NRNP_6560 Week1 Discussion Paper

NRNP_6560 Week1 Discussion Paper

NRNP_6560 Week1 Discussion Paper

To prepare:

You will receive a set of patient scenarios from your Instructor. Review each of the three patient scenarios provided. Identify each patient as high, intermediate, or low risk.
Consider patient education needs and strategies for each patient, as well as what the informed consent for each procedure would be.

Post your assessment of which level of risk each patient in the case scenarios corresponds with (high, intermediate, or low). Explain the rationale for your decision-making.
Consider patient education needs and strategies for each patient, as well as what the informed consent for each procedure would be.

DQ A: A 42-year-old hypertensive, diabetic male presents to the ED after falling off of a ladder. He has a fractured ankle and needs surgery. He reports passing out on the ladder and falling. He has no previous cardiac history. His ECG is abnormal with inverted t-waves in the inferior leads. He reports chest pain with minimal exertion and at rest on one occasion. His echocardiogram shows a wall motion abnormality in the inferior wall. His EF is 45%.

DQ B: You are asked to evaluate a 49-year-old female set for preoperative or stratification for proposed laparoscopic shoulder surgery. She is active, participating in soccer both as a player and a coach several times a week. She has no cardiac history and no exertional symptoms.

DQ C: You evaluate a 72-year-old male with previous coronary disease, including multiple stents, hypertension, hypothyroidism, and hyperlipidemia for proposed knee replacement surgery. Given his lack of mobility due to knee pain, you are unable to evaluate his functional status. His ECG shows sinus rhythm with the left axis deviation and an intraventricular conduction delay. Ejection fraction is 50% with no wall motion abnormality. He reports no anginal symptoms and no dyspnea.

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Rubric Detail

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Name: NRNP_6560_Week1_Discussion_Rubric

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Excellent
Point range: 90–100 Good
Point range: 80–89 Fair
Point range: 70–79 Poor
Point range: 0–
69
Main Posting:

Response to the discussion question is reflective with critical
analysis and synthesis representative of knowledge gained from the course readings for the module
and current credible sources. 40 (40%) – 44
(44%)
Thoroughly
responds to the discussion
question(s).
Is reflective with critical analysis and synthesis
representative of knowledge gained from the course
readings for the module and
current credible sources.
No less than 75% of post has exceptional
depth and breadth.
Supported by at least 3
current credible sources. 35 (35%) – 39
(39%)
Responds to most of the discussion
question(s).
Is somewhat reflective with
critical analysis and synthesis representative of knowledge gained from the course
readings for the module.
50% of the post has exceptional depth and
breadth.
Supported by at least 3
credible
references. 31 (31%) – 34
(34%) NRNP_6560 Week1 Discussion Paper
Responds to some of the discussion
question(s).
One to two
criteria are not addressed or are superficially addressed.
Is somewhat lacking
reflection and critical analysis and synthesis.
Somewhat represents knowledge
gained from the course readings for the module.
Post is cited with fewer than 2 credible
references. 0 (0%) – 30 (30%)
Does not
respond to the
discussion
question(s).
Lacks depth or
superficially
addresses
criteria.
Lacks reflection
and critical
analysis and
synthesis.
Does not
represent
knowledge
gained from the
course readings
for the module.
Contains only 1
or no credible
references.

Excellent
Point range: 90–100

Good
Point range: 80–89

Fair
Point range: 70–79

Excellent
Point range: 90–100

Good
Point range: 80–89

Fair
Point range: 70–79

Excellent
Point range: 90–100

Good
Point range: 80–89

Fair
Point range: 70–79

Excellent
Point range: 90–100

Good
Point range: 80–89

Fair
Point range: 70–79

Second Response:
Writing

Second Response: Timely and full participation NRNP_6560 Week1 Discussion Paper

Excellent
Point range: 90–100
6 (6%) – 6 (6%)
Communication is professional and respectful to colleagues.
Response to faculty
questions are
fully answered, if posed.
Provides clear, concise
opinions and ideas that are supported by two or more credible sources.
Response is e”ectively written in
Standard, Edited English.

Good
Point range: 80–89
5 (5%) – 5 (5%)
Communication is mostly
professional and respectful to colleagues.
Response to faculty
questions are mostly answered, if posed.
Provides
opinions and ideas that are supported by few credible sources.
Response is written in
Standard, Edited English.

Fair
Point range: 70–79
4 (4%) – 4 (4%)
Response
posed in the
discussion may lack e”ective
professional
communication.
Response to faculty
questions are somewhat answered, if posed.
Few or no credible
sources are cited.

Poor
Point range: 0–
69
0 (0%) – 3 (3%)
Responses
posted in the discussion lack e”ective
communication.
Response to faculty
questions are missing.
No credible sources are cited.

0 (0%) – 2 (2%)
Does not meet requirements for full
participation.
Does not post by due date.

Name: NRNP_6560_Week1_Discussion_Rubric