Adult Health
Case study Paper
Category
Points
Percentage
Description
Pathology:
15 pts
· Define the patient’s disease process
· Explain the etiology of the disease process.
· Thoroughly explain signs and symptoms of disease process.
· State and explain any diagnostic measures utilized with this disease process.
· Cite sources
Assessment Data
10pt
· Clearly explain the difference between subjective and objection data.
· Identify Subjection and objection data that would be important to understand.
· Explain the information that would be information to understand from the chart.
· Identify the information from the chart that would be most helpful
· Identify what labs would be important to your assessment and why.
Medications
10pt
· Understand & explain first line treatment for the disease.
· Understand & explain second line treatment and why you would use second line treatment.
· Explain the patient’s medication: minimum of 3-5 medications.
· Explain the class of medication.
· Explain alternative therapies.
· Explain any Black Box warnings, contraindications, and nursing considerations for the medications.
· Identify 3-5 common side effects.
· Identify any medication interactions
· State the common indication for the prescribed medication.
· Explain 2 challenges that might prevent them from taking medication as prescribed.
· Cite sources
Diagnosis
10pt
· Provide 3 nursing diagnosis for the patients (primary physical, psychosocial and education) pertinent to this client’s medical diagnosis.
· List health assessment priorities for the nursing diagnosis.
· State 5 or more appropriate interventions with evidence-based practiced rationale for each action stated for each of the 3 primary nursing diagnosis (cite sources).
· Explain relevant lab work that is required with this medical diagnosis.
· Cite sources
Plan of care
15pt
· Explain what the patient is at risk for.
· Articulate safety concerns or issues at home.
· Explain 2 challenges that might prevent the patient from seeking medical care.
· Articulate all patient education for the patient and treatment plan.
· Explain an understanding of the diagnosis and treatment.
· Identify 2 short-term goals & 2 long-term goals.
· Identify 2 outcomes for the patients.
· Cite sources.
Discharge Instructions
10pt
· Articulate appropriate discharge instructions for these patients.
· Articulate appropriate follow-up care.
· Cite sources.
SOAPIE Note
10pt
The required elements include the following:
· Clear statement of subjective findings.
· Clear statement of objective findings.
· Clear statement of assessment findings.
· Clear statement of plan.
· Clear statement of interventions
· Clear statement of Evaluation
APA
20pts
All information taken from another source must be included on a reference listing using the 7th edition APA as per the Stratford University policy as of October 5th, 2020.
You are NOT allowed to use your book as a source Reference: You must use Peer Reviewed Sources/Articles.
Total
100
100