NRS 455 Assignment: Benchmark-Case Study: Mr. D.

Assessment Description

Use the “Case Study: Mr. D.” template and the “Functional Health Patterns Assessment Guide”, located in the topic Resources, to complete the assignment.

Case Study: Mr. D. has indirect care experience requirements. The “NRS-455 – Case Studies: Indirect Care Experience Hours” form, found in the Topic 1 Resources, will be used to document the indirect care experience hours completed in the case study. As progress is made on the case study, update this form indicating the date(s) each section is completed. This form will be submitted in Topic 3.

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You are required to cite a minimum of three sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

Benchmark Information

This benchmark assignment assesses the following programmatic competencies and professional standards:

RN-BSN

2.4: Diagnose actual or potential health problems and needs.

2.8: Promote self-care management.

American Association of Colleges of Nursing Core Competencies for Professional Nursing Education

This assignment aligns to AACN Core Competencies 2.3, 2.4, 2.8, 3.1, and 3.3.

Attachments

NRS-455-RS-T3-CaseStudyMrD.docx

Resources

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Pathophysiology: Clinical Applications for Client Health

Read Chapter 3 in Pathophysiology: Clinical Applications for Client Health.

View Resource

Acute Abdominal Pain in Children

Read “Acute Abdominal Pain in Children,” by Reust and Williams, from American Family Physician (2

https://www.aafp.org/pubs/afp/issues/2016/0515/p830.html

Overactive Bladder: Not Just a Normal Part of Getting Older

Read “Overactive Bladder: Not Just a Normal Part of Getting Older,” by Carpenter and Campain, from Bri

https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=159659914&site=ehost-live&scope=site&custid=s8333196&groupid=main&profile=ehost

Psychological Issues Surrounding Fecal Incontinence: Experiences of Patients and Nurses

Read “Psychological Issues Surrounding Fecal Incontinence: Experiences of Patients and Nurses,” by Butcher, fro

https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cul&AN=140827483&site=ehost-live&scope=site&custid=s8333196&groupid=main&profile=ehost

Poor Adherence to Clinical Practice Guidelines: A Call to Action for Increased Albuminuria Testing in Patients With Type 2 Diabetes

Read “Poor Adherence to Clinical Practice Guidelines: A Call to Action for Increased Albuminuria Testing in Patient

https://www.sciencedirect.com/science/article/pii/S1056872723001460

Cultural Competence in the Care of Muslim Patients and Their Families

Read “Cultural Competence in the Care of Muslim Patients and Their Families,” by Attum, Hafiz, Malik, and Shamo

https://www.ncbi.nlm.nih.gov/books/NBK499933/#article-40656.s9

Diabetic Ketoacidosis and Hyperglycemic Hyperosmolar State

Read “Diabetic Ketoacidosis and Hyperglycemic Hyperosmolar State,” by Buchert, from American Nurse (20

Diabetic ketoacidosis and hyperglycemic hyperosmolar state

Functional Health Patterns Assessment Guide

Utilize the “Functional Health Patterns Assessment Guide” in preparation for the Benchmark – Case Study: Mr. D

NRS-455-RS-T3-FunctionalHealthPatternsAssessmentGuide.docx

Statement on Human Flourishing

Read the “Statement on Human Flourishing,” by Grand Canyon University (GCU), located on the One Foundation at G

https://www.gcu.edu/sites/

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Benchmark – Case Study: Mr. D. – Rubric

