Posted: April 27th, 2023

Mr. Rivera is a 72-year-old patient with end stage COPD

Mr. Rivera is a 72-year-old patient with end stage COPD who is in the care of Hospice. He has a history of smoking, hypertension, obesity, and type 2 Diabetes. He is on Oxygen 2L per nasal cannula around the clock. His wife and 2 adult children help with his care. Develop a concept map for Mr. Rivera. Consider the patients Ethnic background (he and his family are from Mexico) and family dynamics. Please use the concept map form provided.

NUR2790_Module 02_Concept Map_v2.docx

Grading Criterion:

The student must list at least 3 risk factors related to the medical diagnoses
The student must list at least 5 possible/anticipated medications that the client may be on
The student is to describe a subjective statement that they client may say related to the medical diagnosis
The student is to list at least 3 objective assessments that would be expected with a client who has the medical diagnosis
The student is to list at least 5 specific sources of diagnostic data that would relate or be expected to be ordered for the client who has the medical diagnosis.
Identify at least two possible nursing diagnosis written in a 3-part format based on your subjective and objective criterion you established (3-part = Nursing diagnosis …. related to (R/t) symptoms…. as evidenced by (AEB) your subjective and objective criterion
Identify at least 3 nursing interventions that you would do for your client (NO MEDICATIONS)
Identify at least 3 medical interventions such as medications or treatments
List at least 3 major teaching points such as teaching about medications, risk factors, medical procedures or anticipated diagnostic procedures. A picture containing text Description automatically generated

Student’s Name Rasmussen NPR Concept Plan Date

Diagnostic Data

Patient Education

Nursing Interventions

Possible Nursing Diagnosis

Clinical Manifestations

Subjective:

Objective:

Medical Diagnosis

Patient Data/Risk Factors

Possible Medications

Pathophysiology

Medical Interventions

+++++

Patient Data/Risk Factors:

End stage COPD
History of smoking
Hypertension
Obesity
Type 2 Diabetes
Mexican ethnicity
Family dynamics
Possible Medications:

Albuterol
Ipratropium
Prednisone
Furosemide
Metformin
Subjective Statement:

“I can’t catch my breath.”
Objective Assessments:

Decreased oxygen saturation
Increased respiratory rate
Use of accessory muscles for breathing
Sources of Diagnostic Data:

Pulmonary function tests
Chest X-ray
Arterial blood gas analysis
Electrocardiogram
Complete blood count
Possible Nursing Diagnoses:

Ineffective airway clearance related to increased sputum production and thickening as evidenced by decreased oxygen saturation and increased respiratory rate
Impaired gas exchange related to reduced lung function as evidenced by decreased oxygen saturation and increased respiratory rate
Activity intolerance related to shortness of breath as evidenced by decreased activity level and increased respiratory rate
Nursing Interventions:

Assist with positioning for optimal breathing
Encourage deep breathing and coughing exercises
Monitor oxygen saturation and adjust oxygen delivery as needed
Medical Interventions:

Oxygen therapy
Bronchodilators
Diuretics
Patient Education:

Importance of smoking cessation
Medication regimen and side effects
Use of oxygen therapy and proper oxygen safety precautions