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Pathophysiology details limited with poor understanding of chief complaint and presenting signs/symptoms does not support medical diagnosis, not supported by diagnostic tests and with no proposed treatment plan; no references cited.
Learning Goal: I'm working on a nursing case study and need an explanation and answer to help me learn. Please create a concept map using the template below. I have provided you with a case study of Ronald Bruno and. the full detailed rubric in the attached documents.. Feel free to make up stuff about the patient that makes sense for the patient to fill in some boxes. please use in-text citations for all the information you get online and then put references on reference page. APA FORMATTING. let me know if you have questions NURS_211L - NURS 211L Concept Map Rubric CriteriaRatingsPts This criterion is linked to a Learning Outcome1. Pathopysiology for admitting diagnosis, S/S, Diagnostic test and proposed treatment 9 ptsProficient Pathophysiology is explained in complete detail with accurate and in-depth understanding of Admitting diagnosis. and presenting signs/symptoms supported by diagnostic tests and proposed treatment plan; APA references. 6.84 ptsAcceptable Pathophysiology is explained in some detail with some understanding of Admitting diagnosis and presenting signs/symptoms somewhat supported by diagnostic test and understanding to proposed treatment plan; with references. 5.4 ptsNeeds Improvement Pathophysiology is explained vaguely with marginal understanding Admitting diagnosis. and presenting signs/symptoms vaguely supported by diagnostic test and vague understanding to proposed treatment plan; no references cited. 0 ptsUnsatisfactory Pathophysiology details limited with poor understanding of chief complaint and presenting signs/symptoms does not support medical diagnosis, not supported by diagnostic tests and with no proposed treatment plan; no references cited. 9 pts This criterion is linked to a Learning Outcome2. History of other health problems, hospitalizations, surgeries, and social issues 9 ptsProficient Complete details given of other health problems (includes explanation of all relevant medical and surgical history) with full understanding as to its relation to the patient’s/ client’s present health problem(s). 6.84 ptsAcceptable Some details given of other health problems with partial explanation of all relevant medical and surgical history) with full understanding as to its relation to the patient’s/client’s present health problem(s). 5.4 ptsNeeds Improvement Vague details given of other health problems with minimal explanation of relevant medical and surgical history) with full understanding as to its relation to the patient’s/client’s present health problem(s). 0 ptsUnsatisfactory No details given of other health problems, without explanation of relevant medical and surgical history) with full understanding as to its relation to the patient’s/client’s present health problem(s). 9 pts This criterion is linked to a Learning Outcome3. Family, Culture and Ethnic background 9 ptsProficient Complete information provided about patientclient family, provides cultural point of view in illness and wellness and connects Ethnicity to health problems/ Social Determinants of Health. (APA references) Clearly and accurately identifies client’s developmental stage with explanation based on the patient’s/ client’s developmental tasks. 6.84 ptsAcceptable Some information provided about patient/client family and cultural point of view in illness and wellness, somewhat connects Ethnicity to health problems, with references/Social Determinants of Health. (APA References) Adequately identifies patient’s/client’s developmental stage with explanation based on the patient’s/client’s developmental tasks. 5.4 ptsNeeds Improvement Vague information provided about patient/client family and cultural point of view in illness and wellness, vaguely connects Ethnicity to health problems/ limited Social Determinants of Health described, no references cited. Vaguely identifies patient’s/client’s developmental stage without explanation based on the patient’s/ client’s developmental tasks. 0 ptsUnsatisfactory No information provided about patient/client family and cultural point of view in illness and wellness, establishes no connect to Ethnicity and the health problems. Limited to no Social Determinants of Health described, no references cited. Fails to identify patient’s/ client’s developmental stage and lacks any explanation based on the patient’s/client’s developmental tasks. 9 pts This criterion is linked to a Learning Outcome4. Teaching Assessment and Patient/Client Education
& Transfer/ Discharge Planning
*Consider Interprofessional consults as needed 9 ptsProficient Complete information provided about discharge planning 6.84 ptsAcceptable Some information provided about discharge planning. 5.4 ptsNeeds Improvement Vague about the information on discharge planning. 0 ptsUnsatisfactory No information provided on discharge planning. 9 pts This criterion is linked to a Learning Outcome5. Review of Systems (Detailed Head to Toe Assessment) 13.5 ptsProficient Documents full Head-to-Toe physical assessment – relevant to the patient/client as performed by the student. Utilizes an organized format and appropriate terms to describe both normal and abnormal assessment findings. 10.26 ptsAcceptable Documents Head-to-Toe physical assessment – with approx. 75% + relevant to the patient/client as performed by the student. Utilizes an organized format and appropriate terms to describe both normal and abnormal assessment findings. 8.1 ptsNeeds Improvement Documents full Head-to-Toe physical assessment – with approx. 50% -75% relevant to the patient/client as performed by the student. Format may be moderately disorganized with mostly appropriate terms to describe both normal and abnormal assessment findings. 0 ptsUnsatisfactory Documents full Head-to-Toe physical assessment – with approx. > 50% relevant to the patient/client missing information - as performed by the student. Format is mostly disorganized and may be lacking appropriate terms to describe both normal and abnormal assessment findings. 13.5 pts This criterion is linked to a Learning Outcome6. Nursing Diagnoses: (2 Highest Priority)