LISTGRID

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Rubric Criteria

Total130 points

Criterion	1. Unsatisfactory	2. Insufficient	3. Approaching	4. Acceptable	5. Target
Clinical Manifestations in Mr. D.	0 points Subjective and objective clinical manifestations are not present.	4.88 points Subjective and objective clinical manifestations are incomplete or incorrect.	5.14 points Subjective and objective clinical manifestations are present but lack detail.	5.79 points Subjective and objective clinical manifestations are detailed.	6.5 points Subjective and objective clinical manifestations are thorough.
Potential Health Risks (B) (C2.4)	0 points Discussion of the potential health risks for a diabetic with end-stage renal disease that are of concern to the patient is not present.	14.63 points Discussion of the potential health risks for a diabetic with end stage renal disease that are of concern to the patient is incomplete or incorrect.	15.41 points Discussion of the potential health risks for a diabetic with end stage renal disease that are of concern to the patient is present but lacks detail.	17.36 points Discussion of the potential health risks for a diabetic with end stage renal disease that are of concern to the patient is detailed.	19.5 points Discussion of the potential health risks for a diabetic with end stage renal disease that are of concern to the patient is thorough.
Nonadherence to Diabetes Self-Management Plan (B) (C2.8)	0 points Explanation of how nonadherence to the diabetes self-management plan contributes to end-stage renal disease is not present.	9.75 points Explanation of how nonadherence to the diabetes self-management plan contributes to end-stage renal disease is incomplete or incorrect.	10.27 points Explanation of how nonadherence to the diabetes self-management plan contributes to end-stage renal disease is present but lacks detail.	11.57 points Explanation of how nonadherence to the diabetes self-management plan contributes to end-stage renal disease is detailed.	13 points Explanation of how nonadherence to the diabetes self-management plan contributes to end-stage renal disease is thorough.
Pathophysiology of Renal Dialysis and ESRD	0 points Explanation of the pathophysiology of renal dialysis, stages of renal disease that lead to ESRD, and potential factors that contributed to the patient’s ESRD is not present.	14.63 points Explanation of the pathophysiology of renal dialysis, stages of renal disease that lead to ESRD, and potential factors that contributed to the patient’s ESRD is incomplete or incorrect.	15.41 points Explanation of the pathophysiology of renal dialysis, stages of renal disease that lead to ESRD, and potential factors that contributed to the patient’s ESRD is present but lacks detail.	17.36 points Explanation of the pathophysiology of renal dialysis, stages of renal disease that lead to ESRD, and potential factors that contributed to the patient’s ESRD is detailed.	19.5 points Explanation of the pathophysiology of renal dialysis, stages of renal disease that lead to ESRD, and potential factors that contributed to the patient’s ESRD is thorough.
Functional Health Patterns	0 points Evaluation of the functional health patterns, including a discussion of at least five actual or potential health problems identified from the Functional Health Patterns Assessment Guide, is not present.	9.75 points Evaluation of the functional health patterns, including a discussion of at least five actual or potential health problems identified from the Functional Health Patterns Assessment Guide, is incomplete or incorrect.	10.27 points Evaluation of the functional health patterns, including a discussion of at least five actual or potential health problems identified from the Functional Health Patterns Assessment Guide, is present but lacks detail.	11.57 points Evaluation of the functional health patterns, including a discussion of at least five actual or potential health problems identified from the Functional Health Patterns Assessment Guide, is detailed.	13 points Evaluation of the functional health patterns, including a discussion of at least five actual or potential health problems identified from the Functional Health Patterns Assessment Guide, is thorough.
Nursing Management and Health Promotion	0 points Description of nursing management and health promotion opportunities for patients with ESRD is not present.	9.75 points Description of nursing management and health promotion opportunities for patients with ESRD is incomplete or incorrect.	10.27 points Description of nursing management and health promotion opportunities for patients with ESRD is present but lacks detail.	11.57 points Description of nursing management and health promotion opportunities for patients with ESRD is detailed.	13 points Description of nursing management and health promotion opportunities for patients with ESRD is thorough.
Patient Education Plan	0 points Development of patient education plan that could be offered to the patient for prevention of future events, health restoration, and maintaining renal status is not present.	9.75 points Development of patient education plan that could be offered to the patient for prevention of future events, health restoration, and maintaining renal status is incomplete or incorrect.	10.27 points Development of patient education plan that could be offered to the patient for prevention of future events, health restoration, and maintaining renal status is present but lacks detail.	11.57 points Development of patient education plan that could be offered to the patient for prevention of future events, health restoration, and maintaining renal status is detailed.	13 points Development of patient education plan that could be offered to the patient for prevention of future events, health restoration, and maintaining renal status is thorough.
Community Resources	0 points Explanation of the community resources and supportive care available for ESRD patient management at home is not present.	4.88 points Explanation of the community resources and supportive care available for ESRD patient management at home is incomplete or incorrect.	5.14 points Explanation of the community resources and supportive care available for ESRD patient management at home is present but lacks detail.	5.79 points Explanation of the community resources and supportive care available for ESRD patient management at home is detailed.	6.5 points Explanation of the community resources and supportive care available for ESRD patient management at home is thorough.
Multidisciplinary Care Approach	0 points Discussion of the role of the nurse in using the multidisciplinary approach that would be safe and effective for patients like Mr. D., including aspects such as devices, transportation, eligibility for transplant, living conditions, promotion of resiliency, and independence, is not present.	9.75 points Discussion of the role of the nurse in using the multidisciplinary approach that would be safe and effective for patients like Mr. D., including aspects such as devices, transportation, eligibility for transplant, living conditions, promotion of resiliency, and independence, is incomplete or incorrect.	10.27 points Discussion of the role of the nurse in using the multidisciplinary approach that would be safe and effective for patients like Mr. D., including aspects such as devices, transportation, eligibility for transplant, living conditions, promotion of resiliency, and independence, is present but lacks detail.	11.57 points Discussion of the role of the nurse in using the multidisciplinary approach that would be safe and effective for patients like Mr. D., including aspects such as devices, transportation, eligibility for transplant, living conditions, promotion of resiliency, and independence, is detailed.	13 points Discussion of the role of the nurse in using the multidisciplinary approach that would be safe and effective for patients like Mr. D., including aspects such as devices, transportation, eligibility for transplant, living conditions, promotion of resiliency, and independence, is thorough.
Mechanics of Writing Includes spelling, capitalization, punctuation, grammar, language use, sentence structure, etc.	0 points Errors in grammar or syntax are pervasive and impede meaning. Incorrect language choice or sentence structure errors are found throughout.	5.85 points Frequent and repetitive mechanical errors are present. Inconsistencies in language choice or sentence structure are recurrent.	6.16 points Occasional mechanical errors are present. Language choice is generally appropriate. Varied sentence structure is attempted.	6.94 points Few mechanical errors are present. Suitable language choice and sentence structure are used.	7.8 points No mechanical errors are present. Appropriate language choice and sentence structure are used throughout.
Format/Documentation Uses appropriate style, such as APA, MLA, etc., for college, subject, and level; documents sources using citations, footnotes, references, bibliography, etc., appropriate to assignment and discipline.	0 points Appropriate format is not used. No documentation of sources is provided.	3.9 points Appropriate format is attempted, but some elements are missing. Frequent errors in documentation of sources are evident.	4.11 points Appropriate format and documentation are used, although there are some obvious errors.	4.63 points Appropriate format and documentation are used with only minor errors.	5.2 points No errors in formatting or documentation are present.

