nursing

Purpose
The purpose of this assignment is for learners to:
1. Have the opportunity to integrate knowledge and skills learned throughout all core courses
2. Demonstrate an advancing understanding of the patient with a mental health disorder in primary care.
3. Demonstrate the ability to analyze the literature/ previous patients seen in the clinical setting be able to perform an evidenced-based review of their case, diagnosis, and plan, while guiding and taking feedback from peers regarding the case.
4. Demonstrate professional communication and leadership, while advancing the education of peers.
Activity Learning Outcomes
Through this discussion, the student will demonstrate the ability to:
1. Interpret subjective and objective data to develop appropriate diagnoses and evidence based management plans for patients and families with complex or multiple diagnoses across the lifespan. (CO 1)
2. Develop management plans based on current scientific evidence and national guidelines. (CO 4)
Requirements:
Part 2- Turning in your final treatment plan and Analysis 
The final treatment plan will include the primary diagnosis, diagnostic testing recommended by National Guidelines. Medications, interventions, education, labs, follow up, referrals. After completing the treatment plan include the following sections in a large area called ANALYSIS:
1. Pathophysiology and Pharmacology: For the primary diagnoses in the case, write a brief summary of the underlying pathophysiology and tie pharmacological treatment chosen in the reversal or control of that pathology.
2. Additional analysis of the case: This includes national guidelines that were or should have been used to make diagnosis or treatment and review how they applied or how care was unique but based in guidelines.
3. Follow-up/Referrals: This means how the patient was doing when seen a second time if this applies. This would be their response to your plan of care. OR when Follow up will occur and what actions will be taken on the follow up visit. Referrals if indicated.
4. Quality: Include anything that should have been considered in hindsight or changes you would make in seeing similar patients in the future with the same complaint, history, exam, or diagnosis. Add anything you learned from discussion in the class that shed new light on this patient.
5. Coding and Billing. Any or all CPT and ICD-10 codes that should have been used (List them and name them only.
Written in a word document and submitted in the Week 6 case study summary submission box.

DISCUSSION CONTENT
Category Points % Description
Application of Course Knowledge  25 63% Post contributes clinically accurateperspectives/insights applicable to the results from the physical exam and diagnoses. Initial post includes the most likely diagnosis/specific treatment plan given case study information supported by rationaleand answers all questions presented in the case. Demonstrates course knowledge/assigned readings by: linking tests/interventions accuratelyto diagnoses, applies learned knowledge specifically to thesymptoms and patient informationusing original dialogue i.e., little to no direct quotes. 
Evidence Based resources 10 25% Discussion post supported by evidence from appropriate sources published within the last five years. Focus of journal articles represents a logical link between the article content and the case study information.  In-text citations and full references are provided.
35 88% Total CONTENT Points= 35 pts
DISCUSSION FORMAT
APA/Grammar/Spelling 5 12% Discussion post presented in a logical, meaningful, and understandable sequence. Headings reflect separation of criterion outlined in assignment guidelines. 
**Direct quote should not exceed 15 words & must add substantively to the discussion
Discussion post has minimal grammar, spelling, syntax, punctuation and APA* errors. Direct quotes (if used) is limited to 1 short statement** which adds substantively to the post. 
* APA style references and in text citations are required; however, there are no deductions for errors in indentation or spacing of references. All elements of the reference otherwise must be included.
5 12% Total FORMAT Points=  5 pts
40 100% DISCUSSION TOTAL= 40 points

 

