML, RLL, LUL, LLL lung fields clear
    TX: Increase fluid intake over the counter ibuprofen to treat fever and body aches
    F/U in 9 months for annual exam or PRN if symptoms worsen

    **Subjective, Objective, Assessment, Plan (SOAP) Notes**

    | | |
    | — | — |
    | **Student name:** | **Course:** |
    | **Patient name (initials only):** | **Date: Time:** |
    | **Ethnicity:** | **Age: Sex:** |
    | **SUBJECTIVE** |
    | **CC:** |
    | **HPI:** |
    | **Medications:** |
    | **Past medical history:** |
    | **Allergies:** |
    | **Birth hx: (use only on well child visits):** |
    | **Immunizations:** |
    | **Hospitalizations:** |
    | **Past surgical history:** |
    | **Social history:** |
    | **Developmental Assessment: (include on well child visit only but may be necessary for problem focused notes)** |
    | **FAMILY HISTORY** |
    | **Mother:** |
    | **MGM:** |
    | **MGF:** |
    | **Father:** |
    | **PGM:** |
    | **PGF:** |
    | |
    | **REVIEW OF SYSTEMS** |
    | **General:** | **Cardiovascular:** |
    | **Skin:** | **Respiratory:** |
    | **Eyes:** | **Gastrointestinal:** |
    | **Ears:** | **Genitourinary/Gynecological:** |
    | **Nose/Mouth/Throat:** | **Musculoskeletal:** |
    | **Breast: Heme/Lymph/Endo:** | **Neurological:** |
    | | **Psychiatry:** |
    | **OBJECTIVE (Document PERTINENT systems only, Minimum 3 for problem focused, all systems for well child exam)** |
    | **Weight: Height: BMI: BP: Temp: Pulse: Resp:**<br>**(Insert plotted growth chart below on all well child soap notes)** |
    | **General appearance:** |
    | **Skin:** |
    | **HEENT:** |
    | **Cardiovascular:** |
    | **Respiratory:** |
    | **Gastrointestinal:** |
    | **Genitourinary:** |
    | **Musculoskeletal:** |
    | **Neurological:** |
    | **Psychiatric:** |
    | **Labs performed in office the day of visit:** |
    | |
    | **Diagnosis (must complete this section and explain how all differential diagnoses were ruled in or ruled out)** |
    | **Differential diagnoses:**<br>1. Diagnosis, (ICD 10 code and reference):<br>2. Diagnosis, (ICD 10 code and reference):<br>3. Diagnosis (ICD 10 code and reference): | **Diagnosis**(ICD 10 code and reference): |
    | **Plan/therapeutics/diagnostics;** |
    | **Education provided:** |
    | **CPT Code:** |
    | **Anticipatory guidance (well child visit only)** |

    **References:**

    **feedbackfocusedWeek3-pedssoapnotetemplate1.docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/feedbackfocusedweek3-pedssoapnotetemplate1-docx)

    **feedbackfocusedWeek3-pedssoapnotetemplate1.docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/feedbackfocusedweek3-pedssoapnotetemplate1-docx)

    **## PEDSSOAPNoteTemplateweek5.docx**

    J06.9 | Acute upper respiratory infection, unspecified
    J30.9 | Allergic rhinitis, unspecified

    Patient 13 months old comes in with mom for complains of wet cough that started on 5/23 with decreased activity, voice changed and decreased appetite . Patient voice change ,activity level and appetite resolved. Patient started to have nasal congestion yesterday 5/28/25. Patient mom denies any fever, rash, signs of ear pain.
    A: nasal congestion noted, ears TMs pearly clear BL,
    throat not irritated, BL tonsils +1
    RUL, RML, RLL, LUL, LLL lung fields clear
    TX: Increase fluid intake over the counter ibuprofen to treat fever and body aches
    F/U in 9 months for annual exam or PRN if symptoms worsen

    **Subjective, Objective, Assessment, Plan (SOAP) Notes**

    | | |
    | — | — |
    | **Student name:** | **Course:** |
    | **Patient name (initials only):** | **Date: Time:** |
    | **Ethnicity:** | **Age: Sex:** |
    | **SUBJECTIVE** |
    | **CC:** |
    | **HPI:** |
    | **Medications:** |
    | **Past medical history:** |
    | **Allergies:** |
    | **Birth hx: (use only on well child visits):** |
    | **Immunizations:** |
    | **Hospitalizations:** |
    | **Past surgical history:** |
    | **Social history:** |
    | **Developmental Assessment: (include on well child visit only but may be necessary for problem focused notes)** |
    | **FAMILY HISTORY** |
    | **Mother:** |
    | **MGM:** |
    | **MGF:** |
    | **Father:** |
    | **PGM:** |
    | **PGF:** |
    | |
    | **REVIEW OF SYSTEMS** |
    | **General:** | **Cardiovascular:** |
    | **Skin:** | **Respiratory:** |
    | **Eyes:** | **Gastrointestinal:** |
    | **Ears:** | **Genitourinary/Gynecological:** |
    | **Nose/Mouth/Throat:** | **Musculoskeletal:** |
    | **Breast: Heme/Lymph/Endo:** | **Neurological:** |
    | | **Psychiatry:** |
    | **OBJECTIVE (Document PERTINENT systems only, Minimum 3 for problem focused, all systems for well child exam)** |
    | **Weight: Height: BMI: BP: Temp: Pulse: Resp:**<br>**(Insert plotted growth chart below on all well child soap notes)** |
    | **General appearance:** |
    | **Skin:** |
    | **HEENT:** |
    | **Cardiovascular:** |
    | **Respiratory:** |
    | **Gastrointestinal:** |
    | **Genitourinary:** |
    | **Musculoskeletal:** |
    | **Neurological:** |
    | **Psychiatric:** |
    | **Labs performed in office the day of visit:** |
    | |
    | **Diagnosis (must complete this section and explain how all differential diagnoses were ruled in or ruled out)** |
    | **Differential diagnoses:**<br>1. Diagnosis, (ICD 10 code and reference):<br>2. Diagnosis, (ICD 10 code and reference):<br>3. Diagnosis (ICD 10 code and reference): | **Diagnosis**(ICD 10 code and reference): |
    | **Plan/therapeutics/diagnostics;** |
    | **Education provided:** |
    | **CPT Code:** |
    | **Anticipatory guidance (well child visit only)** |

    **References:**

    **feedbackfocusedWeek3-pedssoapnotetemplate1.docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/feedbackfocusedweek3-pedssoapnotetemplate1-docx)

    **## PEDSSOAPNoteTemplateweek5.docx**

    J06.9 | Acute upper respiratory infection, unspecified
    J30.9 | Allergic rhinitis, unspecified

    Patient 13 months old comes in with mom for complains of wet cough that started on 5/23 with decreased activity, voice changed and decreased appetite . Patient voice change ,activity level and appetite resolved. Patient started to have nasal congestion yesterday 5/28/25. Patient mom denies any fever, rash, signs of ear pain.
    A: nasal congestion noted, ears TMs pearly clear BL,
    throat not irritated, BL tonsils +1
    RUL, RML, RLL, LUL, LLL lung fields clear
    TX: Increase fluid intake over the counter ibuprofen to treat fever and body aches
    F/U in 9 months for annual exam or PRN if symptoms worsen

