lOMoARcPSD|67691079
NIGHTINGALE COLLEGE
DIRECT-FOCUSED CARE: CONCEPT MAPPING ASSIGNMENT WORKSHEET
Client Information (SBAR) Concept of the Map
David West, 8-year-old Caucasian male newly diagnose with Inflammation
asthma. David and his parents are being seeing today to assess
Situation
the statues of his asthma and to determine if an adjustment is
needed in the plan of care.
The patient began wheezing and states he couldn’t catch his
breath after playing tag in physical education class two weeks
ago. He was taken to the provider where he was diagnosed with
asthma. The provider order for the patient to self-administer
albuterol inhaler 2 puffs with onset of asthma symptoms, peak
expiratory flow twice daily and record results as well as return to
the clinic in 1 week for reevaluation. Today David reported he use
the albuterol inhaler 3x during recesses, his peak expiratory flow
reading taken every morning and e every evening is as followed:
• Green zone: 86% of readings
Background
• Yellow zone: 14% of readings (x 2 readings)
He reported his Respiratory focused assessment as followed:
• Respiratory rate 20 breaths/min
• Lung fields clear to auscultation
• No obvious distress noted
Patient medical history includes a tonsillectomy related to recurrent strep infections at the age of 6
and no negative family history.
I suspect the patient is experiencing mild respiratory distress
during physical education. When someone with asthma exercises
Assessment
their airways can narrow due to muscle contractions causing mild
wheezing and chest tightness.
I recommend providing verbal education to the patient and
parents on what triggers Davids’s asthma, as well as providing
Recommendation education on the use of inhaler. Assess response to treatment
and consider further interventions like a nebulizer treatment if
symptoms persist.
Recognize Cues Analyze Cues
messages.downloaded_by
NIGHTINGALE COLLEGE
DIRECT-FOCUSED CARE: CONCEPT MAPPING ASSIGNMENT WORKSHEET
Client Information (SBAR) Concept of the Map
David West, 8-year-old Caucasian male newly diagnose with Inflammation
asthma. David and his parents are being seeing today to assess
Situation
the statues of his asthma and to determine if an adjustment is
needed in the plan of care.
The patient began wheezing and states he couldn’t catch his
breath after playing tag in physical education class two weeks
ago. He was taken to the provider where he was diagnosed with
asthma. The provider order for the patient to self-administer
albuterol inhaler 2 puffs with onset of asthma symptoms, peak
expiratory flow twice daily and record results as well as return to
the clinic in 1 week for reevaluation. Today David reported he use
the albuterol inhaler 3x during recesses, his peak expiratory flow
reading taken every morning and e every evening is as followed:
• Green zone: 86% of readings
Background
• Yellow zone: 14% of readings (x 2 readings)
He reported his Respiratory focused assessment as followed:
• Respiratory rate 20 breaths/min
• Lung fields clear to auscultation
• No obvious distress noted
Patient medical history includes a tonsillectomy related to recurrent strep infections at the age of 6
and no negative family history.
I suspect the patient is experiencing mild respiratory distress
during physical education. When someone with asthma exercises
Assessment
their airways can narrow due to muscle contractions causing mild
wheezing and chest tightness.
I recommend providing verbal education to the patient and
parents on what triggers Davids’s asthma, as well as providing
Recommendation education on the use of inhaler. Assess response to treatment
and consider further interventions like a nebulizer treatment if
symptoms persist.
Recognize Cues Analyze Cues
messages.downloaded_by
