Exceeds
Expectations
10
Points
Subjective Data:
Chief complaint
Past medical history
Family history
Social history
Complete
history with previous surgeries, health, psychological, hospitalizations, and
Dx.
=-Objective Data:
Complete a focused physical exam. Complete
focused physical exam, including related systems.
Identification
of diagnostic data. Medications and
bloodwork
Complete
physical for other health information needed based on patient’s specific
health care needs, including medications and laboratory results
Pathophysiology and Etiology:
Discuss the disease process and in-depth
Patho
at the cellular level shows an understanding of medical diagnosis and
comorbidities and identifies etiology based on the specific patient’s
condition.
Nursing Diagnosis:
Determine the nursing diagnosis.
Write three nursing diagnosis statements.
More
than three nursing problems were prioritized based on the patient’s
condition/need(s).
Goal/Outcome:
Identify a prioritized plan of care that addresses the patient’s
needs related to the nursing diagnoses and collaborative problems you determined
with measurable outcomes.
Goals
present for all problems and interventions listed with measurable outcomes
and further evaluation specifics listed.
Interventions:
Three evidence-based interventions with
rationale and target specific etiologies of illness or risk behaviors. Interventions
integrate the unique needs of the patient.
Outstanding
relationships were noted between interventions per goal and the problem
listed. Further details were noted in relation to the execution of nursing
care interventions.
Evaluation:
Describe methods (how you will evaluate the effectiveness) to
evaluate your patient’s outcomes.
At least three evidence-based resources should be used, along
with other descriptive references.
Synthesizes
connections to all areas of the case study. Connects and exceeds needed
nursing care decisions and demonstrates exceptional critical thinking for
this patient assignment.
Conclusion:
Give an overall appraisal of what you have learned from this
case study.
Summary of overall appraisal of the information you learn from
the case study with a brief discussion of EB resources. A brief, rich
discussion of resource support that is clearly articulated.
Creativity / A.P.A. Format:
Appearance and layout. Mechanics of writing and headings.
Eloquent
execution with the demonstration of advanced terms and knowledge in writing
style with no grammatical or spelling errors.
References:
APA format. * A.P.A. in-text citations * A.P.A. reference page
Correct
references
