Nursing
Fanta Jalloh
320.7.24Module11.Guide.docxModule 11: Synthesis
This is your opportunity synthesis and application in a common chronic illness situation.
Module Objective:
1. Synthesize principles of person and family centered care, chronic illness challenges, and Rural Health Nursing Theory with nursing process.
Assigned readings:
Refer to materials addressed earlier that will be valuable as you develop your care plan.
Be sure to read through the documents and watch the video in the Chronic Illness Family Careplan folder (found in the Content section of the course). Note the optional template for the care plan is found in the same folder. If you utilize the template, be sure to review the grading rubric for more detailed descriptors and point values for each grading criterion.
The case studies (found in the same folder) represent very common situations in health care. Nurses have an opportunity to make a profound difference in the lives of those we care for by providing individualized patient and family centered care!
Assignment
Consider these statements as your work on your care plan:
“ Managing chronic illness raises the nursing practice bar, challenging nurses to apply a patient-focused, systematic, outcome based, cost effective, quality care model” (Gies, p. 144).
"The differences are vast between caring for a person with an acute illness on a short term basis and caring for a person with a chronic condition over the long haul" (Larsen, p.11).
There is no assignment to submit for Module 11. Look ahead to Module 12.
The Chronic Illness Family Careplan is due in Module 12. Please refer to the course calendar for specific dates.
Please choose one of the case studies that are posted in the Chronic Illness Family Careplan folder as the basis of your care plan.
If you want to submit an optional draft of your plan, please submit by due date on schedule.
"The differences are vast between caring for a person with an acute illness on a short term basis and caring for a person with a chronic condition over the long haul" (Larsen, p.11).
References:
Gies. (2019). Quality of Life. In P.D. Larson (Ed.), Chronic illness: Impact and intervention (pp. 129 - 158). Jones & Bartlett Learning.
Larsen, P.D. (2019). Chronicity. In P.D. Larson (Ed.), Chronic illness: Impact and intervention (pp. 3 - 18). Jones & Bartlett Learning.
Appendix F - Chronic Illness Family Care Plan
Objective: Care plans will be based on the case studies posted in D2L (go to the last area in the content section). Student will synthesize concepts of Rural Nursing Theory, chronic illness, and principles of patient and family centered care with nursing process to plan holistic care for a patient/family living with chronic illness. The plan should be specific enough so that another nurse could adhere to the care plan you wrote – continuity of care is important!
Note an optional template is included in the Assignment Guidance and Template folder.
Please refer to the Assignment Guidance and Template folder for more detail.
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Criterion |
Excellent |
Competent |
Not satisfactory |
|
1. Overview of the situation.
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All relevant data from case study included. Organized and clear. (2 points) |
Most relevant data from case study considered. Clarity and organization are lacking. (1 point) |
Incomplete.
(0 points) |
|
2. Relevant assessment data gathered/included.
|
Note: the data you collect in this section will be fictitious. Include relevant, significant (fictious) data collected in this section.
A minimum of two evidence-based assessment tools, appropriate to the situation, are used to gather data.
Focused and relevant physical assessment data obtained and included.
Focused and relevant history obtained and included.
Assessment data is clear, focused, thorough, and logical. (10 points) |
Appropriate assessment tools used.
Relevant physical assessment data not focused on the situation.
Challenging for reader data collected.
Clarity and organization are lacking. (5 points) |
Work incomplete or incorrect.
(0 points) |
|
3. Priority nursing concerns identified, supported by data, and justified |
A minimum of three priority concerns are identified and clearly supported by the data gathered.
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Priority concerns minimally supported by gathered data.
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Work incomplete or incorrect.
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|
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Priority concerns flow from assessment data included/collected.
One concern is a physical; one is psychosocial; the third can be either physical or psychosocial. These do NOT need to be written in NANDA format. Why did you choose these as priority? Priority of chosen concerns is justified. Explain the reasoning for your prioritization Reasoning is sound and does not include logical fallacies or assumptions. (8 points) |
Concerns included, but do not flow from data.
Assumptions that could impact care possible.
Priorities not adequately justified.
(4 points) |
(0 points) |
|
4. Goals/desired outcome Goal formulation |
Desired outcomes/goals clearly flow from assessment data.
Appropriate, realistic, measurable, person and family centered goals/ outcomes for the patient/family are formulated.
Explain how you would go about formulating your goals. Consider principles of person and family centered care, identifying factors contributing to the nursing concern.
One goal/outcome developed to meet each priority concern.
Desired outcomes/goals clearly flow from assessment data. (6 points) |
Outcomes/goals do not clearly flow from nursing concerns.
or Outcomes/goals not individual/family centered. or outcomes goals do not address underlying contributors to priority concerns. or
Outcomes not measurable or realistic.
(4 points)
|
Work incomplete or incorrect.
(0 points) |
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5. Evidence based nursing interventions proposed. |
A minimum of two evidence-based nursing interventions proposed to meet each desired outcome/ goal.
Briefly explain how you would develop interventions considering principles of person and family centered care, addressing factors contributing to the nursing concern.
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Interventions do not consistently fit with desired outcomes.
Interventions not supported by scholarly evidence (no citations)
Interventions do not 'fit' with situation. |
Work incomplete or incorrect.
(0 points)
|
|
|
Interventions flow from desired goals/outcomes and are supported with evidence.
Interventions are individualized and 'fit' with the unique situation.
Interventions are specific enough so another nurse could adhere to the plan to facilitate continuity. (10 points) |
Interventions not specific enough for another nurse to follow. (5 points) |
|
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6. Evaluation considered –
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Addresses how the nurse will evaluate the plan of care and modify as needed. (2 points) |
Evaluation not appropriate for unique situation. (1 point) |
Work incomplete or incorrect. (0 points) |
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7. Consideration of rural residence
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A minimum of two concepts of Rural Health Nursing Theory (find list of these concepts on p. 6 in text edited by Winters) that fit with scenario are explored as they fit with unique patient/ family scenario. (6 points) |
Rural Health Nursing concepts are addressed, but minimally explored.
Concepts do not clearly fit with unique situation. (4 points) |
Work incomplete or incorrect. (0 points) |
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8. Conclusion
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Gives the paper/plan a sense of completeness. Leaves the reader with a final impression. (2 points) |
Sense of completeness lacking. (1 point) |
No conclusion. (0 points) |
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Organization and effectiveness (these criteria are not a specific part of the care plan, but look at the plan as a whole) |
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9. Resources |
References drawn from a minimum of three professional nursing journal articles. Journal resources are synthesized and integrated into plan appropriately. (5 points) |
Fewer than three professional nursing journal resources synthesized and integrated (3 points). |
Fewer than two professional nursing journal resources synthesized and integrated (0 points). |
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10. Writing quality
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Plan is clear and focused. Fewer than six punctuation, spelling, spacing, capitalization and writing mechanics errors. (4 points) |
Plan lacking in clarity. Fewer than 12 writing mechanics errors. (2 points) |
Twelve or more writing mechanics errors. (0 points) |
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11. APA style
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Uses APA style correctly for citations and references. Uses headings if writing care plan in narrative format. (4 points) |
Fewer than six errors in APA style. Uses headings if writing as narrative. (2 points) |
Six or more APA errors errors. (0 points) |
|
12. Portfolio submission |
Submitted to portfolio by the due date (same day paper is due). (1 point) |
Not submitted by due date. (0 points) |
Not submitted by due date. (0 points) |
Revised July, 2022
Please note:ou can either write a professional paper or use the optional template (found in the Assignment Guidance and Template folder). Either way, you must adhere to the grading rubric to earn as many points as possible
