NR341 Complex Adult Health Interdisciplinary Care Assignment

NR341 Complex Adult Health Interdisciplinary Care Assignment

Chamberlain College of Nursing NR341 Complex Adult Health Interdisciplinary Care Assignment

The purpose of this assignment is for the student to reflect on the nursing care of a critically ill individual from a clinical experience. The student will demonstrate clinical reasoning skills and will discuss interdisciplinary care that had been incorporated and/or anticipated during the care of the critically ill individual.
COURSE OUTCOMES
This assignment enables the student to meet the following course outcomes.
CO 1: Provide nursing care to patients and their families in critical and emergent care settings based on theories and principles of nursing and related disciplines.
CO 2: Initiate the use of appropriate resources in direct care responsibilities within critical-care and emergent care settings.
CO 3: Demonstrate effective therapeutic communication and relationship skills in providing care to patients and families in critical-care and emergent care settings.
CO 4: Demonstrate effective clinical decision-making based on critical thinking skills and legal, ethical and professional standards and principles when caring for patients and families in critical care and emergent care settings.
CO 5: Implement a plan of for continued personal, professional, and educational development related to nursing practice within critical-care and emergent care settings.
CO 7: Use evidence including research findings from nursing and related disciplines to answer clinical questions related to nursing care of patients in critical care and emergent care settings.
DUE DATE: See Course Calendar. This assignment falls within the college’s Late Assignment Policy. TOTAL POINTS POSSIBLE: 100 POINTS
REQUIREMENTS: THE FOLLOWING ELEMENTS MUST BE INCLUDED IN THE PAPER
Background Information Summary
? Demographics
? History of present illness
? Relevant past medical and surgical history
? Admitting diagnosis(diagnoses)
? Course of current hospitalization to date
? Significant assessment findings during day(s) of care, including vital signs, focused assessment,
and data from monitoring devices (this information can be presented in a table)
Laboratory and Diagnostic Tests
Identify and list a summary of relevant and significant lab values and diagnostic tests and procedures performed. Include the rationales for performing the tests and for any abnormal
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results. Provide an analysis of the relationships between and among the diagnostic tests and lab results with the critically ill individual’s current condition(s).
Medications
Identify and list a summary of relevant and significant medications. Indicate the trade name and generic name, the medication classification, the therapeutic use, major adverse effects, timing, dosage, route of administration, and the nursing implications. Also include the rationale(s) as to why the medication is prescribed for treatment. For example, document the rationale for how the treatment corrects the critically ill individual’s condition or a side effect of another drug that is prescribed for treatment. *This information can be presented in a table.
Nursing Diagnoses
In order of priority, identify three nursing diagnoses for the individualized plan of care for this patient. Two of the nursing diagnoses must address actual problems, and one of the nursing diagnoses must be a “risk for” or “potential complication” (PC). For each nursing diagnosis, include three nursing outcomes, three nursing interventions, and three collaborative interventions. *This section can be presented as a table or concept map.
Interventions—ROUTINE NURSING MANAGEMENT
Describe independent nursing care you provided in the care of the critically ill individual. Examples include, but are not limited to, activity level, position, ongoing monitoring, and nutrition (prescribed diet, tube feedings/TPN, formula, rate and calculation of basal energy expenditure [BEE], patient education, wound care, etc.). The rationale must be included for each intervention.
Interdisciplinary (ID) Care
Collaborative Management
Identify the members of the interdisciplinary team caring for the critically ill individual. Provide a brief description of their roles and responsibilities. Interdisciplinary team members include, but are not limited to, physician, pharmacist, lab and diagnostic tests personnel, respiratory therapy, physical therapy, occupational therapy, speech therapy, social work and case management, pastoral care, ethicist, and so forth.
Therapeutic Modalities
Describe the various therapeutic modalities used in the management of care for the critically ill individual. Discuss the extent of the nurse’s responsibilities and skills required to manage the therapeutic modality in comparison to the responsibilities of the members of the interdisciplinary team. Therapeutic modalities include, but are not limited to, oxygen therapy (mode, FiO2), dialysis/CRRT (settings), and ventilator therapy (mode of ventilation, settings, FiO2). The rationale must be included for each modality.
Nursing Role Reflection
Provide a brief summary of how your role interacted with the members of the interdisciplinary team. Include in your summary the following.
? Analysis of communication style preferences among interdisciplinary team members and with the critically ill individual and family members: What is the impact of your own communication style on others?
? System barriers and facilitators: Did the organizational framework for interdisciplinary management of care facilitate or hinder the quality of care and outcomes for the critically ill
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Chamberlain College of Nursing NR341 Complex Adult Health
individual? What recommendations can you make to the organizational system for enhancing interdisciplinary collaboration? Provide at minimum two evidence-based literature sources to support your recommendations.
