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NR601-Primary care of the maturing and aged family praticum

NR601:Week 5: Case Study Assignment

ASSIGNMENT CONTENT  Category  Points  %  Description  Assessment: Primary diagnosis     24   15   Presentation of the case study patient’s primary diagnosis includes the following required elements:   Diagnosis is consistent with the cited guideline recommendations or scholarly reference, ICD10 code is listed, rationale statement includes a one to two sentence paraphrased pathophysiology statement. The rationale statement includes pertinent positive and negative subjective and objective findings from the history and physical exam, which links this diagnosis to the case study patient. Pertinent lab results are included and interpreted within the rationale statement.  Assessment: Secondary diagnosis (es)    16   10   Presentation of the case study patient’s secondary diagnosis (es) include (s)the following required elements:   Diagnosis is consistent with the cited guideline recommendations or scholarly reference, ICD10 code is listed, rationale statement includes a one to two sentence paraphrased pathophysiology statement. The rationale statement includes pertinent positive and negative subjective and objective findings from the history and physical exam, which links this diagnosis to the case study patient. Pertinent lab results are included and interpreted within the rationale statement.   Evidence-Based Practice (EBP)   40   25   National guidelines are used to support all diagnoses and develop the management plan.    The American Diabetes Association Standards and Medical Care in Diabetes-2019 or later, (or article related to 2019 or later Guidelines) are used to support the primary diagnosis and develop the management plan.    Every diagnosis rationale must include an in-text citation to a scholarly reference as listed in the Reference Guidelines document. Each action step or order within all plan sections includes an in-text citation to an appropriate reference as listed in the Reference Guidelines document. Reference interpretation is accurate.   Plan: Diagnostics   8  5  All ordered diagnostics tests are linked to a diagnosis listed in the assessment section and include a paraphrased EBP rationale with citation and include date when test should be performed (ie: today, 1 week, 1 month). Further testing/diagnostics for the differential diagnosis is included. Plans are consistent with the cited guideline recommendations or scholarly reference.    Plan: Medications  8  5  The plan includes both prescribed and OTC medications written in prescription format.  The plan includes a minimum of one OTC medication. Each prescribed and OTC medication is linked to a diagnosis listed in the assessment section    Diagnosis is clearly stated in the rationale statement. And includes a paraphrased rationale EBP rationale   Plan: Education  8  5  All education steps are linked to a diagnosis, paraphrased, and include an EBP rationale.     This section is written exactly how you would discuss the education to the patient. Use vocabulary which the patient can understand, not medical terminology.   Section includes personalized detailed education on diagnoses, medications, diet, exercise and any warning signs.  Personalized diet and exercise recommendations are appropriate for the case study patient and include specific instructions for the case study patient such as a specific exercise- length of time to exercise and frequency/week. Any published diet recommendations, such as a Mediterranean diet, will include a rationale statement as to why this recommendation is beneficial for the case study patient.    Plans are consistent with the guideline recommendations or scholarly reference.   Plan: Referrals   8  5  All recommended referrals are appropriate for the patient diagnoses:   each referral is linked to a specific diagnosis each which was listed in the assessment section and includes a paraphrased EBP rationale.  All referrals related to the primary diagnosis are obtained from the ADA guidelines.  Plans are consistent with the cited guideline recommendations or scholarly reference   Plan: Follow up   8  5  Follow up includes a specific time/date to return to PCP office. EBP rationale with in text citation is included.  Only follow up information is listed in this section. Additional information, such as future testing, education or referrals are not listed in follow up but within the appropriate paper sections. Plans are EBP and consistent with the guideline recommendations.  Assessment of comorbidities    16  10  The ADA guidelines includes a Comprehensive Medical Evaluation and Assessment of Comorbidities section which includes comorbidities that providers should consider when managing disorders of glucose metabolism.    Choose one of the listed comorbidities from the ASSESSMENT OF COMORBIDITIES subsection*     Explain the significance of and the relationship between your primary diagnosis and your chosen comorbidity. Explain how one diagnosis affects the other diagnosis in no more than 3-5 sentences. Include any recommended screening, diagnostic testing, and referrals in no more than 2-3 sentences.    * the chosen comorbidity cannot be any secondary diagnosis already discussed in your paper’s assessment section.   Medication costs  8  5   All monthly medication costs are calculated, including the current medications the patient may be already taking.   A total cost for all the month’s medication is included.    All medications including OTCs are included.    Medication cost reference source is included.  Summary/reflection statement regarding medication costs and any medications changes based on cost  or polypharmacy concerns is included.         Total CONTENT Points= [144 pts]  ASSIGNMENT FORMAT  Category  Points  %  Description  Grammar, Syntax, APA      8  5  APA format, grammar, spelling, and/or punctuation are accurate, or with zero to one error. All referenced information is cited, “according to” is not used. All cited information is paraphrased, no quotes are included in the paper.   Organization   8  5  Paper is developed in a logical, meaningful, and understandable sequence.   Provided assignment template is used to develop the paper.  The rationale length does not exceed template directions. The paper length does not exceed 10 pages, excluding title page and references.            Total FORMAT Points= [16 pts]        ASSIGNMENT TOTAL=160 points 

Rubric

NR601_Week 5 Case Study _Nov19

CriteriaRatingsPts
This criterion is linked to a Learning Outcome Assignment Content Possible Points = 144 Points Assessment of primary diagnosis  


1)the ICD10 code is listed in parentheses next to diagnosis. 


