CONCEPT MAP WORKSHEET
DESCRIBE DISEASE PROCESS AFFECTING PATIENT
(INCLUDE PATHOPHYSIOLOGY OF DISEASE PROCESS)
Fractures of the tibia and fibula often occur in association with each other and tend
to result from a direct blow, falls with the foot in a flexed position, or a violent
twisting motion.
splint: device designed specifically to support and immobilize a body part in a desired
position
DIAGNOSTIC TESTS PATIENT INFORMATION ANTICIPATED PHYSICAL FINDINGS
(REASON FOR TEST AND RESULTS)
N/A Marilyn Hughes, 45
year old female, Compartment syndrome,
suffered a left mid- cyanosis,
shaft tibia-fibula Pale, pallor,
fracture when she Decreased pedal pulses,
slipped on icy stairs this Swelling, edema
morning
taken to surgery for an
open reduction with
internal fixation (ORIF).
ANTICIPATED NURSING INTERVENTIONS
Promote circulation
Assess wound
Assess post operative dressing
Assess vital signs
, vSim ISBAR ACTIVITY STUDENT WORKSHEET
INTRODUCTION Karen Brito RN , Med Surge Unit
Your name, position (RN), unit you are
working on
SITUATION Marilyn Hughes, 45 year old female, suffered a left mid-shaft tibia-
fibula fracture
Patient’s name, age, specific reason for visit
BACKGROUND Primary diagnosis is compartment syndrome after the surgery , date of
admission 4/12/2020, current orders are morphine and to assess vital
Patient’s primary diagnosis, date of signs and assess post operative dressing
admission, current orders for patient
ASSESSMENT Lower left leg looks cyanotic, dressing seems really tight, prolonged
capillary refill in the toes on the left side, normal skin turgor, skin is
Current pertinent assessment data using head cool and she is very sweaty
to toe approach, pertinent diagnostics, vital
signs
RECOMMENDATION Recommendations is to loosen dressing, assess pedal pulses, vital
signs q 15 mins, provide PRN medication for pain, assess pain,
Any orders or recommendations you may have circulation
for this patient
DESCRIBE DISEASE PROCESS AFFECTING PATIENT
(INCLUDE PATHOPHYSIOLOGY OF DISEASE PROCESS)
Fractures of the tibia and fibula often occur in association with each other and tend
to result from a direct blow, falls with the foot in a flexed position, or a violent
twisting motion.
splint: device designed specifically to support and immobilize a body part in a desired
position
DIAGNOSTIC TESTS PATIENT INFORMATION ANTICIPATED PHYSICAL FINDINGS
(REASON FOR TEST AND RESULTS)
N/A Marilyn Hughes, 45
year old female, Compartment syndrome,
suffered a left mid- cyanosis,
shaft tibia-fibula Pale, pallor,
fracture when she Decreased pedal pulses,
slipped on icy stairs this Swelling, edema
morning
taken to surgery for an
open reduction with
internal fixation (ORIF).
ANTICIPATED NURSING INTERVENTIONS
Promote circulation
Assess wound
Assess post operative dressing
Assess vital signs
, vSim ISBAR ACTIVITY STUDENT WORKSHEET
INTRODUCTION Karen Brito RN , Med Surge Unit
Your name, position (RN), unit you are
working on
SITUATION Marilyn Hughes, 45 year old female, suffered a left mid-shaft tibia-
fibula fracture
Patient’s name, age, specific reason for visit
BACKGROUND Primary diagnosis is compartment syndrome after the surgery , date of
admission 4/12/2020, current orders are morphine and to assess vital
Patient’s primary diagnosis, date of signs and assess post operative dressing
admission, current orders for patient
ASSESSMENT Lower left leg looks cyanotic, dressing seems really tight, prolonged
capillary refill in the toes on the left side, normal skin turgor, skin is
Current pertinent assessment data using head cool and she is very sweaty
to toe approach, pertinent diagnostics, vital
signs
RECOMMENDATION Recommendations is to loosen dressing, assess pedal pulses, vital
signs q 15 mins, provide PRN medication for pain, assess pain,
Any orders or recommendations you may have circulation
for this patient
