MSN-FPX6021 Assessment 1 Concept Map
Concept Map Narrative
Nursing care planning is integral to improving patient outcomes. The concept map analyzes themes in caring for a patient with type 2 diabetes who presents with impaired glucose/ metabolic imbalance to achieve high-quality outcomes. This narrative evaluates additional evidence, relevance and validity, and reliable interprofessional collaboration strategies applicable to this patient.
Mrs. Joe comes to the outpatient department with complaints of fatigue and shortness of breath, even at rest. She is a diabetic patient who is under daily insulin injection. She reports forgetting to take her medications at times. Diabetes type 2 is characterized by high blood sugar levels, increased gluconeogenesis, and poor glucose intake in the cells (Kalra & Sharma, 2018).
Evidence shows that over 50% of newly diagnosed diabetes type 2 patients usually present with fatigue (Kalra & Sahay, 2018). Diabetic patients suffer from low blood sugar levels with active management with antidiabetics. Patients and healthcare providers thus strive to maintain a balance between under and over-management, all of which produce life-threatening situations. Fatigue is also a common problem in cardiovascular, liver, and kidney disorders, hence the need for comprehensive patient assessment.
Interprofessional collaboration is vital to achieving high-quality outcomes and promoting patient safety in healthcare settings. The strategies discussed are open and free communication, shared decision-making, leveraging healthcare technology, and integrating interprofessional collaboration into routine tasks and projects. Open and free communication is an effective communication strategy in managing this patient.
It allows information, insights, and resource sharing, improving the healthcare healing environment (Wei et al., 2019). The information about the care interventions should be shared freely and openly with other healthcare providers in the concept map. Other professionals, such as doctors and nutritionists, provide advanced knowledge and fields that inform patients’ care. In addition, patient information such as their health and biodata are also vital in care interventions, hence the need for its availability.
Another strategy is leveraging healthcare technology to promote interprofessional collaboration. Healthcare technologies such as smartphone apps and electronic health records improve communication and interaction between professionals (Johnson, 2021). The information is essential in provoking healthcare action and increasing healthcare professionals’ responsibility and participation. Healthcare technologies utilize each professional’s knowledge and help allocate tasks according to their expertise. Using healthcare technology to organize work ensures clarity and lack of role confusion, thus increasing healthcare system efficiencies.
Shared decision-making is an important strategy in ensuring all professionals participate. Shared decision-making for this patient will entail sharing the care plan and incorporating the perspectives of other healthcare professionals. The care interventions are also subject to change when other healthcare providers raise rational arguments. The decisions on the treatment modality changes are interprofessional and will ensure high-quality decisions that are holistically inclusive.
Integrating collaboration into routine tasks and projects improves interprofessional collaboration (Wei et al., 2019). During ward rounds, professionals from all disciplines gather around patients to discuss their healthcare conditions, progress, and changes in therapy and remedy them to improve patients’ health. During these rounds, they can discuss effective modalities and make vital decisions such as changes in treatment modalities, laboratory tests, referral, transfer, and discharge of patients.
Creating internal (within the ward) review tasks will help make reliable healthcare decisions to improve care quality and patient safety. In the concept map, the nurse will liaise with the physician’s instructions on the dosage and frequency of the administration of the drug for quality decisions, thus leading to quality health outcomes.
The interprofessional team members involved in the care of this patient are nurses, doctors, nutritionists, and pharmacists. The doctor will review the patient and prescribe appropriate interventions, which the nurse will review and implement for this patient. The nutritionist will check the patients’ nutritional status, advise them appropriately, and communicate the same to the nurse. The pharmacist will review the medications prescribed for this patient for appropriateness, safety, and efficacy and offer advice before dispensing the medications. The interprofessional team members will thus collaborate to achieve quality outputs for this patient.
Knowledge Gaps, Unknown or Missing information
The information provided includes the patient’s full history, history of illness, underlying conditions, and current management. The data is integral in choosing appropriate interventions to meet all patient’s needs. The information could potentially influence the chosen interventions and treatment modality to ensure quality outcomes for this patient.
