Chronic Obstructive Pulmonary Disease Case Study Assignment
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Chronic Obstructive Pulmonary Disease Case Study Assignment
The nurse who is working for the home health division of a public health agency arrives for the day with plans to make home visits to six patients: Ms. A
Diagnosis: Chronic obstructive pulmonary disease (COPD) Data: • Called reporting increased dyspnea • Has been increasing home oxygen flow rate
Mr. D
Diagnoses: Diabetes, chronic leg infection Data: • Needs weekly assessment of leg infection • Daily home health aide visits
Ms. F
Diagnosis: Chronic kidney disease with peritoneal dialysis Data: • Daughter assists patient with dialysis Mr. I
Diagnosis: Lung cancer Data: • Last chemotherapy 1 week ago • Needs to have blood drawn today at nadir for complete
blood count (CBC) with differential
Ms. R
Diagnosis: Coronary artery disease with percutaneous coronary angioplasty and stenting
Data: • Hospital discharge yesterday • Needs home health admission assessment Mr. W Diagnosis: Schizophrenia Data: • Receives risperidone injection every 4 weeks • Risperidone dose scheduled today
After arriving, the nurse learns about a required case management in-service scheduled for 2:00 PM, which will leave time for only four home visits. Which four patients should be scheduled for today?
- Ms. A 2. Mr. D 3. Ms. F 4. Mr. I 5. Ms. R 6. Mr. W
After adjusting the schedule to see these four patients, which patient should be seen first? 1. Ms. A, the patient who has COPD and increased
shortness of breath 2. Mr. I, the patient receiving chemotherapy who will
need blood drawn 3. Ms.R, the patient with coronary artery disease who
will need an initial assessment 4. Mr. W, the patient with schizophrenia who will
need a risperidone injection
When the nurse calls Ms. R to schedule a visit, the patient says that she doesn’t have much time today but will be available for a longer visit tomorrow. What is the best response?
“The visit will not take very long, so I will plan on seeing you today.”
- “I have rescheduled other patients because it is essential that I assess you today.”
- “Perhaps you are feeling that you do not really need any help at home.”
- “Because of the recent angioplasty and stenting, I would like to visit as soon as possible.”
After obtaining Ms. R’s consent for a visit later today, the nurse arrives at Ms. A’s home. Her husband answers the door and says that Ms. A was very short of breath and rest- less last night, but now she is sleeping deeply and completely relaxed. The nurse finds that Ms. A is very difficult to awaken and that her speech is slurred. The flow meter on her home oxygen unit is set at 6 L/min.
RUBRIC
Excellent Quality
95-100%
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.
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.
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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