Case Study: Care of Adults
Case Study: Care of Adults
Case Study: Care of Adults
The home care nurse is caring for an older female client who lives with her son and is physically and financially dependent on him. The nurse notes multiple bruises on the client’s arms and asks the client how these bruises occurred. The client confides in the nurse that her son takes out his anger on her sometimes. Case Study: Care of Adults
a) What should the nurse do?
Required Textbooks and Reading Material: Touhy, Theris DNP, and Jett, Kathleen, (2018). Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5th Edition. Elsevier. ISBN: 9780323401678
Required Uniform Assignment: Case Study Presentation
NR324/329 Adult Health I
Required Uniform Assignment: Case Study Presentation
NR324/329 RUA: Case Presentation Guidelines V2 Revised: 5/2019 11
Purpose The purpose of this assignment is to help students build communication skills, utilize evidence‐based research relevant to nursing practice, and apply concepts of safety and quality in nursing care of adults. The goals of this assignment are to:
• foster teamwork and collaboration through effective communication • Utilize research evidence to promote safe and quality nursing care for adults in acute care settings.
Course outcomes: This assignment enables the student to meet the following course outcomes: CO 1. Provide effective professional nursing care for adult patients and their families in acute care settings using
the nursing process. (PO#1) CO 3. Demonstrate effective communication skills necessary for collaboration with other health care team
members and for providing professional nursing care to adult patients and their families. (PO #3) CO 4. Apply critical thinking strategies to make good clinical decisions in the adult patient clinical setting. (PO#4) CO 8. Utilize nursing research literature while providing care to adult patients and their families in acute care
settings. (PO #8)
Due date: Your faculty member will inform you when this assignment is due. The Late Assignment Policy applies to this assignment.
Total points possible: 100 points
Preparing the assignment The student group must develop a case study based on an actual or potential clinical‐based situation on the adult health topics presented during the 8‐week session. The student group must present the topic and literature for the case scenario. Students must include the following information in the case study presentation:
A. Health History – age, gender, ethnicity, past and current medical history, chief complaint, and history of present illness on admission.
B. Laboratory/Diagnostic Testing – describe the diagnostic tests ordered/completed, pertinent results (including normal and abnormal ranges), and rationales for the use of each diagnostic test.
C. Collaborative Management – provide list of medications, treatments, dietary prescriptions, and procedures that have been ordered, administered, completed, and/or pending. Additionally, provide an overview of members of the healthcare team involved in managing the care of the person and family and the interdisciplinary goals that have been set. Briefly list the role of the team member in the patient’s care and the ways in which the nurse collaborates to meet the interdisciplinary goals.
D. Nursing management – using the nursing process, develop two plans of care ‐ 1 related to one priority physiological nursing diagnosis and 1 related to one priority psychosocial nursing diagnosis. Please include the following information in each plan of care:
• Priority nursing diagnosis • short and 1 long‐term goal • to 5 nursing interventions with rationale statements, • to 5 evaluative statements based on interventions, and • A minimum of 3 potential patient education needs for consideration.
NR324/329 Adult Health I
Required Uniform Assignment: Case Study Presentation
NR324/329 RUA: Case Presentation Guidelines V2 Revised: 5/2019 21
Assignment Submission Requirements: • Students must receive approval from the faculty on the selected topic for the case study presentation
assignment. The faculty will facilitate selection of topics during class. • Each student in the group must contribute to the development of the case study information. • Each student group must submit a 1‐page typed paper containing the Health History, Laboratory/Diagnostic
Testing, and Collaborative Management elements of the case study. • Each student group must submit a 1‐page typed paper of the plan of care addressing the priority
physiological nursing diagnosis and a 1‐page typed paper of the plan of care addressing the priority psychosocial nursing diagnosis. Students may choose to submit a concept map for each of the priority nursing diagnoses instead of a plan of care. Each concept map must incorporate the same information required for the plans of care.
• Each student group must submit a reference list with each member’s nursing care plan or concept map, formatted according to APA 6TH edition. A minimum of at least three (3) references are required for this assignment. Student must cite at least two (2) research or evidence‐based practice (EBP) sources. All resources must be within 5 years of publication.
• Each student group is required to develop and present a 15 minute presentation on a topic from the case study, the plan of care or the concept map. Each group presentation will all an additional 5 minutes for questions and answers relevant to the content of the presentation and/or the clinical experience.
* If a student in the group is absent the day of the presentation, the student group will not be penalized.
NR324/329 Adult Health I Required Uniform Assignment: Case Study Presentation
NR324/329 RUA: Case Presentation Guidelines V2 Revised: 5/2019 31
Grading Rubric Criteria are met when the student’s application of knowledge demonstrates achievement of the outcomes for this assignment.
