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This Concept Map, created with IHMC CmapTools, has information related to: Clamb- concept map, #2 Nursing Diagnosis Impaired Verbal Communication Patient will express understanding regiment of care Client understood why she couldn't have fresh fruits/vegetables Evaluation Outcome Met, #3 Nursing Diagnosis Social Isolation Patient will discuss ways to minimize feelings of isolation before end of clinical shift on 6-3-08. AEB Subjective Data patient was withdrawn, Objective Data Patient made statement that she missed school and friends patient stated she was bored AEB Subjective Data patient was withdrawn, Subjective Data WBC: 5-29: 1.3 6-3: 2.0 IV antibiotic: Meropenem 1000mg capsule: Amoxicillin 500 mg Diet: No fresh fruits/vegetables Neutropenic precautions AEB #1 Nursing Diagnosis Risk for Infection Patient's will remain free from infection and not show signs of fever by end of shift on 6-3-08., Intervention #3 Involved patient in assisting with communicating with family rationales for care daughter spoke English, family speaks Arabic, little English #2 Nursing Diagnosis Impaired Verbal Communication Patient will express understanding regiment of care, Objective Data family speaking Arabic to one another Daughter translated for mother AEB #2 Nursing Diagnosis Impaired Verbal Communication Patient will express understanding regiment of care, Medications Amoxicillin 500 mg PO Famotidine 20 mg PO Meropenem 1000 mg IV To fight a possible infection Unknown Illness Leukopenia, Intervention #2 Worked closely with family to understand non verbal techniques such as pointing and facial expressions mother pointed to IV site wanting nurse to assess for infiltration frequently #2 Nursing Diagnosis Impaired Verbal Communication Patient will express understanding regiment of care, Subjective Data Patient verbalized that family understood a little bit of English Daughter stated she learned English 13 mo. ago at school AEB #2 Nursing Diagnosis Impaired Verbal Communication Patient will express understanding regiment of care, #3 Nursing Diagnosis Social Isolation Patient will discuss ways to minimize feelings of isolation before end of clinical shift on 6-3-08. ???? Evaluation Outcome not met, 15 y/o female ???? Piaget: formal operational stage Ericson: Identity vs. Role Confusion, Intervention #1 Gave family and client extra time to communicate questions and concerns Family has broken English and took longer to express needs #2 Nursing Diagnosis Impaired Verbal Communication Patient will express understanding regiment of care, Intervention #1 Assess pt. vitals q4h frequent assessments can identify signs and symptoms of infection #1 Nursing Diagnosis Risk for Infection Patient's will remain free from infection and not show signs of fever by end of shift on 6-3-08., #1 Nursing Diagnosis Risk for Infection Patient's will remain free from infection and not show signs of fever by end of shift on 6-3-08. decreased white blood cell count lowers immunity Unknown Illness Leukopenia, Intervention #3 Taught family about neutropenic precautions family needs to know importance of hand washing and no fresh flowers in room #1 Nursing Diagnosis Risk for Infection Patient's will remain free from infection and not show signs of fever by end of shift on 6-3-08., Intervention #1 Encouraged phone calls to friends keep her in the loop with friends #3 Nursing Diagnosis Social Isolation Patient will discuss ways to minimize feelings of isolation before end of clinical shift on 6-3-08., Labs WBC: 5-29: 1.3 6-3: 2.0 Hemoglobin: 10.5-11.4 Hematocrit: 31.1-34.4 Platelets: 96-147 Granulocytes: 16-30 Lymphocytes: 56-65 Basophils: 2-3 decreased WBC's Unknown Illness Leukopenia, Intervention #3 Encouraged family to bring in lap top for client to use can find peer support groups online and connection with friends through email and myspace #3 Nursing Diagnosis Social Isolation Patient will discuss ways to minimize feelings of isolation before end of clinical shift on 6-3-08., Objective Data pt. can speak English, family speaks Arabic as primary language AEB #1 Nursing Diagnosis Risk for Infection Patient's will remain free from infection and not show signs of fever by end of shift on 6-3-08., Unknown Illness Leukopenia Inability to communicate efficiently may have resulted in increased disease processes #2 Nursing Diagnosis Impaired Verbal Communication Patient will express understanding regiment of care