2) Diagnosis is consistent with the cited guideline recommendations or scholarly reference 


3) Includes a one to two sentence paraphrased pathophysiology statement. 


4) The rationale statement includes pertinent positive and negative subjective and objective findings from the history and physical exam, which links this diagnosis to your patient. Pertinent lab results are included and interpreted within the rationale statement


(4 required elements)
24 pts Excellent All 4 required elements are present 22 pts V. Good 1 required element is missing 20 pts Satisfactory 2 required elements are missing 12 pts Needs Improvement 3 required elements are missing 0 pts Unsatisfactory 4 required elements are missing  OR Section includes information that does not pertain to the case study patient such as pregnancy information or gender information that does not pertain to the case study patient’s listed gender or age.24 pts
This criterion is linked to a Learning Outcome Assessment of secondary diagnosis (es) 1) the ICD10 code is listed in parentheses next to diagnosis. 


2) Diagnosis is consistent with the cited guideline recommendations or scholarly reference 


3) includes a one to two sentence paraphrased pathophysiology statement. 


4) The rationale statement includes pertinent positive and negative subjective and objective findings from the history and physical exam, which links this diagnosis to your patient. Pertinent lab results are included interpreted within the rationale statement.


(4 required elements)
16 pts Excellent All 4 required elements are present 14 pts V. Good 1 required element is missing 13 pts Satisfactory 2 required elements are missing 8 pts Needs Improvement 3 required elements are missing 0 pts Unsatisfactory 4 required elements are missing  OR Section includes information that does not pertain to the case study patient such as pregnancy information or gender information that does not pertain to the case study patient’s listed gender or age.16 pts
This criterion is linked to a Learning Outcome Evidence-Based Practice National guidelines are used to support all diagnoses and develop the plan.  


1) The American Diabetes Association Standards and Medical Care in Diabetes-2019 or later, (or article related to 2019 or later Guidelines) are used to support the primary diagnosis and develop the plan.  


2) Every diagnosis rationale must include an in text citation to a scholarly reference as listed in the Reference Guidelines document. 


3) Each action step or order within all plan sections includes an in text citation to an appropriate reference as listed in the Reference Guidelines document.  


4) Reference interpretation is accurate


(4 required elements)
40 pts Excellent All 4 required elements are present 36 pts V. Good 1 required element is missing 33 pts Satisfactory 2 required elements are missing 20 pts Needs Improvement 3 required elements are missing 0 pts Unsatisfactory 4 required elements are missing40 pts
This criterion is linked to a Learning Outcome Plan: Diagnostics 1) All ordered diagnostic test  are presented individually 


2) All ordered diagnostics tests are linked to a diagnosis listed in the assessment section  


3) All ordered tests include a paraphrased EBP rationale with citation and include date when test should be performed (ie: today, 1 week, 1 month)  


4) Plans are consistent with the cited guideline recommendations or scholarly reference


(4 required elements)
8 pts Excellent All 4 required elements are present 7 pts V. Good 1 required element is missing 6 pts Satisfactory 2 required elements are missing 4 pts Needs Improvement 3 required elements are missing 0 pts Unsatisfactory 4 required elements are missing8 pts
This criterion is linked to a Learning Outcome Plan: Medications Each  listed medication 


1) is linked to a diagnosis listed within the assessment section or a current patent medication


2) an OTC medication is included in recommended medications 


3) includes a paraphrased EBP rationale for prescribing  


4) written in prescription format  


( 4 required elements)
8 pts Excellent All 4 required elements are present 7 pts V. Good 1 required element is missing 6 pts Satisfactory 2 required elements are missing 4 pts Needs Improvement 3 required elements are missing 0 pts Unsatisfactory 4 required elements are missing8 pts
This criterion is linked to a Learning Outcome Plan: Education This section is written exactly how you would discuss the education to the patient. Use vocabulary which the patient can understand. 


1) All education steps are linked to a diagnosis which was listed in the assessment section, paraphrased, and includes an EBP rationale.  


2) Section includes personalized detailed education on diagnoses, medications, diet, exercise and warning signs. 


3) Personalized diet and exercise recommendations which include specific instructions and are appropriate for the case study patient.


4) Plans are consistent with the cited guideline recommendations or scholarly reference


( 4 required elements)
8 pts Excellent All 4 required elements are present 7 pts V. Good 1 required element is missing 6 pts Satisfactory 2 required elements are missing 4 pts Needs Improvement 3 required elements are missing 0 pts Unsatisfactory 4 required elements are missing8 pts
This criterion is linked to a Learning Outcome Plan: Referral 1) each referral is linked to a specific diagnosis which was listed in the assessment section. 


