NURS FPX 6021 Assessment 1 Concept Map

Name

Capella university

NURS-FPX 6021 Biopsychosocial Concepts for Advanced Nursing Practice 1

Prof. Name

Date

Concept Map

A concept map in healthcare is a graphical tool that illustrates connections between medical ideas, helping to structure and comprehend intricate information.

Scenario 

A 52-year-old African American woman (Mrs. Smith) with a history of Type 2 Diabetes Mellitus, was admitted to the ICU at St. Anthony Medical Center due to severely high blood sugar levels. She was also diagnosed with Acute Renal Failure upon admission. During her hospital course, she had been complaining of fasting blood glucose levels of 200, with postprandial levels as high as 350+. She also complained of ill health, which was marked by puffy legs, blurred vision, and persistent tiredness. She also suffered from loss of frequency of urination, breathlessness, and weakness during exertion. Her condition was under close observation by the medical team, who provided her with medications relevant to stabilize her glucose levels and preserve kidney function.

After several days of intensive care, Mrs. Smith’s condition showed signs of improvement, and she was deemed stable enough for discharge. As her assigned home health nurse from St. Anthony Medical Center Home Health Agency, I continued to follow up with her after leaving the ICU. Upon visiting her home, we discussed her progress, and she shared that her fasting blood sugar had improved to 125, with post-meal readings of 140. She attributed this to being more conscious of her diet and taking her medications regularly. Her kidney function had also improved, with normal urinary output and reduced leg swelling. However, she expressed some challenges in maintaining a consistent diet due to limited support from her daughter, who had family and work commitments.

North American Nursing Diagnosis Association (NANDA)

The NANDA is an organization. It develops and maintains a standardized nursing language, facilitating effective communication and identifying nursing diagnoses for patient care (NANDA, 2024).

Relevance of Evidence as Basis of Concept Map

Evidence from reputable sources such as NANDA, ADA, and scholarly journals has been used to develop the concept map for Mrs. Smith’s care. Using NANDA-approved nursing diagnoses, we can accurately identify Mrs. Smith’s health problems of Acute Renal Failure caused by diabetes mellitus and Chronic Renal Failure. These diagnoses allow health care providers to communicate effectively with each other and provide consistent, targeted interventions (NANDA, 2024).

We have referenced the ADA guidelines when managing Mrs. Smith’s diabetes-related renal failure. According to the ADA evidence-based recommendations, an intervention should concentrate on strict blood glucose control, diet modification, and medication use. The idea is to improve Mrs. Smith’s renal function, stabilize her blood glucose level, and reduce the risk of complications (American Diabetes Association, 2022).

Additionally, we have included findings from reputable scholarly journals in our concept map. These peer-reviewed studies offer a better look at what best practices in diabetes management, renal care, and patient outcomes should be. This is an assurance that our intervention is evidence-based, evaluated, and stays in tune with the current developments in areas of healthcare.

Conflicting Perspective 

Our concept map is founded upon sound evidence, but we will change our understanding after considering conflicting data and alternative views. The medical field is ever-changing, and we will be equipped to adjust our approach based on the most recent research.

Role of Interprofessional Strategies in Achieving Outcomes

Achieving the desired outcomes in Mrs. Smith’s concept map for diabetes-related renal failure requires interprofessional strategies. Collaboration among different healthcare disciplines will promote a comprehensive and coordinated care plan with which her specific needs can be addressed. An interprofessional strategy is to convene regular team meetings to discuss Mrs. Smith’s progress and change interventions as her condition changes. This approach ensures that all team members, including nurses, physicians, dieticians, and pharmacists, are on the same page; hence, they will be more effective and integrated care delivery (Melo et al., 2022). This is another essential interprofessional strategy, which includes patient and family education. 

Involving Mrs Smith and her family in the decision-making process will improve treatment adherence and self-management and, in turn, improve long-term outcomes. Other interprofessional education sessions may address knowledge gaps or misconceptions regarding diabetes management and renal care (Calimag et al., 2022). Additionally, if Mrs. Smith’s condition is impacted by social determinants of health, including social workers and community health resources in the interprofessional team will help address any of these elements. Support for her dietary needs, medication affordability, and transportation to medical appointments can be found by collaborating with community resources.

Knowledge Gaps

The concept map for Mrs. Smith’s diabetes-related renal failure has identified knowledge gaps and areas of uncertainty. Comprehensive assessments and patient interviews are needed to improve outcomes, address psychosocial support, and understand her cultural beliefs. Additionally, insights into her home environment and long-term care coordination between healthcare settings will ensure effective self-care plans and continuity of care. Research on cultural competence and effective care transitions can strengthen interprofessional strategies and achieve desired outcomes.

Conclusion

The concept map for Mrs. Smith’s diabetes-related renal failure uses evidence-based approaches and interprofessional strategies for comprehensive care. Addressing knowledge gaps in psychosocial support, cultural considerations, home environment, and long-term care coordination is essential. Continuously updating the map with new evidence optimizes outcomes and promotes seamless care transitions for Mrs. Smith’s well-being.

References 

Agarwal, R., Filippatos, G., Pitt, B., Anker, S. D., Rossing, P., Joseph, A., Kolkhof, P., Nowack, C., Gebel, M., Ruilope, L. M., & Bakris, G. L. (2021). Cardiovascular and kidney outcomes with finerenone in patients with type 2 diabetes and chronic kidney disease: the FIDELITY pooled analysis. European Heart Journal, 43(6). https://doi.org/10.1093/eurheartj/ehab777 

American Diabetes Association. (2022). Home | ADA. Diabetes.org. https://diabetes.org/ 

Calimag, A. P. P., Chlebek, S., Lerma, E. V., & Chaiban, J. T. (2022). Diabetic ketoacidosis. Disease-a-Month, 69(3). https://doi.org/10.1016/j.disamonth.2022.101418 

Macias, E., Gutiérrez-Pizarraya, A., & Ramón Morillo-Verdugo. (2022). Influence of polypharmacy in the simultaneous presence of high pharmacotherapeutic complexity, drug interactions and non-adherence to medication in patients with HIV infection. Project 3-HIT. https://doi.org/10.1016/j.eimce.2022.09.007 

NURS FPX 6021 Assessment 1 Concept Map

Melo, L. C., Lima, F. R., Bracarense, C. F., Ferreira, J. F. M. F., Ruiz, M. T., Parreira, B. D. M., & Goulart, B. F. (2022). Inter-professional relationships in the Family Health Strategy: Perception of health management. Revista Brasileira de Enfermagem, 75. https://doi.org/10.1590/0034-7167-2021-0636 

NANDA. (2024). Welcome to NANDA International Defining the Knowledge of Nursing | Just another WordPress site. Nanda.org. https://nanda.org/ 

Rodríguez, N., Martínez-Jiménez, I., García-Ojalvo, A., Mendoza-Marí, Y., Guillén-Nieto, G., Armstrong, D., & Berlanga-Acosta, J. (2021). Wound chronicity, impaired immunity and infection in diabetic patients. MEDICC Review, 24(1), 44. https://doi.org/10.37757/mr2021.v23.n3.8 

Scheen, A. J., & Delanaye, P. (2022). Acute renal injury events in diabetic patients treated with SGLT2 inhibitors: A comprehensive review with a special reference to RAAS blockers. Diabetes & Metabolism, 48(2). https://doi.org/10.1016/j.diabet.2021.101315 

NURS FPX 6021 Assessment 1 Concept Map