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Fundamentals of Nursing Care in the Context of Older Adults Virtual Patient Care Plan Grading Sheet Fall 2021

Poor

Limited

Good Very Good Excellent

Section Description of Points Does not meet criteria or

section missing

Partially meets criteria with major errors

Partially meets criteria with

marginal errors

Meets criteria with minor errors

Meets full criteria

Patient introduction

• Full sentences

• Grammatically correct

• Only acceptable abbreviations

Includes, in order: No initials, please refer to ‘Patient’ as identifier

• Age, gender, race: (State age as: <65 years, 65-74, 75-84, 85-95, >95 years)

• Reason for admission

• History of present illness

• Past medical/surgical history summary (If unknown, state what questions you would ask)

• Allergies

• Code status (If unknown, state what you would expect based on the client’s condition)

0 2 3 4 6

Assessment and interpretation

• Focused assessment complete and accurate (pertinent to the objectives of case)

• Problems identified are in keeping with the data recorded and are stated as a NANDA Diagnosis

• Section identifying areas you would like to assess but were unable to do so.

0 4 6 8 10

DocuCare Documentation

• DocuCare assessment submission is complete, on time, and accurate.

• Assessment and interventions documented correlates with care provided.

0 0.5 1 1.5 2

Fundamentals of Nursing Care in the Context of Older Adults Virtual Patient Care Plan Grading Sheet Fall 2021

Poor

Limited

Good Very Good Excellent

Does not meet criteria or

section missing

Partially meets criteria with major errors

Partially meets criteria with

marginal errors

Meets criteria with minor errors

Meets full criteria

Diagnostic data • Lab and radiology data results are correctly interpreted in light of the patient’s history and current condition.

• Normal and abnormal interpretation of lab and radiology data is interpreted and discussed for significance to patient status and disease pathology.

• If lab/diagnostic data is unavailable, discuss what would be warranted or recommended with appropriate cited rationale

0 2 4 6 8

Medications • Medication list correctly identifies the mechanism for action, drug classification, patient’s dosage, and purpose of each medication specific to this particular patient

• If your patient is not ordered any medications: Suggest at least 4 medications that you might request the provider order for this patient in light of their condition and list the MOA, drug classification, suggested dose, and potential purpose/ your rationale for recommending specific to this patient

0 2 4 6 8

Fundamentals of Nursing Care in the Context of Older Adults Virtual Patient Care Plan Grading Sheet Fall 2021

Poor

Limited

Good Very Good Excellent

Does not meet criteria or

section missing

Partially meets criteria with major errors

Partially meets criteria with

marginal errors

Meets criteria with minor errors

Meets full criteria

Pathophysiology flowchart

Pathophysiology flowchart - Pathophysiology of the most relevant disease process must be described (not defined)

• At least 4 pathophysiologic factors affecting this patient’s condition needs to be described

• Illustrates interrelationships among the factors (i.e., cause, effect, increases, decreases, predisposes, protects, etc.)

0 3 4 6 7

Morbidity and mortality

• Full sentences

• Grammati cally correct

• Only acceptabl e abbreviati ons

Morbidity and mortality statistics are given for the pathophysiological disease process discussed in flowchart incidence and/or prevalence

• risk factors

• population groups affected

• resulting morbidity and mortality

0 1 2 3 4

Diagnosis Two physical and 2 psychosocial diagnoses are identified

0 2 3 4 5

Diagnoses are in keeping with assessment data recorded within paper

0 2 3 4 5

Diagnoses are high priority and amenable to nursing intervention

0 2 3 4 5

Diagnoses use NANDA labels and are correctly expressed (i.e., include etiology and/or defining characteristics as appropriate – PES as discussed in lecture problem, etiology and sign/symptoms)

0 2 3 4 5

Fundamentals of Nursing Care in the Context of Older Adults Virtual Patient Care Plan Grading Sheet Fall 2021

Poor

Limited

Good Very Good Excellent

Does not meet criteria or

section missing

Partially meets criteria with major errors

Partially meets criteria with

marginal errors

Meets criteria with minor errors

Meets full criteria

Plan A plan is written for one physical and one psychosocial diagnosis

0 2 3 4 5

Outcome or goals Outcome statements

• address the diagnosis

• are realistic and patient specific

• are measurable, observable and stated with appropriate time frame

• Must have at least 1 long term goal and 3 short goals for each problem identified

0 2 3 4 5

Implementation (Intervention)

Interventions are

• appropriate to address the diagnosis

• safe, patient specific and appropriate

• some are original or innovative (need to be stated with own rationale)

• Rationales are given for each intervention and are appropriately cited via APA format

0 4 6 8 10

Interventions take into account this patient’s unique strengths, resources, and/or preferences

0 2 3 4 5

Evaluation A statement as to whether goals were met or not met is made for each outcome; if met quantify or qualify the degree to which the outcome was achieved.

0 2 3 4 5

Fundamentals of Nursing Care in the Context of Older Adults Virtual Patient Care Plan Grading Sheet Fall 2021

Poor

Limited

Good Very Good Excellent

Does not meet criteria or

section missing

Partially meets criteria with major errors

Partially meets criteria with

marginal errors

Meets criteria with minor errors

Meets full criteria

APA Format

• Spelling

• Grammar

• Punctuation Clarity of writing are all a part of APA style

Must have at least three references- (unless a seminal paper, none older than 5 years). References must be properly cited using APA format. https://owl.english.purdue.edu/owl/resource/560/0 1/

0 2 3 4 5

TOTAL Points 100