Criterion

1. Unsatisfactory

2. Insufficient

3. Approaching

4. Acceptable

5. Target

Clinical Manifestations in Mr. D.

0 points

Subjective and objective clinical manifestations are not present.

4.88 points

Subjective and objective clinical manifestations are incomplete or incorrect.

5.14 points

Subjective and objective clinical manifestations are present but lack detail.

5.79 points

Subjective and objective clinical manifestations are detailed.

6.5 points

Subjective and objective clinical manifestations are thorough.

Potential Health Risks (B)

(C2.4)

0 points

Discussion of the potential health risks for a diabetic with end-stage renal disease that are of concern to the patient is not present.

14.63 points

Discussion of the potential health risks for a diabetic with end stage renal disease that are of concern to the patient is incomplete or incorrect.

15.41 points

Discussion of the potential health risks for a diabetic with end stage renal disease that are of concern to the patient is present but lacks detail.

17.36 points

Discussion of the potential health risks for a diabetic with end stage renal disease that are of concern to the patient is detailed.

19.5 points

Discussion of the potential health risks for a diabetic with end stage renal disease that are of concern to the patient is thorough.

Nonadherence to Diabetes Self-Management Plan (B)

(C2.8)

0 points

Explanation of how nonadherence to the diabetes self-management plan contributes to end-stage renal disease is not present.

9.75 points

Explanation of how nonadherence to the diabetes self-management plan contributes to end-stage renal disease is incomplete or incorrect.

10.27 points

Explanation of how nonadherence to the diabetes self-management plan contributes to end-stage renal disease is present but lacks detail.

11.57 points

Explanation of how nonadherence to the diabetes self-management plan contributes to end-stage renal disease is detailed.

13 points

Explanation of how nonadherence to the diabetes self-management plan contributes to end-stage renal disease is thorough.

Pathophysiology of Renal Dialysis and ESRD

0 points

Explanation of the pathophysiology of renal dialysis, stages of renal disease that lead to ESRD, and potential factors that contributed to the patient’s ESRD is not present.

