1. Student to prepare a nursing care map.
2. Attached is the format to be used. Ps adhere to it and fill all the gaps.
3. After completing the care map, fill out the questionaire below on your patient, from Chapter 5 of the textbook.
VERBAL PRESENTATION OF CAREMAPS
1. Patient’s first name or initials
2. Age (years & months):
3. Medical diagnosis:
4. Allergies:
5. Weight,
Height, Length, FOC, BMI:
6. Medications:
(brief list of what and why)
7. I&O
balance?
8. Nutritional
Info: Diet? Calories?
9. History of present illness:
10. Brief
pathophysiology:
11. Review
of systems (assessment):
12. Vital
signs and pain assessment:
13. Past
medical history:
14. Pertinent
labs & diagnostic test results:
15. Family
medical history:
16. Social
history:
17.
Developmental
level:
18.
Parent &
patient statements (their understanding of child’s illness and reasons for hospitalization):
19.
Teaching
Interventions:
20. Priority
nursing diagnoses:
21. Goals
for nursing care:
22. Interventions:
23. Outcomes/Evaluation
of care plan: