4 pts
3 pts
2 pts
1 pts
0 pts
(N/A)
Patient chief complaint or admitting medical diagnosis. Include 1-2 paragraphs discussing underlying illness, including the pathophysiology.
Objective and Subjective data from physical assessment and EPIC EMR medical chart. Information obtained from patient, family and other health care providers.
Lab values presented with abnormal lab values including rationale and correlation to patient illness.
Patient medication list with reason for why medication prescribed for this patient.
List at least 3 nursing problems/diagnoses, show prioritization of care based on patient's needs.
Include 2 short term and 1 long term goal for each nursing diagnosis.
Determine 3 interventions for each goal. Include rationale and justification and outcome for each goal.
Include reassessment data and any modifications to care needed.
Concept map needs to be well organized, easy to read, logical, & neat. Proper spelling expected.