multidimensional care
Module 04 Written Assignment – Nursing Diagnosis Purpose of the Assignment 1. Assist students in clustering assessment data when developing a nursing diagnosis. 2. Develop students’ ability to write client based outcomes when planning care. Course Competencies • Explain components of multidimensional nursing care for clients with musculoskeletal disorders. Scenario Kacie Benson, a 19-year-old female, is a client on your unit due to a skiing accident. She is unconscious and may or may not regain consciousness. She is on complete bedrest. She requires frequent repositioning to maintain correct body alignment and attention to her range of motion (ROM). She responds to painful stimuli with slight non-purposeful withdrawal. No spontaneous movements are noted. A recent lower extremity ultrasound showed no evidence of venous thrombosis, and she continues on low molecular weight heparin injections. Her fluid and electrolyte balance is being maintained by a tube feeding at 60 mL per hour continuously. She is incontinent of stool and has an indwelling Foley catheter. Her heels are reddened, but otherwise, her skin is intact. Instructions Complete the template for Kacie Benson, considering her medical history and medications. In this table, include this information: • • Three NANDA-I approved nursing diagnoses One SMART goal for each nursing diagnosis • 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 Nursing Diagnosis Nursing Diagnosis Nursing Diagnosis SMART Goal SMART Goal SMART Goal Module 04 Written Assignment – Nursing Diagnosis Rubric Total Assessment Points – 35 Levels of Achievement Criteria Mastery Proficiency Competence Emerging Advanced/exceeds achievement Clear/effective achievement Adequate/basic achievement Limited/growing achievement 3 Points Three NANDA-I diagnoses provided. Nursing Diagnosis 3 Points Nursing Diagnosis 10 Points 10 Points Superior application of nursing diagnosis for the scenario. 3 Points Included 1 SMART goal for each nursing diagnosis. SMART Goals 3 Points 10 Points SMART Goals Superior 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 Satisfactory nursing diagnosis for the scenario. 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. 9 Points Satisfactory 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. 8 Points Reasonable nursing diagnosis for the scenario. 8 Points Reasonable SMART goals. Not Submitted 0 Points Three NANDA-I diagnoses not provided. 0 Points Did not submit. 7 Points Inappropriate nursing diagnosis for the scenario. 0 Points Did not submit. 0 Points Did not include 1 SMART goal for each nursing diagnosis. 0 Points Did not submit. 7 Points Inappropriate SMART goals. 0 Points Did not submit. 0 Points 0 Points 10 Points 5 Points Included 2 scholarly sources. Scholarly Sources 5 Points 4 Points Spelling, Grammar, APA Format and Style 4 Points Exemplary format and style throughout with no spelling, grammar, or APA errors present. 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. 3 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. Did not include 2 scholarly sources. Did not submit. 2 Points 1 Point 0 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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