Capella University Change Strategies to Improve Clinical Outcomes Paper

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  • Biopsychosocial Concepts for Advanced Nursing Practice 1
  • Create a concept map of a chosen condition, disease, or disorder with glucose regulation or metabolic balance considerations. Write a brief narrative (2-3 pages) that explains why the evidence cited in the concept map and narrative are valuable and relevant, as well as how specific interprofessional strategies will help to improve the outcomes presented in the concept map.
  • Introduction
    Note: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, you should complete the assessments in this course in the order in which they are presented.The biopsychosocial (BPS) approach to care is a way to view all aspects of a patient's life. It encourages medical practitioners to take into account not only the physical and biological health of a patient, but all considerations like mood, personality, and socioeconomic characteristics. This course will also explore aspects of pathophysiology, pharmacology, and physical assessment (the three Ps) as they relate to specific conditions, diseases, or disorders.The first assessment is one in which you will create a concept map to analyze and organize the treatment of a specific patient with a specific condition, disease, or disorder.The purpose of a concept map is to visualize connections between ideas, connect new ideas to previous ideas, and to organize ideas logically. Concept maps can be an extremely useful tool to help organize and plan care decisions. This is especially true in the biopsychosocial model of health, which takes into account factors beyond just the biochemical aspects of health. By utilizing a concept map, a nurse can simplify the connection between disease pathways, drug interactions, and symptoms, as well as between emotional, personality, cultural, and socioeconomic considerations that impact health.Preparation
    As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.The assessment will be based on the case of a specific patient with a specific condition, disease, or disorder. Think about an experience you have had treating a patient with a condition, disease, or disorder that interests you, or one of the cases presented in the Vila Health: Concept Maps as Diagnostic Tools media simulation.
    • What is the primary condition, disease, or disorder affecting the patient?
      • What types of experience have you had working with patients with this condition, disease, or disorder?
      • How does this condition, disease, or disorder typically present?
      • What are the recommended treatment options?
        • What, if any, characteristics of an individual patient should be kept in mind when determining a course of treatment.
    • How have you used concept maps to help plan and organize care?
      • What are the advantages of concept maps, from your point of view?
      • How could concept maps be more useful?
    • How can interprofessional communication and collaboration strategies assist in driving patient safety, efficiency, and quality outcomes with regard to specific clinical and biopsychosocial considerations?
      • What interprofessional strategies do you recommend health care providers take in order to meet patient-centered safety and outcome goals?
    • Scenario
      You have already learned about evidence-based practice and quality improvement initiatives in previous courses. You will use this information to guide your assessments, while also implementing new concepts introduced in this course. For this assessment, you will develop a concept map and provide supporting evidence and explanations. You may use the case studies presented in the Vila Health: Concept Maps as Diagnostic Tools media, a case study from the literature or your practice that is relevant to the list of conditions below, or another relevant case study you have developed. This case study will provide you with the context for creating your concept map. You may also use the practice context from the case study or extrapolate the case study information and data into your own practice setting. Think carefully when you are selecting the case study for this assessment, as you may choose to build upon it for the second assessment as well.Some example conditions, diseases and disorders that are relevant to metabolic balance and glucose regulation considerations are:
    • Cancer.
    • Diabetes (type 2).
    • HIV/AIDS.
    • Hyperthyroidism.
    • Hypothyroidism.
    • Metabolic syndrome.
    • Obesity.
    • Polycycstic ovary syndrome.
    • Prediabetes.
    • Pregnancy.
    • Instructions
      Develop a concept map and a short narrative that supports and further explains how the concept map is constructed. You may choose to use the Concept Map Template as a starting point for your concept map, but are not required to do so. The bullet points below correspond to the grading criteria in the scoring guide. Be sure that your evidence-based plan addresses all of them. You may also want to read the Concept Map scoring guide and the Guiding Questions: Concept Map document to better understand how each grading criterion will be assessed.Part 1: Concept Map
    • Develop an evidence-based concept map that illustrates a plan for achieving high-quality outcomes for a condition that has impaired glucose or metabolic imbalance as related aspects.
    • Concept Map Template [DOCX]. You may choose to use this template for completing this component of the assignment.Part 2: Additional Evidence (Narrative)
    • Justify the value and relevance of the evidence you used as the basis for your concept map.
    • Analyze how interprofessional strategies applied to the concept map can lead to achievement of desired outcomes.
    • Construct concept map and linkage to additional evidence in a way that facilitates understanding of key information and links.
    • Integrate relevant sources to support assertions, correctly formatting citations and references using current APA style.
    • Use the APA Style Paper Tutorial [DOCX] to complete this narrative component.Example Assessment
      You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:
    • Assessment 1 Example [PDF].
    • Additional Requirements
    • Length of submission: Your concept map should be on a single page, if at all possible. You can submit the concept map as a separate file, if you need to. Your additional evidence narrative should be 2-3 double-spaced, typed pages. Your narrative should be succinct yet substantive.
    • Number of references: Cite a minimum of 3-5 sources of scholarly or professional evidence that supports your concept map, decisions made regarding care, and interprofessional strategies. Resources should be no more than five years old.
    • APA formatting:
      • For the concept map portion of this assessment: Resources and citations are formatted according to current APA style. Please include references both in-text and in the reference page that follows your narrative.
      • For the narrative portion of this assessment: use the APA Style Paper Tutorial [DOCX] to help you in writing and formatting your analysis. You do not need to include an abstract for this assessment.
    • Competencies Measured
      By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
    • Competency 1: Design patient-centered, evidence-based, advanced nursing care for achieving high-quality patient outcomes.
      • Develop an evidence-based concept map that illustrates a plan for achieving high-quality outcomes for a condition that has impaired glucose or metabolic imbalance as related aspects.
      • Justify the value and relevance of the evidence used as the basis for a concept map.
    • Competency 4: Evaluate the efficiency and effectiveness of interprofessional care systems in achieving desired health care improvement outcomes.
      • Analyze how interprofessional strategies applied to the concept map can lead to achievement of desired outcomes.
    • Competency 5: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with organizational, professional, and scholarly standards.
      • Construct concept map and linkage to additional evidence in a way that facilitates understanding of key information and links.
      • Integrate relevant sources to support assertions, correctly formatting citations and references using current APA style.

