Client Name
Capella University
NURS-FPX6021: Biopsychosocial Concepts for Advanced Nursing Practice 1
Instructor’s Name
August 2024
Part 1: Concept Map
The concept map is necessary to identify the health condition of the patient admitted to Vila Health suffering from acute renal failure due to diabetes (Kaur et al., 2023). This map helps the patient understand their health condition and facilitates the staff in providing effective interventions to the findings obtained from the patient interaction and communication in the context of prevailing conditions. This plan not only administers the health situation of the patient but also provides methods and interventions along with the effective monitoring of the outcomes of the interventions provided to the patient to improve health conditions (Innis et al., 2023). This concept plan is based on the health situation of Mrs. Smith after admitting to the hospital and after her discharge from the hospital including both the acute and chronic phases of patient treatment. This plan assesses the problems of the patient including 3 nursing diagnoses for each phase and then provides relevant solutions and outcome monitoring for improved health of the patient.
North American Nursing Diagnosis Association (NANDA)
NANDA is an international standard for the effective diagnosis of the patient’s condition and appropriate solutions to the patient’s health problems (Suárez et al., 2023). According to the case study scenario of Mrs.Smith NANDA will be used to effectively monitor and assess the health and safety of the patient in acute care settings and chronic conditions. The patient is suffering from acute renal failure due to type II diabetes and high blood glucose levels. The patient was admitted to the acute care unit having a history of blood glucose levels before meals 200 and after meals rising to 350+ indicating the current HA1C at 8.5. Considering the biopsychosocial approach as a nurse dealing with the health condition of Mrs. Smith I will assess the health problems before and after hospital admission, suggest interventions, and identify the outcomes for the proposed interventions.
The concept map is based on the health condition of Mrs.Smith, a 52-year-old woman admitted to Vila Health’s emergency department with a situation of having severe renal failure due to uncontrolled diabetes, excessive fluid, and high blood glucose levels (LaNoue et al., 2016). She was having difficulty in breath and swollen legs which made her feel weak and tired. The information regarding the health history of the patient is collected by communicating through interviews with the patient for a detailed analysis of the health situation and proper interventions. The implementation of NANDA ensures that an effective healthcare plan is provided to the patient by considering the needs and preferences of the patient.
Part 2: Additional Evidence
Value and Relevance of Evidence as Basis of Concept Map
Acute renal failure makes it difficult to prevent damage to the kidneys and stabilize the condition of the patient by monitoring urine output and fluid volume (Goyal et al., 2023). Kidney Disease: Improving Global Outcome guidelines ensures the effective monitoring of kidney function and the use of insulin injections and IV fluids to control the level of blood glucose. An early response to the damaging condition of the kidney can prevent health harm and many other health issues like weakness and tiredness. The improved management of the levels of fluid in the body reduces the risk of exacerbation of renal failure (Vaidya & Aeddula, 2022). The monitoring of electrolytes is also necessary in preventing kidney problems along with other healthcare issues. The National Kidney Foundation (NKF) focuses on effectively monitoring the levels of electrolytes in the body.
The American Diabetes Association (ADA) focuses on the fact that an appropriate diet based on the effective measurement of the diabetes level reduces the risk of increasing blood glucose levels which helps the patient in improving the health condition effectively (American Diabetes Association, 2019). The provision of proper diet plans to the patient along with the availability of community resources is necessary to ensure that adequate care is provided to the patient to improve the health condition. Centers for Disease Control and Prevention (CDC) focuses on providing effective and necessary education to patients and giving them information regarding self-management for better patient outcomes a reduction in the rate of hospital readmission and a decrease in health disparities. The continuous and regular monitoring of blood glucose levels helps in reducing the risk of renal failure and exacerbation of hyperglycemia (Corsino et al., 2020). This will also help in managing the levels of diabetes with the implementation knowledge regarding self-management and adhering to a specific diabetic management plan.
Interprofessional Strategies Applied to Concept Map
Interprofessional collaboration always has a significant impact on improving the health condition of the patient due to their shared expertise and improved knowledge regarding the best evidence-based practices that can be applied to the healthcare situation of the patient for effective and stable results (Samuriwo, 2022). In the case of Mrs. Smith, many interprofessionals work together in both the acute and chronic phases to stabilize the condition of the patient and improve the quality of care provided to the patient after discharge from the hospital. The role of a nephrologist in ensuring the effective care of Mrs.Smith is to regularly monitor and manage the fluid levels along with the monitoring of electrolytes for stabilized condition. They play a significant role in preventing long-term health damage by properly monitoring the effectiveness of the functions of the kidney. The responsibility of the endocrinologist is to ensure that proper insulin levels are maintained and that blood glucose is regularly monitored to ensure the stabilization of the health condition. This effective monitoring helps reduce the risk of renal failure by properly managing the levels of hyperglycemia.
