CASE STUDY: Family Member with Alzheimer’s Disease: Mark and Jacqueline

 Instructions: Read the following case study and answer the reflective questions. Please provide rationales for your answers. Make sure to provide a citation for your answers.  

 Mark and Jacqueline have been married for 30 years. They have grown children who live in another state. Jacqueline’s mother has moved in with the couple because she has Alzheimer’s disease. Jacqueline is an only child and always promised her mother that she would care for her in her old age. Her mother is unaware of her surroundings and often calls out for her daughter Jackie when Jacqueline is in the room. Jacqueline reassures her mother that she is there to help, but to no avail. Jacqueline is unable to visit her children on holidays because she must attend to her mother’s daily needs. She is reluctant to visit friends or even go out to a movie because of her mother’s care needs or because she is too tired. Even though she has eliminated most leisure activities with Mark, Jacqueline goes to bed at night with many of her caregiving tasks unfinished. She tries to visit with her mother during the day, but her mother rejects any contact with her daughter. Planning for the upcoming holidays seems impossible to Mark, because of his wife’s inability to focus on anything except her mother’s care. Jacqueline has difficulty sleeping at night and is unable to discuss plans even a few days in advance. She is unable to visit friends and is reluctant to have friends visit because of the unpredictable behavior of her mother and her need to attend to the daily care. 

Reflective Questions 

1. How do you think this situation reflects Jacqueline’s sense of role performance? 

2. How do you think that Jacqueline may be contributing to her own health? 

Case scenario pneumonia

Practicum Case Scenario/ Study The following outlines general instructions for a case scenario/study submission. Please remember not to include any HIPPA information. Concerns and questions related to care should be included. Include references to treatment plans using APA format You can use https://nurseslabs.com/ or your choice. Completion of the case study counts toward the practicum experience. Case studies are expected to be a minimum of 500 words, detailed and comprehensive. 

In this case, this patient is a 45-year-old male who came into the clinic and was diagnosed with pneumonia 

Please follow the outline as below when submitting your case study:

NURSING 2021 Case Scenario/Study

Student Name: 

Submission Date: 

Case Study:

Patient Initials, Age, Gender

Subjective information from the patient (History of Present Illness/Symptoms)

Current Medications 

Medical History – Medical Problems

Objective findings from physical examination

Vital Signs, Weight, Height, BMI

Focused examination findings based on diagnoses being addressed.

Assessment

ICD-10 Diagnosis (include ICD-10 code) for contact dermatitis. 

Nursing Diagnoses https://nurse.org/resources/nursing-diagnosis-guide/

Or https://nurseslabs.com/

Plan

Care Plan based on the diagnosis.

Include specific nursing care planning for patients to include.

Potential issues with achieving quality, comprehensive care.

Information on best practice care considerations.

Care outcomes from current treatment

Possible side effects of medications or treatments

Patient education planning/instructions

Care outcomes

Plans for the follow-up to review response to treatment.

References: APA format must be within the last 5 years.

Ques

Rubric Detail

 

Select Grid View or List View to change the rubric’s layout.

Name: NRNP_6552_Module1_Assignment_Rubric

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  Excellent Good Fair Poor
Describe the components of a comprehensive gynecologic health history. Include considerations for special populations such as LGBTQ+ individuals.

What health maintenance guidelines should be included during the initial and follow up assessments. (i.e., bone density test, Gardasil vaccine, shingles, etc.)?

What questions would you consider in your patient’s assessment?
For example
• What is your patient’s living situation?
• Do they have stairs?
• Do they live by themselves?
• Do they have a working refrigerator?

27 (27%) – 30 (30%)
The response provides clear, complete, and appropriate descriptions of a comprehensive gynecologic history. Health maintenance guidelines are clear and complete. Social factors affecting health are appropriately incorporated.
24 (24%) – 26 (26%)
The response provides clear, complete, and most of the components of a comprehensive gynecologic history. Most health maintenance guidelines are included and appropriate. Social factors affecting health are mostly included.
21 (21%) – 23 (23%)
The response provides components of the gynecologic history but they are incomplete, vague or inaccurate. Health maintenance guidelines are somewhat complete or inappropriate applied. Social factors are included but some are missing.
(0%) – 20 (20%)
The response provides unclear, incomplete, or inappropriate components of the gynecologic health history. Health maintenance guidelines are missing, incorrect, or inappropriate applied. Social factors are missing or incorrect.
Building a Health History: Asking Difficult Questions Create your own script for building a health history. Consider the type of language you would use to help your patient be more comfortable). Ensure you include the difficult questions required to complete a thorough health history.
22.5 (22.5%) – 25 (25%)
The script contains a complete set of questions, including difficult questions, necessary to build a health history. Questions are phrased in a manner that supports the patients comfort.
20 (20%) – 22 (22%)
The script contains a mostly complete set of questions, including difficult questions, necessary to build a health history. Most questions are phrased in a manner that supports the patients comfort.
17.5 (17.5%) – 19.5 (19.5%)
The script containing some relevant questions, including a few difficult questions. Information collected provides a cursory health history. Questions are not phrased in a supportive tone.
(0%) – 17 (17%)
The script contains few or no relevant questions, including few or no difficult questions. Information collected is not sufficient to provide an adequate health history. Questions are not phrased in a supportive tone.
In addition to your script for building a health history for this assignment, include a separate section called “Reflection”

