Types of concept maps:
Spider map – Central concept
Diagnostics
Patho
Risk
MS
Factors
Neuro
Psychosocial
VonRecklinghausen
Syndrome
Integument
Cardiac
GU
GI
Pulmonary
Advantages of
Spider Map
• Easy to configure.
• All data is organized around a
unified theme (diagnosis).
• Easy to read.
Disadvantages of
Spider Map
• Difficult to show relationships
without making the map very
messy and hard to read.
• Doesn’t allow for integration of
all data and the relationships
among data.
• Hierarchical/Chronological
Risk Factors
Patho
Diagnostics
MI – CPK,
EKG, pain,
cardiac
assess
Neuro
GI
GU
Pulmonary
Integument
MS
PS
Advantages to Hierarchical
or Chronological Maps
• Follow a definite pattern.
• Most general data is located at
the top and moves to the most
specific.
• Easy to read.
Disadvantages to
Hierarchical or
Chronological Maps
• Shows no interrelationship
between data.
• Does not allow for critical
thinking and thus limited
problem solving.
• Flow chart – linear fashion
Risk Factors
Patho
Diagnostics
Medical
Diagnosis
System
Assessment
-Neuro
-Cardiac
-Pulmonary
-GI
-GU
-Integument
-MS
-PS
Advantages of Flow
Chart
• Easy to read.
• Information is organized in a
logical, ordered fashion.
Disadvantages of
Flow Chart
• Very minimal data noted on
concept map.
• Lack of critical thinking and
clinical reasoning skills used.
• Usually very incomplete.
• Systems map – inputs/outputs
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Smoking
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Increased catecholamines
Vasoconstriction  Nitrostat 0.4mg prn
Increased platelet adhesiveness
Tearing effects on arteries
Accelerated atherosclerosis
Plavix 75 mg qd Coronary Artery Disease Hx stent placement, EF 64%
•
Reports no pain
S2
Full ROM
bilat.
Bedrest
•
•
•
•
•
•
•
•
•
•
•
Decreased HDL Lipitor 10mg qd
Chronic HTNLisinopril 5mg qd
Isosorbide MN 30mg qd
Decreased elasticity of vessels
Reocclusion of RCA CK-MB = 2.9
Fentanyl 50mcg prn
Versed 1 mg prn
Resp. unlabored, Clear bilat.
SpO2 = 96%, RR = 18
bilat.
Trop. = <0.04
PTCA with brachytherapy
for RCA 95% occlusion
Family Hx CAD
?altered genes
HR 58, NSR, BP 141/68, S1,
Radial, DP, PT pulses 2+
Cap. Refill < 2sec, no JVD
O2 @ 2L/NC
wife @
BS X 4 quads, no N/V, ice chips only
UO 200cc clear yellow by foley
BUN/Cr = 39/1.0, Na/K = 138/4.4
Skin pink, intact, no bleeding or
hematoma @ left femoral site,
left radial IV site without redness,
swelling or drainage, no edema
H/H = 45/13.2
facial grimace/hand grasps =
PERRL, MAEW, AAO X 3,
bedside
Potential for CABG due to re-occlusion
Knowledge deficit r/t chronic cardiac condition  Pt will verbalize understanding of 3 preventative measures by discharge.
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•
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Educate on importance of regular exercise and low fat diet.
Educate on purposes and actions of meds.
Demonstrate to patient how to monitor B/P at home.
Advantages of
Systems Map
• Very complete.
• Includes all data on the map and
shows many relationships between
the data.
• Uses critical thinking skills along
with problem solving skills.
• Links theory and practice very well.
Disadvantages of
Systems Map
• With critical clients map can
get very involved and
sometimes difficult to read due
to the number of relationships
noted.
• Takes more time to complete.