    **Subjective, Objective, Assessment, Plan (SOAP) Notes**

    | | |
    | — | — |
    | **Student name:** | **Course:** |
    | **Patient name (initials only):** | **Date: Time:** |
    | **Ethnicity:** | **Age: Sex:** |
    | **SUBJECTIVE** |
    | **CC:** |
    | **HPI:** |
    | **Medications:** |
    | **Past medical history:** |
    | **Allergies:** |
    | **Birth hx: (use only on well child visits):** |
    | **Immunizations:** |
    | **Hospitalizations:** |
    | **Past surgical history:** |
    | **Social history:** |
    | **Developmental Assessment: (include on well child visit only but may be necessary for problem focused notes)** |
    | **FAMILY HISTORY** |
    | **Mother:** |
    | **MGM:** |
    | **MGF:** |
    | **Father:** |
    | **PGM:** |
    | **PGF:** |
    | |
    | **REVIEW OF SYSTEMS** |
    | **General:** | **Cardiovascular:** |
    | **Skin:** | **Respiratory:** |
    | **Eyes:** | **Gastrointestinal:** |
    | **Ears:** | **Genitourinary/Gynecological:** |
    | **Nose/Mouth/Throat:** | **Musculoskeletal:** |
    | **Breast: Heme/Lymph/Endo:** | **Neurological:** |
    | | **Psychiatry:** |
    | **OBJECTIVE (Document PERTINENT systems only, Minimum 3 for problem focused, all systems for well child exam)** |
    | **Weight: Height: BMI: BP: Temp: Pulse: Resp:**<br>**(Insert plotted growth chart below on all well child soap notes)** |
    | **General appearance:** |
    | **Skin:** |
    | **HEENT:** |
    | **Cardiovascular:** |
    | **Respiratory:** |
    | **Gastrointestinal:** |
    | **Genitourinary:** |
    | **Musculoskeletal:** |
    | **Neurological:** |
    | **Psychiatric:** |
    | **Labs performed in office the day of visit:** |
    | |
    | **Diagnosis (must complete this section and explain how all differential diagnoses were ruled in or ruled out)** |
    | **Differential diagnoses:**<br>1. Diagnosis, (ICD 10 code and reference):<br>2. Diagnosis, (ICD 10 code and reference):<br>3. Diagnosis (ICD 10 code and reference): | **Diagnosis**(ICD 10 code and reference): |
    | **Plan/therapeutics/diagnostics;** |
    | **Education provided:** |
    | **CPT Code:** |
    | **Anticipatory guidance (well child visit only)** |

    **References:**

    **feedbackfocusedWeek3-pedssoapnotetemplate1.docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/feedbackfocusedweek3-pedssoapnotetemplate1-docx)

    – 1
    – 2

  • [Solved] Discussion

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    See attached \ Screenshot_20250607_213641_Chrome.jpg](https://www.sweetstudy.com/files/screenshot-20250607-213641-chrome-jpg "Screenshot_20250607_213641_Chrome.jpg")

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    See attached
    \
    Screenshot_20250607_213641_Chrome.jpg](https://www.sweetstudy.com/files/screenshot-20250607-213641-chrome-jpg "Screenshot_20250607_213641_Chrome.jpg")

  • [Solved] Differentiate between normal and abnormal health assessment findings?

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    In-depth study guidance and analytical solution covering Differentiate between normal and abnormal health assessment findings?.

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  • [Solved] Examine and explain the significance of the Declaration of Independence to the development of the American Revolution.

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    In-depth study guidance and analytical solution covering Examine and explain the significance of the Declaration of Independence to the development of the American Revolution..

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  • [Solved] case

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    create a concept map using the case study in the power point and the concept map outline – ## NUR357ConceptMapinstructions.docx – DiabetesSummer251.pptx **## NUR357ConceptMapinstructions.docx** **NUR 357 Concept Map Guidelines** **Concept Map Description:** A concept map is a picture or chart that i…

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    create a concept map using the case study in the power point and the concept map outline

    – ## NUR357ConceptMapinstructions.docx

    – DiabetesSummer251.pptx

    **## NUR357ConceptMapinstructions.docx**

    **NUR 357 Concept Map Guidelines**

    **Concept Map Description:**

    A concept map is a picture or chart that illustrates the relationships between the patient’s medical diagnosis(es), the symptoms he/she is demonstrating, the patient lab values, the medications he/she is on, and the clinical judgment model.