Briefly reflect and provide a summary of your experiences in developing your script during your health history.

27 (27%) – 30 (30%)
The response provides an accurate, clear, and complete summary of experiences in developing the script during the health history
24 (24%) – 26 (26%)
The response provides an accurate summary of experiences in developing the script during the health history
21 (21%) – 23 (23%)
The response provides a vague, inaccurate, or incomplete summary of the experiences in developing the script during the health history
(0%) – 20 (20%)
The response provides a vague, inaccurate, or incomplete summary of the experiences in developing the script during the health history, or the summary is missing.
Written Expression and Formatting – Paragraph Development and Organization: Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria.
(5%) – 5 (5%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity.

A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria.

(4%) – 4 (4%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.

Purpose, introduction, and conclusion of the assignment is stated, yet is brief and not descriptive.

3.5 (3.5%) – 3.5 (3.5%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time.

Purpose, introduction, and conclusion of the assignment is vague or off topic.

(0%) – 3 (3%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time. No purpose statement, introduction, or conclusion was provided.
Written Expression and Formatting – English writing standards:
Correct grammar, mechanics, and proper punctuation
(5%) – 5 (5%)
Uses correct grammar, spelling, and punctuation with no errors.
(4%) – 4 (4%)
Contains a few (1 or 2) grammar, spelling, and punctuation errors.
3.5 (3.5%) – 3.5 (3.5%)
Contains several (3 or 4) grammar, spelling, and punctuation errors.
(0%) – 3 (3%)
Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list.
(5%) – 5 (5%)
Uses correct APA format with no errors.
(4%) – 4 (4%)
Contains a few (1 or 2) APA format errors.
3.5 (3.5%) – 3.5 (3.5%)
Contains several (3 or 4) APA format errors.
(0%) – 3 (3%)
Contains many (≥ 5) APA format errors.
Total Points: 

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Module 05 Written Assignment – Sexually Transmitted Infections Module 05 Written Assignment – Sexually Transmitted Infections

Module 5 content 

 

Select a sexually transmitted infection (STI) and do research on it. Write a 3-5 page paper about the condition/issue. In the paper discuss the concepts below:

  • What is the pathophysiology of one STI
  • What is the etiology of the selected STI
  • What are the clinical manifestations of the selected STI
  • What is the treatment for the selected STI

Use at least one scholarly source to support your findings. Examples of scholarly sources include academic journals, textbooks, reference texts, and CINAHL nursing guides. Be sure to cite your sources in-text and on a References page using APA format.

You can find useful reference materials for this assignment in the School of Nursing guide: https://guides.rasmussen.edu/nursing/referenceebooks

Visit this link for an example of how to cite a video: https://guides.rasmussen.edu/apa/av#s-lib-ctab-4539348-3

Have questions about APA formatting? Visit the online APA guide: https://guides.rasmussen.edu/apa

Benchmark – Professional Capstone and Practicum Reflective Journal

 

Students maintained and submitted weekly reflective narratives throughout the course to explore the personal knowledge and skills gained throughout this course. This assignment combines those entries into one course-long reflective journal that integrates leadership and inquiry into current practice as it applies to the Professional Capstone and Practicum course.

This final submission should also outline what students have discovered about their professional practice, personal strengths and weaknesses that surfaced during the process, additional resources and abilities that could be introduced to a given situation to influence optimal outcomes, and, finally, how the student met the competencies aligned to this course.

The final journal should address a variable combination of the following, while incorporating your specific clinical practice experiences:

  1. New practice approaches
  2. Interprofessional collaboration
  3. Health care delivery and clinical systems
  4. Ethical considerations in health care
  5. Practices of culturally sensitive care
  6. Ensuring the integrity of human dignity in the care of all patients
  7. Population health concerns
  8. The role of technology in improving health care outcomes
  9. Health policy
  10. Leadership and economic models
  11. Health disparities

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

RN to BSN

2.3:     Understand and value the processes of critical thinking, ethical reasoning, and decision making.