Unformatted Attachment Preview

Concept Map Template Most Urgent Nursing Diagnosis Ineffective coping related to gestational diabetes diagnosis as evidenced by failure in glycemic control Ms. Lund has failed to maintain the desired levels of glycemic measurements and is reluctant to use insulin. Treatment Educate the patient on and initiate lifestyle changes for better diabetes management. Diet-focused management plan can improve glycemic control (Lawrence et al., 2021) • • Nursing Diagnosis 2 Fear and anxiety related to risk of diabetes inheritance and evidenced by the patient’s verbalized concerns. Ms. Lund is afraid that her daughter may develop diabetes and expresses the desire to prevent that. Patient Info Carole Lund 44y/o new mother diagsnosed with gestational diabetes Referral The patient will be referred to a dietician for meal planning. Nursing Diagnosis 3 Risk of deficient self- and child care related to the patient’s occupation as evidenced by poor feeding and activity patterns. Treatment Diabetes education will be delivered by the nurse. Focus on risk factors and appropriate prevention to reduce the risk of developing diabetes in the offspring (Powers et al., 2020) Treatment Patient will be referred to a social worker who will assess her living conditions and risks to her and the child for assistance (Ingol et al., 2020). Outcomes The patient will maintain achieve consistent glucose levels below 180 mg/Dl for at least 3 months (Petersmann et al., 2018) The patient will adopt and maintain lifestyle changes for a more active lifestyle and healthy eating. • • Outcomes Patient will report a consistent income sufficient for her and her child. Patient will present with effective self-care and care for her child. • • Therapy If fear and anxiety are not resolved, the client will be referred to a counselor for therapy and assistance managing her new condition and preventing her daughter from it. Outcomes The patient will verbalize reduced fear and concerns. The patient will verbalize an understanding of preventive measures to reduce risk of diabetes in her suaghter. 1 2/25/22, 12:08 AM Course Navigation  Resources: Additional Resources for Further Exploration &ndash... Tutorials Claudeth Support Jeffrey Log Out  FACULTY Jamie Holub 27 Hiam Sindy  COACH Resources: Additional Resources for Further Exploration The following additional resources are for your further exploration of specific conditions, diseases, or disorders. These resources will help you with your initial research for the Concept Map assessment. They may also provide ideas and information for creating your own case study around a specific condition, disease, or disorder if you choose to do so for the first assessment. You do not have to read all of these resources—nor should you. Review them as needed to complete your assessments. CANCER American Cancer Society. (n.d.). https://www.cancer.org/ Office on Women's Health. (2019). Cancer. https://www.womenshealth.gov/cancer DIABETES (TYPE 2 AND COMPLICATIONS) American Diabetes Association. (2021). Type 2 diabetes. http://www.diabetes.org/diabetes-basics/type-2/? loc=util-header_type2 American Diabetes Association. (2021). Complications. http://www.diabetes.org/living-withdiabetes/complications/ American Diabetes Association. (2017). Standards for medical care in diabetes—2017 abridged for primary care providers. Clinical Diabetes, 35(1), 5-26. http://clinical.diabetesjournals.org/content/35/1/5 American Diabetes Association. (n.d.). DiabetesPro. http://professional.diabetes.org/?loc=bb-dorg Geisz, M. B. (2010). The diabetes initiative. http://www.rwjf.org/en/library/research/2010/04/the-diabetesinitiative.html Office on Women's Health. (2019). Diabetes. [PDF] https://owh-wh-d9-dev.s3.amazonaws.com/s3fspublic/documents/fact-sheet-diabetes.pdf HIV/AIDS AIDS Foundation of Chicago. (n.d.). About HIV. http://www.aidschicago.org/page/about-hiv Laws, M. B., Lee, Y., Rogers, W. S., Taubin, T., & Wilson, I. B. (2020). An instrument to assess HIV-related knowledge and adjustment to HIV+ status, and their association with anti-retroviral adherence. PLoS One, 15(6). Office on Women's Health. (2019). HIV and AIDS. https://www.womenshealth.gov/hiv-and-aids HYPO- AND HYPERTHYROIDISM American Thyroid Association. (2021). Thyroid