    The concept map be seen as a type of “puzzle” with all the components making up the pieces that complete the total picture. The concept map also is useful in helping you to identify priorities in nursing care by considering the whole picture of the patient’s condition and vital to clinical decision making.

    **STEPS TO COMPLETE THE CONCEPT MAP:**

    1.
    Recognize Cues: Review your patient’s History and Physical. Identify the current medical diagnoses, chronic health problems. This is often the reason for seeking health care (often a medical diagnosis). Create a Situation and Background to start the map.

    2. Recognizing Cues: what are the correlating patient signs and symptoms, and include results of labs and other diagnostic tests that have been done. (Blood tests, pulmonary function tests, x-rays, EKG’s, etc.)

    | | |
    | — | — |
    | **CJ Tasks** | **Prompts/Considerations** |
    | **Recognizing Cues:**<br>Which patient information is relevant: Consider signs and symptoms, lab work, patient statements, <br>H & P, and others. Consider subjective and objective data. | • Which cues were relevant? Irrelevant?<br>• What is occurring in the environment?<br>• Which laboratory data are significant?<br>• What is significant in the patient's history? <br>• What is the immediate concern? <br>• What factors may exist related to the abnormal data? |

    3. Analyze cues: Linking of recognized cues to the client's clinical presentation and establishing probable client needs, concerns, and problems.

    | | |
    | — | — |
    | **CJ Tasks** | **Prompts/Considerations** |
    | **Analyze cues:**<br>• Recognize patterns and cluster the cues from above together.<br>• Link cues. Recognize patterns. Name this as an issue or descriptor of your cluster<br>• Determine what is concerning. Name it. M<br> **inimum of 3 clusters/concerns**<br>• Determine if additional information is needed. | How do the data link to other information? <br>What patterns do you recognize? <br>Which patient conditions are consistent with the cues?<br>What cues are a cause for concern? <br>What other information would help to establish the significance of a cue? <br>What else do you need to know to generate a hypothesis? |

    4. Prioritize hypotheses: Identify all problems (medical/nursing diagnoses) that apply and correlate on the map with the data that supports the diagnosis. Identify and rank the medical/nursing diagnoses in order of priority.

    | | |
    | — | — |
    | **CJ Tasks** | **Prompts/Considerations** |
    | **Prioritize hypotheses: minimum of 3**<br>• Cluster information.<br>• Narrow possibilities.<br>• Determine order of priorities.<br>• Determine risk for action or inaction.<br>• Provide evidence for hypothesis | What conclusions can you make? <br>What explanations are most likely?<br>What other conclusions could be possible?<br>Which cues indicate the most serious risk for a health problem?<br>Which cues indicate action is required?<br>What is the priority order for safe and effective care? |

    5. Address the pathophysiology and etiology of presenting problem (reason why patient is admitted/primary complaint)

    For each presenting problem, thorough review of the Pathophysiology at cellular level, shows understanding of medical diagnosis and comorbidities (identifies most risk factors present) and identifies etiology based on the specific patient's conditions.

    6. Generate Solutions: Identify the plan of action(goal) for each problem (medical/nursing problems).

    | | |
    | — | — |
    | **CJ Tasks** | **Prompts/Considerations** |
    | **Generate Solutions:** **minimum of 2 SMART goals/solutions for each hypothesis**<br>establish the goals to remedy problems what would be a fix, prevention, or maintenance of desired level.<br>· Determine desired outcomes.<br>· Determine the best solution based on evidence.<br>· Determine what resources are needed (e.g., people, equipment, medications)<br>· Each goal follows the SMART format (Planning- specific, measurable, attainable, realistic/relevant,<br>time-restricted) | What are the desirable outcomes? <br>What should be avoided? <br>What solution will be most helpful for this client? <br>What is the priority to address each problem , fix over maintain or manage symptoms?<br>• What evidence did you use to choose this solution?<br>• What are the risks for choosing or not choosing this solution?<br>What is a realistic timeframe to accomplish? |

