his assignment assesses intended course outcome(s)
#4 Use information found in patients’ health histories, genograms, and assessments to formulate an individualized plan of nursing care that focuses on the patient’s individual health promotion and disease prevention needs
Students will use the information found in Tina’s history, physical exam, and problem list to formulate an individualized health promotion and disease prevention plan of care. Recommendations should be evidence-based and from credible sources. The readings in module eight contains some suggested sources for obtaining health and screening recommendations for your patient.
The plan for addressing the health promotion and disease prevention needs for your patient should include:
– Age, gender and race of patient
– Education level (health literacy)
– Access to health care
– Is the patient able to afford medications and health diet, and other out-of-pocket expenses?
– Identified health concerns based on screening assessments and demographic information
– What is the patients activity level, is the environment where the patient lives safe for activity
– Nutrition recommendations based on age, race gender and pre-existing medical conditions
– Activity recommendations
– Support systems, family members, community resources
– Recommended health screening based on age, race, gender and pre-existing medical conditions
– Identified knowledge deficit areas/patient education needs (medication teaching etc).
– Self-care needs/ Activities of daily living
* The paper should be written and referenced in APA format and be no longer than 4 pages (excluding cover page and references).
Your paper will be evaluated based on the following criteria:
|Criteria||Level 3||Level 2||Level 1|
|Demographics(5%)||Includes age, race and gender of patient||Missing one data item||Missing 2 or more data items|
|Insurance/Financial status(10%)||Includes information regarding patient’s insurance status and ability to afford medications and other out-of-pocket expenses||Missing some information regarding insurance status and ability to pay for medications and other out-of-pocket expenses.||Missing information regarding the patients insurance status, ability to pay of medications and other out-of-pocket expenses|
|Screening /risk assessment(10%)||Identifies health concerns based on screening assessments and demographic information.||Missing some information regarding health concerns, by excluding information from screening assessments and demographics||Health concerns are not identified due to information missing from screening assessments and demographics|
|Nutrition/activity(20%)||Completely asses patient’s nutrition and activity levels and makes recommendations based on age, race, gender and pre-existing medical conditions||Missing some information regarding the patients nutrition and activity levels, make recommendations based on age, race, gender and pre-existing medical conditions||Most of the information regarding the patient’s nutrition and activity levels are missing, recommendations are missing or not based on the patient’s age, race, gender and pre-existing medical conditions|
|Social support(10%)||Identifies support systems such as family members and community resources||Missing some information regarding support systems such as family members and/or community resources||Little to no information regarding social support|
|Health Maintenance(20%)||Overall health maintenance recommendations made based on age, race, gender and pre-existing medical conditions||Missing some recommendations, mostly based on age, race, gender and pre-existing medical conditions||Missing many recommendations, loosely related to age, race, gender and pre-existing medical conditions|
|Patient Education(20%)||Identified knowledge deficit areas/patient education needs including self-care needs and activities of daily living||Missing one or more areas of knowledge deficit/patient education needs including self-care and activities of daily living||Lacks identification of knowledge deficit areas/patient education needs. Does not consider self-care needs or activities of daily living.|
|Organization, spelling and grammar, APA(5%)||Organized, easy to read, no spelling or grammar mistakes, appropriate use of APA||Organized and easy to read, few spelling or grammar mistakes, few errors in APA||Disorganized, difficult to read, many spelling and grammar errors mistakes. Does not use APA|
|Overall score||Points(60-100)||Points(24-59)||Points( 0-23)|
|Student Documentation||Model Documentation|
|Identifying Data & ReliabilityTina Jones is a 28 year old African american female AOX4. Pt is reliable historian||Ms. Jones is a pleasant, 28-year-old African American single woman who presents for a pre-employment physical. She is the primary source of the history. Ms. Jones offers information freely and without contradiction. Speech is clear and coherent. She maintains eye contact throughout the interview.|