CarePlan31.pdf


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Concept Mapping
Step 2. List clinical manifestations under each nursing diagnosis and other relevant data to support each diagnosis,
including lab data, medications, interventions, and assessment findings. All medical & nursing interventions should
be found in one or more of the boxes.
ND # 2 Risk for infection

ND # 1 Acute Pain

IV
Surgical incisions/staples
(arm, leg, abdomen)
Foley
IVC filter

Femur fx
Acetabular fx
Facial expressions
10/10
Moaning

ND # 3 Constipation
No BM
Abdominal discomfort
No bowel sounds
Not ambulatory

Chief Medical Diagnosis: MVA left acetabular
fx and left femur fx
Priority Assessments: Pain scale, HR, swelling
redness, WBC, facial expression, bowel
sounds, BM, palpate abdomen

Discharge
Pt is educated
Pain managed
Medically stable
Ambulatory

Pt Education
Rehab of left leg
Signs of infection

Concept Mapping