    7. Take Actions: Implement the plan: Identify the nursing actions (interventions) and rationale to address each problem (medical/nursing diagnosis)

    | | |
    | — | — |
    | **CJ Tasks** | **Prompts/Considerations** |
    | **TAKE ACTION Minimum of 2 actions/interventions with rationale for each SMART Goal/solution**<br>•Implement plan.<br> <br>• Perform skill/procedure.<br>• Administer medication.<br>• Collaborate with the team.<br>• Teach patients/families/staff/team.<br>• Demonstrate ethical/legal behavior | · What interventions can achieve the outcomes? <br>· How should the intervention or combination of interventions be<br>· performed, requested, communicated, taught, etc?<br>· What (e.g., people, equipment, medications) is needed to take this action? <br>· What’s the rationale for each intervention as it relates to a goal/fix connect to path and or goal? <br>· Are there contraindications to this action?<br>· What will you do if patient refuses the medication or treatment?<br>· When would the interventions be or not carried out? <br>· What will you do if there are not sufficient resources or team members?<br>· What are the priority interventions? (Mark with asterisk)<br>· Is there particular order in which to carry out the interventions? |

    8. Evaluate Outcomes: identify what criteria the patient will obtain to attain the goal. Determine the result. Evaluate all SMART goals/solutions.

    | | |
    | — | — |
    | **CJ Tasks** | **Prompts/Considerations** |
    | **Evaluate outcomes evaluates all SAMRT goals/solutions.**<br>· Identifies the SMART goal being evaluated<br>· Links to nursing action. <br>· Was goal Met or Not Met.<br>· How was the goal met. <br>· If not met, the revision includes what interventions didn’t work and what should be done instead in the future. | Results of taking actions:<br>Did the patient’s care outlook or status improve?<br>What signs point to improving/declining/unchanged status?<br>· What indicates your action was/was not effective? <br>· If the actions are effective, not improving indicate what data indicates a further complication?<br>· What action is need next/ what revisions need to be made?<br>· What (e.g., medications, labs, or treatments) do you need to continue monitoring? <br>· What would be a priority to report to the healthcare provider? |

    **DiabetesSummer251.pptx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/diabetessummer251-pptx)

    **DiabetesSummer251.pptx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/diabetessummer251-pptx)

    **## NUR357ConceptMapinstructions.docx**

    **NUR 357 Concept Map Guidelines**

    **Concept Map Description:**

    A concept map is a picture or chart that illustrates the relationships between the patient’s medical diagnosis(es), the symptoms he/she is demonstrating, the patient lab values, the medications he/she is on, and the clinical judgment model.

    The concept map be seen as a type of “puzzle” with all the components making up the pieces that complete the total picture. The concept map also is useful in helping you to identify priorities in nursing care by considering the whole picture of the patient’s condition and vital to clinical decision making.

    **STEPS TO COMPLETE THE CONCEPT MAP:**

    1.
    Recognize Cues: Review your patient’s History and Physical. Identify the current medical diagnoses, chronic health problems. This is often the reason for seeking health care (often a medical diagnosis). Create a Situation and Background to start the map.

