concept2.docx

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    Rasmussen University Name: Date:

    Care Plan #

    Rasmussen University

    CONCEPT MAP

    Pathophysiology – (to the cellular level)Gestational Diabetes

    Medical Diagnosis

    Gestational Diabetes

    Signs & Symptoms/Clinical Manifestations (all data subjective and objective: labs, radiology, all diagnostic studies) (What symptoms does your client present with?)

    Complications

    Treatment (Medical, medications, intervention and supportive)

    Causes/Risk Factors (chemical, environmental, psychological, physiological and genetic)

    .

    REMEMBER THAT THE EXPECTED OUTCOMES MUST BE MEASURABLE. THE INTERVENTIONS ARE WHAT YOU DO TO ASSURE THE OUTCOME AND THE CLIENT’S RESPONSE IS SPECIFICALLY HER RESPONSE.

    PLAN OF CARE:Use your top two priorities

    NANDA NURSING DIAGNOSIS use NANDA definition

    Expected outcomes of care (Goals)

    Interventions

    Patient response

    Goal evaluation

    NRS DX:

    Problem Statement:

    R/T: (What is the cause of the symptom)

    Manifested by: (Specific symptoms)

    Short term goal: Create a SMART goal that relates to hospital stay/shift/day.

    Long term goal: Create a SMART goal that is appropriate for discharge.

    This is specific to the patient that you are caring for. A list of planned actions that will assist the patient to achieve the desired goal. (i.e. obtain foods that the patient can eat/ likes)

    Interventions for short-term goal:

    1.

    2.

    3.

    Interventions for long term goal:

    1.

    2.

    3.

    Identify what the patients response or “outcome is to the goal or care that you have provided. i.e. patient ate 45% of lunch)

    Reassess for short-term goal:

    1.

    2.

    3.

    Reassess for long-term goal:

    1.

    2.

    3.

    Was it met or not met there is no partially met.

    Summer 2021 JM9

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