Download Concept Analysis Diagram

Concept Analysis Diagram - Immunity
Nursing Care
 Directed toward what contributes to a normal concept and is thereby related to all factors
involved in or with the concept. Not always needed to have a normal outcome.
Attributes
 Defining characteristics of the concept
 What property, quality, or data must be present for the concept to exist
Antecedents
 What precedes the concept for it to exist
 Events or incidents that must happen before the concept
Consequences
 Untoward events or outcomes that occur due to malfunction within the concept
 Positive events or outcomes that occur due to proper functioning within the concept
Interrelated Concept
 Concepts which can affect change in the other
 Concepts which work together to ensure a normal process
 Concepts which if depleted or impaired can cause a negative consequence in the other
Sub-Concept
 Critical components of major concept
Attributes
Lab--normal WBC and
Differential Counts
Negative Bacterial and Viral
Cultures
Soft, Non-Tender Lymph Nodes
Recognition of Self
Recognition of Foreign Proteins
Nursing Care
Primary, Secondary,
Tertiary
Comfort
Mobility
Tissue Integrity
Coping
Nutrition
Interrelated
Concepts
Cellular Regulation
Functional Ability
Antecedents
Thermoregulation
Intact Non-Specific Defenses or
Barriers
Functional Lymphatic System
Optimal Innate Immune Response
Functional Inflammatory
Response
Appropriate Adaptive (Acquired)
Immune Response—Active and
Passive
IMMUNITY
A physiologic process
that provides an
individual with
protection or defense
from disease.
Consequences
(Outcomes)
Infection-Localized
or Systemic
Cancer
Negative
Positive
Replaces Damaged
Tissue and Cells with
Repaired or Functional
Tissue (i.e., healing)
functional
Sub Concepts
Immune Response
Infectious Response
Immune Deficiency
Exaggerated
Immune Response
Recognizes and Removes Cell
Mutations that have
Demonstrated Abnormal Cell
Growth and Development
Protects From Invasion of
Microorganisms and Other
Antigens
Inflammatory Response
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© 2015, Texas CBC Consortium. All Rights Reserved.
Immune Suppression
Revised 6.15
Chronic
Inflammatory
Response
Allergic, Cytotoxic or
Autoimmune Reaction
Concept Analysis Diagram - Immunity
Explanation of Immunity Diagram:
The Immunity Concept Analysis Diagram begins with the definition of the concept, as
based on the attributes and antecedents. The attributes - normal WBC and differential
counts, negative bacterial and viral cultures, soft, non-tender lymph nodes, recognition of
self and recognition of foreign proteins - are the defining characteristics of immunity or
what constitutes immunity. The antecedents are events or incidents that must be in play in
order for immunity to exist. The antecedents for immunity consist of intact non-specific
defenses or barriers, a functional lymphatic system, an optimal innate immune response, a
functional inflammatory response, and appropriate adaptive (acquired) immune response—
active and passive. With these attributes and antecedents, immunity is a physiologic
process that provides an individual with protection or defense from disease.
There are interrelated concepts that impact immunity throughout the lifespan. These
interrelated concepts include tissue integrity, cellular regulation, thermoregulation,
comfort, coping, nutrition, mobility and functional ability. There are also sub-concepts that
are major components of the immunity concept – inflammatory response, infectious
response, and immune response. The sub-concepts are manifested when immunity is
challenged.
Consequences, positive or negative, are reliant upon the performance of the immune
system. If any of the antecedents fail, for example, the result would be a negative outcome,
such as infection-localized or systemic, cancer, immune suppression, immune deficiency,
and chronic inflammatory response or exaggerated immune response that may lead to an
allergic, cytotoxic or autoimmune reaction. If the immune system is healthy, positive
outcomes will result; in that, damaged tissue and cells are replaced with repaired or
functional tissue (i.e., healing), recognition and removal of cell mutations that have
demonstrated abnormal cell growth and development is effected, and protection of the
body from invasion of microorganisms and other antigens occurs.
Last, but not least, nursing care may or may not be required, as indicated by the dotted
directional lines on the diagram. Nursing care may/may not be needed to keep immunity
intact, or assist with negative consequences.
78
© 2015, Texas CBC Consortium. All Rights Reserved.
Revised 6.15