    2. Recognizing Cues: what are the correlating patient signs and symptoms, and include results of labs and other diagnostic tests that have been done. (Blood tests, pulmonary function tests, x-rays, EKG’s, etc.)

    | | |
    | — | — |
    | **CJ Tasks** | **Prompts/Considerations** |
    | **Recognizing Cues:**<br>Which patient information is relevant: Consider signs and symptoms, lab work, patient statements, <br>H & P, and others. Consider subjective and objective data. | • Which cues were relevant? Irrelevant?<br>• What is occurring in the environment?<br>• Which laboratory data are significant?<br>• What is significant in the patient's history? <br>• What is the immediate concern? <br>• What factors may exist related to the abnormal data? |

    3. Analyze cues: Linking of recognized cues to the client's clinical presentation and establishing probable client needs, concerns, and problems.

    | | |
    | — | — |
    | **CJ Tasks** | **Prompts/Considerations** |
    | **Analyze cues:**<br>• Recognize patterns and cluster the cues from above together.<br>• Link cues. Recognize patterns. Name this as an issue or descriptor of your cluster<br>• Determine what is concerning. Name it. M<br> **inimum of 3 clusters/concerns**<br>• Determine if additional information is needed. | How do the data link to other information? <br>What patterns do you recognize? <br>Which patient conditions are consistent with the cues?<br>What cues are a cause for concern? <br>What other information would help to establish the significance of a cue? <br>What else do you need to know to generate a hypothesis? |

    4. Prioritize hypotheses: Identify all problems (medical/nursing diagnoses) that apply and correlate on the map with the data that supports the diagnosis. Identify and rank the medical/nursing diagnoses in order of priority.

    | | |
    | — | — |
    | **CJ Tasks** | **Prompts/Considerations** |
    | **Prioritize hypotheses: minimum of 3**<br>• Cluster information.<br>• Narrow possibilities.<br>• Determine order of priorities.<br>• Determine risk for action or inaction.<br>• Provide evidence for hypothesis | What conclusions can you make? <br>What explanations are most likely?<br>What other conclusions could be possible?<br>Which cues indicate the most serious risk for a health problem?<br>Which cues indicate action is required?<br>What is the priority order for safe and effective care? |

    5. Address the pathophysiology and etiology of presenting problem (reason why patient is admitted/primary complaint)

    For each presenting problem, thorough review of the Pathophysiology at cellular level, shows understanding of medical diagnosis and comorbidities (identifies most risk factors present) and identifies etiology based on the specific patient's conditions.

    6. Generate Solutions: Identify the plan of action(goal) for each problem (medical/nursing problems).

    | | |
    | — | — |
    | **CJ Tasks** | **Prompts/Considerations** |
    | **Generate Solutions:** **minimum of 2 SMART goals/solutions for each hypothesis**<br>establish the goals to remedy problems what would be a fix, prevention, or maintenance of desired level.<br>· Determine desired outcomes.<br>· Determine the best solution based on evidence.<br>· Determine what resources are needed (e.g., people, equipment, medications)<br>· Each goal follows the SMART format (Planning- specific, measurable, attainable, realistic/relevant,<br>time-restricted) | What are the desirable outcomes? <br>What should be avoided? <br>What solution will be most helpful for this client? <br>What is the priority to address each problem , fix over maintain or manage symptoms?<br>• What evidence did you use to choose this solution?<br>• What are the risks for choosing or not choosing this solution?<br>What is a realistic timeframe to accomplish? |

    7. Take Actions: Implement the plan: Identify the nursing actions (interventions) and rationale to address each problem (medical/nursing diagnosis)

    | | |
    | — | — |
    | **CJ Tasks** | **Prompts/Considerations** |
    | **TAKE ACTION Minimum of 2 actions/interventions with rationale for each SMART Goal/solution**<br>•Implement plan.<br> <br>• Perform skill/procedure.<br>• Administer medication.<br>• Collaborate with the team.<br>• Teach patients/families/staff/team.<br>• Demonstrate ethical/legal behavior | · What interventions can achieve the outcomes? <br>· How should the intervention or combination of interventions be<br>· performed, requested, communicated, taught, etc?<br>· What (e.g., people, equipment, medications) is needed to take this action? <br>· What’s the rationale for each intervention as it relates to a goal/fix connect to path and or goal? <br>· Are there contraindications to this action?<br>· What will you do if patient refuses the medication or treatment?<br>· When would the interventions be or not carried out? <br>· What will you do if there are not sufficient resources or team members?<br>· What are the priority interventions? (Mark with asterisk)<br>· Is there particular order in which to carry out the interventions? |