information. http://www.thyroid.org/thyroid-information/ Office on Women's Health. (2019). Thyroid disease. https://www.womenshealth.gov/a-z-topics/thyroid-disease METABOLIC SYNDROME https://courserooma.capella.edu/webapps/blackboard/content/listContent.jsp?course_id=_357519_1&content_id=_10905228_1 1/3 2/25/22, 12:08 AM Resources: Additional Resources for Further Exploration &ndash... Michels, N., Matthys, D., De Henauw, S., Thumann, B., & Marild, S. (2018). Children’s stress‐related reports and stress biomarkers interact in their association with metabolic syndrome risk. Stress & Health: Journal of the International Society for the Investigation of Stress, 34(4), 523-533. Powell, L. H., Appelhans, B. M., Ventrelle, J., Karavolos, K., March, M. L., Ong, J. C., Fitzpatrick, S. L., Normand, P., Dawar, R., & Kazlauskaite, R. (2018). Development of a lifestyle intervention for the metabolic syndrome: Discovery through proof-of-concept. Health Psychology, 37(10), 929-939. Sherif, K. (Ed.). (2017). Metabolic syndrome. http://www.healthywomen.org/condition/metabolic-syndrome OBESITY AACE Obesity Resource Center. (n.d.). Stay current with ongoing developments in the management of patients with obesity. http://obesity.aace.com/ Obesity Action Coalition. (2021). http://www.obesityaction.org/ Office on Women's Health. (n.d.). Healthy weight. https://www.womenshealth.gov/healthy-weight POLYCYSTIC OVARY SYNDROME Office on Women's Health. (2018). Top Questions About Healthy Weight and Women. https://owh-wh-d9dev.s3.amazonaws.com/s3fs-public/documents/fact-sheet-healthy-weight.pdf Wright, P. J., Dawson, R. M., & Corbett, C. F. (2020). Social construction of biopsychosocial and medical experiences of women with polycystic ovary syndrome. Journal of Advanced Nursing, 76(7), 1728-1736. PREDIABETES American Diabetes Association. (2021). Diagnosing diabetes and learning about prediabetes. http://www.diabetes.org/are-you-at-risk/prediabetes/ LeBlanc, E. S., Pratley, R. E., Dawson-Hughes, B., Staten, M. A., Sheehan, P. R., Lewis, M. R., Peters, A., Kim, S. H., Chatterjee, R., Aroda, V. R., Chadha, C., Neff, L. M., Brodsky, I. G., Rosen, C., Desouza, C. V., Foreyt, J. P., Hsia, D. S., Johnson, K. C., Raskin, P., . . . Pittas, A. G. (2018). Baseline characteristics of the vitamin D and type 2 diabetes (D2d) study: A contemporary prediabetes cohort that will inform diabetes prevention efforts. Diabetes Care, 41(8), 1590-1599. Yost, O., DeJonckheere, M., Stonebraker, S., Ling, G., Buis, L., Pop-Busui, R., Kim, N., Mizokami-Stout, K., & Richardson, C. (2020). Continuous glucose monitoring with low-carbohydrate diet coaching in adults with prediabetes: Mixed methods pilot study. JMIR Diabetes, 5(4). PREGNANCY Office on Women's Health. (2018). Pregnancy. https://www.womenshealth.gov/pregnancy Lorenzo-Almorós, A., Hang, T., Peiró, C., Soriano-Guillén, L., Egido, J., Tuñón, J., & Lorenzo, Ó. (2019). Predictive and diagnostic biomarkers for gestational diabetes and its associated metabolic and cardiovascular diseases. Cardiovascular Diabetology, 18(1), N.PAG. Thadhani, R. (2016). Study of pregnancy regulation of insulin and glucose. https://clinicaltrials.gov/ct2/show/NCT02763267 Troiano, N. H. (2018). Physiologic and hemodynamic changes during pregnancy. AACN Advanced Critical Care, 29(3), 273-283. ADDITIONAL RESOURCES VitalSource Bookshelf https://courserooma.capella.edu/webapps/blackboard/content/listContent.jsp?course_id=_357519_1&content_id=_10905228_1 2/3 2/25/22, 12:08 AM Resources: Additional Resources for Further Exploration &ndash... Academic Plan Connect with Academic Support Courseroom Help SafeAssign ePortfolio Send Us Feedback https://courserooma.capella.edu/webapps/blackboard/content/listContent.jsp?course_id=_357519_1&content_id=_10905228_1 3/3 2/25/22, 12:03 AM Course Navigation  Assessment 1 Instructions: Concept Map – NURS-FPX6021 - ... Tutorials Claudeth Support Jeffrey Log Out  FACULTY Jamie Holub 27 Hiam Sindy  COACH Assessment 1 Instructions: Concept Map Create a concept map of a chosen condition, disease, or disorder with glucose regulation or metabolic balance considerations. Write a brief narrative (2-3 pages) that explains why the evidence cited in the concept map and narrative are valuable and relevant, as well as how