Mapping: organizing information from Allied Heathcare textbooks. YOUR WAY TO COLLEGE SUCCESS! Why is it important to use? An alternative way of note-taking rather than outlining, mapping is an excellent way to gain experience in identifying major details and minor supporting details. It forces you to selectively search for the important points. You reorganize the information you have read and annotated into visual notes. This way you can clearly see the relationships between the details and the main idea. • A map is a graphic or visual summary of reading material. What ? • Essential information (major ideas, supporting details and conclusions) is organized to illustrate importance and show relationships. Why ? • Mapping is an essential study tool. • It can be used when organizing writing, preparing essay exam questions, and studying vocabulary. • It helps you organize ideas when reading. • Gives you a road map of the territory. • Helps you focus on the material. • Keeps you an active reader! Increases your comprehension! How ? Determine the map’s starting point by identifying the main idea and placing it in a central position on your note taking paper. Identify the major and minor details. Connect them to the main idea in a design that reveals relationships. . Seeing these relationships is a critical skill for effective studying, reading, and writing WHERE TO BEGIN: After reading a section to the text, bracket the [main idea] and underline the details. Write key words in the margin. Now use your annotation! THE DESIGN Always start by placing your main ideas or keywords in the center and then start identifying any information or details that might relate to that keyword. Look at your main idea and the details you underlined. Place them on the map. Central Idea Major detail minor Major detail minor minor Maps Can be Different Shapes More Mapping Formats Look at your markings for the paragraph on assessing breathing: By 1) securing the airway you provide an open pathway for air to move into and out of the body. However, a patent airway 2) does not guarantee that the air will move in adequate volumes to support life. Recall that breathing accomplishes two essential functions: It brings oxygen into the body and it eliminates carbon dioxide. Although your body will tolerate the buildup of carbon dioxide longer that it will tolerate a lack of oxygen both of these functions are absolutely essential to support life. 3) Proper airway management must always be paired with the assessment of adequate breathing to ensure that both of these critical functions are occurring. If you determine that the patient’s breathing is not meeting the body’s needs, then you must take immediate corrective action. [A thorough primary assessment focuses on a rapid evaluation of both airway and breathing and identifies immediate life threats associated with the airway and the respiratory system.] (Emergency Care, 197) Now map it! Visualizing helps you remember! Main Idea: A thorough assessment focuses on a rapid evaluation of both airway & breathing & identifies immediate life threats from the airway & respiratory system Secure airway to create open air pathway Breathing has 2 essential functions brings no guarantee adequate vol. of air O2 into body Proper airway management pair with: eliminates CO2 if breathing not meeting body's needs, take immediate action assessment of adequate breathing Map of annotated text section P A R I E T A L B O N E S MAPPING: USING VISUAL NOTETAKING P A R I E T A L B O N E S CRANIAL BONES ETHMOID BONE TEMPORAL BONES SPHENOID BONE FRONTAL BONES Parietal Bones BONES FRONTAL FRONTAL BONES FRONTAL BONES FRONTAL BONES FRONTAL BONES OCCITPITAL BONE Let’s try some mapping! USE THE SELECTION FROM THE “THINK ALOUD”: “Sounds of an Obstructed Airway” On a sheet of paper, construct a map of the key points. Start with the main idea at the center or the top of your page. When finished move to the next slide to compare your map with the one on the slide. “SOUNDS OF AN OBSTRUCTED AIRWAY” mi 1 Stridor 2. Hoarseness 3. Snoring 4. Gurgling [A partially obstructed airway can often be identified by the sounds of limited air movement.] Understanding these sounds can help you better understand the pathophysiology of the obstruction. 1 Stridor is typically caused by severely obstructed air movement in the upper airway. As air is forced by pressure through a partial obstruction, a high pitched almost whistling sound can sometimes be heard. Typically, stridor indicates a severely narrowed passageway of air and suggests near obstruction. In stridor the obstruction can be a foreign body such as a toy, or it can be caused by swelling of the upper airway tissue as in infection. Next, the development of 2 hoarseness is often an ominous sign. For example, in a person whose airway is swelling after a burn, you may note a normal voice to begin with, but a raspy voice as swelling builds up around the vocal cord. Also, 3 snoring is the sound of the soft tissue of the upper airway creating an impedance (or partial obstruction) to the flow of air. Many persons normally snore while asleep, but snoring in the case of injury or illness can often indicate a decrease in mental status such as airway muscle tone is diminished. It is also an indication that the airway needs to stay open. Finally, 4 gurgling is the sound of fluid obstructing the airway. As air is forced through the liquid, the gurgling sound is made. Common liquid obstructions include vomit, blood and other airway secretions. Gurgling is a sign that immediate suctioning is necessary. “The Sounds of Partially Obstructed Airway” Listing Main Idea 1. Stridor 2. Snoring 3. Gurgling Partially obstructed airway can be identified by sounds of limited air movement Caused by severely obstructed air movement - upper airway High pitched, whistling sound Severely narrowed passageway, near obstruction, foreign body Ominous sign - hoarseness • Sounds of soft tissue, in upper airway creates partial obstruction • Case of injury indicates decrease in mental status • Airway muscle tone diminished • • • • Fluid obstructing airway Air forced through liquid Obstructions vomit, blood, airway secretions Immediate suctioning necessary Maps are practical tools for learning! Maps reflect the creator of the map. They should always include the main idea and major details but it is up to you, the creator, how the map will be laid out. Use maps to reinforce the information you are studying especially if you are a visual learner. Solving Problems Organizing Information Note Taking Why use Mapping? Working with your memory Brain Storming PRACTICE! Each group will select a paragraph from the ones we used for Patterns of Organization. As a group – review your annotation Decide on the organization of your map Create a map for the passage Share with the class Check your maps with the ones that follow. “Airway Physiology” Air enters body through mouth & nose. Nose designed to accept air sequence • mi • turns & curves air warmed Mouth entrance to digestive system. • entry for air distal to mouth & nose - air enters throat/pharynx “Is the Airway Open” sequence MI • Use Look, Listen, Feel method to check if airway present. 1 • Look at chest - visually inspect - see rising & falling - no foreign objects 2 • Listen at mouth - if sounds of breathing 3 • Feel - place hands on chest for movement “Skin” Cause & Effect “Skin” Cause and Effect loss of ability to circulate blood loss of significant amount of blood constriction of blood vessels causes skin to become pale The skin can provide clues to blood loss as well as a variety of other conditions. MI: “Heart Rate & Cardiac Output” Listing of Definitions “Heart Rate & Cardiac Output” Listing of Definitions Implied Main Idea: There are several different types of heart rates and beats. Heart rate: number of beats per minute. Adult = 72 Cardiac output: vol. of blood pumped in one min. 5 liters/min Arrhythmia: irregularity in heart’s rate or rhythm. Bradycardia: slow heart rate; less than 60 beats Tachycardia: fast heart rate; over 100 beats/min Extrasystoles: extra beats before the normal beat Fibrillations: rapid, uncoordinated contractions