Question Title Patient Care Assessment and Concept Map Directions: Complete… Title Patient Care Assessment and Concept Map Directions: Complete the following information gathering for the patient you will be caring for at the clinical setting Initials:_________Age: Gender: Student Name: ____________________________________Date:_________Code Status:____________________________Allergies: ______________________________ Vitals from Visit: Height: ______________ Last wt: ________ Most current wt:_________(Note a 3 lb change in a day or a 5 lb change in a week?) BP ____________ Pulse: _____O2 sat (as appropriate) __________ Current Abnormal Labs (in last 2 weeks, reason they were drawn [dx/condition], order changes if any) _______________________________________ ____________________________________________________________________________________________________________________________________________________________Diagnosis (Only current and ongoing)/Surgical dates (if applies): ___________________________________________________________________________________________________________________________________________________________________________________________________________________Blood Glucose Time: ______Result: _______ Time: ______Result: _______ Pain: Location: ________________________________________________ Severity: Pain Rating Scale before intervention: ______________________ Interventions (time): _________________________________________________________________________________________________________________ Evaluation (time):__________________________________________________ Medication Profile MedicationReason for use Clinical Concept Map Revised from Linda Caputi ©, St. Cloud Technical College, and Hennepin Technical College, and Dakota County Technical College Health Science Science Nursing NURSING 1528 Share QuestionEmailCopy link Comments (0)