Topic: Case Study Analysis and Care Plan Creation
Order Description
Assignment 2: Case Study Analysis and Care Plan Creation
Click here to download and analyze the case study for this week. Create a wholistic care plan for disease prevention health promotion and acute care of the patient in the clinical case. Your care plan should be based on current evidence and nursing standards of care.
Visit the online library and research for current scholarly evidence (no older than 5 years) to support your nursing actions. In addition consider visiting government sites such as the CDC WHO AHRQ Healthy People 2020. Provide a detailed scientific rationale justifying the inclusion of this evidence in your plan.
Next determine the ICD-10 classification (diagnoses). The International Classification of Diseases Ninth Revision Clinical Modification (ICD-10-CM) is the official system used in the United States to classify and assign codes to health conditions and related information.
Click here to access the codes.
Click here to download the care plan template to help you design a holistic patient care plan. The care plan example provided here is just a reference for you to build your care plan. You are expected to develop a comprehensive care plan based on your assessment diagnosis and advanced nursing interventions. Reflect on what you have learned about care plans through independent research and peer discussions and incorporate the knowledge that you have gained into your patients care plan.
Format
Your care plan should be formatted as a Microsoft Word document. Follow the current APA edition style. Your paper should be 2- to-4 pages double-spaced and in 12pt font.
Name your document: SU_NSG6001_W4A2_LastName_FirstInitial.doc.
Submit your document to the W4 Assignment 2 Dropbox by Tuesday April 26 2016.
Grading Criteria Maximum Points
Care plan demonstrated involvement of the client in the process of recognition planning and resolution of the problem. 15
Care plan included effective nursing interventions that were customized for the client and appropriate to the goal. 15
Care plan included diagnostic workup medications conservative measures and a follow-up plan. 15
Care plan provided rationale for choosing a particular treatment modality. 15
Care plan demonstrated logical diagnosis which was substantiated with relevant evidence. 10
Care plan focused on patient education maintained a fine balance between major and minor health issues of the patient. 10
Care plan included nursing interventions that are specific appropriate and free of essential omissions. 10
Used APA standards consistently and accurately. 10
Total 100
My Instructor wants:
Grading Criteria Maximum Points
Care plan demonstrated involvement of the client in the process of recognition planning and resolution of the problem.
Show that you have involved the client in the following related to their problem: (1) Recognition (2) Planning (3) Resolution of the problem 15
Care plan included effective nursing interventions that are customized for the client and appropriate to the goal.
The nursing intervention should include ADVANCED PRACTICE INTERVENTIONS 15
Care plan included diagnostic work-up medications conservative measures and follow-up plan.
Order needed diagnostic tests; prescribe discontinue and maintain medications (meds must contain dose route & frequency information); and develop a formal evidence-based follow up plan of care 15
Care plan provided rationale for choosing a particular treatment modality.
All treatment modalities should have a cited and referenced rationale. I encourage you to look for the rationale in the course textbook first and then use additional journal sources etc. 15
Care plan demonstrated logical diagnosis that was substantiated with relevant evidence.
Develop a medical diagnosis. Diagnosis must have a cited and referenced rationale. Choose the most comprehensive medical diagnosis that allows you to provide the most comprehensive plan of care. For example in week one CAD is a diagnosis that allows you to address HTN DM Diet Obesity etc. 10
Care plan focused on patient education and maintained a fine balance between major and minor health issues of the patient.
Patient education must be documented and have cited and referenced rationales. 10
Care plan included nursing interventions that are specific appropriate and free of essential omissions.
Need to focus on advanced practice nursing interventions specific to each medical diagnosis 10
Used APA standards consistently and accurately.
Be sure to spell and grammar checks. Also refer to the 6thedition APA manual. 10
Total 100
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