Case Study J.G., a 49-year-old man, was assessed in the emergency department (ED

May 17, 2024

Case Study
J.G., a 49-year-old man, was assessed in the emergency department (ED) 4 days ago. He was diagnosed
with alcohol intoxication and released after 8 hours to his brother’s care. He was readmitted to the ED 12 hours ago with a gastrointestinal (GI) bleed and is being transferred to the intensive care unit (ICU). His diagnosis is upper GI bleed and alcohol intoxication. You are assigned to J.G. for the remainder of your shift. According to the ED notes, his admission vital signs (VS) were 84/56, 110, and 26, and he was vomiting bright red blood. He was given IV fluids and transfused 2 units of packed red blood cells (PRBCs) in the ED. On initial assessment, you note that J.G.’s VS are 98.7°F (37°C), 174/98, 110, respirations 24. He has a slight tremor in his hands, is diaphoretic, and appears anxious. He reports a headache and appears flushed. According to the chart, there was no report of vomiting, frank red blood, or melena in the stools for the past 5 hours. In response to your questions, J.G. denies he has an alcohol problem but later admits to drinking a fifth of vodka daily for the past 2 months. He admits to having seizures while withdrawing from alcohol in the past. He tells you that he “just can’t help it” and has strong urges to drink but that he never means “to drink very much.” He has had trouble keeping a job over the past several months.
What would be helpful for J.G.’s healthcare provider to know regarding J.G.’s substance use history?
As you further assess J.G.’s history, what areas related to social determinants of health should you focus on?
What chronic health problems are associated with alcohol use disorder? Develop a teaching plan that addresses the chronic health problems with alcohol use disorder. Use evidence to support your plan.
Which members of the interprofessional team should be involved in J.G.’s care and how?
What laboratory tests might be ordered to assess for nutrition deficiencies or other medical problems J.G. is experiencing?
What types of health promotion and referrals will be discussed with J.G. before his discharge from the hospital?
G. is referred to the local Alcoholics Anonymous (AA) program. What strategies can be implemented to increase his likelihood of attendance at these meetings? Support your answer with literature.
Please justify your answers by using the information from your Jarvis e-book and your assigned lessons. Use of references is necessary to support your responses.
Instructions:
This assignment is due on Sunday of Week 4 by 11:59 PM CST.
Submission Instructions:
Submit a Word document for this assignment.
Grading Rubric
Your assignment will be graded according to the grading rubric.
Reference:
Harding, M., & Snyder, J. S. (2020). Clinical reasoning cases in nursing (7th ed. ) Elsevier.
Rubric
Module 4 Health Assessment Case Study Rubric 2024
Module 4 Health Assessment Case Study Rubric 2024
Criteria Ratings Pts
This criterion is linked to a Learning OutcomeQuestion #1
Includes what would be helpful for the healthcare provider to know regarding J.G.’s substance use history.
5 pts
Exceeds Expectations
Question is answered completely and in detail. Justifications are provided.
4 pts
Meets Expectations
Answer is complete, but brief Some justifications are present.
3 pts
Partially Meets Expectations
Answer is complete but brief. No justifications are provided.
0 pts
Question not answered
5 pts
This criterion is linked to a Learning OutcomeQuestion #2
Addresses the social determinants of health the nurse should focus on.
5 pts
Exceeds Expectations
Question is answered completely and in detail. Justifications are provided.
4 pts
Meets Expectations
Answer is complete, but brief Some justifications are present.
3 pts
Partially Meets Expectations
Answer is complete but brief. No justifications are provided.
0 pts
Question not answered
5 pts
This criterion is linked to a Learning OutcomeQuestion #3
Addresses chronic health problems and develops a researched, evidence-based teaching plan.
5 pts
Exceeds Expectations
Question is answered completely and in detail. Justifications are provided. In-text citations are included and are correctly formatted.
4 pts
Meets Expectations
Answer is complete, but brief Some justifications are present and in-text citations are missing.
3 pts
Partially Meets Expectations
Answer is complete but brief. No justifications or in-text citations are provided.
0 pts
Question not answered
5 pts
This criterion is linked to a Learning OutcomeQuestion #4
Includes the members of the interprofessional team that should be involved.
5 pts
Exceeds Expectations
Question is answered completely and in detail. Justifications are provided.
4 pts
Meets Expectations
Answer is complete, but brief Some justifications are present.
3 pts
Partially Meets Expectations
Answer is complete but brief. No justifications are provided.
0 pts
Question not answered
5 pts
This criterion is linked to a Learning OutcomeQuestion #5
Includes the lab tests to evaluated nutritional deficiencies and medical problems.
5 pts
Exceeds Expectations
Question is answered completely and in detail. Justifications are provided.
4 pts
Meets Expectations
Answer is complete, but brief Some justifications are present.
3 pts
Partially Meets Expectations
Answer is complete but brief. No justifications are provided.
0 pts
Question not answered
5 pts
This criterion is linked to a Learning OutcomeQuestion #6
Addresses the types of health promotion and referrals
5 pts
Exceeds Expectations
Question is answered completely and in detail. Justifications are provided.
4 pts
Meets Expectations
Answer is complete, but brief Some justifications are present.
3 pts
Partially Meets Expectations
Answer is complete but brief. No justifications are provided.
0 pts
Question not answered
5 pts
This criterion is linked to a Learning OutcomeQuestion #7
Provides researched, evidence-based strategies to increase attendance at A.A. meetings.
5 pts
Exceeds Expectations
Question is answered completely and in detail. Justifications are provided. In-text citations are included and are correctly formatted.
4 pts
Meets Expectations
Answer is complete, but brief Some justifications are present and in-text citations are missing.
3 pts
Partially Meets Expectations
Answer is complete but brief. No justifications or in-text citations are provided.
0 pts
Question not answered
5 pts
This criterion is linked to a Learning OutcomeSpelling, grammar and APA formatting
Paper follows APA formatting guidelines for content, citations, and references. Paper is written at a BSN level with minimal grammatical and spelling errors.
5 pts
Exceeds Expectations
Less than 5 combined errors in APA formatting, spelling or grammar.
4 pts
Meets Expectations
Between 5 and 10 combined errors in APA formatting, spelling and grammar.
3 pts
Partially Meets Expectations
Between 10 and 15 combined errors in APA formatting, spelling and grammar.
2 pts
Needs Improvement
Between 15 and 19 combined errors in APA formatting, spelling and grammar.
0 pts
No Marks
5 pts
This criterion is linked to a Learning Outcome2-HS-12-E. Critical Thinking: Analyze research findings that influence evidence-based practice nursing
Analyze research findings that influence evidence-based practice nursing
threshold: 2.0 pts
3 pts
Highly Proficient
2 pts
Proficient
1 pts
Emerging Proficient
0 pts
Not Proficient
—
This criterion is linked to a Learning Outcome5-HS-12-J. Diversity, Equity, and Inclusion: Integrate professional values, ethical, and legal aspects of nursing into one’s professional practice
Integrate professional values, ethical, and legal aspects of nursing into one’s professional practice
threshold: 2.0 pts
3 pts
Highly Proficient
2 pts
Proficient
1 pts
Emerging Proficient
0 pts
Not Proficient
—
This criterion is linked to a Learning Outcome4-HS-12-B. Valuing: Evaluate principles of prevention and health promotion when providing care to individuals, families, and communities
Evaluate principles of prevention and health promotion when providing care to individuals, families, and communities
threshold: 2.0 pts
3 pts
Highly Proficient
2 pts
Proficient
1 pts
Emerging Proficient
0 pts
Not Proficient
—
Total Points: 40

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