? Professional development: Based on your experience, write ideas for your own professional self-development plan to enhance your potential for becoming an effective member in an interdisciplinary team.
PREPARING THE PAPER
Style and Format
The paper should be typed and presented in APA format, including an APA title page, use of headings, and references with in-text citations. Spelling and grammar will be evaluated with this assignment.
Page Limits
The body of the paper should be between 7 and 10 pages, not including the Title and Reference pages.
?? Background Summary
? Laboratory and Diagnostic Tests
? Medications
? Nursing Diagnoses
? Interventions
? Interdisciplinary Care
? Nursing Role Reflection
GRADING CRITERIA
1 to 1.5 pages 1 to 1.5 pages 1 to 1.5 pages 1 to 1.5 pages 1 page
1 to 1.5 pages 1 to 1.5 pages
????Assignment Criteria
??????Points
????????%
???????Description
???Background Information
?10
??10%
?Includes all the elements as described in the assignment guidelines.
? Demographics
? History of present illness
? Relevant past medical and surgical history
? Admitting diagnosis(diagnoses)
? Course of current hospitalization to date
? Significant assessment findings during day(s) of care. Include vital signs,
focused assessment, and data from monitoring devices.
???Laboratory and Diagnostic Tests
???10
?????10%
???? Identifies and lists relevant and significant lab values and diagnostic tests and procedures performed.
? Includes the rationales for performing the tests and for any abnormal results.
? Provides an analysis of the relationships between and among the diagnostic
tests and lab results with the critically ill individual’s current condition(s).
???Medications
???10
?????10%
???? Identifies and lists relevant and significant medications.
? Indicates the trade name and generic name, the medication classification, the
therapeutic use, major adverse effects, and nursing implications.
? Includes the rationale as to why the medication is prescribed for treatment.
???Nursing Diagnoses
?????15
???????15%
??????? Identifies three nursing diagnoses in order of priority: two actual problems and one risk for or potential complication of the plan of care.
? Includes three nursing outcomes, three nursing interventions, and three collaborative interventions for each nursing diagnosis.
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????Interventions: Routine Nursing Management
??10
?????10%
???? Describes independent nursing care provided in the care of the critically ill individual.
? The rationales are included for each intervention.
???ID Care: Collaborative Management
????10
??????10%
??????? Provides a comprehensive list of the interdisciplinary team members caring for the critically ill individual.
? Provides a brief description of the roles and responsibilities of each respective interdisciplinary team member.
???ID Care: Therapeutic Modalities
???10
???10%
????? Describes the various therapeutic modalities used in the management of care for the critically ill individual.
? Discusses the extent of the nurse’s responsibilities and skills required to manage the therapeutic modality in comparison to the responsibilities of the members of the interdisciplinary team.
? The rationales are included for each respective modality.
???Nursing Role Reflection
?20
??20%
?Summary includes the following.
? Analysis of communication style preferences among interdisciplinary team
members and with the critically ill individual and family members
? Analysis of the impact of own communication style on others
? Description of system barriers and facilitators in relation to the quality of
care and outcomes for the critically ill individual
? Discussion of recommendations to the organizational system for enhancing
interdisciplinary collaboration, which are supported by at least two pieces of
evidence-based literature
? Description of ideas for own professional self-development plan to enhance
own potential for becoming an effective member in an interdisciplinary team
???APA Format, Spelling, Grammar, and Mechanics
????5
??????5%
??????? Proper APA format for title page, headings, references, and in-text citations
? No errors in spelling, grammar, and mechanics
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GRADING RUBRIC
?????????????Assignment Criteria
??????????Outstanding or Highest Level of Performance
A (92–100%)
??????????Very Good or High Level of Performance
B (84–91%)
??????Competent or Satisfactory Level of Performance
C (76–83%)
?????????????Poor, Failing, or Unsatisfactory Level of Performance
F (0–75%)
???????Background Information (10 points)
??Includes all the guideline elements.
? Demographics
? History of present illness
? Relevant past medical and
surgical history
? Admitting diagnosis
(diagnoses)
? Course of current
hospitalization to date
? Significant assessment findings
during day(s) of care. Includes vital signs, focused assessment, and data from monitoring devices.
10 points
??Does not include one to two elements.
? Demographics
? History of present illness
? Relevant past medical and
surgical history
? Admitting diagnosis
(diagnoses)
? Course of current
hospitalization to date
? Significant assessment findings
during day(s) of care. Includes vital signs, focused assessment, and data from monitoring devices.
9 points
Does not include three elements.
