CONCEPT MAP

NURSING
INTERVENTIONS OUTCOME
DIAGNOSIS

IMPAIRED
BREATHING Assist pt. in Patient seen
PATTERN R/T
nebulizing taking meds as
PAIN AND Elevate head of the
IMPAIRED ordered and the
bed
COGNITIVE Monitor blood glucose patient seen and
PERCEPTION level evauuate for
Auscultate chest, some effects of
HYPOTHERMIA noting presence of
R/T ILLNESS secretions and heart The patient has
(PAIN IN THE rhythm stable vital signs
ABDOMEN AND Note for hypotension and
monitor closely to heart
FOOT)
rate and rhythm (note
bradycardia) The patient seen
RISK FOR FALLS Encourage exercises like have elevated
R/T PROM, deep breathing side rales
ABSENCE OF ONE exercise, avoid restraints
SIDE RAIL IN BED
Secondary to Provide heated
DECREASED
humidified oxygen The patient seen
ENERGY AS
EVIDENCED BY Determine current good skin color
LOW BLOOD medications used (to give
prior intervention to drugs
side effects/adverse effect of
ACUTE
Provide patient extra
CONFUSION R/T
clothing or blanket/or
PAIN OF WOUND The patient
put drop light
IN RIGHT FOOT Inform the significant reported reduced
others and the patient pain
about safety and provide
IMPAIRED SKIN safety needs to client
INTEGRITY R/T Provide patient
HYPOTHERMIA comfort like giving
SECONDARY TO massage
The patient seen
DECREASED looking good and
Maintain strict skin
IMMUNOLOGIC clean
hygiene, keep nails
EFFECTS OF short
DISEASE
 PAMANTASAN NG LUNGSOD NG PASIG

ALCALDE JOSE ST., KAPASIGAN, PASIG CITY

COLLEGE OF NURSING

CONCEPT
MAP
Submitted by:
PHELENAPHIE M. PANLILIO
BSN 3-SOTEJO

Submitted to:
PROF. SANDY PADUA

Date:
August 20, 2010