Assignment Section and Required Criteria
(Points possible/% of total points available)
Highest Level of Performance
High Level of Performance
Satisfactory Level of Performance
Unsatisfactory Level of
Performance
Health History (10 points/10%)
10 points 9 points 8 points 0 points
Required criteria 1. Presents pertinent and relevant information on: the
person’s age, gender, ethnicity, past and current medical history, chief complaint, and history of present illness on admission.
• Comprehensively presents key/relevant Information accurately and in sufficient detail: person’s age, gender, ethnicity, past and current medical history, chief complaint, and history of present illness on admission.
• Information presented in a clear, organized, and professional manner
• One of the key/relevant Information not presented: person’s age, gender, ethnicity, past and current medical history, chief complaint, and history of present illness on admission.
• Key/relevant information are accurate and presented in sufficient detail.
• Information presented in a clear, organized, and professional manner
Two of the key/relevant Information not presented: person’s age, gender, ethnicity, past and current medical history, chief complaint, and history of present illness on admission.
Key/relevant information may be inaccurate and/or insufficient in detail.
Information presented in a clear, organized, and professional manner
3 or more of the key/relevant Information not presented: person’s age, gender, ethnicity, past and current medical history, chief complaint, and history of present illness on admission.
Key/relevant information may be inaccurate and/or insufficient in detail. • Information is not clear, organized, or professional in appearance.
Laboratory and Diagnostic Testing (10 points/10%)
10 points 9 points 8 points 0 points
Required criteria 1. Presents description of the ordered/completed
diagnostic tests, pertinent results (including normal and abnormal ranges), and rationales for each diagnostic test.
• Comprehensively presents key/relevant Information accurately and in sufficient detail: description of the ordered/completed diagnostic tests, pertinent results (normal and abnormal ranges),
• One of the key/relevant Information not presented: description of the ordered/ completed diagnostic tests, pertinent results (normal and abnormal ranges), and rationales for each diagnostic test.
• Two of the key/relevant Information not presented: description of the ordered/ completed diagnostic tests, pertinent results (normal and abnormal ranges), and rationales for each diagnostic test.
• 3 or more of the key/relevant Information not presented: description of the ordered/ completed diagnostic tests, pertinent results (normal and abnormal ranges), and rationales for each diagnostic test. Case Study: Care of Adults
NR324/329 Adult Health I Required Uniform Assignment: Case Study Presentation
NR324/329 RUA: Case Presentation Guidelines V2 Revised: 5/2019 41
and rationales for each diagnostic test.
• Information presented in a clear, organized, and professional manner
• Key/relevant information are accurate and presented in sufficient detail.
• Information presented in a clear, organized, and professional manner
• Key/relevant information are accurate and presented in sufficient detail.
• Information presented in a clear, organized, and professional manner
• Key/relevant information may be inaccurate and/or insufficient in detail.
• Information is not clear, organized, or professional in appearance.
Collaborative Management (20 points/20%)
20 points 15 points 10 points 0 points
Required criteria Presents list of medications, treatments, dietary prescriptions, and procedures that have been ordered, administered, completed, and/or pending Additionally, provide an overview of members of the healthcare team involved in managing the person and family. Briefly list their role in the care provided and how nursing collaborates in meeting interdisciplinary goals.
• Comprehensive discussion of collaborative management including: list of medications, treatments, dietary prescriptions, and procedures that have been ordered, administered, completed, and/or pending. • Complete overview of members of the healthcare team involved in managing the person and family; Listed ALL key/relevant roles in the care provided and how nursing collaborates in meeting interdisciplinary goals. • Information presented in a clear, organized, and professional manner.
• Discussed collaborative management, but does not include 1of these items: list of medications, treatments, dietary prescriptions, and procedures that have been ordered, administered, completed, and/or pending
• Complete overview of members of the healthcare team involved in managing the person and family; Listed most of the key/relevant roles in the care provided and how nursing collaborates in meeting interdisciplinary goals
• Information presented in a clear, organized, and professional manner.
• Discussed collaborative management, but does not include 2 of these items: list of medications, treatments, dietary prescriptions, and procedures that have been ordered, administered, completed, and/or pending.
• General overview of members of the healthcare team involved in managing the person and family; Listed SOME key/relevant roles in the care provided and how nursing collaborates in meeting interdisciplinary goals.
• Information is not presented in a clear, organized, and/or professional manner.
• Poor/Minimal discussion of collaborative management which does not include 3 or more of these items: list of medications, treatments, dietary prescriptions, and procedures that have been ordered, administered, completed, and/or pending.
• Poor/Broad overview of members of the healthcare team involved in managing the person and family; Listed SOME of key/relevant roles in the care provided and how nursing collaborates in meeting interdisciplinary goals.
• Information is not presented in a clear, organized, and/or professional manner.
