Attached is the patient care worksheet and the case study and the rubric is down

Excellent

Thorough assessment of data. Explained in detail including an accurate and in-depth understanding of chief complaints and presenting signs/symptoms of the disease process

Good

Data underdeveloped. Less accuracy in detail and understanding of chief complaints and presenting signs/symptoms

Average

Missing data. Minimal detail and limited understanding of chief complaints and presenting signs/ symptoms

Poor

50% of data missing. Absence of detail and understanding of chief complaints and presenting signs/symptoms of the disease process.

Excellent

Explained past medical history in detail, current physical assessment, and surgical/medical procedures.

Good

Less detailed explanation of past medical history, current physical assessment, and surgical/medical procedures.

Average

Past medical history stated but with no explanation of current physical assessment, and or surgical/medical procedures.

Poor

Past medical history not stated nor current physical assessment, and or surgical/medical procedures.

Excellent

Pathophysiology for each medical diagnosis and related comorbidity thoroughly discussed along with how it relates to the patient’s history and clinical manifestations.

Good

Pathophysiology of two or more diagnosis and related comorbidities thoroughly discussed related to the patient’s history and clinical manifestations.

Average

Lack of discussion of pathophysiology of one or more diagnosis and related comorbidities related to the patient’s history and clinical manifestations.

Poor

Absence of pathophysiology of diagnosis and related comorbidities. Discussion of diagnosis not related to the patient’s history and clinical manifestations.

Excellent

Identified ordered /prescribed laboratory and diagnostic tests. Provide detail explanation of abnormal results.

Good

Listed the majority of ordered and or prescribed laboratory and diagnostic tests, abnormalities explained

Average

Stated few ordered/ prescribed laboratory and diagnostic tests. Provides partial explanation of abnormal results.

Poor

Ordered /prescribed laboratory and diagnostic tests are not explained. Failed to explain about abnormal results

Excellent

Identified ordered and documented prescribed diet, identified/ prioritized risk or potential problems and teaching, nursing interventions discussed in depth

Good

Stated ordered and /or prescribed diet; however, did not prioritize risk for or potential problems and less detail teaching and /or nursing interventions are discussed

Average

Stated ordered and or prescribed diet Did not identify or prioritize risk for or potential problems. Provided minimal teaching, and included few nursing interventions.

No Marks

Did not document ordered and or prescribed diet, failed to identify or prioritize risk or potential problems. Provided no teaching, stated few nursing interventions

Excellent

Listed all body systems and identified the abnormalities that are relevant to patient’s diagnosis and nursing problem/diagnosis

Good

Listed most of the body systems and identified most abnormalities relevant to patient’s diagnosis and nursing problem/diagnosis

Average

Listed 50% body systems and identified most abnormalities relevant to patient’s diagnosis and nursing problem/diagnosis

No Marks

Listed few body systems and identified most abnormalities relevant to patient’s diagnosis and nursing problem/diagnosis

Excellent

Listed all current medications citing rationale and relevance to patient’s diagnosis and nursing problem/diagnosis

Good

Listed most of the medications on MAR and relevance to patient’s diagnosis and nursing problem/diagnosis

Average

Listed 50% of the medications on MAR and relevance to patient’s diagnosis and nursing problems/diagnosis

Poor

Listed no medication related to patient’s medical condition

Excellent

Discussed detailed nursing intervention, recommended treatments, and teaching based on EBP

Good

Discussed less detailed nursing intervention, recommended treatments, and teaching. Minimally utilized EBP

Average

Lack of discussion on nursing intervention, recommended treatments, and teaching. Not based on EBP

Poor

Failed to provide recommended treatment with teaching, with no nursing interventions discussed. Not based on EBP

Excellent

3 sources from multiple peer-review articles/journals in last 5 years

Good

2 sources from multiple peer-review articles/journals in last 5 years

Average

1 source from peer review articles/journals in 10 years

Poor

Failed to provide reference from single peer review article/journal

Excellent

No errors

Good

Few errors (<than 3)

Average

Some errors (<than 5)

Poor

Many errors