Case Study

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NR601rubric.docx

NR601_Week 5 Case Study _Nov19

NR601_Week 5 Case Study _Nov19

Criteria

Ratings

Pts

This criterion is linked to a Learning OutcomeAssignment Content Possible Points = 144 Points

Assessment of primary diagnosis   1)the ICD10 code is listed in parentheses next to diagnosis.  2) Diagnosis is consistent with the cited guideline recommendations or scholarly reference  3) Includes a one to two sentence paraphrased pathophysiology statement.  4) The rationale statement includes pertinent positive and negative subjective and objective findings from the history and physical exam, which links this diagnosis to your patient. Pertinent lab results are included and interpreted within the rationale statement (4 required elements)

24.0 pts

Excellent

All 4 required elements are present

22.0 pts

V. Good

1 required element is missing

20.0 pts

Satisfactory

2 required elements are missing

12.0 pts

Needs Improvement

3 required elements are missing

0.0 pts

Unsatisfactory

4 required elements are missing  OR Section includes information that does not pertain to the case study patient such as pregnancy information or gender information that does not pertain to the case study patient’s listed gender or age.

24.0 pts

This criterion is linked to a Learning OutcomeAssessment of secondary diagnosis (es)

1) the ICD10 code is listed in parentheses next to diagnosis.  2) Diagnosis is consistent with the cited guideline recommendations or scholarly reference  3) includes a one to two sentence paraphrased pathophysiology statement.  4) The rationale statement includes pertinent positive and negative subjective and objective findings from the history and physical exam, which links this diagnosis to your patient. Pertinent lab results are included interpreted within the rationale statement. (4 required elements)

16.0 pts

Excellent

All 4 required elements are present

14.0 pts

V. Good

1 required element is missing

13.0 pts

Satisfactory

2 required elements are missing

8.0 pts

Needs Improvement

3 required elements are missing

0.0 pts

Unsatisfactory

4 required elements are missing  OR Section includes information that does not pertain to the case study patient such as pregnancy information or gender information that does not pertain to the case study patient’s listed gender or age.

16.0 pts

This criterion is linked to a Learning OutcomeEvidence-Based Practice

National guidelines are used to support all diagnoses and develop the plan.   1) The American Diabetes Association Standards and Medical Care in Diabetes-2019 or later, (or article related to 2019 or later Guidelines) are used to support the primary diagnosis and develop the plan.   2) Every diagnosis rationale must include an in text citation to a scholarly reference as listed in the Reference Guidelines document.  3) Each action step or order within all plan sections includes an in text citation to an appropriate reference as listed in the Reference Guidelines document.   4) Reference interpretation is accurate (4 required elements)

40.0 pts

Excellent

All 4 required elements are present

36.0 pts

V. Good

1 required element is missing

33.0 pts

Satisfactory

2 required elements are missing

20.0 pts

Needs Improvement

3 required elements are missing

0.0 pts

Unsatisfactory

4 required elements are missing

40.0 pts

This criterion is linked to a Learning OutcomePlan: Diagnostics

1) All ordered diagnostic test  are presented individually  2) All ordered diagnostics tests are linked to a diagnosis listed in the assessment section   3) All ordered tests include a paraphrased EBP rationale with citation and include date when test should be performed (ie: today, 1 week, 1 month)   4) Plans are consistent with the cited guideline recommendations or scholarly reference (4 required elements)

8.0 pts

Excellent

All 4 required elements are present

7.0 pts

V. Good

1 required element is missing

6.0 pts

Satisfactory

2 required elements are missing

4.0 pts

Needs Improvement

3 required elements are missing

0.0 pts

Unsatisfactory

4 required elements are missing

8.0 pts

This criterion is linked to a Learning OutcomePlan: Medications

Each  listed medication  1) is linked to a diagnosis listed within the assessment section or a current patent medication 2) an OTC medication is included in recommended medications  3) includes a paraphrased EBP rationale for prescribing   4) written in prescription format   ( 4 required elements)

8.0 pts

Excellent

All 4 required elements are present

7.0 pts

V. Good

1 required element is missing

6.0 pts

Satisfactory

2 required elements are missing

4.0 pts

Needs Improvement

3 required elements are missing

0.0 pts

Unsatisfactory

4 required elements are missing

8.0 pts

This criterion is linked to a Learning OutcomePlan: Education

This section is written exactly how you would discuss the education to the patient. Use vocabulary which the patient can understand.  1) All education steps are linked to a diagnosis which was listed in the assessment section, paraphrased, and includes an EBP rationale.   2) Section includes personalized detailed education on diagnoses, medications, diet, exercise and warning signs.  3) Personalized diet and exercise recommendations which include specific instructions and are appropriate for the case study patient. 4) Plans are consistent with the cited guideline recommendations or scholarly reference ( 4 required elements)