Nursing Management: Physiologic 15 points 12 points 8 points 0 points
NR324/329 Adult Health I Required Uniform Assignment: Case Study Presentation
NR324/329 RUA: Case Presentation Guidelines
(15 points/15%) Required criteria Utilized the nursing process to develop two plans of care: 1 physiological and 1 psychosocial nursing diagnosis Included the following information in each* plan of care:
1. Priority nursing diagnosis 2. 1 short‐term and 1 long‐term goal 3. 3 ‐ 5 nursing interventions with rationale
statements 4. 3 ‐ 5 evaluative statements based on
interventions 5. A minimum of 3 teaching considerations
Used the nursing process to develop a plan of care for physiological nursing diagnosis
All information in the plan of care included: o Priority nursing diagnosis o 1 short‐term and 1 long‐ term goal o 3 ‐ 5 nursing interventions
with rationale statements o 3 ‐ 5 evaluative
statements based on interventions
o A minimum of 3 teaching considerations
Used the nursing process to develop a plan of care for physiological nursing diagnosis
Missing 1 item of information in the plan of care: o Priority nursing diagnosis o 1 short‐ term and 1 long‐ term goal o 3 ‐ 5 nursing
interventions with rationale statements
o 3 ‐ 5 evaluative statements based on interventions
o A minimum of 3 teaching considerations
Used the nursing process to develop a plan of care for physiological nursing diagnosis
Missing 2 items of information in the plan of care: o Priority nursing diagnosis o 1 short‐term and 1 long‐ term goal o 3 ‐ 5 nursing
interventions with rationale statements
o 3 ‐ 5 evaluative statements based on interventions
o A minimum of 3 teaching considerations
Used the nursing process to develop a plan of care for physiological nursing diagnosis
Missing 3 or more items of information in the care plan: o Priority nursing diagnosis o 1 short‐term and 1 long‐ term goal o 3 ‐ 5 nursing
interventions with rationale statements
o 3 ‐ 5 evaluative statements based on interventions
o A minimum of 3 teaching considerations
Nursing Management: Psychosocial (15 points/15%)
15 points 12 points 8 points 0 points
Required criteria Utilized the nursing process to develop two plans of care: 1 physiological and 1 psychosocial nursing diagnosis Included the following information in each* plan of care:
1. Priority nursing diagnosis 2. 1 short‐term and 1 long‐term goal 3. 3 ‐ 5 nursing interventions with rationale
statements
Used the nursing process to develop a plan of care for psychosocial nursing diagnosis
All information in the plan of care included:
o Priority nursing diagnosis o short‐term and 1 long‐ term goal
o 3 ‐ 5 nursing interventions with rationale statements
Used the nursing process to develop a plan of care for psychosocial nursing diagnosis
Missing 1 item of information in the plan of care:
o o Priority nursing diagnosis o o 1 short‐term and 1 long‐ term goal
Used the nursing process to develop a plan of care for psychosocial nursing diagnosis
Missing 2 items of information in the plan of care: Case Study: Care of Adults
o o Priority nursing diagnosis o o 1 short‐term and 1 long‐ term goal o 3 ‐ 5 nursing
Used the nursing process to develop a plan of care for psychosocial nursing diagnosis
Missing 3 or more items of information in the care plan:
o Priority nursing diagnosis o 1 short‐term and 1 long‐ term goal o 3 ‐ 5 nursing
NR324/329 Adult Health I Required Uniform Assignment: Case Study Presentation
4. 3 ‐ 5 evaluative statements based on interventions
5. A minimum of 3 teaching considerations
o 3 ‐ 5 evaluative statements based on interventions
o A minimum of 3 teaching considerations
o 3 ‐ 5 nursing interventions with rationale statements o 3 ‐ 5 evaluative statements based on interventions o A minimum of 3 teaching considerations
interventions with rationale statements o 3 ‐ 5 evaluative statements based on interventions o A minimum of 3 teaching considerations
Presentation (25 points/25%)
25 points 20 points 15 points 0 points
Required criteria 1. All components of the assignment guidelines
included. 2. Information presented in a logical, interesting
sequence which audience can follow. 3. Participation by all group members. 4. All presenters are professional and
demonstrated appropriate presence throughout presentation.
5. Used presentation materials and methods effectively.
6. Responded appropriately to audience questions.
• ALL required assignment components are present.
• Information is presented in a logical sequence; main ideas easy for the audience to follow.
• Participation is by all group members. Case Study: Care of Adults
• Presenters are professional • Presenters maintained
appropriate eye contact with audience and projected voices for all audience to hear.
• Presenters addressed audience questions appropriately.
• Used presentation materials and methods effectively. • Presenters stayed within allotted 20‐minute timeframe.
• ONE required assignment component is missing.
• Information is presented in a logical sequence; main ideas easy for the audience to follow.
• Participation is by all group members.
• Presenters are professional.