specific interprofessional strategies will help to improve the outcomes presented in the concept map. Introduction Note: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, you should complete the assessments in this course in the order in which they are presented. The biopsychosocial (BPS) approach to care is a way to view all aspects of a patient's life. It encourages medical practitioners to take into account not only the physical and biological health of a patient, but all considerations like mood, personality, and socioeconomic characteristics. This course will also explore aspects of pathophysiology, pharmacology, and physical assessment (the three Ps) as they relate to specific conditions, diseases, or disorders. The first assessment is one in which you will create a concept map to analyze and organize the treatment of a specific patient with a specific condition, disease, or disorder. The purpose of a concept map is to visualize connections between ideas, connect new ideas to previous ideas, and to organize ideas logically. Concept maps can be an extremely useful tool to help organize and plan care decisions. This is especially true in the biopsychosocial model of health, which takes into account factors beyond just the biochemical aspects of health. By utilizing a concept map, a nurse can simplify the connection between disease pathways, drug interactions, and symptoms, as well as between emotional, personality, cultural, and socioeconomic considerations that impact health. Preparation As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment. The assessment will be based on the case of a specific patient with a specific condition, disease, or disorder. Think about an experience you have had treating a patient with a condition, disease, or disorder that interests you, or one of the cases presented in the Vila Health: Concept Maps as Diagnostic Tools media simulation. What is the primary condition, disease, or disorder affecting the patient? What types of experience have you had working with patients with this condition, disease, or disorder? How does this condition, disease, or disorder typically present? What are the recommended treatment options? https://courserooma.capella.edu/webapps/blackboard/content/listContent.jsp?course_id=_357519_1&content_id=_10905221_1 1/4 2/25/22, 12:03 AM Assessment 1 Instructions: Concept Map – NURS-FPX6021 - ... What, if any, characteristics of an individual patient should be kept in mind when determining a course of treatment. How have you used concept maps to help plan and organize care? What are the advantages of concept maps, from your point of view? How could concept maps be more useful? How can interprofessional communication and collaboration strategies assist in driving patient safety, efficiency, and quality outcomes with regard to specific clinical and biopsychosocial considerations? What interprofessional strategies do you recommend health care providers take in order to meet patient-centered safety and outcome goals? Scenario You have already learned about evidence-based practice and quality improvement initiatives in previous courses. You will use this information to guide your assessments, while also implementing new concepts introduced in this course. For this assessment, you will develop a concept map and provide supporting evidence and explanations. You may use the case studies presented in the Vila Health: Concept Maps as Diagnostic Tools media, a case study from the literature or your practice that is relevant to the list of conditions below, or another relevant case study you have developed. This case study will provide you with the context for creating your concept map. You may also use the practice context from the case study or extrapolate the case study information and data into your own practice setting. Think carefully when you are selecting the case study for this assessment, as you may choose to build upon it for the second assessment as well. Some example conditions, diseases and disorders that are relevant to metabolic balance and glucose regulation considerations are: Cancer. Diabetes (type 2). HIV/AIDS. Hyperthyroidism. Hypothyroidism. Metabolic syndrome. Obesity. Polycycstic ovary syndrome. Prediabetes. Pregnancy. Instructions Develop a concept map