09 Jul What aspects of the physical exam would you focus on given Ritas presentation? Why? What would you be looking for? Be sure to describe the patient and her condition in your own words. Do not just cut and paste descriptions from your references.
- Fatigue can be related to any of the following: illness; physiologic and medications; lifestyle; or emotional/psychological. For each of these domains, list three factors that could influence a complaint of fatigue.
PE 54 95 lbs., BP 122/64, HR 102, PO temp 98.2
- What aspects of the physical exam would you focus on given Ritas presentation? Why? What would you be looking for? Be sure to describe the patient and her condition in your own words. Do not just cut and paste descriptions from your references.
- The differential for an elder with fatigue/anorexia/sob is long but distinguished. Assume that your physical exam is normal. Provide a list of the top five prioritized differentials for Rita.
Her lab results are as follows:
WBC 12, HgB 9.5, HCT 30 RBC 3, MCV 110 Fe, 75 TIBC 300, Ferritin 100, BUN 34, Creat 1.3, Na 149, K 3.9 - Based on the lab test results, what additional tests are necessary in formulating your diagnosis?
- Based on the laboratory results, what are the possible diagnoses?
- Provide a focused plan of care for the diagnoses of Fe deficiency anemia and pernicious anemia. Your plan should include pharmacologic, non-pharmacologic, consults, referrals, diagnostics, patient education, and follow-up.
- When would you expect to see a significant response in the H/H? When would you expect to see a full correction?
NU664/NU665 Clinical Case StudyThyroid
Note: Scholarly resources are defined as evidence-based practice, peer-reviewed journals; textbook (do not rely solely on your textbook as a reference); and National Standard Guidelines. Review assignment instructions, as this will provide any additional requirements that are not specifically listed on the rubric.
| Criteria | Exemplary Exceeds Expectations |
Advanced Meets Expectations |
Intermediate Needs Improvement |
Novice Inadequate |
Total Points |
|---|---|---|---|---|---|
| Subjective Data | Includes all relevant subjective data necessary for differentiation of the clients problem. Data is presented in systematic, organized manner consistently.
20 points |
Includes most subjective data with omission of two minor details or one major detail. Most data is presented in systematic, organized manner.
17 points |
Includes subjective data but omits four minor details or two major details. Some data is presented in a systematic, organized manner.
15 points |
Omits more than four minor details or more than two major details of the subjective data. Data is not presented in a systematic, organized manner.
Lacking most or all subjective data. Submits assignment late. 13 points |
20 |
| Objective Data | Objective data is complete and consistently presented in an organized manner.
20 points |
Objective data is complete and presented in an organized manner most of the time.
17 points |
Objective data is not complete or is not presented in an organized manner.
15 points |
Objective data is not complete and is not presented in an organized manner.
Lacking most or all objective data. Submits assignment late. 13 points |
20 |
| Assessment | Assessment, including differential and/or diagnosis (if appropriate), is complete and appropriate to client Diagnostics are complete and appropriate to client.
20 points |
Assessment, including differential and/or diagnosis (if appropriate), is complete but some may not be appropriate for client.
17 points |
Assessment, including differential and/or diagnosis (if appropriate), is not complete but is appropriate.
15 points |
Assessment, including differential and/or diagnosis (if appropriate), is not complete or appropriate, or it is not evident.
Submits assignment late. 13 points |
20 |
| Plan | Plan includes all relevant measures 95% to 100% Pharmacologic Non-pharmacologic Education Referral Follow-up.
20 points |
Plan includes all relevant measures 89% to 94% Pharmacologic Non-Pharmacologic Education Referral Follow-up.
17 points |
Plan includes four of the five relevant measures, but the four are complete.
15 points |
Plan is not complete and/or covers only three relevant measures.
Plan and relevant measures are not evident. Submits assignment late. 13 points |
20 |
| Professional Application | Case incorporates four evidence-based practice articles.
10 points |
Case incorporates three evidence-based practice articles.
8 points |
Does not include an evidence-based practice article but has two or more advanced practice articles.
7 points |
Does not include evidence-based practice article but has one advanced practice article or does not include evidence-based practice article or advanced practice article.
6 points |
10 |
| Organization, APA, Grammar, and Spelling | Well organized content that is clear and concise. Correct APA formatting with no errors.
The writer correctly identifies reading audience, as demonstrated by appropriate language (avoids jargon and simplifies complex concepts appropriately). There are no spelling, punctuation, or word-usage errors. 10 points |
Organized content that is informative and supportive of purpose. Correct and consistent APA formatting of references, and cites all references used. No more than one to two unique APA errors.
There are minimal to no grammar, punctuation, or word-usage errors. 8 points |
Poor organization and flow of ideas may distract from the content. Three to four unique APA formatting errors.
The writer occasionally uses awkward sentence construction or overuses/inappropriately uses complex sentence structure. Problems with word usage (evidence of incorrect use of thesaurus) and punctuation persist, often causing some difficulties with grammar. Some words, transitional phrases, and conjunctions are overused. Multiple grammar, punctuation, or word usage errors. 7 points |
Illogical flow of ideas.
Many APA formatting errors, or no attempt to format in APA. The writer struggles with limited vocabulary and has difficulty conveying meaningnoting just the broadest of meanings. Grammar and punctuation are consistently incorrect. Spelling errors are numerous. Submits assignment late. 6 points |
10 |
| Total Points | 100 | ||||
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