Nursing
7/25/2021 Gmail - Case Study
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adepeju Abimbola-peters <adepejupeters@gmail.com>
Case Study 1 message
Zainab Alake <alakezainab@gmail.com> Sun, Jul 25, 2021 at 9:18 PM To: adepeju Abimbola-peters <adepejupeters@gmail.com>
NSG 110 Case Study for Concept Map #3
Mrs. NW is an 81-year old admitted to your rehabilitation center from the hospital for short term rehabilitation. She had hip replacement and is to work with physical therapy to get her stronger so she can return home and care for herself.
During the admission, Mrs. NW tells you “I am so nervous about being here. If I don’t do well, they won’t let me go home by myself. I was so used to caring for myself before I fell and broke my hip. This has been so hard. Except for some joint stiffness in the morning, I really don’t have anything wrong with me and I am proud of that! I have never had to take any medications. It has been hard to deal with the pain and having to take pain medication. I am very active in my church. I even volunteer at the senior center. Plus, I babysit my great-granddaughter who is 1. If I don’t get back to my old self, I’m afraid I will lose my freedom to do these things. What if I fall again? I don’t want to be known as ‘old and feeble.’ Only old people use walkers and canes.”
ViIndividual Care Map Evaluation Tool – NSG110 beginning May 2021
Identify, Organize. and analyze the Assessment data from patient chart/case study. (Organized into subjective/objective data and by body system)
Data organized into subjective and objective data and by body system. 90-100% of data included. (20 pts)
20 points
Data organized into subjective and objective data and by body system. ≤80% of data included. (16 pts.)
16 points
Data organized into subjective and objective data or data organized by body system. 90-100% of data included (12pts.)
12 points
Data not organization into subjective and objective data or by body system. ≤ 80% of data included (10pts.)
10 points
Data disorganized and/or ≤ 60% included. (5pts.)
5 points
No answer
0 points
Demonstrate appropriate use of Data is Data is Data is not Data analysis Data analysis Data clusters
7/25/2021 Gmail - Case Study
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Gordon’s Functional Patterns by organizing data into meaningful data clusters. Functional or dysfunctional patterns correctly labeled. Each Gordon’s pattern is defined and has a citation
analyzed with relationship to Gordon's patterns; clearly identifies the priority human responses to the health situation. All patterns are defined with citation. Functional or dysfunctional patterns correctly labeled. (20pts)
20 points
analyzed with relationship to Gordon's patterns; clearly identifies the human response to the health situation. ≤ 67% of the problems are identified. At least 80% of patterns are defined with citation. At least 80% Functional or dysfunctional patterns correctly labeled. (16pts)
16 points
analyzed with relationship to Gordon's patterns; does not clearly identify the human response with appropriate data; ≥ 67% of the problems are identified. Patterns defined missing citation. <80%Functional or dysfunctional patterns correctly labeled. (12pts)
12 points
is unorganized without relationship to Gordon's patterns. < 67% of problems are identified or patterns not defined. Functional or dysfunctional patterns not labeled. (5pts)
10 points
is unorganized without relationship to Gordon's patterns. < 67% of problems are identified or patterns not defined. Functional or dysfunctional patterns not labeled. (5pts)
5 points
not present. Gordon's patterns not identified.
0 points
Diagnosis: List at least 3 Nursing Diagnoses (NDx) based upon analysis of the data (must have at least 1 problem-oriented physiological NDx). All identified nursing diagnoses listed from highest priority to lowest priority.
More than 3 nursing diagnoses are listed with at least 1 problem- oriented physiological NDx. All components of the NDx
Three (3) nursing diagnoses are listed with at least 1 problem- oriented physiological NDx. Components of the NDx are
At least 3 nursing diagnoses are listed with at least 1 problem- oriented physiological NDx. NDx components are complete
At least 3 nursing diagnoses are listed and does not include at least 1 problem- oriented physiological NDx. Does not use NANDA
Does not list at least 3 nursing diagnosis and does not have at least 1 problem- oriented physiological NDx. Nursing diagnoses not prioritized.