and a short narrative that supports and further explains how the concept map is constructed. You may choose to use the Concept Map Template as a starting point for your concept map, but are not required to do so. The bullet points below correspond to the grading criteria in the scoring guide. Be sure that your evidence-based plan addresses all of them. You may also want to read the Concept Map scoring guide and the Guiding Questions: Concept Map document to better understand how each grading criterion will be assessed. Part 1: Concept Map Develop an evidence-based concept map that illustrates a plan for achieving high-quality outcomes for a condition that has impaired glucose or metabolic imbalance as related aspects. Concept Map Template [DOCX]. You may choose to use this template for completing this component of the assignment. https://courserooma.capella.edu/webapps/blackboard/content/listContent.jsp?course_id=_357519_1&content_id=_10905221_1 2/4 2/25/22, 12:03 AM Assessment 1 Instructions: Concept Map – NURS-FPX6021 - ... Part 2: Additional Evidence (Narrative) Justify the value and relevance of the evidence you used as the basis for your concept map. Analyze how interprofessional strategies applied to the concept map can lead to achievement of desired outcomes. Construct concept map and linkage to additional evidence in a way that facilitates understanding of key information and links. Integrate relevant sources to support assertions, correctly formatting citations and references using current APA style. Use the APA Style Paper Tutorial [DOCX] to complete this narrative component. Example Assessment You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like: Assessment 1 Example [PDF]. Additional Requirements Length of submission: Your concept map should be on a single page, if at all possible. You can submit the concept map as a separate file, if you need to. Your additional evidence narrative should be 2-3 doublespaced, typed pages. Your narrative should be succinct yet substantive. Number of references: Cite a minimum of 3-5 sources of scholarly or professional evidence that supports your concept map, decisions made regarding care, and interprofessional strategies. Resources should be no more than five years old. APA formatting: For the concept map portion of this assessment: Resources and citations are formatted according to current APA style. Please include references both in-text and in the reference page that follows your narrative. For the narrative portion of this assessment: use the APA Style Paper Tutorial [DOCX] to help you in writing and formatting your analysis. You do not need to include an abstract for this assessment. Competencies Measured By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria: Competency 1: Design patient-centered, evidence-based, advanced nursing care for achieving high-quality patient outcomes. Develop an evidence-based concept map that illustrates a plan for achieving high-quality outcomes for a condition that has impaired glucose or metabolic imbalance as related aspects. Justify the value and relevance of the evidence used as the basis for a concept map. Competency 4: Evaluate the efficiency and effectiveness of interprofessional care systems in achieving desired health care improvement outcomes. Analyze how interprofessional strategies applied to the concept map can lead to achievement of desired outcomes. Competency 5: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with organizational, professional, and scholarly standards. https://courserooma.capella.edu/webapps/blackboard/content/listContent.jsp?course_id=_357519_1&content_id=_10905221_1 3/4 2/25/22, 12:03 AM Assessment 1 Instructions: Concept Map – NURS-FPX6021 - ... Construct concept map and linkage to additional evidence in a way that facilitates understanding of key information and links. Integrate relevant sources to support assertions, correctly formatting citations and references using current APA style. SCORING GUIDE Use the scoring guide to understand how your assessment will be evaluated. VIEW SCORING GUIDE  https://courserooma.capella.edu/webapps/blackboard/content/listContent.jsp?course_id=_357519_1&content_id=_10905221_1 4/4
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Explanation & Answer

