Concept Map Narrative Schizophrenia Patient
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A concept map is a crucial visual tool that portrays the links between various ideas. This map is created to dig into the details of a specific subject. Also, it assists in organizing thoughts and comprehending the association between different concepts of a particular topic. Nursing trainers must improve students’ thinking skills and judgment, and the use of this mapping is vital. Additionally, with the suitability of the concept map, the patient’s therapy team can examine progress, advanced symptoms, and interventions and suggest changes in the care plan if needed. The concept map was developed for Judith, a 22-year-old female of European and Native American descent. Judith is a college student diagnosed with schizophrenia. She is experiencing hallucinations and delusions and contends that she lacks family and friends’ support. This concept map was created to tackle Judith’s needs and raise compliance with the care plan.
Evidence-Based Patient-Centered Concept Map Example
Patient Analysis
During the interview with her parents, it was noted that the patient was diagnosed with schizophrenia when she was 19. This is after she joined college. Before then, she had an everyday daily life. The family is strongly affected by their cultural and spiritual beliefs. It was deduced that after the first diagnosis at 19 years, the family consulted tribe elders, who decided that Judith would not need to be admitted or any drugs administered. The tribal elders concluded that the girl was communicating with her ancestors. This communication with ancestors is a significant part of Native spirituality. However, where is the line drawn to differentiate between schizophrenia symptoms and hearing voices. Thus, Judith’s parents opted to stay with their daughter for a few months, and after the symptoms subsided, they sent her back to college. Her parents needed to be educated about the signs and symptoms of this mental condition and its management. Nonetheless, cultural beliefs hindered them. They did not know that hallucinations and withdrawal were some signs of the illness. Even though the parents are strict cultural adherents, the family is well-off and has insurance. This implies the family can afford medical services.
Further, the patient and her parents must be initiated to resources that employ cultural and medical requirements because of their strong cultural beliefs. In Indigenous communities, the tribe and family play a vital function in decision-making regarding many issues, including some medical situations. Therefore, including the parents, elders, and Judith in the decision-making process will help the patient to get the necessary help. They should be educated on adhering to the care plan and the risk factors for developing schizophrenia Evidence-Based Patient-Centered Concept Map Example.
Justification of the Value and Relevance of the Evidence Used
Utilizing evidence-based practice (EBP) assists healthcare providers in designing care plans for individual clients and traditional beliefs. Evidence-based practice is founded on critical thinking and assessment proof. Also, healthcare professional experience is an advantage in EBP. It encompasses the utilization of proven research to generate measurable outcomes.
The issue facing Judith is schizophrenia, which was first diagnosed when she was 19 but went untreated because of the cultural beliefs of her family. This means that her cultural beliefs are essential in establishing how to treat her illness. The family’s lack of understanding of schizophrenia threatens Judith, and if left untreated, she can develop Obsessive Compulsive Disorder (OCD) (Stein et al., 2019). However, EBP shows that planning one-on-one family activities and not arguing about her cultural beliefs are significant components in averting the development of OCD and other related disorders. Evidence-Based Patient-Centered Concept Map Example Since Indigenous Americans believe that she is communicating with her ancestors, offering the patient and her parent measurable outcomes like social interaction and reduced anxiety can aid in adhering to the care plan.
Further, to guarantee that Judith manages her condition fully, her thought process and impaired social interaction can be tackled by establishing a support system within the family and the community. The three nurse diagnoses were vital in assessing her hallucinations and sensory perception. The nursing interventions helped develop improved social skills and reduced anxiety and hallucinations.
Relevant and Measurable Criteria for Assessing the Level of Desired Outcomes
During the interview, the parents and the patient contend that she likes board games and taking walks. Thus, a walking plan must be formulated, and a close relative or friend can accompany her. Also, since she is now living at home, the family should formulate game nights. Furthermore, since the episode happened in college, the patient can take some time off and rearrange her learning goals. The patient should be allowed to complete her activities at her pace to avoid increasing the pressure that may lead to anxiety. Notably, touching the patient has proven to avoid instances of outbursts.
Communicating Aspects of the Concept Map
The patient and her parents must meet the care providers involved in the treatment. This will ensure that the patient and her guardians comprehend the concept map. When making any communication, the healthcare providers must remember her cultural background. This communication must be honest and open, meaning that the providers must communicate the dangers of missing medication or other interventions. Trust is significant during this communication (Ward, 2018). If there are any existing risk factors, the patient must be told Evidence-Based Patient-Centered Concept Map Example.
Further, how to avert future episodes must also be communicated to the parents and Judith. The communication must be patient-centered, meaning the care providers must allow the patient to ask all relevant questions. All medical jargon should be explained to all parties ably. Moreover, the doctor and patient should get privacy if Judith feels the parents are intruding on her privacy.
References
Stein, D. J., Costa, D. L., Lochner, C., Miguel, E. C., Reddy, Y. J., Shavitt, R. G., … & Simpson, H. B. (2019).Obsessive–compulsive disorder. Nature reviews Disease primers , 5 (1), 52.
Ward, P. (2018). Trust and communication in a doctor-patient relationship: a literature review. Arch Med , 3 (3), 36.
Evidence-Based Patient-Centered Concept Map Example
Create a patient-centered concept map and write a 3-5 page narrative in which you explain the process and considerations that went into creating your concept map.
