Nursing discharge project ischemic stroke power point due 3/02/21

Methodist College

N432 Complex Health Alterations in Nursing Practice

Discharge Planning Project

Overview

Introduction: Discharge planning begins at the point of entry into the hospital. Third party payers as well as clients themselves demand quality care that includes well-planned, smooth, and timely discharge. As professional nurses, it is our responsibility to begin the discharge plan, to possess a fundamental knowledge of available resources, and to continually change the plan of care based on the status of the client.

Objective: Learners will develop and clearly communicate a comprehensive discharge plan of care that demonstrates critical thinking and accurately links community and medical surgical theory to practice.

Guidelines:

1. Each students will work alone to complete this project. Students will select a client that he/she cared for during the clinical rotation and who, at the time of care, was experiencing a complex alteration in health.

2. The discharge planning project will be presented in the form of a PowerPoint presentation. Dates of presentations will be determined by the clinical instructor.

3. Citations should be provided for information that is not the student’s own – i.e. pathophysiology, stats, etc. Personal communications should also be cited. Please follow APA for citations.

4. A reference list for citations should be included at the end of the PowerPoint presentation and should be submitted as a hard copy word document to your clinical instructor.

5. One PowerPoint slide should address each element that is bulleted with a blank box – i.e.

· Blank box

6. Submit the PowerPoint presentation in the electronic dropbox on the assigned date.

7. Submit one black and white “hard” copy of your PowerPoint presentation and a word processed reference list to the clinical faculty member evaluating your presentation on the day that you present.

8. Your presentation will be scored using the Discharge Project Presentation Scoring Rubric and the points earned will be entered into the course gradebook.

9. Students are encouraged to read and follow rubric in developing their projects and to note point deductions for critical errors noted at the end of the rubric.

Discharge Planning Project: Scoring Rubric

Total Points Possible: Pass/Fail Clinical

Name:

Evaluators:

Date of presentation:

Date grade posted:

Start time: Stop time:

Total points earned:

Patient Overview

Points:

2/3

1

0

Points Earned:

Component 1: Objectives, clinical picture, and concept map

Elements:

· Provide a clinical picture of your patient using the SHARE form report as a guide. (SHARE form located in course resources within D2L.)

· Develop concept map connecting primary problem and secondary problems.

· Explain the relationships depicted on the concept map – i.e. DM contributed to atherosclerosis which lead to peripheral arterial disease affecting the feet.

Fully addresses all required elements.

Minor errors in addressing one of the required elements.

Minor errors in addressing 2 of the required elements or substantial error in addressing 1 element.

Comments:

Points:

2/3

1

0

Fully addresses all required elements.

Minor errors in addressing 1 or 2 of the required elements.

Minor errors in addressing 3 or more of the required elements or substantial error in addressing 1 element.

Component 2: Pathophysiology Elements:

· Using the concept map again, indicate which pathophysiological process you will focus on in your presentation.

Using the example of DM and PAD above, I may want to limit my discussion to PAD. Note: Slide need not be duplicated.

· Describe the physiological changes that occur in relation to the pathophysiological focus of your presentation– i.e. discuss cellular changes that occur with peripheral arterial disease (PAD).

· Identify key statistical information concerning primary disease/condition, include geographic and/or cultural variables - i.e. provide statistics on PAD, perhaps statistics on associated limb loss, and specific cultures most affected.

· Discuss key diagnostics and lab studies used to support or confirm primary disease or condition.

Comments:

Points:

2/3

1

0

Component 3: Medications & Treatments

Elements:

· Medications prescribed for patient (not simply meds you administered) with an emphasis on meds used to treat primary condition/disease – i.e. for pt with PAD, perhaps emphasize Trental, warfarin, simvastatin. This section should include dose, frequency, and drug classification.

· Treatments prescribed for patient with an emphasis on treatments used to treat primary condition/disease – i.e. bypass and amputation

· Identify any patient variables – culture, finances, etc that influenced medication and treatment choices.

Fully addresses all required elements.

Minor errors in addressing one of the required elements.

Minor errors in addressing 2 of the required elements or substantial error in addressing 1 element.