View attached explanation and answer. Let me know if you have any questions.

Polycystic Ovary Syndrome- Outline
Thesis Statement: This narrative justifies the evidence used and presents the need for
interprofessional collaboration in implementing the care plan.
I. Introduction
A. This paper presents an evidence-based concept map of a patient with the
symptoms of polycystic ovary syndrome (PCOS).
B. Sleep and rest are also captured since the diagnosis presents with interruptions in
sleep patterns.
II. Additional Evidence
A. Carrie Alves is a 31-year-old female presenting with the main chief complaint of
irregular menstrual cycle for the last six months.
B. The evidence justifies the PCOS medical diagnosis and the nursing diagnosis
address the biopsychosocial symptoms and potential complications of the medical
diagnosis.
III. Value and Relevance of Evidence
A. The evidence included in the concept map is valuable and relevant to the case
study.
B. Therefore, the evidence is not only valuable and relevant to the case scenario but
also supportive of interprofessional collaboration in healthcare.
IV. Interprofessional Strategies
A. The care plan presented integrates the role of a sleep therapist, counselor, and
physical fitness professional in addressing nursing diagnoses.

B. While the provider focuses on the PCOS diagnosis, the nurse and
interprofessional team focus on biopsychosocial aspects of patient care and
symptoms.
V. Conclusion
A. PCOS medical diagnosis is associated with significant nursing diagnoses due to
adverse symptoms identified.
B. The patient is expected to effectively manage her health condition through the
assistance of the nurse and the interprofessional team.


1

Polycystic Ovary Syndrome Concept Map

Name
Institution
Course
Professor
Date

2

3
Polycystic Ovary Syndrome Concept Map
This paper presents an evidence-based concept map of a patient with the symptoms of
polycystic ovary syndrome (PCOS). The concept map is a tool for organizing concepts according
to the relationships they have to each other. In the concept map provided, three main diagnoses
are presented. Anxiety is presented as the most important diagnosis because of the potential
impact of the diagnosis on the patient’s mental health. Disturbed body image is captured due to
weight changes and hormonal effects on physiological symptoms such as hair on the chin and
acne. Sleep and rest are also captured since the diagnosis presents with interruptions in sleep
patterns. This narrative justifies the evidence used and presents the need for interprofessional
collaboration in implementing the care plan.
Additional Evidence
Carrie Alves is a 31-year-old female presenting with the main chief complaint of
irregular menstrual cycle for the last six months. Subjective and objective data has been used in
the concept map to determine appropriate interventions and expected outcomes. Irregular menses
is a common symptom of PCOS often due to hormonal changes. Additionally, hair growing in
the chin is known as hirsutism, and is a symptom of PCOS (Kim et al., 2021). Weight gain is due
to hormonal changes and it is also a common symptom. The patient experiences vivid dreams
which awaken her and interrupt her sleep patterns. These dreams are a sign of anxiety related to
the patient’s medical condition. The evidence justifies the PCOS medical diagnosis and the
nursing diagnosis address the biopsychosocial symptoms and potential complications of the
medical diagnosis.

4
Value and Relevance of Evidence
The evidence included in the concept map is valuable and relevant to the case study. The
presenting symptoms and complications are consistent with PCOS diagnosis and hence the
evidence used for interventions is justified (Wright et al., 2020). Moreover, anxiety has been
identified as a major issue among women with reproductive system conditions as has been
proved for weight gain in PCOS (Woodward et al., 2020). The three articles are peer-reviewed
journal articles on the specific symptoms of PCOS and they are credible and current articles as
well. The evidence provided also presents the rationale for collaborative interventions.
Biopsychosocial care for patients requires collaborative approaches among professionals and the
evidence used justifies the role of mental health and sports science professionals in addressing
PCOS symptoms. Therefore, the evidence is not only valuable and relevant to the case scenario
but also supportive of interprofessional collaboration in healthcare.
Interprofessional Strategies
The care plan presented integrates the role of a sleep therapist, counselor, and physical
fitness professional in addressing nursing diagnoses. Mutual feedback is needed in
interprofessional collaboration to ensure effective communication and care coordination (Wei et
al., 2020). The nurse should communicate effectively with the other professionals to ensure
mutual feedback and ongoing care coordination. This strategy is necessary for the current
condition because medical diagnoses outcomes may affect the presenting symptoms and hence
determine the necessary interventions. The expected outcomes of the intervention include
reduced anxiety, better sleeping patterns, and achievement of healthy weight. While the provider
focuses on the PCOS diagnosis, the nurse and interprofessional team focus on biopsychosocial
aspects of patient care and symptoms.

