Pathogram Assignment
PURPOSE
This purpose of this assignment is for the student to present a complete picture of nursing care of a critically-ill individual encountered during the course. The student will demonstrate clinical reasoning skills and will discuss interdisciplinary care that had been incorporated and/or anticipated during the care of the critically-ill individual.
REQUIREMENTS: THE FOLLOWING ELEMENTS MUST BE INCLUDED IN THE PAPER
Background Information on the critically-ill Individual:
Make sure to outline each following topic presented below in the paper
• Demographics
• History of present illness
• Relevant past medical and surgical history
• Admitting diagnosis(es)
• Course of current hospitalization to date
• Review of systems (ROS) with rationale for abnormal findings
• Assessment findings during day(s) of care. Includes vital signs, focused assessment, and data from monitoring devices.
Laboratory and Diagnostic Tests
Identify and list all lab values and diagnostic tests/procedures performed. Include the rationales for
performing the tests and for any abnormal results. Provide an analysis of the relationships between/among the diagnostic tests and lab results with the critically-ill individual's current condition(s).
Medications
Indicate the trade name and generic name, the medication classification, the therapeutic use, major adverse effects, the nursing implications, and patient teaching. Also include the rationale(s) as to why the medication
is prescribed for treatment. For example, document the rationale for how the treatment corrects the critically-ill individual's condition or a side effect of another drug that is prescribed for treatment.
Nursing Diagnoses
In order of priority, identify three (3) nursing diagnoses for the plan of care. The nursing diagnoses may
include "Risk for" and "Potential Complications" (PCs). Include three (3) nursing outcomes, a minimum of three (3) nursing interventions, and a minimum of three (3) collaborative interventions for each nursing diagnosis or potential complication.
Interventions
Routine Nursing Management
Describe independent nursing care you provided in the care of the critically-ill individual. Examples include,
but are not limited to: activity level, position, ongoing monitoring, nutrition (prescribed diet, tube
feedings/TPN, formula, rate and calculation of basal energy expenditure (BEE), patient education, wound care etc. The rationale must be included for each intervention.
Interdisciplinary (ID) Care
Collaborative Management
Identify the members of the interdisciplinary team caring for the critically-ill individual. Provide a brief description of their roles and responsibilities. Interdisciplinary team members include, but are not limited to: physician, pharmacist, lab/diagnostic tests personnel, respiratory therapy, physical therapy,
occupational therapy, speech therapy, social work/case management, pastoral care, ethicist, etc.
Therapeutic Modalities
Describe the various therapeutic modalities used in the management of care for the critically-ill individual. Discuss the extent of the nurse's responsibilities and skills required to manage the therapeutic modality in comparison to the responsibilities of the members of the interdisciplinary team. Therapeutic modalities include but are not limited to: oxygen therapy (mode, FiO2,), dialysis/CRRT (settings), ventilator therapy (mode of ventilation, settings, FiO2). The rationale must be included for each modality.
Nursing Role Reflection
Provide a brief summary of how your role interacted with the members of the interdisciplinary team. Include in your summary
• Analysis of communication style preferences among interdisciplinary team members and with the
critically-ill individual and family members. What is the impact of your own communication style on others?
• System barriers and facilitators. Did the organizational framework for interdisciplinary management of care facilitate or hindered the quality of care/outcomes for the critically-ill individual? What
recommendations can you make to the organizational system for enhancing interdisciplinary collaboration? Provide at least two (2) evidence-based literature items to support your recommendations.
• Professional Development. Based on your experience(s), write ideas for your own professional self- development plan to enhance your potential for becoming an effective member in an interdisciplinary team.
PREPARING THE ASSIGNMENT
Style and Format
The paper should be typed and presented in APA format, including an APA title page, us of headings, and references with in-text citations. Spelling and grammar will be evaluated with this assignment.