Types of concept maps:

Spider map – Central concept

Diagnostics
Risk
Patho MS
Factors

Psycho- Neuro
social

VonRecklinghausen
Syndrome

Integument

Cardiac
GU
Pulmonary
GI
 Advantages of
Spider Map

• Easy to configure.

• All data is organized around a

unified theme (diagnosis).

• Easy to read.
 Disadvantages of
Spider Map
• Difficult to show relationships
without making the map very
messy and hard to read.

• Doesn’t allow for integration of

all data and the relationships
among data.
 • Hierarchical/Chronological
Risk Factors

Patho

Diagnostics

MI – CPK,
EKG, pain,
cardiac
assess

Neuro GI GU Pulmonary Integument MS PS

Advantages to Hierarchical

or Chronological Maps
• Follow a definite pattern.

• Most general data is located at

the top and moves to the most
specific.

• Easy to read.
 Disadvantages to
Hierarchical or
Chronological Maps
• Shows no interrelationship
between data.

• Does not allow for critical

thinking and thus limited
problem solving.
• Flow chart – linear fashion

Risk Factors

Patho

Diagnostics

Medical
Diagnosis

System
Assessment
-Neuro
-Cardiac
-Pulmonary
-GI
-GU
-Integument
-MS
-PS
Advantages of Flow
Chart

• Easy to read.

• Information is organized in a
logical, ordered fashion.
Disadvantages of
Flow Chart
• Very minimal data noted on
concept map.

• Lack of critical thinking and

clinical reasoning skills used.

• Usually very incomplete.

• Systems map – inputs/outputs
• Smoking Chronic HTNLisinopril 5mg qd Family Hx CAD
• Isosorbide MN 30mg qd
• Decreased HDL Lipitor 10mg qd Decreased elasticity of vessels ?altered genes

• Increased catecholamines Vasoconstriction  Nitrostat 0.4mg prn

• Increased platelet adhesiveness Tearing effects on arteries
• Accelerated atherosclerosis
• Plavix 75 mg qd Coronary Artery Disease Hx stent placement, EF 64%

• Reports no pain Reocclusion of RCA CK-MB = 2.9 HR 58, NSR, BP 141/68, S1,
S2
• Full ROM Fentanyl 50mcg prn Trop. = <0.04 Radial, DP, PT pulses 2+
bilat.
• Bedrest Versed 1 mg prn PTCA with brachytherapy Cap. Refill < 2sec, no JVD
• for RCA 95% occlusion
• Resp. unlabored, Clear bilat. O2 @ 2L/NC
• SpO2 = 96%, RR = 18 Skin pink, intact, no bleeding or facial grimace/hand grasps =
bilat.
• hematoma @ left femoral site, PERRL, MAEW, AAO X 3,
wife @
• BS X 4 quads, no N/V, ice chips only left radial IV site without redness, bedside
• UO 200cc clear yellow by foley swelling or drainage, no edema
• BUN/Cr = 39/1.0, Na/K = 138/4.4 H/H = 45/13.2 Potential for CABG due to re-occlusion
•
• Knowledge deficit r/t chronic cardiac condition  Pt will verbalize understanding of 3 preventative measures by discharge.
• Educate on importance of regular exercise and low fat diet.
• Educate on purposes and actions of meds.
• Demonstrate to patient how to monitor B/P at home.
 Advantages of
Systems Map

• Very complete.
• Includes all data on the map and
shows many relationships between
the data.
• Uses critical thinking skills along
with problem solving skills.
• Links theory and practice very well.
 Disadvantages of
Systems Map
• With critical clients map can
get very involved and
sometimes difficult to read due
to the number of relationships
noted.
• Takes more time to complete.