concept Map

Course: NURS 481LCONCEPT MAP RUBRIC
NAME:
COURSE:
PATIENT INITIALS:
Criteria
1.Pathopysiolog
y for admitting
diagnosis, S/S,
Diagnostic test
and proposed
treatment
2. History of other
health problems,
hospitalizations
and surgeries
PATIENT DISEASE/DISORDER:


3. Family,
Culture
and Ethnic
background

4.Discharg
e
Planning

Page 1 of 3
DATE:
Exceeds Expectations
Pathophysiology is
explained in complete
detail with accurate and
in-depth understanding
of chief complaint and
presenting
signs/symptoms
supported by diagnostic
test and proposed
treatment plan; APA
Complete
references.details given of
other health problems
with full understanding in
relation to present health
problem explanation and
provides detailed history
of previous
hospitalizations and
surgeries.
Complete information
provided about patient
family, provides cultural
point of view in illness and
wellness and connects
Ethnicity to health
problems, APA references.
Complete information
provided about discharge
planning.




Meets Expectations
Pathophysiology is
explained in some detail
with some
understanding of chief
complaint and
presenting
signs/symptoms
somewhat supported by
diagnostic test and
understanding to
Some
details
given of
proposed
treatment
other
health
problems
plan; with references.
with partial explanation in
relation to present health
problem with some history
provided for patient’s
previous hospitalization
and surgeries.
Some information
provided about patient
family and cultural point of
view in illness and
wellness, somewhat
connects Ethnicity to
health problems, with
Some information
references.
provided about discharge
planning.
Approaches Expectations
Pathophysiology is
explained vaguely with
marginal
understanding of chief
complaint and
presenting
signs/symptoms
vaguely supported by
diagnostic tests and
vague understanding
 Vague
detailstreatment
given of
to proposed
other
health
problems
plan; no references
with
cited.minimal explanation
in relation to present
health problem and
previous hospitalization
and any surgeries.



Does Not Meet Expectations
 Pathophysiology details
limited with poor
understanding of chief
complaint and presenting
signs/symptoms does not
support medical
diagnosis, not supported
by diagnostic test and
with no proposed
treatment plan, no
 No
details given
references
cited.of other
health problems, without
explanation in relation to
present health problem
with no history provided
for previous
hospitalization and
surgeries.
Vague information
 No information provided
provided about patient
about patient family and
family and cultural point of
cultural point of view in
view in illness and
illness and wellness,
wellness, vaguely connects
establishes no connect to
Ethnicity to health
Ethnicity and the health
problems, no references
problems, no APA
Vague
 references.
No information provided
cited. about the
information on discharge
on discharge planning.
planning.
Course: NURS 481L
CONCEPT MAP RUBRIC
Criteria
5.Identify
complications
occurred with
present medical
diagnosis using
priority
assessments
specific to
patient’s status
CRITERIA
6. Use clinical
& psychosocial
assessment
data to validate
selection of
nursing diagnoses
CRITERIA
7. Priority NANDA
Nursing Diagnosis
1 at risk and 2
actual
8.
Planning/Goals
& Evaluation
Page 2 of 3
Exceeds Expectations
Meets Expectations
Approaches Expectations
Does Not Meet Expectations
 Complete information
 Some information
 No information provided
 Vague information
provided with present
provided with present
with present medical
provided with present
medical diagnoses using
medical diagnoses using
diagnosis using priority
medical diagnosis using
priority assessment
priority assessment
assessment specific to
priority assessment
specific to patient’s status.
specific to patient’s status.
patient’s status.
specific to patient’s status.
Example stroke patient
with priority assessment
can identify paralysis as a
complication or inability to
swallow.
5
3
2
1-0
 Completely able to provide  Somewhat able to provide  Vague in providing
 Not able to provide
rationale for chosen
rationale for chosen
rationale for chosen
rationale for chosen
nursing diagnosis using
nursing diagnosis using
nursing diagnosis using
nursing diagnosis using
clinical and psychosocial
clinical and psychosocial
clinical and psychosocial
clinical and psychosocial
assessment data.
assessment data.
assessment data.
assessment data.
10
 TWO (2) actual nursing
diagnoses written
correctly per NANDA
format with proper R/T
and Evidence for actual
Nursing diagnosis and R/T
for at risk Nursing
 diagnosis.
Goal is measureable,
realistic, related to the
problem;
 Data supports if goal is
met, not met with
appropriate revisions.
8
 Written correctly without
sufficient data to support
diagnosis.
5
 Written incorrectly with
sufficient data to support
diagnosis.
3-0
 Written incorrectly
without sufficient data to
support diagnosis.
 Goal is not measureable,
 Goal is not measureable,
 Goal is not measureable,
realistic, related to the
not realistic, related to the
not realistic, not related to
problem;
problem;
the problem;
 Data somewhat supports if  Data vaguely supports if
 Data does not support if
goal is met, not met with
goal is met, not met with
goal is met, not met with
appropriate revisions.
inappropriate revisions.
inappropriate revisions.
Course: NURS 481L
CONCEPT MAP RUBRIC
Criteria
9. Medications
Exceeds Expectations
Meets Expectations
Approaches Expectations
Does Not Meet Expectations
 Lists some MAR
 Lists all MAR medications  Lists all MAR medications  Lists most of the MAR
but does not include
medications with relevant
medications but does not
with relevant side effects
relevant side effects and
side effects and nursing
include relevant side
and nursing considerations
nursing considerations
considerations specific to
effects and nursing
specific to patient and
specific
to
patient
and
why
patient
and
why
patient
is
considerations specific to
reasons why patient is
patient
is
receiving
drug.
receiving drug.
patient.
receiving drug.
CRITERIA
10. General
Organization
5
 Accurate APA
format,
 Appropriate
citations &
references,
 No spelling or grammar
errors.
4
 1-2 APA format errors,
 Some citations,
references are
appropriate,
 Minimal spelling or
grammar errors.
3
 Many APA format
errors,
 Inappropriate citations
or references,
 Many spelling or
grammar errors.
COMMENTS:
FACULTY SIGNATURE:
Page 3 of 3
DATE:
1-0
 No APA formatting,
 No citations or references,
 Many spelling or grammar
errors.
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