5
Conclusion
PCOS medical diagnosis is associated with significant nursing diagnoses due to adverse
symptoms identified. The patient presents with anxiety, weight gain, and sleep interruptions due
to PCOS and these diagnoses can be addressed using a biopsychosocial approach. Valuable and
relevant evidence has been captured in the concept map to justify interventions and promote
healthy living. The patient is expected to effectively manage her health condition through the
assistance of the nurse and the interprofessional team.

6
References
Choi, Y. K., Demiris, G., Lin, S. Y., Iribarren, S. J., Landis, C. A., Thompson, H. J., & Ward, T.
M. (2018). Smartphone applications to support sleep self-management: Review and
evaluation. Journal of Clinical Sleep Medicine, 14(10), 1783-1790.
https://doi.org/10.5664/jcsm.7396
Kim, J. H., Kim, O., Jung, H., Pang, Y., & Dan, H. (2021). Body mass index, menstruation, acne,
and hirsutism of polycystic ovary syndrome in women: A cross-sectional study. Health
Care for Women International, 1-13. https://doi.org/10.1080/07399332.2021.1939348
Wei, H., Corbett, R. W., Ray, J., & Wei, T. L. (2020). A culture of caring: The essence of
healthcare interprofessional collaboration. Journal of Interprofessional Care, 34(3), 324331. https://doi.org/10.1080/13561820.2019.1641476
Woodward, A., Klonizakis, M., & Broom, D. (2020). Exercise and polycystic ovary syndrome.
Physical Exercise for Human Health, 123-136. https://doi.org/10.1007/978-981-15-17921_8
Wright, P. J., Dawson, R. M., & Corbett, C. F. (2020). Social construction of biopsychosocial
and medical experiences of women with polycystic ovary syndrome. Journal of
Advanced Nursing, 76(7), 1728-1736. https://doi.org/10.1111/jan.14371

View attached explanation and answer. Let me know if you have any questions.

1

Polycystic Ovary Syndrome Concept Map

Name
Institution
Course
Professor
Date

2

3
Polycystic Ovary Syndrome Concept Map
This paper presents an evidence-based concept map of a patient with the symptoms of
polycystic ovary syndrome (PCOS). The concept map is a tool for organizing concepts according
to the relationships they have to each other. In the concept map provided, three main diagnoses
are presented. Anxiety is presented as the most important diagnosis because of the potential
impact of the diagnosis on the patient’s mental health. Disturbed body image is captured due to
weight changes and hormonal effects on physiological symptoms such as hair on the chin and
acne. Sleep and rest are also captured since the diagnosis presents with interruptions in sleep
patterns. This narrative justifies the evidence used and presents the need for interprofessional
collaboration in implementing the care plan.
Additional Evidence
Carrie Alves is a 31-year-old female presenting with the main chief complaint of
irregular menstrual cycle for the last six months. Subjective and objective data has been used in
the concept map to determine appropriate interventions and expected outcomes. Irregular menses
is a common symptom of PCOS often due to hormonal changes. Additionally, hair growing in
the chin is known as hirsutism, and is a symptom of PCOS (Kim et al., 2021). Weight gain is due
to hormonal changes and it is also a common symptom. The patient experiences vivid dreams
which awaken her and interrupt her sleep patterns. These dreams are a sign of anxiety related to
the patient’s medical condition. The evidence justifies the PCOS medical diagnosis and the
nursing diagnosis address the biopsychosocial symptoms and potential complications of the
medical diagnosis.

4
Value and Relevance of Evidence
The evidence included in the concept map is valuable and relevant to the case study. The
presenting symptoms and complications are consistent with PCOS diagnosis and hence the
evidence used for interventions is justified (...

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