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Concept Map Student Name: Instructor: Erickson’s Developmental Stage Related to pt. & Cite References (1) Patient Education (In Pt.) & Discharge Planning (home needs) History of Present Illness (HPI), Pathophysiology of Admitting Dx (Cite References) Medical, Surgical, Social History (1). Medical History Cultural considerations, ethnicity, occupation, religion, family support, insurance. (1) (14) Socioeconomic/Cultural/Spiritual Orientation & Psychosocial Considerations/Concerns, to include the following Social Determinants of Health ❋Economic Stability ❋ Education ❋Social and Community Context ❋ Health and Health Care ❋ Neighborhood and Built Environment Diagnostic Test/ Lab Results with dates and Normal Ranges (3) Test Norms Date Current Value Patient Information Chief Complaint (1) Name: Age: Gender: Code Status: DPOA: Living Will: Admitting Diagnosis Medical Management/ Orders/ Medications & Allergies (2) Name Dose RT Freq. MOA RN Considerations Onset/Peak /Duration (Insulin) Surgical History Social History Priority nursing diagnosis #1 Vital Signs (4) Neurological (5) Cardiovascular (6) Respiratory (7) Nutrition/Hydration (8) GI (9) GU (10) Rest/ Exercise (11) Outcome/Goal #1 Outcome/Goal #2 Integumentary (12) Endocrine (13) Psychosocial (14) Misc. (Ht/Wt) Interventions # 2 Interventions #1 Assessment/ Evaluation #2 Assessment/ Evaluation #1 PC Outcomes/Goal Potential Complications/ at risk for Priority nursing diagnosis #2 PC Interventions PC Evaluation Plan
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