Description
This is paper is like a story telling about what care that was rendered to the patient, APA format and min pages of 10 pages not including the title page and the reference page. Patient information is attached. I need one documentation paper.
READ THE ATTACHED DOCUMENT
REQUIREMENTS: THE FOLLOWING ELEMENTS MUST BE INCLUDED IN THE PAPER
Background Information Summary:
- Demographics
- History of present illness
- Relevant past medical and surgical history
- Admitting diagnosis (diagnoses)
- Course of current hospitalization to date
- Significant assessment findings during day(s) of care. Include vital signs, focused assessment,
and data from monitoring devices. (This information can be presented in a table).
Laboratory and Diagnostic Tests
Identify and list a summary of relevant and significant lab values and diagnostic tests/procedures
performed. Include the rationales for performing the tests and for any abnormal results. Provide
an analysis of the relationships between/among the diagnostic tests and lab results with the
critically‐ill individual’s current condition(s).
NR341 RUA Interdisciplinary Care.docx Revised 06/2016 |
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Chamberlain College of Nursing NR341 Complex Adult Health
Medications This Part is also completed
Identify and list a summary of relevant and significant medications. Indicate the trade name and
generic name, the medication classification, the therapeutic use, major adverse effects, timing,
dosage, route of administration, and the nursing implications. Also include the rationale(s) as to
why the medication is prescribed for treatment. For example, document the rationale for how the
treatment corrects the critically‐ill individual’s condition or a side effect of another drug that is
prescribed for treatment. *This information can be presented in a table.
Nursing Diagnoses
In order of priority, identify three (3) nursing diagnoses for the individualized plan of care for this
patient. Two of the nursing diagnoses must address actual problems, and one of the nursing
diagnoses must be a “Risk for” or “Potential Complication” (PC). For each nursing diagnosis,
include three (3) nursing outcomes, three (3) nursing interventions, and three (3) collaborative
interventions. *This section can be presented as a table or concept map.
Interventions ‐ ROUTINE NURSING MANAGEMENT
Describe independent nursing care you provided in the care of the critically‐ill individual.
Examples include, but are not limited to: activity level, position, ongoing monitoring, and
nutrition (prescribed diet, tube feedings/TPN, formula, rate, and calculation of basal energy
expenditure (BEE), patient education, wound care etc.). The rationale must be included for each
intervention.
Interdisciplinary (ID) Care
Collaborative Management
Identify the members of the interdisciplinary team caring for the critically‐ill individual. Provide
a brief description of their roles and responsibilities. Interdisciplinary team members include,
but are not limited to: physician, pharmacist, lab/diagnostic tests personnel, respiratory
therapy, physical therapy, occupational therapy, speech therapy, social work/case
management, pastoral care, ethicist, etc.
Therapeutic Modalities
Describe the various therapeutic modalities used in the management of care for the critically‐ill
individual. Discuss the extent of the nurse’s responsibilities and skills required to manage the
therapeutic modality in comparison to the responsibilities of the members of the
interdisciplinary team. Therapeutic modalities include but are not limited to: oxygen therapy
(mode, FiO2,), dialysis/CRRT (settings), ventilator therapy (mode of ventilation, settings, FiO2).
The rationale must be included for each modality.
Nursing Role Reflection
Provide a brief summary of how your role interacted with the members of the interdisciplinary
team. Include in your summary
- Analysis of communication style preferences among interdisciplinary team members and with
the critically‐ill individual and family members. What is the impact of your own
communication style on others? - System barriers and facilitators. Did the organizational framework for interdisciplinary
management of care facilitate or hindered the quality of care/outcomes for the critically‐ill
individual? What recommendations can you make to the organizational system for enhancing
NR341 RUA Interdisciplinary Care.docx Revised 06/2016 |
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interdisciplinary collaboration? Provide at minimum two (2) evidence‐based literature sources
to support your recommendations.
Professional Development. Based on your experience(s), write ideas for your own professional
self‐development plan to enhance your potential for becoming an effective member in an
interdisciplinary team.
PREPARING THE PAPER
Style and Format
The paper should be typed and presented in APA format, including an APA title page, use of headings,
and references with in‐text citations. Spelling and grammar will be evaluated with this assignment.
Page Limits
The body of the paper should be between 7‐10 pages, NOT including the Title and Reference pages.
- Background Summary
- Laboratory and Diagnostic Tests
- Medications
- Nursing Diagnoses
- Interventions
- Interdisciplinary Care
- Nursing Role Reflection
GRADING CRITERIA
1 to 1.5 pages
1 to 1.5 pages
1 to 1.5 pages
1 to 1.5 pages
1 page
1 to 1.5 pages
1 to 1.5 pages
Assignment |
Points |
% |
Description |
Background |
10 |
10% |
Includes ALL the elements as described in the assignment guidelines:
|
Laboratory |
10 |
10% |
|
Medications |
10 |
10% |
|
Nursing |
15 |
15% |
|
NR341 RUA Interdisciplinary Care.docx Revised 06/2016 |
3 |
Chamberlain College of Nursing NR341 Complex Adult Health
Interventions: |
10 |
10% |
|
ID Care: |
10 |
10% |
|
ID Care: |
10 |
10% |
|
Nursing Role |
20 |
20% |
Summary includes:
|
APA Format, |
5 |
5% |
|