2) All referrals related to the primary diagnosis are obtained from the ADA guidelines.


3) each referral includes a paraphrased EBP rationale. 


4) Referral plans are consistent with the cited guideline recommendations or scholarly reference


( 4 required elements)
8 pts Excellent All 4 required elements are present 7 pts V. Good 1 required element is missing 6 pts Satisfactory 2 required elements are missing 4 pts Needs Improvement 3 required elements are missing 0 pts Unsatisfactory 4 required elements are missing8 pts
This criterion is linked to a Learning Outcome Plan: Follow-Up 1) Includes a specific time frame or date to return to PCP office.  A time range is not acceptable (i.e. 2-4 weeks)  


2) Includes EBP rationale with in text citation for chosen follow up date  


3) Plans are EBP and consistent with the cited guideline recommendations.  


4) Only follow up information is listed in this section.  


( 4 required elements)
8 pts Excellent All 4 required elements are present 7 pts V. Good 1 required element is missing 6 pts Satisfactory 2 required elements are missing 4 pts Needs Improvement 3 required elements are missing 0 pts Unsatisfactory 4 required elements are missing8 pts
This criterion is linked to a Learning Outcome Assessment of comorbidities 1) Comordidity chosen was listed within the listed comorbidities from the Assessments of comorbidities subsection*  


2) Discussed significance of and the relationship between primary diagnosis and chosen comorbidity.  


3) Explain how one diagnosis affects the other diagnosis in no more than 3-5 sentences.  


4) Included any recommended screening, diagnostic testing, and referrals in no more that 2-3 sentences.  


* the chosen comorbidity cannot be any secondary diagnosis already discussed in your paper’s assessment section


( 4 required elements)
16 pts Excellent All 4 required elements are present 14 pts V. Good 1 required element is missing 13 pts Satisfactory 2 required elements are missing 8 pts Needs Improvement 3 required elements are missing 0 pts Unsatisfactory 4 required elements are missing  OR the chosen comorbidity is also a secondary diagnosis already discussed within the paper’s  assessment section16 pts
This criterion is linked to a Learning Outcome Medication Costs All monthly medication costs are calculated  


1 )All medications including current medications and OTCs are included.  


2) Each medication cost is calculated individually  


3) a total cost for the month’s medication is calculated 


4) Summary/reflection statement is included regarding medication costs and any medications changes based on cost or polypharmacy concerns


( 4 required elements)
8 pts Excellent All 4 required elements are present 7 pts V. Good 1 required element is missing 6 pts Satisfactory 2 required elements are missing 4 pts Needs Improvement 3 required elements are missing 0 pts Unsatisfactory 4 required elements are missing8 pts
This criterion is linked to a Learning Outcome Assignment Format Possible Points = 16 Points Grammar, Syntax, APA 


 APA format, grammar, spelling, and/or punctuation are accurate, or with zero to one errors. 


1) All referenced information is cited at the end of the phrase or sentence 


2) All cited information is paraphrased, no quotes are included 


3) “according to” or “per” is not used when citing a scholarly source
8 pts Excellent APA format, grammar, spelling, and/or punctuation are accurate, or with zero to one errors.     Three required elements are present 7 pts V. Good Two to four errors in APA format, grammar, spelling, and syntax noted.     Three required elements are present 6 pts Satisfactory Five to seven errors in APA format, grammar, spelling, and syntax noted.”    1 required element is missing 4 pts Needs Improvement Eight to nine errors in APA format, grammar, spelling, and syntax noted.     OR   2 required elements are missing 0 pts Unsatisfactory Post contains ten or greater errors in APA format, grammar, spelling, and/or punctuation.   OR   3 required element are missing8 pts
This criterion is linked to a Learning Outcome Organization Paper is developed in a logical, meaningful, and understandable sequence  


 1) Provided assignment template is used to develop paper  


2) Rationale length does not exceed template directions.  


3) All required sections are included within the assignment  


4) The paper length does not exceed 10 pages. (not including title page and references)
8 pts Excellent All 4 required elements are present 7 pts V. Good 1 required element is missing 6 pts Satisfactory 2 required elements are missing 4 pts Needs Improvement 3 required elements are missing 0 pts Unsatisfactory 4 required elements are missing8 pts
This criterion is linked to a Learning Outcome Late Penalty Deductions Students are expected to submit assignments by the time they are due. Assignments submitted after the due date and time will receive a deduction of 10% of the total points possible for that assignment for each day the assignment is late. Assignments will be accepted, with penalty as described, up to a maximum of three days late, after which point a zero will be recorded for the assignment. Quizzes and discussions are not considered assignments and are not part of the late assignment policy.0 pts Manual Deductions 0 pts Manual Deductions0 pts

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