4.1:     Utilize patient care technology and information management systems.

4.3:     Promote interprofessional collaborative communication with health care teams to provide safe and effective care.

5.3:     Provide culturally sensitive care.

5.4:     Preserve the integrity and human dignity in the care of all patients.

Rubrics:

 New practice approaches are present, complete, and incorporate additional relevant details and critical thinking to engage the reader. 

 Interprofessional collaboration information is present, complete, and incorporates additional relevant details and critical thinking to engage the reader. 

 Health care delivery and clinical systems information is present, complete, and incorporates additional relevant details and critical thinking to engage the reader. 

 Information regarding ethical considerations in health care is present, complete, and incorporates additional relevant details and critical thinking to engage the reader. 

 Information regarding the practice of culturally sensitive care is present and complete, and incorporates additional relevant details and critical thinking to engage the reader. 

 Information regarding the preservation of integrity and human dignity in the care of all patients is present and complete, and incorporates additional relevant details and critical thinking to engage the reader. 

 Information regarding population health concerns is present, complete, and incorporates additional relevant details and critical thinking to engage the reader. 

 Information on the role of technology in improving health care outcomes is present, complete, and incorporates additional relevant details and critical thinking to engage the reader. 

 Health policy information is present, complete, and incorporates additional relevant details and critical thinking to engage the reader. 

 Information on leadership and economic models is present, complete, and incorporates additional relevant details and critical thinking to engage the reader. 

 Information on health disparities is present, complete, and incorporates additional relevant details and critical thinking to engage the reader. 

 Outline of what student discovered about professional practice, personal strengths and weaknesses that surfaced, additional resources and abilities that could be introduced to a given situation to influence optimal outcomes, and how the student met the competencies aligned to this course is present and complete, and incorporates additional relevant details and critical thinking to engage the reader. 

Discussion Questions

1. Why have inpatient hospitalizations decreased during the last 30 years?

2. Why is consent for treatment absolutely necessary for each patient and each visit?

3. What factors in society seem to be driving the opening of so many urgent care centers?

4. What are the advantages and disadvantages of online physician visits?

5. What is HIPAA and what is its impact on the patient and the physician’s office?

Healthcare Policy & Economics

This assignment will be at least 1500 words or more. Reflect on the roles of nurses, and other healthcare professionals as the roles of physicians in the healthcare system moves from one of working in silos to a more progressive value-based system. Write a paper that discusses in detail why a value-based system may improve health care in the U. S. and address the following questions:

  • How has current policy transformed the current practice of nurses, physicians, and other healthcare professionals?
  • What distinction can you make between physicians/healthcare providers working in a fee-for-service system and a value-based care system?
  • How do you view shared power between physicians and nurses in your healthcare system? How does it impact care?

case study

Health Promotion: Prevention of Disease Case Study Module 4 Instructions: Read the following case study and answer the reflective questions. Please provide rationales for your answers. Make sure to provide a citation for your answers.

. CASE STUDY: Family Member with Alzheimer’s Disease: Mark and Jacqueline Mark and Jacqueline have been married for 30 years. They have grown children who live in another state. Jacqueline’s mother has moved in with the couple because she has Alzheimer’s disease. Jacqueline is an only child and always promised her mother that she would care for her in her old age. Her mother is unaware of her surroundings and often calls out for her daughter Jackie when Jacqueline is in the room. Jacqueline reassures her mother that she is there to help, but to no avail. Jacqueline is unable to visit her children on holidays because she must attend to her mother’s daily needs. She is reluctant to visit friends or even go out to a movie because of her mother’s care needs or because she is too tired. Even though she has eliminated most leisure activities with Mark, Jacqueline goes to bed at night with many of her caregiving tasks unfinished. She tries to visit with her mother during the day, but her mother rejects any contact with her daughter. Planning for the upcoming holidays seems impossible to Mark, because of his wife’s inability to focus on anything except her mother’s care. Jacqueline has difficulty sleeping at night and is unable to discuss plans even a few days in advance. She is unable to visit friends and is reluctant to have friends visit because of the unpredictable behavior of her mother and her need to attend to the daily care. Reflective Questions 1. How do you think this situation reflects Jacqueline’s sense of role performance?  

Family

 

The assignment

Principles of ethics

 

1. Introduce yourself and let the class know what experience you have with ethics, either professionally, academically, or personally.

2. After reading about the ethical theories we will be covering this course, choose one that you think might best fit your current ethical position.

3. Replies: Find two of your classmates who have either similar ethical experience or who hold a similar ethical position. In 100 words or more, describe how your experiences or position are similar, and how they differ.