Download Concept Analysis Diagram

RNSG 1324
Concept-Based Transition to Professional Nursing Practice
Concept – PERFUSION
Concept Definition
Perfusion is the flow of blood through arteries and capillaries delivering nutrients and oxygen to cells
and removing cellular wastes. (G)
Exemplars
Basic ECG Rhythms
Congestive Heart Failure
Hypertension
Gestational Hypertension
Mitral Valve Prolapse
Coronary Artery Disease (CAD)
Peripheral Vascular Disease (PVD)
Objectives
1. Explain the concept of perfusion (including definition, antecedents, and attributes).
2. 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).
3. Identify conditions that place an individual at risk for imbalance leading to compromised
Perfusion resulting in the listed exemplars (exception of Basic ECG Rhythms).
4. Analyze conditions which place a patient at risk for perfusion imbalance.
5. Identify when perfusion imbalance (negative consequence) is developing or has developed.
6. Apply the nursing process (including collaborative interventions) for individuals experiencing
perfusion imbalance and to promote normal perfusion.
Sub Objectives
Basic ECG Rhythms
1. Explain the electrical conduction not the heart.
2. Discuss the correlation of the ECG waves to the cardiac conduction.
3. Describe the lead placement for an ECG.
4. Calculate the heart rate from an ECG paper strip.
5. Identify a normal sinus rhythm, sinus bradycardia, sinus tachycardia, and a sinus arrhythmia.
Peripheral Vascular Disease (PVD)
1. Describe the pathophysiology, risk factors and clinical manifestations for a patient with PVD.
2. Identify the current treatments for a patient with PVD
3. Identify two priority nursing diagnosis for a patient with PVD
4. Identify two priority education topics for a patient with PVD
Hypertension
1. Explain 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).
2.
Identify conditions that place an individual at risk for imbalance leading to a compromised
concept(s) resulting in hypertension.
3. Apply the nursing process with collaborative interventions for individuals experiencing Primary
hypertension.
Gestational Hypertension
1. Differentiate among gestational hypertension, preeclampsia/eclampsia, and chronic
hypertension. Identify patient education, medications, interventions and collaborative
management required by patients with gestational hypertension.
2. Identify the pathophysiological process underlying gestational hypertension.
3. Compare care management for patients with mild pre-eclampsia vs. care with severe
preeclampsia.
4. Identify current medication therapy for patients with gestational hypertension.
Congestive Heart Failure
1. Explain the pathophysiology, clinical manifestations and risk factors for congestive heart failure
2. Identify the types of congestive heart failure
3. Describe the current treatments for congestive heart failure
4. Develop a plan of care for a patient with congestive heart failure
5. Identify the top 2 nursing diagnosis for a patient with congestive heart failure
Mitral Valve Prolapse
1. Explain the pathophysiological process underlying MVP and its clinical manifestations.
2. Describe the patient teaching, nursing interventions, and collaborative activities likely to be
required for patients who have MVP.
3. 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.
Assignments
Review the following from previous course(s)
 Anatomy and physiology regarding cardiovascular system including cardiac output and vascular
resistance/tone
Prior to class
 Follow the “Read Me” File under the Perfusion Module on Canvas
 Review 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 18
 Jarvis (2106) Chapter 12
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Yoost (2015) Chapter 38
Lewis (2014) Chapter 32, 33, 34, 35, 36, 37, 38
McKinney (2013) Chapter 25
Burchum (2015) & Lehne Pharmacology On-line Chapters 18, 19, 41, 44-48, 50
Concept Content Outline
Risk Factors
 Modifiable
 Non-modifiable
Structures and Functions of the Cardiovascular System
Cardiac Electrical
Interrelated Concepts (From Concept Diagram Map)
Nursing Process
 Assessment
 Analyze
 Planning
 Intervention
 Evaluation
Assessment
 Baseline History
 Problem-Based History
 Diagnostic Tests –Blood Tests
 Cardiac Tests
 Radiologic Tests
Clinical Management
 Collaborative Interventions
 Pharmacotherapy
Vasodilators
Anticoagulants
Antiplatelet
Thrombolytics
Lipid-Lowering Agents
For Each Exemplar:
Pathophysiology
Risk Factors
Nursing Process
Assessment:
Comprehensive history
Physical assessment
Cultural, behavioral, social assessment
Physical and psychological clinical manifestations
Diagnostic tests
Planning
Implementation
Nursing; Primary, Secondary, & Tertiary, Teaching
Collaborative, Pharmacological therapy,
Non-Pharmacological therapy, Procedural therapies
Positive Outcomes:
Oriented
Appropriate organ function
Warmth
Negative Outcomes:
Physiological
Psychological
N:ADN Syllabus/CBC Curriculum/Transition Summer 2017/RNSG 1324/Perfusion
Revised 3/17