NIGHTINGALE COLLEGE
DIRECT-FOCUSED CARE: CONCEPT MAPPING ASSIGNMENT WORKSHEET
Name: Denny Lee
Cours BSN-246
e:
Client Information (SBAR) Concept of the
Map
Jane Doe is a 72 year old female hospitalized with signs of worsening Infection
Situation pulmonary infection, including shortness of breath, productive cough
with yellow sputum, low-grade fever, and respiratory distress.
Ms. Doe was hospitalized two weeks ago for pneumonia and discharged
one week ago. She returned with recurrent symptoms. Sputum culture
Background is positive for Streptococcus pneumoniae. She has risk factors for
infection complications, including advanced age, recent hospitalization,
and limited physical activity.
Clinical cues indicate active infection: elevated white blood cell count
with band cells, increased erythrocyte sedimentation rate, fever,
Assessment purulent sputum, and radiographic evidence of pulmonary congestion
and atelectasis. Findings suggest unresolved or recurrent bacterial
pneumonia requiring aggressive management.
Continue and monitor IV antibiotic therapy (vancomycin) per culture
and sensitivity results. Monitor temperature, WBC trends, sputum
color/amount, and respiratory status for response to treatment.
Promote infection control measures, including strict hand hygiene and
Recommendation
avoidance of respiratory irritants. Support immune function with
adequate hydration, nutrition, rest, and early mobilization. Educate Px
and caregiver on warnings signs of recurring infection and when to seek
care.
Recognize Cues Analyze Cues
Px shows clear cues of ongoing pulmonary infection. Laboratory findings of elevated white blood
She reports worsening shortness of breath, headache, cell count and increased ESR support an
and a productive cough with yellow sputum following acute inflammatory response. The sputum
a recent hospitalization for pneumonia. Furthermore, culture confirming Streptococcus pneumoniae
she has a low-grade fever, diaphoresis, and decreased identifies the infectious cause. Chest x-ray
oxygen saturation at 91%. Diagnostic findings support findings of pulmonary congestion and
infection, including a sputum culture positive for atelectasis explain impaired airway clearance,
Streptococcus pneumoniae, elevated white blood cell while an oxygen saturation of 91% reflects
DIRECT-FOCUSED CARE: CONCEPT MAPPING ASSIGNMENT WORKSHEET
Name: Denny Lee
Cours BSN-246
e:
Client Information (SBAR) Concept of the
Map
Jane Doe is a 72 year old female hospitalized with signs of worsening Infection
Situation pulmonary infection, including shortness of breath, productive cough
with yellow sputum, low-grade fever, and respiratory distress.
Ms. Doe was hospitalized two weeks ago for pneumonia and discharged
one week ago. She returned with recurrent symptoms. Sputum culture
Background is positive for Streptococcus pneumoniae. She has risk factors for
infection complications, including advanced age, recent hospitalization,
and limited physical activity.
Clinical cues indicate active infection: elevated white blood cell count
with band cells, increased erythrocyte sedimentation rate, fever,
Assessment purulent sputum, and radiographic evidence of pulmonary congestion
and atelectasis. Findings suggest unresolved or recurrent bacterial
pneumonia requiring aggressive management.
Continue and monitor IV antibiotic therapy (vancomycin) per culture
and sensitivity results. Monitor temperature, WBC trends, sputum
color/amount, and respiratory status for response to treatment.
Promote infection control measures, including strict hand hygiene and
Recommendation
avoidance of respiratory irritants. Support immune function with
adequate hydration, nutrition, rest, and early mobilization. Educate Px
and caregiver on warnings signs of recurring infection and when to seek
care.
Recognize Cues Analyze Cues
Px shows clear cues of ongoing pulmonary infection. Laboratory findings of elevated white blood
She reports worsening shortness of breath, headache, cell count and increased ESR support an
and a productive cough with yellow sputum following acute inflammatory response. The sputum
a recent hospitalization for pneumonia. Furthermore, culture confirming Streptococcus pneumoniae
she has a low-grade fever, diaphoresis, and decreased identifies the infectious cause. Chest x-ray
oxygen saturation at 91%. Diagnostic findings support findings of pulmonary congestion and
infection, including a sputum culture positive for atelectasis explain impaired airway clearance,
Streptococcus pneumoniae, elevated white blood cell while an oxygen saturation of 91% reflects