    8. Evaluate Outcomes: identify what criteria the patient will obtain to attain the goal. Determine the result. Evaluate all SMART goals/solutions.

    | | |
    | — | — |
    | **CJ Tasks** | **Prompts/Considerations** |
    | **Evaluate outcomes evaluates all SAMRT goals/solutions.**<br>· Identifies the SMART goal being evaluated<br>· Links to nursing action. <br>· Was goal Met or Not Met.<br>· How was the goal met. <br>· If not met, the revision includes what interventions didn’t work and what should be done instead in the future. | Results of taking actions:<br>Did the patient’s care outlook or status improve?<br>What signs point to improving/declining/unchanged status?<br>· What indicates your action was/was not effective? <br>· If the actions are effective, not improving indicate what data indicates a further complication?<br>· What action is need next/ what revisions need to be made?<br>· What (e.g., medications, labs, or treatments) do you need to continue monitoring? <br>· What would be a priority to report to the healthcare provider? |

    **DiabetesSummer251.pptx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/diabetessummer251-pptx)

    **## NUR357ConceptMapinstructions.docx**

    **NUR 357 Concept Map Guidelines**

    **Concept Map Description:**

    A concept map is a picture or chart that illustrates the relationships between the patient’s medical diagnosis(es), the symptoms he/she is demonstrating, the patient lab values, the medications he/she is on, and the clinical judgment model.

    The concept map be seen as a type of “puzzle” with all the components making up the pieces that complete the total picture. The concept map also is useful in helping you to identify priorities in nursing care by considering the whole picture of the patient’s condition and vital to clinical decision making.

    **STEPS TO COMPLETE THE CONCEPT MAP:**

    1.
    Recognize Cues: Review your patient’s History and Physical. Identify the current medical diagnoses, chronic health problems. This is often the reason for seeking health care (often a medical diagnosis). Create a Situation and Background to start the map.

    2. Recognizing Cues: what are the correlating patient signs and symptoms, and include results of labs and other diagnostic tests that have been done. (Blood tests, pulmonary function tests, x-rays, EKG’s, etc.)

    | | |
    | — | — |
    | **CJ Tasks** | **Prompts/Considerations** |
    | **Recognizing Cues:**<br>Which patient information is relevant: Consider signs and symptoms, lab work, patient statements, <br>H & P, and others. Consider subjective and objective data. | • Which cues were relevant? Irrelevant?<br>• What is occurring in the environment?<br>• Which laboratory data are significant?<br>• What is significant in the patient's history? <br>• What is the immediate concern? <br>• What factors may exist related to the abnormal data? |

    3. Analyze cues: Linking of recognized cues to the client's clinical presentation and establishing probable client needs, concerns, and problems.

    | | |
    | — | — |
    | **CJ Tasks** | **Prompts/Considerations** |
    | **Analyze cues:**<br>• Recognize patterns and cluster the cues from above together.<br>• Link cues. Recognize patterns. Name this as an issue or descriptor of your cluster<br>• Determine what is concerning. Name it. M<br> **inimum of 3 clusters/concerns**<br>• Determine if additional information is needed. | How do the data link to other information? <br>What patterns do you recognize? <br>Which patient conditions are consistent with the cues?<br>What cues are a cause for concern? <br>What other information would help to establish the significance of a cue? <br>What else do you need to know to generate a hypothesis? |

    4. Prioritize hypotheses: Identify all problems (medical/nursing diagnoses) that apply and correlate on the map with the data that supports the diagnosis. Identify and rank the medical/nursing diagnoses in order of priority.