? Demographics
? History of present illness
? Relevant past medical and
surgical history
? Admitting diagnosis
(diagnoses)
? Course of current
hospitalization to date
? Significant assessment findings
during day(s) of care. Includes vital signs, focused assessment, and data from monitoring devices.
8 points
??????Does not include four or more elements.
? Demographics
? History of present illness
? Relevant past medical and surgical history
? Admitting diagnosis (diagnoses)
? Course of current hospitalization to date
? Significant assessment findings during day(s) of care. Includes vital signs, focused assessment, and data from monitoring devices.
0–7 points
???????Laboratory and Diagnostic Tests (10 points)
??????????? Identifies and lists relevant and significant lab values and diagnostic tests and procedures performed.
? Comprehensively discusses the rationales for performing the tests and for any abnormal results.
? Comprehensively provides an analysis of the relationships between or among the diagnostic tests and lab results
??????????? Missed identifying one to two relevant and significant lab values and/or diagnostic tests and procedures performed.
? Adequately discusses the rationales for performing the tests and for any abnormal results.
? Adequately provides an analysis of the relationships between or among the diagnostic tests and lab results
????????Missed identifying three to four relevant and significant lab values and/or diagnostic tests and procedures performed.
? Adequately discusses the rationales for performing the tests and for any abnormal results.
? Adequately provides an analysis of the relationships between or among the diagnostic tests and lab results
??????????? Missed identifying five or more relevant and significant lab values and/or diagnostic tests and procedures performed.
? Adequately discusses the rationales for performing the tests and for any abnormal results.
? Adequately provides an analysis of the relationships between or among the diagnostic tests and lab results
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?????????????Assignment Criteria
?????????Outstanding or Highest Level of Performance
A (92–100%)
????????Very Good or High Level of Performance
B (84–91%)
????Competent or Satisfactory Level of Performance
C (76–83%)
???????????Poor, Failing, or Unsatisfactory Level of Performance
F (0–75%)
???????????????with the critically ill individual’s current condition(s).
10 points
????????with the critically ill individual’s current condition(s).
9 points
??????with the critically ill individual’s current condition(s).
8 points
??????????with the critically ill individual’s current condition(s).
0–7 points
???????Medications
(10 points)
??? Identifies and lists relevant and significant medications.
? For medications listed, identifies trade name and generic name, the medication classification, the therapeutic use, major adverse effects, and nursing implications.
? Comprehensively discusses the rationale as to why the medication is prescribed for treatment.
10 points
??? Missed identifying one to two relevant and significant medications.
? For medications listed, identifies trade name and generic name, the medication classification, the therapeutic use, major adverse effects, and nursing implications.
? Adequately discusses the rationale as to why the medication is prescribed for treatment.
9 points
? Missed identifying three to four relevant and significant medications.
? For medications listed, identifies trade name and generic name, the medication classification, the therapeutic use, major adverse effects, and nursing implications.
? Adequately discusses the rationale as to why the medication is prescribed for treatment.
8 points
??????? Missed identifying more than five relevant and significant medications.
? For medications listed, identifies trade name and generic name, the medication classification, the therapeutic use, major adverse effects, and nursing implications.
? Inadequately discusses the rationale as to why the medication is prescribed for treatment.
0–7 points
????????????Nursing Diagnoses
(15 points)
????????????Identifies three nursing diagnoses—two actual problems and one risk for or potential complication; all the diagnoses are considered priorities for the critically ill individual.
For each nursing diagnosis, the plan of care includes
? three nursing outcomes;
? three nursing interventions;
and
? three collaborative
interventions.
????????????Identifies three nursing diagnoses—two actual problems and one risk for or potential complication; two of the diagnoses are considered priorities for the critically ill individual.
For each nursing diagnosis, the plan of care includes
? three nursing outcomes;
? three nursing interventions;
and
??????Identifies two nursing diagnoses— actual and/or risk for or potential complication; both of the diagnoses are considered priorities for the critically ill individual.
For each nursing diagnosis, the plan of care includes
? two to three nursing outcomes;
? two to three nursing interventions; and
????????????????Identifies nursing diagnoses— actual and/or risk for or potential complications that are not relevant or are not priorities for the critically ill individual.
For each nursing diagnosis, the plan of care includes
? zero or one nursing outcome; and/or
? zero or one nursing interventions; and/or
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?????????????Assignment Criteria
?????????Outstanding or Highest Level of Performance
A (92–100%)
????????Very Good or High Level of Performance
B (84–91%)
????Competent or Satisfactory Level of Performance
C (76–83%)
???????????Poor, Failing, or Unsatisfactory Level of Performance
F (0–75%)
?????????????????????????14–15 points
????????????? three collaborative interventions.
13 points
??????? two to three collaborative interventions.
12 points
?????????????????? zero or one collaborative intervention.
