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This Concept Map, created with IHMC CmapTools, has information related to: Brandy Royalty-Acute Care Cmap, Acute Confusion R/t Little knowledge of Diabetes and symptoms of hypoglycemia/hyperglycemia 2ndary to first semester LPN/RN Nursing Student (Ackely, 2011) ???? First semester LPN/RN Nursing Students Lack of exposure to patients with potential risk of s/sx of Diabetes Mellitus Type 1 Inadequate knowledge of Insulins uses No basic skill knowledge of reading an insulin syringe No basic knowledge of drawing up medication from a vial No basic skills related to appropriate subcutaneous injections sites Excited about learning technique of injections, understanding of insulins No awareness of signs and symptoms of hypoglycemia/hyperglycemia Unaware on how to use drug book as a resource, First semester LPN/RN Nursing Students Lack of exposure to patients with potential risk of s/sx of Diabetes Mellitus Type 1 Inadequate knowledge of Insulins uses No basic skill knowledge of reading an insulin syringe No basic knowledge of drawing up medication from a vial No basic skills related to appropriate subcutaneous injections sites Excited about learning technique of injections, understanding of insulins No awareness of signs and symptoms of hypoglycemia/hyperglycemia Unaware on how to use drug book as a resource ???? Fear R/t Inadequate knowledge of insulin syringes use 2ndary to first semester LPN/RN Nursing Student (Ackley, 2011), Anxiety R/t No basic knowledge of appropriate subcutaneous injection sites 2ndary to first semester LPN/RN Nursing Student (Ackely, 2011) ???? First semester LPN/RN Nursing Students Lack of exposure to patients with potential risk of s/sx of Diabetes Mellitus Type 1 Inadequate knowledge of Insulins uses No basic skill knowledge of reading an insulin syringe No basic knowledge of drawing up medication from a vial No basic skills related to appropriate subcutaneous injections sites Excited about learning technique of injections, understanding of insulins No awareness of signs and symptoms of hypoglycemia/hyperglycemia Unaware on how to use drug book as a resource, Nursing Student will: -Short Term Goal: Identify types of insulin syringes by end of class AEB: Nursing student can identify an appropriate insulin syringe for appropriate dose of insulin -Intermidiate goal: Have knowledge of appropriate subcutaneous injection sites recommended for insulin by the end of the week. AEB: Student can demonstrate on manequin appropriate sites for SubQ inj. with rationles for each site -Long Term Goal: Be able to Identify different types of insulin by the end of 2 weeks AEB: Student will be able to identify insulin and state the appropriate action, peak, onset (Ackely, 2011) Nursing Interventions Nursing Instructor will educate students on: 1. Different types of Insulin syringes and how how to read syringe by, end of class 2. Appropriate routes used when administering sub-q injections and rationale for each site by, end of class 3. Technique used to administer an injection maintaining clean technique during lab, day 1 4. and requrie return demonstration using proper technique when administering sub-q injection during lab, day 2 5. Different types of insulins, during class 6. Use of drug book as a resource while administering medications during lab, day 2 7. Rapid, short, intermediate, long acting insulins by, end of week 8. and evaluate students level of understanding of insulin types to ensure proper understanding by, end of week 2 by student verbalization (Taylor, Lillis, Lemone, & Lynn, 2011), (Ignatavicius & Workman, 2010), ???? ???? Readiness for Enhanced Knowledge R/t Excitement of learning technique of injections and use of insulins 2ndary to first semester LPN/RN Nursing Student (Ackely, 2011), Nursing Student will: -Short Term Goal: Identify types of insulin syringes by end of class AEB: Nursing student can identify an appropriate insulin syringe for appropriate dose of insulin -Intermidiate goal: Have knowledge of appropriate subcutaneous injection sites recommended for insulin by the end of the week. AEB: Student can demonstrate on manequin appropriate sites for SubQ inj. with rationles for each site -Long Term Goal: Be able to Identify different types of insulin by the end of 2 weeks AEB: Student will be able to identify insulin and state the appropriate action, peak, onset (Ackely, 2011) Evaluation Evaluation of goal: -Student was able to identify appropriate syringe for amount of insulin to ordered -Student was able to identify different routes to administer subQ insulin as well as rationales for each site -Student verbalized the action of 4 seperate insulins (Reg, NPH, Lantus, 70/30), onset and peak time for each type of insulin, and action (Ackely, 2011), Knowledge Deficit R/t Inability to read insulin syringe 2ndary to first semester LPN/RN Nursing Student (Ackely, 2011) ???? First semester LPN/RN Nursing Students Lack of exposure to patients with potential risk of s/sx of Diabetes Mellitus Type 1 Inadequate knowledge of Insulins uses No basic skill knowledge of reading an insulin syringe No basic knowledge of drawing up medication from a vial No basic skills related to appropriate subcutaneous injections sites Excited about learning technique of injections, understanding of insulins No awareness of signs and symptoms of hypoglycemia/hyperglycemia Unaware on how to use drug book as a resource, Knowledge level Modifiable Risk Factors First semester LPN/RN Nursing Students Lack of exposure to patients with potential risk of s/sx of Diabetes Mellitus Type 1 Inadequate knowledge of Insulins uses No basic skill knowledge of reading an insulin syringe No basic knowledge of drawing up medication from a vial No basic skills related to appropriate subcutaneous injections sites Excited about learning technique of injections, understanding of insulins No awareness of signs and symptoms of hypoglycemia/hyperglycemia Unaware on how to use drug book as a resource, First semester LPN/RN Nursing Students Lack of exposure to patients with potential risk of s/sx of Diabetes Mellitus Type 1 Inadequate knowledge of Insulins uses No basic skill knowledge of reading an insulin syringe No basic knowledge of drawing up medication from a vial No basic skills related to appropriate subcutaneous injections sites Excited about learning technique of injections, understanding of insulins No awareness of signs and symptoms of hypoglycemia/hyperglycemia Unaware on how to use drug book as a resource Non-Modifiable Factors Age, gender,, First semester LPN/RN Nursing Students Lack of exposure to patients with potential risk of s/sx of Diabetes Mellitus Type 1 Inadequate knowledge of Insulins uses No basic skill knowledge of reading an insulin syringe No basic knowledge of drawing up medication from a vial No basic skills related to appropriate subcutaneous injections sites Excited about learning technique of injections, understanding of insulins No awareness of signs and symptoms of hypoglycemia/hyperglycemia Unaware on how to use drug book as a resource ???? Imparied Verbal Communication R/t Inadequate knowledge of insulin uses 2ndary to first semeser LPN/RN Nursing Student (Ackely, 2011), Readiness for Enhanced Knowledge R/t Excitement of learning technique of injections and use of insulins 2ndary to first semester LPN/RN Nursing Student (Ackely, 2011) Goal Nursing Student will: -Short Term Goal: Identify types of insulin syringes by end of class AEB: Nursing student can identify an appropriate insulin syringe for appropriate dose of insulin -Intermidiate goal: Have knowledge of appropriate subcutaneous injection sites recommended for insulin by the end of the week. AEB: Student can demonstrate on manequin appropriate sites for SubQ inj. with rationles for each site -Long Term Goal: Be able to Identify different types of insulin by the end of 2 weeks AEB: Student will be able to identify insulin and state the appropriate action, peak, onset (Ackely, 2011)