Dietitians are responsible for providing a proper diabetic diet plan to the patient so that they can effectively intake meals that are healthy and sufficient to monitor and manage the level of diabetes (Petroni et al., 2021). Pharmacists were responsible for providing adequate medication to the patient which will be in alignment with their health condition. The primary care provider monitors the overall health of the patient along with the home health nurse who checks the vital signs, manages the insulin level, and monitors the health and safety needed by the patient. Social workers providing community resources like meal delivery also have great significance in the case of Mrs.Smith when her daughter is not available to provide her with effective diabetic meals.
Area of Uncertainty
Mrs. Smith does not have sufficient knowledge regarding the management of her diabetes level as she has no clue how exacerbating her diabetes level can increase the risk of renal failure (Buades et al., 2021). She was unaware of the impact of increasing diabetes levels on the improper functioning of the kidney. Her home help and support were inconsiderate which resulted in increasing her diabetic level as she was unable to have proper diabetic meals. Mrs. Smith’s knowledge regarding the effective management of insulin levels and proper medication management is uncertain. The weakness, tiredness, and blurred vision can be due to any cognitive problem which is unclear to Mrs.Smith.
NURS FPX 6021 Assessment 1 Conclusion
The provision of improved care to the patient in the acute phase and chronic phase is the responsibility of healthcare organizations, professionals, and nursing staff (Mula & Estrada, 2020). The concept map helps the nursing staff and the other professionals to identify the issue, provide effective interventions, and assess the outcomes of the patient to understand the effectiveness of the interventions provided to the patient. This map will provdie a deep insight into each diagnosis by providing relevant solutions to the diagnosis and considering the ends and preferences of the patient by efficiently communicating with the patient regarding the health condition and any history of medications. In the case study scenario of Mrs. Smith, her condition was worse when she was admitted to the hospital as she was suffering from acute renal failure due to the increased level of diabetes. Considering the biopsychosocial method of managing the health condition of the patient every aspect of health and care should be identified while providing coordinated care to the patient for effective patient experience and response. The NANDA guidelines also have a great impact on the effectiveness of the treatment provided to the patient as it ensures that patient safety is maintained in any case (Suárez et al., 2023). The collaboration of interprofessional teams plays a significant role in ensuring the health and safety of the patient.
NURS FPX 6021 Assessment 1 References
American Diabetes Association. (2019). Standards of medical care in diabetes—2019 abridged for primary care providers. Clinical Diabetes, 37(1), 11–34. https://doi.org/10.2337/cd18-0105
Buades, J. M., Craver, L., Pino, M. D., Velasco, M., Ruiz, J. C., Salgueira, M., Sequera, P., & Vega, N. (2021). Management of kidney failure in patients with diabetes mellitus: What are the best options? Journal of Clinical Medicine, 10(13), 2943. https://doi.org/10.3390/jcm10132943
Corsino, L., Dhatariya, K., & Umpierrez, G. (2020). Management of Diabetes and Hyperglycemia in Hospitalized Patients. MDText.com. https://www.ncbi.nlm.nih.gov/books/NBK279093/
Goyal, A., Daneshpajouhnejad, P., Hashmi, M. F., & Bashir, K. (2023). Acute kidney injury (acute renal failure). StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK441896/
Innis, J., Johnston, S., & Cambly, E. (2023). Concept mapping in simulation within nursing education: A scoping review protocol. Nursing Reports, 13(1), 109–113. https://doi.org/10.3390/nursrep13010011
Kaur, A., Sharma, G. S., & Kumbala, D. R. (2023). Acute kidney injury in diabetic patients: A narrative review. Medicine, 102(21), e33888–e33888. https://doi.org/10.1097/md.0000000000033888
LaNoue, M., Mills, G., Cunningham, A., & Sharbaugh, A. (2016). Concept mapping as a method to engage patients in clinical quality improvement. Annals of Family Medicine, 14(4), 370–376. https://doi.org/10.1370/afm.1929
Mula, J., & Estrada, J. (2020). Impact of nurse-patient relationship on quality of care and patient autonomy in decision-making. International Journal of Environmental Research and Public Health, 17(3), 835. https://doi.org/10.3390/ijerph17030835
Petroni, M. L., Brodosi, L., Marchignoli, F., Sasdelli, A. S., Caraceni, P., Marchesini, G., & Ravaioli, F. (2021). Nutrition in patients with type 2 diabetes: Present knowledge and remaining challenges. Nutrients, 13(8), 2748. https://doi.org/10.3390/nu13082748
Suárez, C.-A., González, H., HernándezLuis, M.,Gutiérrez, D., Alberto, C., & Brito, P. (2023). Effectiveness of a standardized nursing process using NANDA international, nursing interventions classification and nursing outcome classification terminologies: A systematic review. Healthcare, 11(17), 2449. https://doi.org/10.3390/healthcare11172449
Samuriwo, R. (2022). Interprofessional collaboration—time for a new theory of action? Frontiers in Medicine, 9(9). https://doi.org/10.3389/fmed.2022.876715
Vaidya, S., & Aeddula, N. (2022). Chronic kidney disease. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK535404/
