QUESTION
Case Study 2
In a short essay (500-750 words), answer the Question at the end of Case Study 2. Cite references to support your positions.
Case Study 2 - Rubric
No of Criteria: 9 Achievement Levels: 5
Criteria
Achievement Levels
Description Percentage
Unsatisfactory 0-71%
0.00 %
Less Than Satisfactory 72-75%
75.00 %
Satisfactory 76-79%
79.00 %
Good 80-89%
89.00 %
Excellent 90-100%
100.00 %
Content
80.0
Describe your approach to care
20.0
Description of your approach to care is not offered.
Description of your approach to care is offered, but incomplete, lacking relevant information.
Description of your approach to care meets the basic requirements of the assignment.
Description of your approach to care is offered in detail.
Description of your approach to care is offered in detail, while demonstrating evidence of deeper insight and/or reflection.
Recommend a treatment plan
20.0
Recommendation of a treatment plan is not offered.
Recommendation of a treatment plan is offered, but incomplete, lacking relevant information.
Recommendation of a treatment plan meets the basic requirements of the assignment.
Recommendation of a treatment plan is offered in detail.
Recommendation of a treatment plan is offered in detail, while demonstrating evidence of insight and/or reflection.
Describe a method for providing both the patient and family with education and your rationale.
20.0
Description of a method for providing both the patient and family with education is not offered.
Description of a method for providing both the patient and family with education is offered, but incomplete, lacking relevant information, such as rationale.
Description of a method for providing both the patient and family with education, with as rationale, meets the basic requirements of the assignment.
Description of a method for providing both the patient and family with education is offered in detail.
Description of a method for providing both the patient and family with education is offered in detail, while demonstrating evidence of deeper insight and/or reflection.
Provide a teaching plan, using words the patient and family will understand.
20.0
A teaching plan is not offered.
A teaching plan is offered, but incomplete, lacking relevant information, such as rationale, or uses terminology the patient and family may not understand.
The teaching plan avoids using terminology the patient and family may not understand and meets the basic requirements of the assignment.
A teaching plan meets the basic requirements of the assignment is offered in detail.
A teaching plan is offered in detail, while demonstrating evidence of deeper insight and/or reflection.
Organization and Effectiveness
15.0
Thesis Development and Purpose
5.0
Paper lacks any discernible overall purpose or organizing claim.
Thesis and/or main claim are insufficiently developed and/or vague; purpose is not clear.
Thesis and/or main claim are apparent and appropriate to purpose.
Thesis and/or main claim are clear and forecast the development of the paper. It is descriptive and reflective of the arguments and appropriate to the purpose.
Thesis and/or main claim are comprehensive; contained within the thesis is the essence of the paper. Thesis statement makes the purpose of the paper clear.
Paragraph Development and Transitions
5.0
Paragraphs and transitions consistently lack unity and coherence. No apparent connections between paragraphs are established. Transitions are inappropriate to purpose and scope. Organization is disjointed.
Some paragraphs and transitions may lack logical progression of ideas, unity, coherence, and/or cohesiveness. Some degree of organization is evident.
Paragraphs are generally competent, but ideas may show some inconsistency in organization and/or in their relationships to each other.
A logical progression of ideas between paragraphs is apparent. Paragraphs exhibit a unity, coherence, and cohesiveness. Topic sentences and concluding remarks are appropriate to purpose.
There is a sophisticated construction of paragraphs and transitions. Ideas progress and relate to each other. Paragraph and transition construction guide the reader. Paragraph structure is seamless.
Mechanics of Writing (includes spelling, punctuation, grammar, language use)
5.0
Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice and/or sentence construction are used.
Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, and/or word choice are present.
Some mechanical errors or typos are present, but are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used.
Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used.
Writer is clearly in command of standard, written, academic English.
Format
5.0
Paper Format (1- inch margins; 12-point-font; double-spaced; Times New Roman, Arial, or Courier)
2.0
Template is not used appropriately or documentation format is rarely followed correctly.
Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.
Template is used, and formatting is correct, although some minor errors may be present.
Template is fully used; There are virtually no errors in formatting style.
All format elements are correct.
Research Citations (In-text citations for paraphrasing and direct quotes, and reference page listing and formatting, as appropriate to assignment)
3.0
No reference page is included. No citations are used.
Reference page is present. Citations are inconsistently used.
Reference page is included and lists sources used in the paper. Sources are appropriately documented, although some errors may be present.
Reference page is present and fully inclusive of all cited sources. Documentation is appropriate and GCU style is usually correct.
In-text citations and a reference page are complete. The documentation of cited sources is free of error.
Total Percentage 100
| Subject | Essay Writing | Pages | 6 | Style | APA |
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| Subject | Essay Writing | Pages | 6 | Style | APA |
|---|
Answer
Case Study 2
The purpose of this paper is to discuss Mr. P, a 76-year-old male, case study who was hospitalized for congestive heart failure. This paper provides an identified approach to care specific for Mr. P’s condition, treatment plan, patient and family education, and a teaching plan. A complete evaluation of the patient and reconsideration of current medications is indicated for this patient.
The approach to care appropriate for Mr. P is a patient-centered approach to care. The patient-centered approach acknowledges patient’s preferences, emphases on partnerships and collaboration, promotes flexibility, and improves quality and safety of healthcare (Delaney, 2018). In this approach Specific issues that contribute to recurrence of congestive heart failure symptoms such as poor adherence to manage his medications and poor adherence to dietary restrictions should be addressed through this approach. Patient-centered care focuses of the goals and desires, personal needs, values and culture, and inclusion of the patient’s preferences in care (Kredo et al., 2016).
The recommended treatment plan is as follows. First of all, a multidisciplinary team should perform a re-assessment of the patient for known conditions and comorbidities should be done so as to determine on whether the current medications in use are still indicated or not. In addition, the current medications under use by the patient ought to be evaluated for their safety, efficacy, adverse events, and/or drug-drug compatibility. Polypharmacy issues should be addressed. The patient should be administered only essential mediations. A nurse has an important role of reconciling prescribed medications (Thomas, Seifert, & Joyner, 2016). The second plan is provision of a comprehensive patient education program to tackle poor adherence issues. In addition, physical exercises are indicated for good prognoses of the existing conditions. The third solution is combination of a dietary plan and physical exercises.
The patient and his wife require tailored education and counseling to help them manage their diet and improve medication adherence. Counseling is indicated for the patient to help cope with pathological change; whereas, his wife requires counseling so as to manage dependency on her to complete his activities of daily living and gather for increased financial demands due to disease and other financial responsibilities that was gathered for earlier by the patient. Education approaches appropriate for this patient and the primary caregiver, who happens to be his wife, include use of audio-visual methods, verbal instructions, and demonstrations (Marcus, 2014).
The teaching plan is meant for both Mr. P and the wife. Both the patient and his wife need to be involved in a patient-focused education session. The education sessions will be undertaken in two weeks. I week 1 (three session; 1 hour each), the patient and his wife will be educated about the usefulness of each prescribed agents and the importance of medication adherence. Likewise, in week two the patient will be taken through the impacts and/or relationship between diet and physical activity with prognosis of congestive heart failure. The intent ion is to make Mr. P’s wife supportive as well as to improve the patient’s adherence to medications, dietary changes, and physical exercises.