Types of concept maps:

Spider map – Central concept

VonRecklinghausen

Syndrome

Risk Factors

Patho Diagnostics

Neuro

Cardiac

PulmonaryGI

GU

Integument

Psycho-social

MS

Advantages of Spider Map

• Easy to configure.

• All data is organized around a unified theme (diagnosis).

• Easy to read.

Disadvantages of Spider Map• Difficult to show relationships

without making the map very messy and hard to read.

• Doesn’t allow for integration of all data and the relationships among data.

• Hierarchical/Chronological

MI – CPK, EKG, pain, cardiac assess

Risk Factors

Patho

Diagnostics

Neuro GI GU Pulmonary Integument MS PS

Advantages to Hierarchical or Chronological Maps• Follow a definite pattern.

• Most general data is located at the top and moves to the most specific.

• Easy to read.

Disadvantages to Hierarchical or Chronological Maps• Shows no interrelationship

between data.

• Does not allow for critical thinking and thus limited problem solving.

• Flow chart – linear fashion

Risk Factors

Patho

Diagnostics

System Assessment

-Neuro

-Cardiac

-Pulmonary

-GI

-GU

-Integument

-MS

-PS

Medical Diagnosis

Advantages of Flow Chart

• Easy to read.

• Information is organized in a logical, ordered fashion.

Disadvantages of Flow Chart• Very minimal data noted on

concept map.

• Lack of critical thinking and clinical reasoning skills used.

• Usually very incomplete.

• Systems map – inputs/outputs• Smoking Chronic HTNLisinopril 5mg qd Family Hx CAD• Isosorbide MN 30mg qd • Decreased HDL Lipitor 10mg qd Decreased elasticity of vessels ?altered genes

• Increased catecholamines Vasoconstriction Nitrostat 0.4mg prn• Increased platelet adhesiveness Tearing effects on arteries• Accelerated atherosclerosis • Plavix 75 mg qd Coronary Artery Disease Hx stent placement, EF 64%

• Reports no pain Reocclusion of RCA CK-MB = 2.9 HR 58, NSR, BP 141/68, S1, S2

• Full ROM Fentanyl 50mcg prn Trop. = <0.04 Radial, DP, PT pulses 2+ bilat.

• Bedrest Versed 1 mg prn PTCA with brachytherapy Cap. Refill < 2sec, no JVD• for RCA 95% occlusion• Resp. unlabored, Clear bilat. O2 @ 2L/NC• SpO2 = 96%, RR = 18 Skin pink, intact, no bleeding or facial grimace/hand grasps =

bilat.• hematoma @ left femoral site, PERRL, MAEW, AAO X 3,

wife @ • BS X 4 quads, no N/V, ice chips only left radial IV site without redness, bedside• UO 200cc clear yellow by foley swelling or drainage, no edema• BUN/Cr = 39/1.0, Na/K = 138/4.4 H/H = 45/13.2 Potential for CABG due to re-occlusion• • Knowledge deficit r/t chronic cardiac condition Pt will verbalize understanding of 3 preventative measures by discharge.

• Educate on importance of regular exercise and low fat diet.• Educate on purposes and actions of meds.• Demonstrate to patient how to monitor B/P at home.

Advantages of Systems Map

• Very complete.• Includes all data on the map and

shows many relationships between the data.

• Uses critical thinking skills along with problem solving skills.

• Links theory and practice very well.

Disadvantages of Systems Map• With critical clients map can

get very involved and sometimes difficult to read due to the number of relationships noted.

• Takes more time to complete.