Concept Analysis Diagram - Perfusion



RNSG 1324Concept-Based Transition to Professional Nursing PracticeConcept – PERFUSIONConcept Definition Perfusion is the flow of blood through arteries and capillaries delivering nutrients and oxygen to cells and removing cellular wastes. (G)ExemplarsBasic ECG RhythmsCongestive Heart FailureHypertensionGestational HypertensionMitral Valve ProlapseCoronary Artery Disease (CAD)Peripheral Vascular Disease (PVD)ObjectivesExplain the concept of perfusion (including definition, antecedents, and attributes).Explain the correlation between each of the listed exemplars to the concept of Perfusion (including compromised antecedents, deficit measurement in attributes, a list of negative consequences, and the interrelated concepts which may be involved).Identify conditions that place an individual at risk for imbalance leading to compromised Perfusion resulting in the listed exemplars (exception of Basic ECG Rhythms).Analyze conditions which place a patient at risk for perfusion imbalance.Identify when perfusion imbalance (negative consequence) is developing or has developed.Apply the nursing process (including collaborative interventions) for individuals experiencing perfusion imbalance and to promote normal perfusion. Sub Objectives Basic ECG RhythmsExplain the electrical conduction not the heart.Discuss the correlation of the ECG waves to the cardiac conduction.Describe the lead placement for an ECG.Calculate the heart rate from an ECG paper strip.Identify a normal sinus rhythm, sinus bradycardia, sinus tachycardia, and a sinus arrhythmia.Peripheral Vascular Disease (PVD)Describe the pathophysiology, risk factors and clinical manifestations for a patient with PVD.Identify the current treatments for a patient with PVDIdentify two priority nursing diagnosis for a patient with PVDIdentify two priority education topics for a patient with PVD HypertensionExplain the correlation between primary hypertension to the concept of perfusion (including compromised antecedents, deficit measurement in attributes, a list of negative consequences, and the interrelated concepts which may be involved). Identify conditions that place an individual at risk for imbalance leading to a compromised concept(s) resulting in hypertension. Apply the nursing process with collaborative interventions for individuals experiencing Primary hypertension.Gestational HypertensionDifferentiate among gestational hypertension, preeclampsia/eclampsia, and chronic hypertension. Identify patient education, medications, interventions and collaborative management required by patients with gestational hypertension.Identify the pathophysiological process underlying gestational pare care management for patients with mild pre-eclampsia vs. care with severe preeclampsia.Identify current medication therapy for patients with gestational hypertension. Congestive Heart FailureExplain the pathophysiology, clinical manifestations and risk factors for congestive heart failureIdentify the types of congestive heart failureDescribe the current treatments for congestive heart failureDevelop a plan of care for a patient with congestive heart failureIdentify the top 2 nursing diagnosis for a patient with congestive heart failureMitral Valve ProlapseExplain the pathophysiological process underlying MVP and its clinical manifestations.Describe the patient teaching, nursing interventions, and collaborative activities likely to be required for patients who have MVP.Explain the preventative techniques patients with MVP need to follow. Coronary Artery Disease (CAD)1. Explain the etiology and pathophysiology of CAD and how it progresses to Coronary Artery Occlusions.2. Enumerate the preventative measure than can be taken at the primary, secondary, and tertiary levels to prevent CAD or maximize the person’s health and quality of life.3. Explain the screening measures that can be taken to assess a person for early stages of Coronary Artery Disease.4. Describe the major areas where patient teaching is required: Diet, Exercise, Stress Reduction, Smoking Cessation, Weight Control, and management of comorbidities such as Diabetes Mellitus Type I or II.5. Explain the treatment modalities and how they work from Stress, Cholesterol and Blood Pressure Control, Angina, Coronary Angiograms, PTCA, Stints, to CABG. AssignmentsReview the following from previous course(s)Anatomy and physiology regarding cardiovascular system including cardiac output and vascular resistance/tonePrior to classFollow the “Read Me” File under the Perfusion Module on CanvasReview the Perfusion Concept Analysis Diagram with explanation Complete the assigned readings *Page numbers, assignments, and other lecture information will be posted on blackboard.Giddens (2017) Chapter 18Jarvis (2106) Chapter 12Yoost (2015) Chapter 38Lewis (2014) Chapter 32, 33, 34, 35, 36, 37, 38McKinney (2013) Chapter 25Burchum (2015) & Lehne Pharmacology On-line Chapters 18, 19, 41, 44-48, 50Concept Content OutlineRisk FactorsModifiableNon-modifiableStructures and Functions of the Cardiovascular SystemCardiac ElectricalInterrelated Concepts (From Concept Diagram Map)Nursing ProcessAssessmentAnalyzePlanningInterventionEvaluationAssessmentBaseline HistoryProblem-Based HistoryDiagnostic Tests –Blood TestsCardiac TestsRadiologic TestsClinical ManagementCollaborative InterventionsPharmacotherapyVasodilators AnticoagulantsAntiplatelet ThrombolyticsLipid-Lowering AgentsFor Each Exemplar:PathophysiologyRisk Factors Nursing ProcessAssessment:Comprehensive history Physical assessment Cultural, behavioral, social assessment Physical and psychological clinical manifestations Diagnostic testsPlanningImplementation Nursing; Primary, Secondary, & Tertiary, Teaching Collaborative, Pharmacological therapy, Non-Pharmacological therapy, Procedural therapies Positive Outcomes: OrientedAppropriate organ functionWarmth Negative Outcomes: PhysiologicalPsychologicalN:ADN Syllabus/CBC Curriculum/Transition Summer 2017/RNSG 1324/Perfusion Revised 3/17 ................
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