Download Concept Analysis Diagram

Concept Analysis Diagram - Nutrition
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
Metabolism
Attributes
Nursing Care
Adequate Intake for:
Development-Energy- GrowthTissue Repair
Ideal Ht-Wt-BMI—(MAC) (MAMM)
Muscle Tone-Strength-Agility-Reflex
Response
Cognitive & Mood Response
Albumin WNL
Hemoglobin & Hematocrit WNL
Electrolytes WNL
Primary, Secondary,
Tertiary
Interpersonal Relationships
Cognition
Diversity
Patient Education
Interrelated
Concepts
Fluid and Electrolyte
Balance
Thermoregulation
Clotting
Antecedents
Human Development
Normal Alimentary Tract
and Associated Organs
Adequate Ingestion of
Nutrients and Water
Normal Temperature
Normal ph
Medical
Conditions
Nutrition
Consequences
(Outcomes)
The process by which
the body ingests,
absorbs, transports
uses and eliminates
nutrients and foods.
(NC)
Negative
Risk factors
Medications
Diets
Malnutrition
Physiological-Psychological- Dysfunction
Ingestion- Digestion-AbsorptionMetabolism
Positive
Altered Hydration Status
Lifestyle Behaviors
Age-Gender-Genetics
Malnutrition
Insufficient/Excess Intake
Failure to thrive--Obesity
Sub Concepts
Growth &
Tissue Repair
Ethnicity Socioeconomics
Knowledge
Nutrients
Physiological &
Psychological Development
Food Allergies
Engage in
Physical Activity
Physiological and
Psychological Wellness
Homeostasis/Adequate
Nutrition Hydration
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© 2015, Texas CBC Consortium. All Rights Reserved.
Revised 6.15
Low energy-Fatigue
Depression-Isolation
Growth/ Developmental Delay
Decreased Bone Density
Delayed-Inadequate Healing
Illness-Muscle wasting-Death
Concept Analysis Diagram - Nutrition
Explanation of Nutrition Diagram:
Nursing - Directed toward what contribution nursing would make to the concept and a positive
consequence. Related to all factors involved in or with the concept. Not always needed to have a
normal outcome. For example an individual may work with an outpatient dietician to learn what diet
would have the most positive influence on their cardiovascular disease. This may result in a positive
outcome without the involvement of nursing. The same individual in an acute care setting may have the
same education from the dietician but they would also have nursing to reinforce and expand the
education that takes place.
Before interventional measures can be organized and put into action, the negative consequences
must be traced back to the contributing inefficient antecedent. Nursing interventions focus on
enhancing antecedents to allow for optimal measurement of attributes resulting in positive
consequences.
Definition of Nutrition – the process by which the body ingests, absorbs, transports, uses and
eliminates nutrients and foods.
Attributes are characteristics of the concept. An individual who has adequate nutrition will have
attributes that characterize adequate nutrition and therefore consequences that are positive. If
attributes are not present the individual has an increased risk of experiencing negative consequences
and further assessment may be needed.
Antecedents are those circumstances that lead to the concept as defined. These circumstances
must be present for nutrition to occur. If the antecedents are not present the individual’s nutrition could
be suboptimal or inadequate. For example individuals who have limited access to nutritious foods may
have inadequate ingestion of nutrients leading to malnutrition. Or the individual could have a disease of
the colon such as Crohn’s Disease which could also lead to malnutrition. Nutrition is a concept that is
related to most health and illness concepts.
Interrelated concepts are those affected by adequate or inadequate nutrition and those that
influence nutrition. For example if an individual cannot ingest the nutrients needed for specific
processes such as clotting, development, and/or maintaining their fluid and electrolyte balance than
negative consequences can occur and illness can ensue. Cognition can be affected by nutrition and also
can affect nutritional intake as in the case of Alzheimer’s disease. An individual’s religion and lifestyle
can affect their nutrition and influence the consequences.
Consequences are outcomes. They can be positive or negative based on an individual’s
nutritional status. Suboptimal or inadequate nutrition can result in developmental delays, depression,
loss of energy, fatigue, obesity, failure to thrive, delayed wound healing, muscle atrophy and even
death. Malnutrition is on both sides of a nutritional continuum, less than body requirements on one end
and more than body requirements on the other end. Health is somewhere in the middle and requires
the antecedents to be present. Positive consequences or outcomes are those which indicate an
individual is adequately nourished. These include; growth, tissue repair, homeostasis, ability to engage
in physical activity, physiological and psychological wellness.
Sub-concepts are more specific than the general concept of nutrition. Sub-concepts are
components/factors of nutrition such as age, genetics, ethnicity, allergies, and medications. Nutrition
affects an individual’s health, and health/illness can affect an individual’s nutritional status.
107
© 2015, Texas CBC Consortium. All Rights Reserved.
Revised 6.15