and 1 At Risk
Nursing Diagnosis-

Format:
Nursing Diagnosis R/T medical diagnosis or condition, AEB pertinent S/S, diagnostics and supporting data 6.75 ptsProficient All nursing diagnoses are accurate and prioritized per format with clear etiology and data to support the diagnosis. Nursing Diagnoses are consistent and present a correlation from the assessment data. 5.13 ptsAcceptable All nursing diagnoses are adequate and prioritized per format with sufficient etiology and data to support the diagnosis. Nursing Diagnoses are consistent and present a correlation from the assessment data. 4.05 ptsNeeds Improvement Any nursing diagnoses that may be vague and/or is not prioritized per format with vague etiology and unclear correlation from the data to support the diagnosis. Nursing Diagnosis are consistent and presents correlation from the assessment data. 0 ptsUnsatisfactory Nursing diagnoses are low priority and/or are not prioritized per format, with vague etiology and unclear correlation from the data to supports the diagnosis. Nursing Diagnoses are not consistent and do not correlation from the assessment data. 6.75 pts This criterion is linked to a Learning Outcome7. Nursing Outcome/
Goal and Evaluation 6.75 ptsProficient The goal clearly supports the nursing diagnosis and plan of care. The goals are specific, measurable, attainable, realistic and timed. Evaluates effectiveness of interventions and measures goal completion. Modifies, revises and recommends alternative interventions. 5.13 ptsAcceptable The goal somewhat supports the nursing diagnosis and plan of care. The goals are somewhat measurable and realistic, and timed. Evaluates effectiveness of interventions and measures goal completion. Modifies, revises and recommends alternative interventions. 4.05 ptsNeeds Improvement The goals are inconsistent with the nursing diagnosis and plan of care. The goals are vaguely realistic, measure and timed. Evaluates effectiveness of interventions and measures goal completion. Modifies, revises and recommends alternative intervention. 0 ptsUnsatisfactory The goals lack support and nonspecific from gathered data, Outcome criteria are not specific, realistic, measurable, attainable, nor timed. Does not evaluates effectiveness of interventions and measures goal completion. Modifies, revises and recommends alternative intervention. 6.75 pts This criterion is linked to a Learning Outcome8. Nursing Interventions 6.75 ptsProficient Clearly and accurately Identifies nursing/ collaborative interventions. Interventions are always individualized, prioritized, organized, specific and realistic. Nursing actions are always aimed at the patient’s/client’s goals and directed at the stated health deviation. 5.13 ptsAcceptable Adequately Identifies nursing/collaborative interventions with adequate teaching. Interventions are adequate, individualized, organized, specific and realistic. Interventions can be implemented adequately that is focused on patient’s/client’s goal and health deviation 4.05 ptsNeeds Improvement Vaguely Identifies nursing/ collaborative interventions with unclear teaching. Interventions are inconsistent, non-specific, disorganized, and not adequately focused on the patient’s/client’s goal. Interventions are difficult to implement and has weak relationship to nursing diagnosis 0 ptsUnsatisfactory Fails to identify nursing/ collaborative interventions and teaching. Interventions are non-specific, inappropriate, unrealistic, un-measurable and do not relate to nursing diagnosis. Interventions do not focus on patient/client goals and/or the stated health deviation based on nursing assessment 6.75 pts This criterion is linked to a Learning Outcome9. Medications 9 ptsProficient Lists all MAR medications (Routine and PRN) including name; ordered dose; route; MD ordered indication; mechanism of action; relevant side effects and nursing considerations relevant to the patient/client. 6.84 ptsAcceptable Lists all MAR medications (Routine and PRN) but does not adequately medication name; ordered dose; route; MD ordered indication; mechanism of action; relevant side effects and nursing considerations relevant to the patient/client. 5.4 ptsNeeds Improvement Lists most MAR medications (Routine and PRN); excepts lacks medication name; ordered dose; route; MD ordered indication; mechanism of action; relevant side effects and nursing considerations relevant to the patient/client. 0 ptsUnsatisfactory Lists most MAR medications (Routine and PRN); but fails to include medication name; ordered dose; route; MD ordered indication; mechanism of action; relevant side effects and nursing considerations relevant to the patient/client. 9 pts This criterion is linked to a Learning Outcome10. Pertinent Lab Tests and Diagnostic Tests/ Procedures 6.75 ptsProficient Clearly and accurately identifies and explains abnormal findings for pertinent current laboratory and diagnostics test results related to patient’s/client’s disease process. 5.13 ptsAcceptable Adequately identifies and explains abnormal findings for pertinent current laboratory and diagnostics test results related to patient’s/client’s disease process. 4.05 ptsNeeds Improvement Vaguely identifies and explains abnormal findings for pertinent current laboratory and diagnostics test results related to patient’s/client’s disease process. 0 ptsUnsatisfactory Fails to identify and explain abnormal findings for pertinent current laboratory and diagnostics test results related to patient’s/client’s disease process. 6.75 pts This criterion is linked to a Learning Outcome11. General Organization 4.5 ptsProficient Accurate APA format; Appropriate citations and references; No spelling or grammar errors. 3.42 ptsAcceptable Adequate APA format; Minimal citations and references are appropriate; Few spelling or grammar errors. 2.7 ptsNeeds Improvement Numerous APA format errors; Inaccurate citations and references; Few spelling and grammar errors. 0 ptsUnsatisfactory Fails to utilize APA format; No citations or references included; Numerous spelling and grammar errors. 4.5 pts Total Points: 90

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