• Presenters have limited eye contact OR the audience has difficulty hearing the presenters.
• Presenters addressed audience questions appropriately.
• Used presentation materials and methods effectively. • Presenters stayed within allotted 20‐ minute timeframe.
• 1‐2 required assignment components are missing.
• Information is not presented in a logical sequence, yet main ideas are still obvious.
• Participation is by all group members.
• Presenters are professional.
• Presenters have limited eye contact OR the audience has difficulty hearing the presenters.
• Presenters addressed audience questions appropriately.
• Used presentation materials and methods effectively. • Presenters stayed within 5 minutes of the allotted 20 minute timeframe.
• 3 or more required assignment components are missing.
• There is no logical sequence to presentation of material; main ideas difficult to follow.
• Some members did not participate.
• Some or ALL presenters are unprofessional.
• Presenters have limited eye contact OR the audience has difficulty hearing the presenters.
• Presenters did not address audience questions appropriately.
• Did not effectively use presentation materials and methods. • Presenters stayed within 5‐10 minutes of the allotted 20 minute time frame.
NR324/329 Adult Health I Required Uniform Assignment: Case Study Presentation
NR324/329 RUA: Case Presentation Guidelines V2 Revised: 5/2019 71 Case Study: Care of Adults
APA Style and Organization (5 points/5%)
5 points 4 points 2 points 0 points
Required criteria 1. References are submitted with assignment. 2. Uses appropriate APA format (6th ed.) and is free
of errors. 3. Grammar and mechanics are free of errors. 4. Used at least three (3) different sources, with at
least two (2) from research literature.
• More than 3 references used, at least 2 are research articles
• References submitted with assignment
• Citations and references are listed using APA format (6th ed.) and are free of errors.
• Exactly 3 references used, at least 2 are research articles
• References submitted with assignment
• Citations and references are listed using APA format (6th ed.), but have one type of error.
• Two (2) references used, at least 1 is a research article
• References submitted with assignment
• Citations and references are listed using APA format (6th ed.), but have two types of errors.
• One to Two references used, but are NOT research articles
• References submitted with assignment
• Citations and references are listed using APA format for citations and, but have three or more types of errors.
- Purpose
- Preparing the assignment
- Grading Rubric
Case study Care plan Rubric
Rubric
Description: Utilize Case Study found in the Description of this Assignment as a hyper link in Module 3 Assignments.
Identifying Data and Rationale
1 (6.66666%)
Student identifies CLINICALLY SIGNIFICANT data from the chief complaint, vital signs, and nursing assessment AND explains WHY each piece of data identified is clinically significant. Faculty may assign partial points for missing parts. Case Study: Care of Adults
Lab/Diagnostic Identification
1 (6.66666%)
Student identifies lab/diagnostic results are RELEVANT that must be recognized as clinically significant to the nurse AND WHY. Faculty may assign partial points for missing parts.
Primary concern and Pathophysiology/Cause
2 (13.33333%)
Student identifies the PRIMARY problem that the client is presenting with AND the underlying Pathophysiology/Cause of this concern. Faculty may assign partial points for missing parts.
Nursing Priority
1 (6.66666%)
Student identifies what nursing priority will guide their care (example: Maslow’s).
Nursing Interventions
2 (13.33333%)
Student lists FOUR interventions with Rationale and Expected Outcome based on the identified nursing priority. Faculty may assign partial points for missing parts.
#7 Rational and Expected Outcome
2 (13.33333%)
Student lists the rationale AND expected outcome for EACH nursing intervention/order listed in #7. Faculty may assign partial points for missing parts.
Body systems, Complications, and Assessments
3 (20.00%)
Student fully answers ALL of the following 1. What body system(s) will you most thoroughly assess based on the patient’s chief complaint and primary/priority concern? AND 2. What is the worst possible complication to anticipate? (start with A-B-C priorities) AND 3. What nursing assessment(s) will you need to initiate to identify and respond to quickly if this complication develops. Faculty may assign partial points for missing parts. Case Study: Care of Adults
Client Experience
2 (13.33333%)
Student answers ALL of the following: 1. What is the patient likely experiencing/feeling right now in this situation AND 2. What can you do to engage yourself with this patient’s experience, and show that they matter to you as a person? Faculty may assign partial points for missing parts.
Grammar & Spelling
1 (6.66666%)
Few grammar and spelling errors that do not detract the reader from the message.
ADDITIONAL INSTRUCTIONS FOR THE CLASS – Case Study: Care of Adults
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- Discussion Questions (DQ)
Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses. Case Study: Care of Adults
- Weekly Participation
Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
- APA Format and Writing Quality
Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.
- Use of Direct Quotes
I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.
- LopesWrite Policy
For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.
- Late Policy
The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading. Case Study: Care of Adults
- Communication
Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.
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