 
Rubric

Criteria Ratings Pts
This criterion is linked to a Learning OutcomeDiscussion Content Possible Points = 35 Points
Application of Course Knowledge:  Thorough treatment plan and analysis of the following for summary: guidelines that should have been used, what further should have been added to care or follow up, lessons learned from this and class discussion. The final analysis section must also contain: *Pathophysiology and Pharmacology analysis *Additional analysis of the case as noted above *Follow-up *Quality Analysis *Coding and Billing  using original dialogue i.e., no direct quotes. Diagnostic testing recommended follows National Guidelines.  Clinical insights are supported by rationale and student addresses all assignment criterion.
25 pts
Excellent
Thorough treatment plan and analysis of the following for summary: guidelines that should have been used, what further should have been added to care or follow up, lessons learned from this and class discussion. The final analysis section must also contain: *Pathophysiology and Pharmacology analysis *Additional analysis of the case as noted above *Follow-up *Quality Analysis *Coding and Billing using original dialogue i.e., no direct quotes. Diagnostic testing recommended follows National Guidelines. Clinical insights are supported by rationale and student addresses all assignment criterion.
23 pts
V. Good
Some accurate clinical application of treatment plan and analysis of the following for summary: guidelines that should have been used, what further should have been added to care or follow up, lessons learned from this and class discussion. The final analysis section must also contain: *Pathophysiology and Pharmacology analysis *Additional analysis of the case as noted above *Follow-up *Quality Analysis *Coding and Billing using original dialogue i.e., no direct quotes. Diagnostic testing recommended follows National Guidelines. Clinical insights are supported by rationale and student addresses all assignment criterion.
21 pts
Satisfactory
Some accurate clinical application of treatment plan and analysis of the following for summary: however guidelines only generally discussed without reflection on actual treatment decisions that should have been made. The final analysis section missing at least one: *Pathophysiology and Pharmacology analysis *Additional analysis of the case as noted above *Follow-up *Quality Analysis *Coding and Billing using original dialogue i.e., no direct quotes. Diagnostic testing recommended follows National Guidelines. Clinical insights are supported by rationale and student addresses all assignment criterion.
13 pts
Needs Improvement
Little to no clinical application treatment plan and analysis of the following for summary: however guidelines only generally discussed without reflection on actual treatment decisions that should have been made. The final analysis section missing at least one: *Pathophysiology and Pharmacology analysis *Additional analysis of the case as noted above *Follow-up *Quality Analysis *Coding and Billing using original dialogue i.e., no direct quotes. Diagnostic testing recommendedoes not follow National Guidelines. Student missing more than one portion of analysis.
0 pts
Unsatisfactory
Post contributes no clinically accurate perspectives/insights applicable to clinical content area/identified chief complaint presentation in original dialogue (no direct quotes) related to assigned Mental Health Diagnosis: OR **Analysis is missing

 

25 pts
This criterion is linked to a Learning OutcomeEvidence Based Resources
Discussion post fully supported by evidence from appropriate sources published within the last five years including National Guidelines. Content of journal articles represents a logical link between the article content and the assigned topics/case study information. In-text citations and complete references are provided.
10 pts
Excellent
Discussion post fully supported by evidence from appropriate sources published within the last five years including National Guidelines. Content of journal articles represents a logical link between the article content and the assigned topics/case study information. In-text citations and complete references are provided.
9 pts
V. Good
Discussion post is partially supported by evidence from appropriate sources published within the last five years. In-text citations and complete references are provided. Evidence-based reference(s) used but may not fully demonstrate National guidelines or fully support treatment recommendations.
8 pts
Satisfactory
Discussion post is supported by evidence from appropriate resources however National Guidelines are not referenced in regard to diagnostic testing and treatment planning OR Journal articles do not represent logical link between the article content and assigned topics/ case study.
5 pts
Needs Improvement
Discussion post not fully supported by evidence from appropriate sources published within the last five years OR does not include National Guidelines AND Content of journal articles does not represents a logical link between the article content and the assigned topics/case study information. In-text citations and complete references are provided.
0 pts
Unsatisfactory
Discussion post is not supported by evidence from appropriate sources published within the last five years. National Guidelines are not used to support post. References and in-text citations may be incomplete.

 

10 pts
This criterion is linked to a Learning OutcomeDiscussion Format Possible Points = 5 Points
Organization & APA  Discussion post presented in a logical, meaningful, and understandable sequence. Headings reflect separation of criterion outlined in assignment guidelines AND there are minimal spelling or grammatical errors. (*) APA style references and in text citations are required; however, there are no deductions for errors in indentation or spacing of references. All elements of the reference otherwise must be included.
5 pts
Excellent
Discussion post presented in a logical, meaningful, and understandable sequence. Organization of topics and transitions among ideas lends clarity to the discussion. Headings and paragraph spacing are used logically and contribute to evidence of the assigned disease. Zero errors in grammar/spelling. Strong ability to communicate thoughts and ideas concisely.
4 pts
V. Good
Discussion post presented in a logical, meaningful, and understandable sequence, However minimal transitions, headings and spacing used to organize thoughts. Zero to 2 errors in grammar/spelling but no effect on ability to communicate thoughts and ideas.
3 pts
Satisfactory
May be unclear or difficult to follow in places. Headings, paragraphs and spacing. 3-6 errors in grammar/spelling with no effect on ability to communicate thoughts and ideas.
2 pts
Needs Improvement
May be unclear or difficult to follow in places. Weak linkage to assigned mental health topic. >6 errors in grammar/spelling which contributes somewhat to effectiveness of ability to communicate thoughts and ideas.
0 pts
Unsatisfactory
Discussion topics not linked through organization of thoughts, paragraph, spacing or headings. Lack of organization contributes to lack of understanding of thought process. Errors in grammar contribute to a fundamental lack of understanding of information presented.

 

5 pts
This criterion is linked to a Learning OutcomeParticipation
Discussion late penalty deductions  A 10% late penalty will be imposed for discussions posted after the deadline on Wednesday 1159PM MT of Week 6, regardless of the number of days late. NOTHING will be accepted after 11:59pm MT on Sunday (i.e. student will receive an automatic 0)
0 pts
Minus Points
0 pts
Minus Points

 

0 pts
Total Points: 40