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NUR 315 Final Project Guidelines and Rubric

Overview Pathophysiology is a topic that is studied by most healthcare professional students—including nursing, medicine, and other allied health professionals. Increasingly, this study has been enriched and enhanced through the use of various patient care technologies. Pathophysiology is defined as the study of the disturbance of normal mechanical, physical, and biochemical functions, either caused by a disease or resulting from an abnormal syndrome or condition that may not qualify to be called a disease. Pathophysiology may also be thought of as the study of the biological and physical manifestations of disease as they correlate with the underlying abnormalities and physiological disturbances. It is critically important for nurses to understand and be able to assess common health challenges or diseases. The final project for this course will require you to choose a well-known individual from history or current popular literature, with instructor approval, who has a known physiological disease or illness of interest, and analyze that person’s case. You will then develop a plan of care using aspects of the nursing process for your selected case. This assessment addresses the following course outcomes:

x Differentiate between normal physiological processes and pathological presentations of adult health states for promoting health and preventing disease x Assess the role of patient care technologies in managing and promoting patient outcomes in individuals with chronic diseases and acute illnesses x Explain the pathological processes of adult diseases and illnesses for guiding risk-reduction and prevention strategies x Develop plans of care for adult diseases and illnesses that utilize current evidence-based research

Prompt You will choose a well-known individual from history or current popular literature, with instructor approval, who has a known physiological—as opposed to psychiatric or psychological—disease or illness, and, using a systematic approach, you will analyze that disease or illness. You will also develop a plan of care for that disease or illness. In your analysis, you will describe the pathophysiology for your selected disease or illness, propose historical explanations for variations in findings (when applicable), and demonstrate use of nursing conceptual models to frame your discussion of adaptation and stressors collectively for system analysis. Your plan of care should utilize the PIE (planning, intervention, and evaluation) format. The planning (P) section should include at least two short-term and two long-term goals that are most appropriate for your chosen case, and each goal should have measurable criteria and have a hypothetical target date or time. The intervention (I) section should include interventions or nursing actions that directly relate to the selected case’s goals and that are specific in action and frequency. The number of interventions should be appropriate for helping to meet individual goals. Finally, the evaluation (E) section of the plan of care should include proposed measures for determining success of the plan and an evaluation of the potential success of the plan, based on those measures.

Specifically, the following critical elements must be addressed:

I. Introduce your selected case a) Identify the individual you selected and his or her disease or illness, and provide a brief explanation of why you selected this case. b) Describe how normal physiology is changed by the disease state for your selected case. c) Define the pathophysiology and clinical manifestations associated with your selected case and how they may be explained by altered physiology.

Be sure to support your claims with scholarly evidence. d) Assess the extent to which clinical manifestations of your selected case affect multiple body systems, using scholarly evidence to support your

claims.

II. History of selected case a) Describe historical variations (that is, examples of individuals with the selected disease or illness) of your selected case, using evidence from

literature. b) Identify physiological stressors that may affect the course of the disease or illness, and explain their impact. c) Identify adaptive physiological mechanisms that may affect the course of the disease for your selected case. d) Assess the historical impact of patient care technologies on patient outcomes for your selected case. Be sure to justify your claims with scholarly

evidence.

III. Planning for care for your selected case a) Write a goal statement that is patient-centered and contains at least one measurable criterion or target date/time. In order to address this

element comprehensively, you should be sure to provide at least two short-term and two long-term goals for your selected case. b) Analyze the critical nursing concerns associated with this disease state, and prioritize them from a treatment standpoint. c) Identify patient care technologies that are appropriate for managing clinical manifestations of your selected case.

IV. Intervention

a) Outline appropriate nursing interventions for your selected case. Be sure to substantiate your claims with scholarly evidence. b) Outline common classes of medications used to manage the disease. Be sure to provide examples from scholarly evidence to support your

claims. c) Assess the extent to which current patient care technologies improve health promotion for your selected case, using scholarly evidence to

support your claims. d) Assess the extent to which current patient care technologies assist in decreasing medication errors and improving patient safety with regard to

your selected case.

