Multidimensional care
Module 09 Assignment – Impaired Immune System Care Map System Care Map Purpose of Assignment For this assignment, you will demonstrate knowledge of the diagnostic process using the template below. You will identify common assessment data, three priority nursing diagnoses, client-centered outcomes, and nursing interventions with rationale for a client with impaired immunity. Course Competency • Describe strategies for safe, effective multidimensional nursing practice when providing care for clients experiencing immunologic, infectious, and inflammatory disorders. Scenario Tom Howard, a 45-year-old man with HIV from the community, has come to the clinic because he reports not feeling well recently. During the intake process, Tom complains of a dry cough and chilling. The intake nurse obtains his vital signs: temperature 102 degrees Fahrenheit, pulse 102 beats per minute, respirations 28 breaths per minute, blood pressure 135/86mm Hg. The clinic physician refers Tom to the local hospital for a suspected opportunistic infection. Instructions Develop a care map for Mr. Howard using this template. In this table, include this information: • • • • Relevant data: Disease process, common lab work and diagnostics, and subjective, objective, and health history data Three NANDA-I approved nursing diagnoses One SMART goal for each nursing diagnosis Two nursing interventions provided with a supporting rationale for each SMART goal • Two scholarly sources to support information in the care map. • Cite sources in-text and on a reference page using APA format. Resources What is the SMART method? How do I set realistic goals? Nurse Reference eBooks APA 7th Edition Guide Relevant Data Three NANDA-I Approved Nursing Diagnosis One Smart Goal for EACH Nursing Diagnosis Two Nursing Interventions with Rationale for EACH SMART Goal Disease Process: Nursing Diagnosis: SMART Goal: 1. 2. Common Labwork/Diagnostics: Nursing Diagnosis: SMART Goal: 1. 2. Assessment Data (consider subjective, objective, and heath history): Nursing Diagnosis SMART Goal: 1. 2. Module 09 Assignment – Impaired Immune System Care Map Rubric Total Assessment Points – 65 Levels of Achievement Criteria Relevant Data 15 Points Nursing Diagnoses Mastery Proficiency Competence Emerging Advanced/exceeds achievement Clear/effective achievement Adequate/basic achievement Limited/growing achievement 15 Points Thoroughly identified relevant data, including disease process, common lab work and diagnostics, and subjective, objective, and health history data. 13 Points Sufficiently identified relevant data, including disease process, common lab work and diagnostics, and subjective, objective, and health history data. 11 Points Reasonable identification of relevant data, including disease process, common lab work and diagnostics, and subjective, objective, and health history data. 9 Points Partial identification of relevant data, including disease process, common lab work and diagnostics, and subjective, objective, and health history data. 0 Points Did not submit. The achievement of this criteria is assessed at either the Emerging or Mastery levels. Demonstration of this action or skill is either achieved or not achieved. The achievement of this criteria is assessed at either the Emerging or Mastery levels. Demonstration of this action or skill is either achieved or not achieved. 0 Points Three NANDA-I diagnoses not provided. 0 Points Did not submit. 0 Points One SMART goal for each nursing diagnosis not provided. 0 Points Did not submit. 7 Points 0 Points 5 Points Three NANDA-I diagnoses provided. 5 Points SMART Goals 5 Points One SMART goal for each nursing diagnosis provided. 5 Points 10 Points The achievement of this criteria is assessed at either the Emerging or Mastery levels. Demonstration of this action or skill is either achieved or not achieved. 9 Points The achievement of this criteria is assessed at either the Emerging or Mastery levels. Demonstration of this action or skill is either achieved or not achieved. 8 Points Not Submitted SMART Goals Superior SMART goals. Satisfactory SMART goals. Reasonable SMART goals. The achievement of this criteria is assessed at either the Emerging or Mastery levels. Demonstration of this action or skill is either achieved or not achieved. 9 Points The achievement of this criteria is assessed at either the Emerging or Mastery levels. Demonstration of this action or skill is either achieved or not achieved. 8 Points Satisfactory nursing interventions provided with sufficient rationales. Reasonable interventions provided with occasional rationales. Inappropriate SMART goals. Did not submit. 0 Points Two interventions were not provided for each SMART goal. 0 Points Did not submit. 7 Points 0 Points Inappropriate nursing interventions provided with minimal rationales. Did not submit. 0 Points Two scholarly sources not provided. 0 Points Did not submit. 7 Points 0 Points 10 Points Nursing Interventions 5 Points Two interventions provided for each SMART goal. 5 Points 10 Points Superior nursing Nursing Interventions with interventions provided with well-developed rationales. Rationale 10 Points Scholarly Sources 5 Points Two scholarly sources provided. 5 Points 10 Points The achievement of this criteria is assessed at either the Emerging or Mastery levels. Demonstration of this action or skill is either achieved or not achieved. 9 Points The achievement of this criteria is assessed at either the Emerging or Mastery levels. Demonstration of this action or skill is either achieved or not achieved. 8 Points Spelling, Grammar, Exemplary format and style throughout with no APA Format and spelling, grammar, or APA Style errors present. 10 Points Satisfactory format and style throughout, with minor spelling, grammar, or APA errors present. Reasonable format and style throughout, with some spelling, grammar, or APA errors present that occasionally detract from reading. Format and style throughout need development, with several spelling, grammar, or APA errors present that often detract from reading. Did not submit.
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