nursing multidimensional care1
Module 06 Assignment Designing a Care Map
Purpose of Assignment
Assist students to develop a care plan that includes safe discharge information for a client with musculoskeletal trauma.
Course Competency
Explain components of multidimensional nursing care for clients with musculoskeletal disorders.
Instructions
Mr. Harry Roost is a 78-year old male being discharge after a fracture of his right tibia and fibula. He has a long leg cast that he will need to wear for the next 8 weeks. The nurses have observed him using a hanger to scratch the skin under the cast. The nurse have reminded him each time that he is not to put anything down his cast. He also sits on the side of the bed for long periods with his leg in a dependent position. He also gets up to go to the bathroom without calling for help. The staff have observed him hopping to the bathroom without using his crutches.
Develop a care map for Mr. Roost using the template directly after these instructions. Include information important for his discharge home. For this assignment, you will need to include three nursing diagnoses, outcomes, and nursing interventions with rationale.
Use at least two scholarly sources to support your care map. Be sure to cite your sources in-text and on a reference page using APA format.
You can find useful reference materials for this assignment in the School of Nursing guides.
Subjective
Subjective
Subjective
Objective
Objective
Objective
Diagnostic
Diagnostic
Diagnostic
Nursing Diagnosis
Nursing Diagnosis
Nursing Diagnosis
SMART Goal
SMART Goal
SMART Goal
Nursing Interventions
Nursing Interventions
Nursing Interventions
Module 06 Assignment Designing a Care Map Rubric
Total Assessment Points – 65
Levels of Achievement
Criteria
Emerging
Competence
Proficiency
Mastery
Assessment / Data Collection
(10 Pts)
Lacks basic factors of the disease process, and common labs, diagnostic tests, and history.
Briefly identifies the four factors including the disease process, common labs, diagnostic tests, and history.
Clearly identifies four factors including the disease process, common labs, and other diagnostic tests, and history.
Identifies all factors including the disease process, common labs, other diagnostic tests, and health history and demonstrated deep understanding of the assessment
Points – 0-7
Points – 8
Points – 9
Points – 10
Nursing Hypothesis / Diagnosis (should fit the data)
(10 Pts)
Nursing hypothesis/diagnosis is insufficient and/or does not fit the data.
Writes nursing hypothesis/ diagnosis in the correct format with adequate connection to identified data.
Writes nursing hypothesis/diagnosis in the correct format with a clear connection to identified data.
Writes nursing hypothesis/diagnosis in the correct format with a strong connection to identified data.
Points 0-7
Points 8
Points – 9
Points – 10
SMART Goal (should reflect the diagnosis and follow guidelines)
(15 Pts)
The goal meets few SMART goal guidelines and/or is not related to the nursing diagnosis.
The goal meets some of the SMART goal guidelines and is related to the nursing diagnosis.
The goal meets most of the SMART goal guidelines and is related to the nursing diagnosis.
The goal meets all of the SMART goal guidelines and is related to the nursing diagnosis.
Points 0-11
Points – 12
Points – 13
Points 14-15
Interventions and Rationale
(20 Pts)
Lacks appropriate interventions to assist the client in resolving the issues leading to the problem.
Write 3 interventions to assist the client in resolving the issues leading to the problem with appropriate references.
Write 5 interventions to assist the client in resolving the issues leading to the problem with appropriate references.
Writes more than 5 interventions to assist the client in resolving the issues leading to the problem with appropriate references.
Points 0-15
Points – 16
Points 17-18
Points 19- 20
APA Citation
(5 Pts)
APA in-text citations and references are missing.
Attempted to use APA in-text citations and references.
APA in-text citations and references are used with few errors.
APA in-text citations and references are used correctly.
Points- 0-2
Points- 3
Points- 4
Points- 5
Spelling and Grammar
(5 Pts)
Numerous spelling and grammar errors, which detract from the audience’s ability to comprehend material.
Some spelling and grammar errors, which detract from the audience’s ability to comprehend material.
Few spelling and grammar errors.
Minimal to no spelling and grammar errors.
Points- 0-2
Points- 3
Points- 4
Points- 5