V. Evaluation a) Identify the most appropriate measures for determining the success of your plan of care. In other words, what data will you need to collect to

determine if your plan worked? Be sure to substantiate your claims with scholarly evidence. b) In terms of the outcome measures you identified, evaluate the potential success of your plan of care and proposed nursing interventions for

your selected case. In other words, do you feel your proposed plan of care and interventions for your selected case will result in successful outcomes? Be sure to justify your rationale with evidence-based research.

Milestones Milestone One: Selection of Case In Module Two, you will identify and introduce your selected case. This submission will be graded with the Milestone One Rubric. Milestone Two: Draft of Selected Case and Plan In Module Five, you will submit a draft of your final project. Be sure to incorporate instructor feedback in your final project. This submission will be graded with the Milestone Two Rubric. Final Submission: Case Analysis and Plan of Care In Module Seven, you will submit your final project. It should be a complete, polished artifact containing all of the critical elements of the final product. It should reflect the incorporation of feedback gained throughout the course. This submission will be graded with the Final Product Rubric.

Final Product Rubric Guidelines for Submission: Your case analysis and plan of care paper should be between 6 and 10 pages, not including title page and reference list. It should be formatted with 12-point Times New Roman font and one-inch margins; all citations should follow proper APA guidelines.

Critical Elements Exemplary (100%) Proficient (85%) Needs Improvement (55%) Not Evident (0%) Value Introduce: Identify Meets “Proficient” criteria and

uses industry-specific language to establish expertise

Identifies selected individual and disease or illness and provides reasoning behind selection

Identifies selected individual and disease or illness, but does not provide reasoning behind selection

Does not identify selected individual and disease or illness

4

Introduce: Describe

Meets “Proficient” criteria, and description is exceptionally clear and well-informed

Accurately describes how normal physiology is changed by disease state for selected case

Describes how normal physiology is changed by disease state for selected case, but with gaps in accuracy

Does not describe how normal physiology is changed by disease state for selected case

7.7

Introduce: Define

Meets “Proficient” criteria, and definition is exceptionally clear and well-informed

Defines the pathophysiology and clinical manifestations associated with selected case and how they may be explained by altered physiology and supports claims with scholarly evidence

Defines the pathophysiology and clinical manifestations associated with selected case, but not how they may be explained by altered physiology, or does not support claims with scholarly evidence

Does not define the pathophysiology and clinical manifestations associated with selected case

7.7

Introduce: Assess

Meets “Proficient” criteria, and assessment is exceptionally clear and well-informed

Assesses the extent to which clinical manifestations of selected case affect multiple body systems and supports claims with scholarly evidence

Assesses the extent to which clinical manifestations of the selected case affect multiple body systems, but does not support claims with scholarly evidence

Does not assess the extent to which clinical manifestations of the selected case affect multiple body systems

7.7

History: Variations

Meets “Proficient” criteria and demonstrates keen insight into historical variations of selected case

Describes historical explanations of variations in the selected case using evidence from literature

Describes historical explanations of variations in the selected case, but does not use evidence from literature

Does not describe historical explanations of variations in the selected case

5.75

History: Stressors

Meets “Proficient” criteria and draws nuanced connections between concepts

Identifies physiological stressors that may affect the course of the disease or illness and explains their impact

Identifies physiological stressors that may affect the course of the disease or illness, but does not explain their impact

Does not identify physiological stressors that may affect the course of the disease or illness

5.75

History: Mechanisms

Meets “Proficient” criteria, and identification is exceptionally clear and well-informed

Clearly identifies adaptive physiological mechanisms that may affect the course of the disease for selected case

Identifies adaptive physiological mechanisms that may affect the course of the disease for selected case, but with gaps in clarity or accuracy

Does not identify adaptive physiological mechanisms that may affect the course of the disease for selected case

5.75

History: Impact

Meets “Proficient” criteria and draws nuanced connections between concepts

Comprehensively assesses the historical impact of patient care technologies on patient outcomes for selected case and justifies claims with scholarly evidence

Assesses the historical impact of patient care technologies on patient outcomes for selected case, but with gaps in detail or accuracy, or does not justify claims with scholarly evidence

