NURS-FPX 6021 Biopsychosocial Concepts for Advanced Nursing Practice 1 ​​​​​​​Acute Care Setting Concept Map

NURS-FPX 6021 Biopsychosocial Concepts for Advanced Nursing Practice 1

Acute Care Setting Concept Map

Patient Profile:

• Age: 55 years
• Diagnosis: Acute renal failure
• Treatment: Hemodialysis 2 times per week
• Presenting Complaints: Peripheral edema, decreased urinary elimination, hypertension, uncontrolled hyperglycemia
• Secondary Diagnoses: Diabetes, hypertension

Introduction

Renal failure necessitates comprehensive medical and nursing management to optimize patient outcomes. This concept map delineates nursing care plans for acute renal failure patients in acute care settings. The narrative elucidates the scenarios, identifies nursing diagnoses, and details care plans with individual and collaborative interventions.

Additional Evidence from the Concept Map

This concept map centers on a 55-year-old male patient admitted to an acute care setting. Presenting complaints include peripheral edema, decreased urine output, hypertension, and uncontrolled hyperglycemia. Secondary diagnoses of diabetes and hypertension are noted, with recent diagnosis of acute renal failure necessitating bi-weekly hemodialysis.

Patient Profile:

• Age: 76 years
• Residence: Community nursing home for 3 days per week
• Presenting Complaints: Altered mentation, uncontrolled hyperglycemia, urinary incontinence, reduced mobility
• Additional Notes: 2nd-degree bedsore receiving care, visits family for 4 days per week, has personal caregiver
• Treatment: Hemodialysis 3 times per week

Introduction

Chronic renal failure patients in community care settings require specialized nursing management. This concept map outlines care plans for such patients, considering their unique needs and environment. The narrative explicates patient scenarios, nursing diagnoses, and devised care plans integrating individual and collaborative interventions.

Value and Relevance of the Scholarly Evidence Used in the Concept Maps

Scholarly evidence underpinning nursing diagnoses and interventions is assessed using the CRAAP test. Emphasizing currency, relevance, authority, accuracy, and purpose, the selected resources are deemed pertinent and credible. Their integration enriches nursing practice in managing acute renal failure and chronic kidney disease patients effectively.

Interprofessional Strategies to Achieve Desired Outcomes

Collaboration among healthcare professionals, families, and caregivers is pivotal in achieving optimal patient outcomes. Various interventions, from fluid restriction to nutritional management, demand coordinated efforts. Effective communication, education, and interdisciplinary teamwork are imperative in both acute and community care settings.

Conclusion

Renal failure necessitates holistic medical and nursing interventions to mitigate complications and enhance patients’ quality of life. Nursing diagnoses and interventions outlined in the concept maps exemplify tailored care approaches for acute and chronic renal failure patients. Interprofessional collaboration is fundamental in ensuring comprehensive patient care across diverse healthcare settings.

References

Andayani, R. P., Nurhaeni, N., & Wanda, D. (2020). Assessing the effectiveness of regular repositioning in preventing pressure ulcers in children. Pediatric Reports, 12(11), 8696. https://doi.org/10.4081/pr.2020.8696

Clare, S., & Rowley, S. (2017). Implementing the aseptic Non-Touch Technique (ANTT®) clinical practice framework for ASEPTIC TECHNIQUE: A pragmatic evaluation using a mixed methods approach in two London hospitals. Journal of Infection Prevention, 19(1), 6–15. https://doi.org/10.1177/1757177417720996

Delistefani, F., Wallbach, M., Müller, G. A., Koziolek, M. J., & Grupp, C. (2019). Risk factors for catheter-related infections in patients receiving permanent dialysis catheters. BMC Nephrology, 20(1). https://doi.org/10.1186/s12882-019-1392-0

Gelfand, S. L., Fitchett, G., & Moss, A. H. (2022). Recognizing the potential importance of religion and spirituality in the care of black Americans with kidney failure. Journal of the American Society of Nephrology, 33