8.0 pts

Excellent

All 4 required elements are present

7.0 pts

V. Good

1 required element is missing

6.0 pts

Satisfactory

2 required elements are missing

4.0 pts

Needs Improvement

3 required elements are missing

0.0 pts

Unsatisfactory

4 required elements are missing

8.0 pts

This criterion is linked to a Learning OutcomePlan: Referral

1) each referral is linked to a specific diagnosis which was listed in the assessment section.  2) All referrals related to the primary diagnosis are obtained from the ADA guidelines. 3) each referral includes a paraphrased EBP rationale.  4) Referral plans are consistent with the cited guideline recommendations or scholarly reference ( 4 required elements)

8.0 pts

Excellent

All 4 required elements are present

7.0 pts

V. Good

1 required element is missing

6.0 pts

Satisfactory

2 required elements are missing

4.0 pts

Needs Improvement

3 required elements are missing

0.0 pts

Unsatisfactory

4 required elements are missing

8.0 pts

This criterion is linked to a Learning OutcomePlan: Follow-Up

1) Includes a specific time frame or date to return to PCP office.  A time range is not acceptable (i.e. 2-4 weeks)   2) Includes EBP rationale with in text citation for chosen follow up date   3) Plans are EBP and consistent with the cited guideline recommendations.   4) Only follow up information is listed in this section.   ( 4 required elements)

8.0 pts

Excellent

All 4 required elements are present

7.0 pts

V. Good

1 required element is missing

6.0 pts

Satisfactory

2 required elements are missing

4.0 pts

Needs Improvement

3 required elements are missing

0.0 pts

Unsatisfactory

4 required elements are missing

8.0 pts

This criterion is linked to a Learning OutcomeAssessment of comorbidities

1) Comordidity chosen was listed within the listed comorbidities from the Assessments of comorbidities subsection*   2) Discussed significance of and the relationship between primary diagnosis and chosen comorbidity.   3) Explain how one diagnosis affects the other diagnosis in no more than 3-5 sentences.   4) Included any recommended screening, diagnostic testing, and referrals in no more that 2-3 sentences.   * the chosen comorbidity cannot be any secondary diagnosis already discussed in your paper’s assessment section ( 4 required elements)

16.0 pts

Excellent

All 4 required elements are present

14.0 pts

V. Good

1 required element is missing

13.0 pts

Satisfactory

2 required elements are missing

8.0 pts

Needs Improvement

3 required elements are missing

0.0 pts

Unsatisfactory

4 required elements are missing  OR the chosen comorbidity is also a secondary diagnosis already discussed within the paper’s  assessment section

16.0 pts

This criterion is linked to a Learning OutcomeMedication Costs

All monthly medication costs are calculated   1 )All medications including current medications and OTCs are included.   2) Each medication cost is calculated individually   3) a total cost for the month’s medication is calculated  4) Summary/reflection statement is included regarding medication costs and any medications changes based on cost or polypharmacy concerns ( 4 required elements)

8.0 pts

Excellent

All 4 required elements are present

7.0 pts

V. Good

1 required element is missing

6.0 pts

Satisfactory

2 required elements are missing

4.0 pts

Needs Improvement

3 required elements are missing

0.0 pts

Unsatisfactory

4 required elements are missing

8.0 pts

This criterion is linked to a Learning OutcomeAssignment Format Possible Points = 16 Points

Grammar, Syntax, APA   APA format, grammar, spelling, and/or punctuation are accurate, or with zero to one errors.  1) All referenced information is cited at the end of the phrase or sentence  2) All cited information is paraphrased, no quotes are included  3) “according to” or “per” is not used when citing a scholarly source

8.0 pts

Excellent

APA format, grammar, spelling, and/or punctuation are accurate, or with zero to one errors.     Three required elements are present

7.0 pts

V. Good

Two to four errors in APA format, grammar, spelling, and syntax noted.     Three required elements are present

6.0 pts

Satisfactory

Five to seven errors in APA format, grammar, spelling, and syntax noted.”    1 required element is missing

4.0 pts

Needs Improvement

Eight to nine errors in APA format, grammar, spelling, and syntax noted.     OR   2 required elements are missing

0.0 pts

Unsatisfactory

Post contains ten or greater errors in APA format, grammar, spelling, and/or punctuation.   OR   3 required element are missing

8.0 pts

This criterion is linked to a Learning OutcomeOrganization

Paper is developed in a logical, meaningful, and understandable sequence    1) Provided assignment template is used to develop paper   2) Rationale length does not exceed template directions.   3) All required sections are included within the assignment   4) The paper length does not exceed 10 pages. (not including title page and references)

8.0 pts

Excellent

All 4 required elements are present

7.0 pts

V. Good

1 required element is missing

6.0 pts

Satisfactory

2 required elements are missing

4.0 pts

Needs Improvement

3 required elements are missing

0.0 pts

Unsatisfactory

4 required elements are missing

8.0 pts

This criterion is linked to a Learning OutcomeLate Penalty Deductions

Students are expected to submit assignments by the time they are due. Assignments submitted after the due date and time will receive a deduction of 10% of the total points possible for that assignment for each day the assignment is late. Assignments will be accepted, with penalty as described, up to a maximum of three days late, after which point a zero will be recorded for the assignment. Quizzes and discussions are not considered assignments and are not part of the late assignment policy.

0.0 pts

Manual Deductions

0.0 pts

Manual Deductions

0.0 pts

Total Points: 160.0

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