Justification of Value and Relevance
|Sources||Level of Evidence||Justification|
|Silbert, R., Salcido-Montenegro, A., Rodriguez-Gutierrez, R., Katabi, A., & McCoy, R. G. (2018). Hypoglycemia among patients with type 2 diabetes: epidemiology, risk factors, and prevention strategies. Current diabetes reports, 18(8), 1-16. https://doi.org/10.1007/s11892-018-1018-0||Level 1- Systematic review of well-randomized control trials||The article is a high evidence level article that provides information on the epidemiology, risk factors, and prevention strategies useful in managing this patient. This article gives insight into the current management of hypoglycemia and its prevention.|
|Balaji, R., Duraisamy, R., & Kumar, M. P. (2019). Complications of diabetes mellitus: A review. Drug Invention Today, 12(1).||Level IV- cohort study review||The source is from a reliable database (EBSCO), which is peer-reviewed. The resource provides information on the effects of diabetes and how to manage it appropriately.|
|Kalra, S., & Sharma, S. K. (2018). Diabetes in the Elderly. Diabetes Therapy, 9(2), 493-500. https://doi.org/10.1007/s13300-018-0380-x||Level VI- Descriptive study||The article is a level six article used to gain insights into the significance of diabetes management and the associated issues. Descriptive studies/reviews help clarify information and add to the fund of knowledge before deciding on the care plan.|
|Kalra, S., & Sahay, R. (2018). Diabetes fatigue syndrome. Diabetes Therapy, 9(4), 1421-1429. https://doi.org/10.1007/s13300-018-0453-x||Level VI-descriptive study||The article is from a reputable database, too-Pubmed. It has a low level of evidence, but it is of great clinical significance because it expands on diabetes fatigue, a commonly misunderstood topic, and explains its causes, diagnosis, and management, which will aid in managing this patient appropriately.|
Concept maps are alternatives to traditional care plans that are hard to follow and get a holistic impression of a patient’s needs (Kommers, 2022). Concepts are simplified versions that use fewer texts to present broad ideas, making it easier to gather and reproduce the information for improved patient outcomes. Concept maps also have appealing and simple designs; hence, they are easy to read and follow icare provision. According to Pan et al. (2018), concept maps are good teaching and learning strategies. Thus, concept mapping is an integral tool for any nurse, student, or educator.
Diabetes type 2 is a chronic condition whose management entails simple yet effective procedures such as adherence to insulin injections. Concept mapping is a modern method of planning care that replaces traditional care plans and shows the interrelation between interventions and abstractions. The method is precise and comprehensive and allows for holistic patient care. Interprofessional collaboration is vital in healthcare settings, and shared decision-making, free and open communication, and leveraging healthcare technologies are some of the ways of improving interprofessional collaboration.
Balaji, R., Duraisamy, R., & Kumar, M. P. (2019). Complications of diabetes mellitus: A review. Drug Invention Today, 12(1).
Johnson, K. (2021). Preparing 21st-century counselors and healthcare professionals: Examining technology competency and interprofessional education comfort. https://westcollections.wcsu.edu/handle/20.500.12945/1905
Kalra, S., & Sahay, R. (2018). Diabetes fatigue syndrome. Diabetes Therapy, 9(4), 1421-1429. https://doi.org/10.1007/s13300-018-0453-x
Kalra, S., & Sharma, S. K. (2018). Diabetes in the Elderly. Diabetes Therapy, 9(2), 493-500. https://doi.org/10.1007/s13300-018-0380-x
Kommers, P. (2022). Concept mapping. In Sources for a Better Education. (1st Ed.). (pp. 75–102). Springer, Cham.
Pan, L., Xi, H. Q., Shen, X. W., & Zhang, C. Y. (2018). Toolbox of teaching strategies. Frontiers of Nursing, 5(4), 249–255. https://doi.org/10.1515/fon-2018-0033
Wei, H., Corbett, R. W., Ray, J., & Wei, T. L. (2020). A culture of caring: the essence of interprofessional healthcare collaboration. Journal of interprofessional care, 34(3), 324–331. https://doi.org/10.1080/13561820.2019.1641476