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Instructions:
THE CASE OF ANNE AND THE RUNAWAY STROLLER
Anne, a 75-year-old woman suffering from late-stage Alzheimers disease was walking to a neighborhood restaurant holding on the arm of her husband and a friend. Suddenly, a young woman, talking on her cell phone cell phone as she was running behind her stroller containing a young baby, ran towards Anne, veering to the side at the last second and then continued on her run. The quick movement of the stroller startled Anne who then fell onto the cement sidewalk. Her friend, a nurse, could tell by the angle of her leg, that Anne had probably broken her hip. Her husband called an ambulance which arrived in ten minutes. Anne was taken to a new hospital where she was diagnosed in the ER with a broken hip.
Anne was immediately to a room across from the nursing station, which had an open design, allowing her to be observed at all times. The nurses were frequently in her room to assess her condition. In addition, her room contained a built-in bed for close relatives to stay overnight. Anne had surgery the day after she was admitted. Her family came to take turns in spending time in her room so that Anne was never alone.
The protocol, or clinical plan of treatment, that the hospital used for all hip surgery patients was started immediately. She was up in a chair the day after surgery and started walking with assistance a short time later. The nursing staff and a discharge planner met with Annes husband and family, explaining the care she would need after surgery. Four days after surgery, Anne was discharged into a nursing home where she spent a week until her insurance coverage ran out. She then went home and received home health care a few hours a day for several weeks. However, her husband and children did provide much of the care when she was sent home. A month after surgery, Anne was walking with some assistancebut without a limp or pain. In other words, a late-stage Alzheimers patient had the same care and good results as other hip fracture patients have come to expect.
Case Questions
Do you believe that a patient with late-stage Alzheimers disease should have an expensive hip replacement surgery?
Or would it be more practical for a patient at her age and mental condition to have her hip immobilized instead of repairing it with surgery?
Do you believe that having Anne released from the hospital so early was an undue burden on her family?
RUBRIC |
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Excellent Quality 95-100%
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Introduction
45-41 points The background and significance of the problem and a clear statement of the research purpose is provided. The search history is mentioned. |
Literature Support 91-84 points The background and significance of the problem and a clear statement of the research purpose is provided. The search history is mentioned. |
Methodology 58-53 points Content is well-organized with headings for each slide and bulleted lists to group related material as needed. Use of font, color, graphics, effects, etc. to enhance readability and presentation content is excellent. Length requirements of 10 slides/pages or less is met. |
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Average Score 50-85% |
40-38 points More depth/detail for the background and significance is needed, or the research detail is not clear. No search history information is provided. |
83-76 points Review of relevant theoretical literature is evident, but there is little integration of studies into concepts related to problem. Review is partially focused and organized. Supporting and opposing research are included. Summary of information presented is included. Conclusion may not contain a biblical integration. |
52-49 points Content is somewhat organized, but no structure is apparent. The use of font, color, graphics, effects, etc. is occasionally detracting to the presentation content. Length requirements may not be met. |
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Poor Quality 0-45% |
37-1 points The background and/or significance are missing. No search history information is provided. |
75-1 points Review of relevant theoretical literature is evident, but there is no integration of studies into concepts related to problem. Review is partially focused and organized. Supporting and opposing research are not included in the summary of information presented. Conclusion does not contain a biblical integration. |
48-1 points There is no clear or logical organizational structure. No logical sequence is apparent. The use of font, color, graphics, effects etc. is often detracting to the presentation content. Length requirements may not be met |
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CASE OF ANNE AND THE RUNAWAY STROLLER