NURSING PROCESS CONCEPT MAP
Problem:
3 measurable outcomes
STUDENT NAME: Amanda Twining
Interventions (Rationale)
(with a related to statement)
Risk for caregiver role strain r/t 24hour care activities in hospital
1) Mother will state she feels supported by the
health care team by 12pm 4-30-14.
Supporting Assessment Data
Subjective:
2) Mother will take a half hour break, allowing
Dad to take over by 1pm 4-30-14.
Mother stated she was exhausted,
how it had been a long winter of not
feeling well.
3) Mother will verbalize she is comfortable with
the care plan by 11am 4-30-14.
Objective:
Mother appears tired, only left room
for about 10 minutes at one point to
walk family members out (Father
had come with patient’s sibling by
this point). Father spending most of
the time watching the 3-year-old
sibling.
Pt initials: MF Age: 6mo
Reason for requiring
health care: UTI and Fever
Date: 4-30-14
Written Evaluation:
Did these
interventions work
to meet the
outcomes?
1) Regularly monitor for signs of
anxiety/depression in the mother throughout
patient’s hospitalization 4-30-14 to
discharge. Rationale: Caregiving may
weaken the immune system and predispose
the caregiver to illness. Ackley p. 193
2) Arrange for intervals for the mother to take
time for herself at least once every four to
eight hours, preferably while the patient is
sleeping 4-30-14 to discharge. Rationale:
Respite care provides time away from the
care situation and can help alleviate distress.
Ackley p. 194
3) Involve both parents in the care plan, instead
of just the mother by the end of first shift on
4-30-14. Rationale: Discharge planning that
begins well before discharge creates better
communication – both parents will know
what is going on, and will be able to discuss
it together. Ackley p. 194
4) Encourage regular communication between
the mother and the health care team,
continuously throughout patient’s
hospitalization 4-30-14 to discharge.
Rationale: There can be a large discrepancy
between what the health care professional
feels s/he has communicated and what the
caregiver reports hearing. Ackley p. 194
Evaluation
Outcome “Mother will state she feels supported by the health care team by 12pm 4-30-14”: PARTIALLY MET. MODIFY PLAN OF CARE: Initiate
caregiver education every three hours, allowing her to ask questions as needed. STATEMENT OF EVIDENCE: Mother did not plainly state she felt
supported by the health care team, but she was more vocal about her child’s needs by 12pm 4-30-14 (asking more and more frequently that we check the
patient’s temperature).
Outcome “Mother will take a half hour break, allowing Dad to take over by 1pm 4-30-14”: NOT MET. MODIFY PLAN OF CARE: Create a schedule for
the parents, so they will take regular breaks, thus preventing either one from being overwhelmed. STATEMENT OF EVIDENCE: Mother did not take
any breaks, with the exception to walk family members out of the hospital, by 1pm 4-30-14.
Outcome “Mother will verbalize she is comfortable with the care plan by 11am 4-30-14”: MET. STATEMENT OF EVIDENCE: Mom verbalized was
[Type(by
text]
relieved
11am 4-30-14) that patient would be eligible for discharge if feeding intake increased.