14.63 points

Explanation of the pathophysiology of renal dialysis, stages of renal disease that lead to ESRD, and potential factors that contributed to the patient’s ESRD is incomplete or incorrect.

15.41 points

Explanation of the pathophysiology of renal dialysis, stages of renal disease that lead to ESRD, and potential factors that contributed to the patient’s ESRD is present but lacks detail.

17.36 points

Explanation of the pathophysiology of renal dialysis, stages of renal disease that lead to ESRD, and potential factors that contributed to the patient’s ESRD is detailed.

19.5 points

Explanation of the pathophysiology of renal dialysis, stages of renal disease that lead to ESRD, and potential factors that contributed to the patient’s ESRD is thorough.

Functional Health Patterns

0 points

Evaluation of the functional health patterns, including a discussion of at least five actual or potential health problems identified from the Functional Health Patterns Assessment Guide, is not present.

9.75 points

10.27 points

11.57 points

Evaluation of the functional health patterns, including a discussion of at least five actual or potential health problems identified from the Functional Health Patterns Assessment Guide, is detailed.

13 points

Evaluation of the functional health patterns, including a discussion of at least five actual or potential health problems identified from the Functional Health Patterns Assessment Guide, is thorough.

Nursing Management and Health Promotion

0 points

Description of nursing management and health promotion opportunities for patients with ESRD is not present.

9.75 points

Description of nursing management and health promotion opportunities for patients with ESRD is incomplete or incorrect.

10.27 points

Description of nursing management and health promotion opportunities for patients with ESRD is present but lacks detail.

11.57 points

Description of nursing management and health promotion opportunities for patients with ESRD is detailed.

13 points

Description of nursing management and health promotion opportunities for patients with ESRD is thorough.

Patient Education Plan

0 points

Development of patient education plan that could be offered to the patient for prevention of future events, health restoration, and maintaining renal status is not present.

9.75 points

Development of patient education plan that could be offered to the patient for prevention of future events, health restoration, and maintaining renal status is incomplete or incorrect.

10.27 points

Development of patient education plan that could be offered to the patient for prevention of future events, health restoration, and maintaining renal status is present but lacks detail.

11.57 points

Development of patient education plan that could be offered to the patient for prevention of future events, health restoration, and maintaining renal status is detailed.

13 points

Development of patient education plan that could be offered to the patient for prevention of future events, health restoration, and maintaining renal status is thorough.

Community Resources

0 points

Explanation of the community resources and supportive care available for ESRD patient management at home is not present.

4.88 points

Explanation of the community resources and supportive care available for ESRD patient management at home is incomplete or incorrect.

5.14 points

Explanation of the community resources and supportive care available for ESRD patient management at home is present but lacks detail.

5.79 points

Explanation of the community resources and supportive care available for ESRD patient management at home is detailed.

6.5 points

Explanation of the community resources and supportive care available for ESRD patient management at home is thorough.

Multidisciplinary Care Approach

0 points

Discussion of the role of the nurse in using the multidisciplinary approach that would be safe and effective for patients like Mr. D., including aspects such as devices, transportation, eligibility for transplant, living conditions, promotion of resiliency, and independence, is not present.

9.75 points

10.27 points

11.57 points

13 points

Mechanics of Writing

Includes spelling, capitalization, punctuation, grammar, language use, sentence structure, etc.

0 points

Errors in grammar or syntax are pervasive and impede meaning. Incorrect language choice or sentence structure errors are found throughout.

5.85 points

Frequent and repetitive mechanical errors are present. Inconsistencies in language choice or sentence structure are recurrent.

6.16 points

Occasional mechanical errors are present. Language choice is generally appropriate. Varied sentence structure is attempted.

6.94 points

Few mechanical errors are present. Suitable language choice and sentence structure are used.

7.8 points

No mechanical errors are present. Appropriate language choice and sentence structure are used throughout.

Format/Documentation

Uses appropriate style, such as APA, MLA, etc., for college, subject, and level; documents sources using citations, footnotes, references, bibliography, etc., appropriate to assignment and discipline.

0 points

Appropriate format is not used. No documentation of sources is provided.

3.9 points

Appropriate format is attempted, but some elements are missing. Frequent errors in documentation of sources are evident.

4.11 points

Appropriate format and documentation are used, although there are some obvious errors.

4.63 points

Appropriate format and documentation are used with only minor errors.

5.2 points

No errors in formatting or documentation are present.

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