Does not assess the historical impact of patient care technologies on patient outcomes for selected case

5.75

Planning: Statement

Meets “Proficient” criteria, and goal statement is creatively written and supported by scholarly evidence

Writes a comprehensive goal statement that is patient- centered and contains measurable criteria or target date/time

Writes a goal statement that is not patient-centered or does not contain measurable criteria or target/date time, or goal statement lacks detail

Does not write goal statement 4.6

Planning: Concerns

Meets “Proficient” criteria, and analysis is exceptionally clear and well-informed

Comprehensively analyzes critical nursing concerns for this disease state and appropriately prioritizes them from a treatment standpoint

Analyzes critical nursing concerns for this disease state, but with gaps in detail, or prioritizes them inappropriately from a treatment standpoint or does not prioritize them

Does not analyze critical nursing concerns for this disease state

4.6

Planning: Technologies

Meets “Proficient” criteria and provides detailed examples of how the technologies will support management of the clinical manifestations

Identifies patient care technologies that are appropriate for managing clinical manifestations of selected case

Identifies patient care technologies, but they are not appropriate for managing clinical manifestations of selected case

Does not identify patient care technologies

5.75

Intervention: Nursing

Meets “Proficient” criteria and outlines multiple interventions to help patients or family meet goal, and interventions are specific in action and frequency

Outlines appropriate nursing interventions for selected case and substantiates claims with scholarly evidence

Outlines nursing interventions that are not appropriate for selected case or does not substantiate claims with scholarly evidence

Does not outline nursing interventions for selected case

4.6

Intervention: Medications

Meets “Proficient” criteria and demonstrates keen insight into the use of pharmaceutical interventions

Outlines common classes of medications used to manage the selected case and supports claims with specific examples from scholarly evidence

Outlines common classes of medications used to manage the selected case, but does not support claims with specific examples from scholarly evidence

Does not outline common classes of medications used to manage the selected case

5.75

Intervention: Assess

Meets “Proficient” criteria and draws nuanced connections between current patient care technologies and health promotions

Assesses the extent to which current patient care technologies improve health promotion for selected case and supports claims with scholarly evidence

Assesses the extent to which current patient care technologies improve health promotion for selected case, but does not support claims with scholarly evidence

Does not assess the extent to which current patient care technologies improve health promotion for selected case

5.75

Intervention: Extent

Meets “Proficient” criteria and demonstrates keen insight into the use of patient care technologies as a patient safety intervention

Accurately assesses the extent to which current patient care technologies assist in decreasing medication errors and improving patient safety for selected case

Assesses the extent to which current patient care technologies assist in decreasing medication errors or improving patient safety for selected case, but with gaps in accuracy or detail

Does not assess the extent to which current patient care technologies assist in decreasing medication errors and improving patient safety

5.75

Evaluation: Identify

Meets “Proficient” criteria and draws nuanced connections between concepts

Comprehensively identifies appropriate measures for determining success of plan of care and substantiates claims with scholarly evidence

Identifies measures that are not appropriate for determining success of plan of care or identification lacks detail, or does not substantiate claims with scholarly evidence

Does not identify measures for determining success of plan of care

4.5

Evaluation: Evaluate

Meets “Proficient” criteria and cites specific, relevant examples to establish a robust context for the evaluation

Evaluates plan of care and proposed nursing interventions for selected case in terms of identified outcome measures and justifies rationale with scholarly evidence

Evaluates plan of care and proposed nursing interventions, but does not address identified outcome measures or does not justify rationale with scholarly evidence

Does not evaluate plan of care and proposed nursing interventions

4.6

Articulation of Response

Submission is free of errors related to citations, grammar, spelling, syntax, and organization and is presented in a professional and easy-to- read format

Submission has no major errors related to citations, grammar, spelling, syntax, or organization

Submission has major errors related to citations, grammar, spelling, syntax, or organization that negatively impact readability and articulation of main ideas

Submission has critical errors related to citations, grammar, spelling, syntax, or organization that prevent understanding of ideas

4

Earned Total 100%