choose your client from the clinical experience and prepare a concept map and make a powerpoint

Weekly Concept Focus

Mobility or Safety
Elimination
Oxygenation: Gas Exchange
Thermoregulation or fluid and electrolytes
Inflammation/infection
Tissue Integrity
Pain

Date:

Student name:

Clinical Site/Unit:

Clinical Site Instructor:

Clinical Site Mentor:

Overweight/underweight:

Allergies:

Marital Status:

Religion:

Cultural Background:

Primary Language:

Code status:

Diet/Nutrition:

Activity:

Treatments:

IV/Tubes/Ostomies:

Interdisciplinary Cares (OT/PT/RT):

Dressings/Wounds:
(type & location)

Oxygen:
(delivery method & amount)

Dialysis:

Admitting Medical Diagnosis(s):

Primary (if different than Admitting)

Secondary
(Do not include History Of):

Medication Data Sheet
Scheduled Medications that your patient is currently taking.

Drug Name and Classification

Expected action & indication for use

Side Effects/ Adverse Reactions

Medication/Food Interactions

Nursing Administration Special Instructions & Assessments

Client Education & Evaluation of Medication Effectiveness e.g. Pain Scale

Daily “Brains”, to be completed during clinical day.Begin your day with a plan and change/make notes as needed.You may print and use this template or create your own.

Room #:

Diet:

Ambulation:

IV fluids:

Allergies:

Medications

Treatments

Nursing care/interventions

Vital Signs

0700

0800

0900

1000

1100

1200

1300

ASSESSMENT SUMMARY: Complete in narrative form based on the form filled out during clinical day.

Body System

Vital Signs and Pain Level:

Sensory:

Neurological:

Respiratory:

Cardiac:

Integument:

Gastrointestinal:

Musculoskeletal:

Renal:

Endocrine:

Immune and Hematologic:

Psychosocial/ Sociocultural / Spiritual:

Patient education: (e.g. medication, possible complications associated with the patient, nutrition, activity)Complete in a narrative format exactly how you would educate the patient.Include 7 narrated sentences.

Outcome: Critical Thinking: Self assessment:
Self reflect on how your clinical experience correlates with what you learned in this week’s module.Objectives are located in the course under each module and are helpful in completing this section.
Outcome: Caring
Identify one example from your clinical day in which you observed, participated in, or provided some aspect of caring for the provision of psychosocial and/or cultural diversity needs. How did you inspire or make a difference in your patients life today?
References (at least 3 in APA format)