    | | |
    | — | — |
    | **CJ Tasks** | **Prompts/Considerations** |
    | **Prioritize hypotheses: minimum of 3**<br>• Cluster information.<br>• Narrow possibilities.<br>• Determine order of priorities.<br>• Determine risk for action or inaction.<br>• Provide evidence for hypothesis | What conclusions can you make? <br>What explanations are most likely?<br>What other conclusions could be possible?<br>Which cues indicate the most serious risk for a health problem?<br>Which cues indicate action is required?<br>What is the priority order for safe and effective care? |

    5. Address the pathophysiology and etiology of presenting problem (reason why patient is admitted/primary complaint)

    For each presenting problem, thorough review of the Pathophysiology at cellular level, shows understanding of medical diagnosis and comorbidities (identifies most risk factors present) and identifies etiology based on the specific patient's conditions.

    6. Generate Solutions: Identify the plan of action(goal) for each problem (medical/nursing problems).

    | | |
    | — | — |
    | **CJ Tasks** | **Prompts/Considerations** |
    | **Generate Solutions:** **minimum of 2 SMART goals/solutions for each hypothesis**<br>establish the goals to remedy problems what would be a fix, prevention, or maintenance of desired level.<br>· Determine desired outcomes.<br>· Determine the best solution based on evidence.<br>· Determine what resources are needed (e.g., people, equipment, medications)<br>· Each goal follows the SMART format (Planning- specific, measurable, attainable, realistic/relevant,<br>time-restricted) | What are the desirable outcomes? <br>What should be avoided? <br>What solution will be most helpful for this client? <br>What is the priority to address each problem , fix over maintain or manage symptoms?<br>• What evidence did you use to choose this solution?<br>• What are the risks for choosing or not choosing this solution?<br>What is a realistic timeframe to accomplish? |

    7. Take Actions: Implement the plan: Identify the nursing actions (interventions) and rationale to address each problem (medical/nursing diagnosis)

    | | |
    | — | — |
    | **CJ Tasks** | **Prompts/Considerations** |
    | **TAKE ACTION Minimum of 2 actions/interventions with rationale for each SMART Goal/solution**<br>•Implement plan.<br> <br>• Perform skill/procedure.<br>• Administer medication.<br>• Collaborate with the team.<br>• Teach patients/families/staff/team.<br>• Demonstrate ethical/legal behavior | · What interventions can achieve the outcomes? <br>· How should the intervention or combination of interventions be<br>· performed, requested, communicated, taught, etc?<br>· What (e.g., people, equipment, medications) is needed to take this action? <br>· What’s the rationale for each intervention as it relates to a goal/fix connect to path and or goal? <br>· Are there contraindications to this action?<br>· What will you do if patient refuses the medication or treatment?<br>· When would the interventions be or not carried out? <br>· What will you do if there are not sufficient resources or team members?<br>· What are the priority interventions? (Mark with asterisk)<br>· Is there particular order in which to carry out the interventions? |

    8. Evaluate Outcomes: identify what criteria the patient will obtain to attain the goal. Determine the result. Evaluate all SMART goals/solutions.

    | | |
    | — | — |
    | **CJ Tasks** | **Prompts/Considerations** |
    | **Evaluate outcomes evaluates all SAMRT goals/solutions.**<br>· Identifies the SMART goal being evaluated<br>· Links to nursing action. <br>· Was goal Met or Not Met.<br>· How was the goal met. <br>· If not met, the revision includes what interventions didn’t work and what should be done instead in the future. | Results of taking actions:<br>Did the patient’s care outlook or status improve?<br>What signs point to improving/declining/unchanged status?<br>· What indicates your action was/was not effective? <br>· If the actions are effective, not improving indicate what data indicates a further complication?<br>· What action is need next/ what revisions need to be made?<br>· What (e.g., medications, labs, or treatments) do you need to continue monitoring? <br>· What would be a priority to report to the healthcare provider? |

    **DiabetesSummer251.pptx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/diabetessummer251-pptx)

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