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Types of concept maps:
Spider map – Central concept
VonRecklinghausen
Syndrome
Risk Factors
Patho Diagnostics
Neuro
Cardiac
PulmonaryGI
GU
Integument
Psycho-social
MS
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
MI – CPK, EKG, pain, cardiac assess
Risk Factors
Patho
Diagnostics
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
System Assessment
-Neuro
-Cardiac
-Pulmonary
-GI
-GU
-Integument
-MS
-PS
Medical Diagnosis
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• Smoking Chronic HTNLisinopril 5mg qd Family Hx CAD• Isosorbide MN 30mg qd • Decreased HDL Lipitor 10mg qd Decreased elasticity of vessels ?altered genes
• 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 Reocclusion of RCA CK-MB = 2.9 HR 58, NSR, BP 141/68, S1, S2
• Full ROM Fentanyl 50mcg prn Trop. = <0.04 Radial, DP, PT pulses 2+ bilat.
• Bedrest Versed 1 mg prn PTCA with brachytherapy Cap. Refill < 2sec, no JVD• for RCA 95% occlusion• Resp. unlabored, Clear bilat. O2 @ 2L/NC• SpO2 = 96%, RR = 18 Skin pink, intact, no bleeding or facial grimace/hand grasps =
bilat.• hematoma @ left femoral site, PERRL, MAEW, AAO X 3,
wife @ • BS X 4 quads, no N/V, ice chips only left radial IV site without redness, bedside• UO 200cc clear yellow by foley swelling or drainage, no edema• BUN/Cr = 39/1.0, Na/K = 138/4.4 H/H = 45/13.2 Potential for CABG due to re-occlusion• • Knowledge deficit r/t chronic cardiac condition Pt will verbalize understanding of 3 preventative measures by discharge.
• 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.