Introduction
Evidence-based practice is a key skill in the tool kit of the master’s-prepared nurse. Its goal is to ensure that health care practitioners are using the best available evidence to ensure that patients are receiving the best care possible (Godshall, 2020). In essence, evidence-based practice is all about ensuring quality care.
In this assessment, you will apply evidence-based practice and personalized care concepts to ensure quality care and improve the health of a single patient. The concept map that you will create is an example of a visual tool that you can use for patient and family education.
Reference
Godshall, M. (2020). Fast facts for evidence-based practice in nursing (3rd ed.). Springer Publishing Company.
Professional Context
Concept maps are widely used in nursing care. They can be effective tools for organizing workload, prioritizing patient care strategies, and developing personalized care approaches. In addition to organizing care, they can aid in ensuring that the patient’s care is individualized to not only their health conditions, but also their familial, cultural, and environmental situations.
Scenario
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. By utilizing a concept map, a nurse can simplify the connection between disease pathways and emotional, cultural, socioeconomic, and personality considerations that impact a patient’s health.
Instructions
Develop a patient-centered concept map for a chosen condition. This could be a disease, or a disorder based upon the best available evidence that has been individualized to treat your patient’s health, economic, and cultural needs. Write a brief 3–5 page narrative that explains why the resources cited in the concept map and narrative are valuable and relevant. Describe how you incorporated the patient’s individual culture, identity, abilities, and beliefs into the plan of care. Also, be clear about your specific communication strategies for relating information to the patient and their family.
The bullet points below correspond to grading criteria in the scoring guide. Be sure that your map and narrative address all of the bullets below, at minimum.
Part 1: Concept Map
Visit Healthy People 2030’s Browse Objectives page and select a topic.
• Design a patient-centered concept map based upon the best available evidence for treating a patient’s specific health, economic, and cultural needs.
o Include objective and subjective assessment findings to support three nursing diagnoses.
o Include interventions that will meet your patient’s individual needs.
o Include measurable outcomes for each nursing diagnosis using SMART goals: (S)pecific, (M)easurable, (A)chievable, (R)elevant, and (T)ime-bound.
Part 2: Supporting the Concept Map
• Analyze the needs of a patient, and those of their family, to ensure that the interventions in the concept map will be relevant and appropriate for their beliefs, values, and lifestyle.
o Explain how you incorporated the patient’s individual culture, identity, abilities, and beliefs into the plan of care.
o Consider how your patient’s economic situation and relevant environmental factors may have contributed to your patient’s current condition or could affect future health.
o Consider how your patient’s culture or family should inform your concept map.
• Apply strategies for communicating with the patient and their family in an ethical, culturally sensitive, and inclusive way.
o Explain how you will communicate the proposed interventions and evaluation plan in an ethical, culturally sensitive, and inclusive way. Ensure that your strategies:
 Promote honest communications.
 Facilitate sharing only the information you are required and permitted to share.
 Enable you to make complex medical terms and concepts understandable to your patient and their family regardless of language, abilities, or educational level.
• Explain the value and relevance of the resources you used as the basis for your patient-centered concept map.
o Explain why your evidence is valuable and relevant to your patient’s case Evidence-Based Patient-Centered Concept Map Example
 Include a critique of the resources you used and specify the level of evidence.
o Explain why each piece of evidence is appropriate for the health issue you are addressing and for the unique situation of your patient and the family.
 Include how the evidence was used to plan your interventions.
• Convey purpose of the assessment narrative in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and scholarly communication standards.
o Integrate relevant sources to support assertions, correctly formatting citations and references using APA style.
The suggested headings for your paper are:
• Patient Needs Analysis.
• Communication Strategies.
• Value and Relevance of Resources.
Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:
• Concept Map Exemplar [DOCX].
• Concept Map Narrative Exemplar [DOCX].
Submission Requirements
• Length of narrative: 3–5 double-spaced, typed pages. Your narrative should be succinct yet substantive.
• Number of references: Cite a minimum of 3–5 sources of scholarly or professional evidence that support your evaluation, recommendations, and plans. Current source material is defined as no older than five years unless it is a seminal work. Be sure you are citing evidence in both parts.
• APA formatting: Resources and citations are formatted according to current APA style.
• Please submit both your concept map and your narrative as separate documents in the assessment submissions area.
o You must submit both documents at the same time. Make sure both documents are attached before submitting your assessment.
Competencies Measured
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:
• Competency 1: Apply evidence-based practice to plan patient-centered care.
o Design an individualized, patient-centered concept map, based upon the best available evidence for treating a patient’s specific health, economic, and cultural needs.
o Analyze the needs of a patient, and those of their family, to ensure that the intervention in the concept map will be relevant and appropriate for their beliefs, values, and lifestyle.
Competency 4: Evaluate the value and relative weight of available evidence upon which to make a clinical decision.
o Explain the value and relevance of the resources used as the basis for a patient-centered concept map.
Competency 5: Synthesize evidence-based practice and academic research to communicate effective solutions.
o Apply strategies for communicating with the patient and their family in an ethical, culturally sensitive, and inclusive way.
o Convey purpose of the assessment narrative in an appropriate tone and style, incorporating supporting evidence, and adhering to organizational, professional, and scholarly communication standards Evidence-Based Patient-Centered Concept Map Example
( Mental Health topic preferably)
