Concept map that illustrates a plan for achieving high-quality outcomes for a patient.

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Engage with a Vila Health scenario and then create a concept map that illustrates a plan for achieving high-quality outcomes for a patient.

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Introduction
Note: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, you should complete the assessments in this course in the order in which they are presented.

The biopsychosocial (BPS) approach to care is a way to view all aspects of a patient’s life. It encourages medical practitioners to take into account not only the physical and biological health of a patient, but all considerations like mood, personality, and socioeconomic characteristics. This course will also explore aspects of pathophysiology, pharmacology, and physical assessment (the three Ps) as they relate to specific conditions, diseases, or disorders.

The first assessment is one in which you will create a concept map to analyze and organize the treatment of a specific patient with a specific condition, disease, or disorder.

The purpose of a concept map is to visualize connections between ideas, connect new ideas to previous ideas, and to organize ideas logically. Concept maps can be an extremely useful tool to help organize and plan care decisions. This is especially true in the biopsychosocial model of health, which takes into account factors beyond just the biochemical aspects of health. By utilizing a concept map, a nurse can simplify the connection between disease pathways, drug interactions, and symptoms, as well as between emotional, personality, cultural, and socioeconomic considerations that impact health.

Professional Context
The purpose of a concept map is to visualize connections between ideas, connect new ideas to previous ideas, and to organize ideas logically. Concept maps can be an extremely useful tool to help organize and plan care decisions. This is especially true in the context of the biopsychosocial model, which takes into account factors beyond just the biochemical aspects of health. By utilizing a concept map, a nurse can simplify the connection between disease pathways, drug interactions, and symptoms, as well as between the emotional, personality, cultural, and socioeconomic considerations that impact health.

Scenario
You have already learned about evidence-based practice and quality improvement initiatives in previous courses. You will use this information to guide your assessments, while also implementing new concepts introduced in this course. For this assessment, you will engage in the Vila Health: Using Concept Maps for Diagnosis scenario, develop a concept map, and provide supporting evidence and explanations.

Instructions
For this assessment, you will develop a concept map and a short narrative that supports and further explains how the concept map is constructed. The bullet points below correspond to the grading criteria in the scoring guide. Be sure that your evidence-based plan addresses all of the bullet points. You may also want to read the Concept Map scoring guide and Guiding Questions: Concept Map [DOCX] Download Guiding Questions: Concept Map [DOCX] to better understand how each grading criterion will be assessed.

Part 1: Concept Map
Develop an evidence-based concept map that illustrates a plan for achieving high-quality outcomes for acute and chronic stages for a patient with renal failure related to diabetes in both an acute care facility and in the community.
You can achieve this by following the Vila Health scenario.
You will have a total of two concept maps. One will show the acute care facility with three diagnoses, and the other will show a home health community setting with three diagnoses.
Part 2: Additional Evidence (Narrative)
Justify the value and relevance of the evidence you used as the basis for your concept maps.
Analyze how interprofessional strategies applied to the concept map can lead to the achievement of desired outcomes.
Construct the concept maps and linkage to additional evidence in a way that facilitates a reader’s understanding of key information and links. This will be done by adding links in each section of the concept map that will show your value, relevance, and evidence.
Integrate relevant sources to support assertions, correctly formatting citations and references using current APA style.

Sample Solution

Concept Map for Renal Failure Related to Diabetes: Acute Care Facility

Diagnosis 1: Diabetic Ketoacidosis (DKA)

  • Interventions:
    • Insulin administration – Link to evidence on appropriate insulin regimes for DKA management (e.g., American Diabetes Association guidelines)
    • Intravenous fluids – Link to evidence on fluid resuscitation protocols for DKA (e.g., Surviving Sepsis Campaign guidelines)
    • Electrolyte replacement – Link to evidence on potassium, phosphorus, and magnesium management in DKA (e.g., UpToDate)
    • Continuous glucose monitoring – Link to evidence on benefits of real-time glucose monitoring in DKA (e.g., Diabetes Care journal)
  • Desired Outcomes:
    • Resolution of acidosis – Link to specific target pH and bicarbonate levels
    • Ketone clearance – Link to target blood ketone levels
    • Improved hemodynamics – Link to target blood pressure and heart rate
    • Normalization of electrolytes – Link to specific electrolyte ranges

Diagnosis 2: Acute Kidney Injury (AKI)

  • Interventions:
    • Identify and address underlying cause of AKI (e.g., volume depletion, medication toxicity)
    • Minimize nephrotoxic medications – Link to evidence on nephrotoxic medications to avoid (e.g., National Kidney Foundation guidelines)
    • Fluid management based on urine output and hemodynamics – Link to evidence on diuretic use in AKI (e.g., Kidney International journal)
    • Renal replacement therapy if indicated – Link to evidence on initiation criteria for dialysis in AKI (e.g., Kidney International Supplements)
  • Desired Outcomes:
    • Improvement in kidney function – Link to specific criteria for AKI stage improvement
    • Avoidance of dialysis dependence
    • Minimization of further kidney damage

Diagnosis 3: Sepsis (if applicable)

  • Interventions:
    • Source control and appropriate antibiotics – Link to evidence on targeted antibiotic therapy for sepsis (e.g., Surviving Sepsis Campaign guidelines)
    • Hemodynamic support – Link to evidence on fluid resuscitation and vasopressor use in sepsis (e.g., Surviving Sepsis Campaign guidelines)
    • Respiratory support if needed – Link to evidence on mechanical ventilation strategies in sepsis (e.g., Critical Care Medicine journal)
  • Desired Outcomes:
    • Source control and resolution of infection
    • Improved hemodynamics and oxygenation
    • Prevention of organ failure and death

Interprofessional Collaboration:

  • Physician – Link to evidence on the role of physicians in managing diabetic complications (e.g., American College of Physicians guidelines)
  • Nephrologist – Link to evidence on the role of nephrologists in AKI management (e.g., American Society of Nephrology guidelines)
  • Dietitian – Link to evidence on the role of nutrition therapy in renal failure (e.g., Academy of Nutrition and Dietetics guidelines)
  • Pharmacist – Link to evidence on medication management in renal failure (e.g., American Society of Health-System Pharmacists guidelines)
  • Nurses – Link to evidence on nursing interventions for patients with diabetes and renal failure (e.g., Journal of Nursing Research)

Additional Notes:

  • This concept map is a general guide and may need to be adapted based on the specific patient’s condition and needs.
  • Regular monitoring and assessment are crucial for achieving desired outcomes.
  • Patient education and involvement in their care plan are essential for successful management.

Please note: This is just the first part of the complete response. You will also need to create a separate concept map for the home health community setting and write a narrative justifying the value and relevance of your evidence, analyzing interprofessional strategies, and integrating relevant sources.

 

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