Comments:

Nursing Management

Points:

2/3

1

0

Component 4: Sources of Support & Services Offered

Elements:

· Identify and discuss inpatient sources of support and the respective services that can be used to prepare this client for discharge.

· Identify and discuss client’s financial sources of support – i.e. Medicare and physical therapy post-discharge

· Identify and discuss family/friend sources of support following discharge – i.e. Husband is in good health and is supportive and attentive to client, able to provide personal cares and assist with ADLs.

· Identify and discuss realistic community sources of support for client post-discharge – i.e. Physical therapy will come to home two times per week, completely paid by 3rd party payer.

· Identify and discuss specific needs, if any, specific to nursing following patient’s discharge. If none, you must indicate this and say why.

Fully addresses all required elements.

Minor errors in addressing 1 or 2 of the required elements.

Minor errors in addressing 3 or more of the required elements or substantial error in addressing 1 element.

Comments:

Points:

2/3

1

0

Component 5: Patient Teaching

Elements:

· Present a comprehensive overview of teaching needs prior to discharge that shows an understanding of patient’s condition and situation.

· Develop and present a one [1] page patient teaching guide (PTG) related to the pathophysiological focus of your presentation. While this teaching guide should be something that you could easily transfer to a single page word document or folded pamphlet, you may in this instance include it in your PowerPoint as a slide

Fully addresses all required elements.

Minor errors in addressing 1 or 2 of the required elements.

Minor errors in addressing 3 or more of the required elements or substantial error in addressing 1 element.

Comments:

Synthesis of Information and Reflection

Points:

2/3

1

0

Component 6: Conclusion

Elements:

· Describe client’s potential for complete recovery and/or anticipated deficits and long-term prognosis.

· Describe what lessons you have learned in developing and presenting this project.

· Provide a reference page for citations; include this as a PowerPoint page and as a hard copy to be given to the instructor.

Fully addresses all required elements.

Minor errors in addressing one of the required elements.

Minor errors in addressing 2 of the required elements or substantial error in addressing 1 element.

·

Comments:

Format and Quality of Presentation

Points:

2/3

1

0

Points Earned:

Component 7: PowerPoint Presentation and Visual Aids

Elements:

· Presents project in an aesthetically pleasing manner using PowerPoint.

· Includes images, good use of white space, sound, and font colors that show well with selected PowerPoint backgrounds.

· May add other visual aids to enhance presentation.

** PP Tips: http://www.cob.sjsu.edu/splane_m/PresentationTips.htm

Fully addresses all required elements.

Minor errors in addressing one of the required elements.

Minor errors in addressing 2 of the required elements or substantial error in addressing 1 element.

Comments:

Points:

2/3

1

0

Component 8: Organization, Slide Structure, & Professional Demeanor

Elements:

· Organization: Follows project guidelines and rubric with information presented in the appropriate section. Uses slide titles and bullets to facilitate organization of slides.

· Slide structure: Uses correct punctuation, grammar, and spelling in all presentation materials – PowerPoint presentation, any handouts, teaching guides, and reference pages. Adheres to APA writing style in reference list and citations included in PowerPoint and printed materials. Citations should be clearly visible on each slide as needed. Reference slide includes paper or online resources.

· Professional demeanor: Uses language and terminology commensurate with status in program. Presents self in professional manner. Shows sound knowledge of patient and is able to answer questions posed by fellow students and faculty.

Provides citation within slide and full APA reference on reference page. (Remember, your reference page is both a PowerPoint slide and hard copy sheet given to the instructors).

Fully addresses all required elements.

Minor errors in addressing 1 or 2 of the required elements.

Minor errors in addressing 3 or more of the required elements or substantial error in addressing 1 element.

·

Comments:

Point subtotal:

Point deductions for critical errors:

· 5 point deduction for each calendar day late.

· 1 to 5 point deduction if time of presentation less than 15 minutes or more than 20 minutes.

· 1 to 5 point deduction if selected patient for case presentation not preapproved by instructor.

· 1 to 5 point deduction if source citation not given for the patient teaching guide.

· 5 point deduction if any text portion of the teaching guide cut and pasted from a primary source.

Point total: