Concept Map Narrative | EssayIvy.com

Running Head: CONCEPT MAP

Concept Map Narrative

Student’s Name

Institution Affiliation

Concept Map 2

Concept Map Narrative

The concept map narrative is essential as it acts as a tool needed to illustrate planned patient care.

An appropriate concept map is helpful in that the treatment team of the patient can use it in

assessing and evaluating the patient's progress and formulate changes in the plan if need be. The

concept map was formulated for Annie, a 69-year old Australian Aboriginal female. Annie is

currently visiting her son who together with their daughter-in-law have a nine months old daughter.

Annie is here to help take care of the daughter as the mother is going back to work. Annie retired

working as a teacher to help her daughter with raising her grandchildren. She was diagnosed with

type 2 Diabetes and hypertension when she was 60, and she has recently been diagnosed with

Chronic Kidney disease. A concept map was developed to address Annie's needs. It is inclusive of

educational needs, cultural and ethnic barriers to health care, understanding her risk factors and

interventions to improve her compliance with the prescribed plan of care.

The Needs of the Patient

During the conversation with Lizzie, the nurse, Annie revealed that before the hospital admission

she had been keeping track of her medical condition in association with the Local Aboriginal

Health Service. She also reveals that she was well aware of the deteriorating condition of her

kidney (Australian Institute of Health and Welfare, 2011). Annie is strongly influenced by her

Aboriginal background with all her medical diagnosis and treatment based on local aboriginal

community health centers. Annie is neither well informed nor comfortable with the kind of services

offered at the Melbourne Hospital and is inclined towards referral to aboriginal health status.

Annie is also not aware that there is a high prevalence of chronic kidney disease among the

aboriginal population as compared to the non-aboriginal and thus the specialized care at the

Concept Map 3

hospital. It is also imperative to educate Annie on acceptable glucose levels given her diabetes. In

an effort to ensure Carole compliance to recommended medication even after the referral, Lizzie

should establish her economic situation in an effort to rule out the inability to pay medications.

Additionally, given Annie's strong ties to the aboriginal culture and ethnic beliefs, Lizzies should

be introduced to resources that are reflective and adherent to her cultural and medical needs

(McDonald, 2014). For most Aboriginal patient, the family plays an important role in decision

making and its therefore imperative for Lizzie to factor in Annie’s son, Tony in teaching and

understanding of her medical condition and the need for compliance with the medication regimen

and the diet (Traynor, 2017).

In an effort to compote Annie’s adherence to the plan of care, she should be informed of the various

risks associated with Chronic Kidney disease among the aboriginal population. Given that Annie

was a primary school teacher, she should be assessed for healthcare literacy. It is also imperative

that a Learning Needs Assessment (LBA) be performed so as to investigate Annie’s learning

abilities and preferences (Flanders, 2018).

Justification

The use of Evidence-Based Practice has been proven to allow health care providers in tailoring

plan of care to individual patients needs and cultural beliefs. Evidence-Based Practice is based on

the application of critical thinking coupled with both experimental evidence and healthcare

provider expertise (Bennett, Jones, Brown & Barlow, 2013). It involves the use of evidence proven

to produce measurable results (Hain & Kear, 2015). The key issue in Annie’s case is the limited

access to expertise related to chronic kidney disease.

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The use of EBP to assess Annie’s learning abilities allows for a better understanding of the

Aboriginal culture in the light of medical treatment education and compliance. It is imperative to

encourage Annie to develop a support system with her family and close friends as this is

productive in the pursuit of good health.

Communication in Regards to the Concept Map

It is important that Annie meets and consults with Lizzie to ensure that her concept map is

understood and allowed. The key element Lizzie should consider is the incorporation of Annie's

family and aboriginal cultural values during diagnosis, treatment, and prescription of medication.

It is also of vital importance that Lizzie maintains an honest and open conversation with Annie.

Moreover, Annie should also be made aware of health risks associated with chronic kidney disease

and recommended hemodialysis treatment (Rix, Wilson, Stirling &Tong, 2013). The use of open-

ended questions is helpful in the assessment of Annie’s educational, cultural and economic needs

(Flanders, 2018). More so, Lizzie should avail resources that match Annie’s learning needs and

which comply with Annie’s culture and ethical values.

Conclusion

The use of the concept map is a good aid towards enhancing Annie’s understanding of the disease

process, risk factors associated and complications associated with CKD. By adopting a holistic

approach, Lizzie will build a better rapport with Annie which is critical for effective treatment. By

considering Annie’s cultural and ethnic background, socio-economic status and learning abilities,

Lizzie enhances the understanding and adherence to the prescribed health care plan.

Concept Map 5

References

Flanders, S. A. (2018). Nurses as educators. Effective patient education: Evidence and

common sense. MEDSURG Nursing, 27(1), 55-58.

Hain D. J., & Kear, T. M. (2015). Using evidence-based practice to move beyond doing things

the way we have always done them. Nephrology Nursing Journal, 42(1), 11–20.

Traynor, K. (2017). Family focus helps pharmacist improve diabetes care for Native

Americans. American Journal of Health-System Pharmacy, 74(5), 275-276.

doi:10.2146/news170015

Rix, E. F., Barclay, L., Wilson, S., Stirling, J., & Tong, A. (2013). Service providers’

perspectives, attitudes and beliefs on health services delivery for Aboriginal people

receiving hemodialysis in rural Australia: a qualitative study. BMJ Open, 3(10), e003581.

Australian Institute of Health and Welfare. 2012. Aboriginal and Torres Strait Islander Health

Services Report, 2010–11. Canberra.

Durey, A., Wynaden, D., Thompson, S. C., Davidson, P. M., Bessarab, D., &

Katzenellenbogen, J. M. (2012). Owning solutions: a collaborative model to improve

quality in hospital care for Aboriginal Australians. Nursing Inquiry, 19(2), 144-152.

Liaw, S. T., Lau, P., Pyett, P., Furler, J., Burchill, M., Rowley, K., & Kelaher, M. (2011).

Successful chronic disease care for Aboriginal Australians requires cultural competence.

Australian and New Zealand journal of public health, 35(3), 238-248.

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Australian Institute of Health and Welfare. The health and welfare of Australia's Aboriginal and

Torres Strait Islander people, an overview, 2011. Canberra: AIHW 2011. Report No.: Cat

no. IHW 42

McDonald, S. P. (2014). Placing Aboriginal kidney disease in context. CMAJ, 186(2), 93-94.

Rix, E., Barclay, L., Stirling, J., Tong, A., & Wilson, S. (2014). The perspectives of Aboriginal

patients and their health care providers on improving the quality of hemodialysis

services: A qualitative study. Hemodialysis International, 19(1), 80-89. doi:

10.1111/hdi.12201

Bennett, P., Jones, D., Brown, J., & Barlow, V. (2013). Supporting rural/remote primary health

care placement experiences increases undergraduate nurse confidence. Nurse Education

Today, 33(2), 166-172. doi: 10.1016/j.nedt.2012.02.015

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