No answer
0 points
7/25/2021 Gmail - Case Study
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(NANDA diagnosis, related to factors and evidence including all data for each problem) are included and correct for each NDx. All nursing diagnoses listed and prioritized from highest to lowest priority. Reflects understanding of the client problems. (15 pts))
15 points
correct in ≥ 67% of NDx. ≥ 67% of nursing diagnoses prioritized from highest to lowest priority. Reflects understanding of the client problems. (12pts)
12 points
or correct in < 67% of the NDx. ≥ 67% of nursing diagnoses prioritized from most important to least important. Nursing diagnoses do not reflect understanding of the client problem. (10pts)
10 points
approved nursing diagnoses. OR NDx components are complete in < 67% of the NDx. ≤ 67% of nursing diagnoses prioritized from highest to lowest priority. OR does not reflect understanding of the client problems. (8 pts)
8 points
does not reflect understanding of the client problem (5pts.)
5 points
Planning: Correctly Plan care by writing a goal and outcomes for the priority nursing diagnosis
Writes one patient- centered goal and 3 or more expected outcomes in SMART format that show advancement toward goal achievement. . (15pts)
15 points
Writes one patient- centered goal addresses the problem and ≤ 2 expected outcomes in SMART format. (12pts)
12 points
Goal statement and ≤ 2 expected outcomes patient- centered; does not address the problem. (10pts)
10 points
Goal statement or ≤ 2 Expected outcomes are not patient- centered or missing one or more components. (8pts)
8 points
Goal statement not included. Expected outcomes listed not in SMART format or do now show advancement toward goal achievement. Minimal effort. (5)
No Answer
0 points
7/25/2021 Gmail - Case Study
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5 points
Format relevant Care Map: Patient- centered care map developed. Patterns of function or dysfunction (labeled). Relationships between concepts clearly indicated to include influences, results, and how each step of the nursing process affects the others. Demonstrates critical thinking leading to the identification of the priority NDx. (20pts)
20 points
Patient- centered care map developed. Patterns of function or dysfunction (labeled). Relationships between concepts indicated do not show influences, results, and how each step of the nurse process affects the others. Adequate critical thinking leading to the identification of the priority NDx (16pts)
16 points
Patient- centered care map developed. All components of nursing process are identified and incorporated into the care map. Patterns of function or dysfunction. Relationships between concepts ambiguous. Minimal critical thinking leading to the identification of the priority NDx. (12pts)
12 points
Data clusters do not originate from the client. Or Data clusters do not demonstrate use of Gordon's Patterns with the organization process and identification of Functional and Dysfunctional Patterns. Or Data clusters do not show critical thinking leading to identification of priority human response to the situation. Relationships between concepts poorly indicated. (10pts)
10 points
Relationships between concepts do not show critical thinking leading to identification of human response to the situation. Relationships between concepts with Care Map format poorly indicated. (5pts)
5 points
No answer
0 points
7/25/2021 Gmail - Case Study
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Communicate knowledge in a manner that is concise, comprehensible, and logically organized; apply APA style and formatting for citations and references
Communicates knowledge in a manner that is concise, comprehensible, and logically organized; applies APA style and formatting for references; assignment contains no errors. (10 pts)
10 points
Communicates knowledge in a manner that is concise, comprehensible, and logically organized; applies APA style and formatting for references; assignment contains <80% errors. (8 pts)
8 points
Communicates knowledge in a manner that is concise, comprehensible, and logically organized; applies APA style and formatting; assignment contains >=80% errors. (5pts)
5 points
Does not communicate knowledge in a manner that is concise, comprehensible, and logically organized; does not apply APA style and formatting. (1pt)
1 points
No Answer
0 points
61.00000tal Signs are temperature 97.8oF, heart rate is 82 and regular, respirations are 18 and unlabored, SPO2 is 98% on room air, blood pressure is 122/76.