0–11 points
???????Interventions: Routine Nursing Management (10 points)
??Comprehensively describes independent nursing care provided in the care of the critically ill individual.
All interventions are referenced
with use of evidence-based literature.
10 points
??Adequately describes independent nursing care provided in the care of the critically ill individual.
One or two interventions are not referenced yet display use of evidence-based literature.
9 points
Adequately describes independent nursing care provided in the care of the critically ill individual.
Three or four interventions are not referenced and show minimal use of evidence-based literature.
8 points
??????Minimally describes independent nursing care provided in the care of the critically ill individual.
Five or more interventions are not referenced, with minimal or no use of evidence-based literature.
0–7 points
???????ID Care: Collaborative Management (10 points)
??????Comprehensively identifies all interdisciplinary team members involved in the care of the critically ill individual. Comprehensively describes the roles and responsibilities of each interdisciplinary team member.
10 points
???????Missed identifying one
interdisciplinary team member who was involved in the care of the critically ill individual. Adequately describes the roles and responsibilities of each interdisciplinary team member.
9 points
?????Missed identifying two
interdisciplinary team members who were involved in the care of the critically ill individual. Minimally describes the roles and responsibilities of each interdisciplinary team member.
8 points
?????????Missed identifying three or more
interdisciplinary team members who were involved in the care of the critically ill individual. Inadequately describes the roles and responsibilities of each interdisciplinary team member.
0–7 points
???????ID Care: Therapeutic Modalities (10 points)
????Comprehensive and accurate
description of therapeutic modalities.
Comprehensive discussion of nursing responsibilities and skills required to manage therapeutic modalities in comparison to the responsibilities of the interdisciplinary team.
????Adequate and accurate
description of therapeutic modalities.
Adequate discussion of nursing responsibilities and skills required to manage therapeutic modalities in comparison to the responsibilities of the interdisciplinary team.
??Brief yet accurate description of therapeutic modalities.
Adequate discussion of nursing responsibilities and skills required to manage therapeutic modalities in comparison to the responsibilities of the interdisciplinary team.
???????Minimal and/or inaccurate
description of therapeutic modalities.
Minimal or inadequate discussion of nursing responsibilities and skills required to manage therapeutic modalities in comparison to the responsibilities of the interdisciplinary team.
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?????????????Assignment Criteria
????????????Outstanding or Highest Level of Performance
A (92–100%)
????????????Very Good or High Level of Performance
B (84–91%)
???????Competent or Satisfactory Level of Performance
C (76–83%)
?????????????Poor, Failing, or Unsatisfactory Level of Performance
F (0–75%)
??????????????Comprehensive and properly referenced description of rationales included for each respective modality.
10 points
?????Adequate and properly referenced description of rationales included for each respective modality.
9 points
???Brief yet properly referenced
description of rationales included for each respective modality.
8 points
????????Minimal and/or improperly referenced description of rationales included for each respective modality.
0–7 points
???????Nursing Role Reflection (20 points)
??For all four criteria, summary provides comprehensive and insightful reflection on the nursing role within the interdisciplinary team, which addresses
? communication style and preferences;
? system barriers and facilitators;
? practical, evidence-based recommendations for system enhancements; and
? practical, relevant, professional self-
development plan.
19–20 points
??For three criteria, summary provides comprehensive and insightful reflection on the nursing role within the interdisciplinary team, which addresses
? communication style and preferences;
? system barriers and facilitators;
? practical, evidence-based recommendations for system enhancements; and
? practical, relevant, professional self-
development plan.
17–18 points
?For two criteria, summary provides comprehensive and insightful reflection on the nursing role within the interdisciplinary team, which addresses
? communication style and
preferences;
? system barriers and
facilitators;
? practical, evidence-based
recommendations for system
enhancements; and
? practical, relevant,
professional self- development plan.
16 points
????For zero or one criterion, summary provides comprehensive and insightful reflection on the nursing role within the interdisciplinary team, which addresses
? communication style and
preferences;
? system barriers and
facilitators;
? practical, evidence-based
recommendations for system
enhancements; and
? practical, relevant,
professional self- development plan. 0–15 points
???????APA Format, Spelling, Grammar, and Mechanics
(5 points)
????????????Contains no errors in APA formatting, spelling, grammar, and mechanics.
5 points
?????????Contains one or two errors in APA formatting, spelling, grammar, and mechanics.
4.5 points
???????Contains three to four errors in APA formatting, spelling, grammar, and mechanics.
4 points
??????????Contains five or more errors in APA formatting, spelling, grammar, and mechanics.
0–3 points
??????????Total Points Possible = 100 points
??????NR341 Interdisciplinary Care Assignment Guidelines.docx Revised 3/29/16 SYM

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