Clinical Concept Map Problem Template
Bay State College
School of Nursing
Student Name:___________________ Clinical Date: June 29, 2020
Primary Admission Diagnosis:
Pneumonia
Patient Data: 80 year old
female with history of Supporting Signs & Symptoms:
Diabetes Mellitus Type 2,
Weighs 89 lbs
HTN, falls, COPD, bilat
hip fxs w/ repair, Bilateral heels warm, red, and hardened when
anemia, anorexia touched, reports pain when walking
Stage 2 ulcer on coccyx- open 3cm ulcer with pink
wound bed
Nursing Diagnosis: Impaired skin integrity related to pressure ulcer as defined by
open ulcer with pink wound bed
Nursing Interventions: Collaborative Interventions:
Nursing Interventions:
Provide daily wound Consult with wound care nurse to
Apply Zinc barrier cream to
cleaning ulcer q8h monitor healing progress of
pressure ulcer.
Outcome: Pressure ulcer
will be healed with new
Outcome: Ulcer will
Outcome: Ulcer skin at discharge.
not progress to Stage
3 before discharge. border does not
expand past 3 cm
diameter at
discharge.
Bay State College
School of Nursing
Student Name:___________________ Clinical Date: June 29, 2020
Primary Admission Diagnosis:
Pneumonia
Patient Data: 80 year old
female with history of Supporting Signs & Symptoms:
Diabetes Mellitus Type 2,
Weighs 89 lbs
HTN, falls, COPD, bilat
hip fxs w/ repair, Bilateral heels warm, red, and hardened when
anemia, anorexia touched, reports pain when walking
Stage 2 ulcer on coccyx- open 3cm ulcer with pink
wound bed
Nursing Diagnosis: Impaired skin integrity related to pressure ulcer as defined by
open ulcer with pink wound bed
Nursing Interventions: Collaborative Interventions:
Nursing Interventions:
Provide daily wound Consult with wound care nurse to
Apply Zinc barrier cream to
cleaning ulcer q8h monitor healing progress of
pressure ulcer.
Outcome: Pressure ulcer
will be healed with new
Outcome: Ulcer will
Outcome: Ulcer skin at discharge.
not progress to Stage
3 before discharge. border does not
expand past 3 cm
diameter at
discharge.
