Description
Assessment Description
Use the “Case Study: Mr. D.” template and the “Functional Health Patterns Assessment Guide”, located in the topic Resources, to complete the assignment.
Case Study: Mr. D. has indirect care experience requirements. The “NRS-455 – Case Studies: Indirect Care Experience Hours” form, found in the Topic 1 Resources, will be used to document the indirect care experience hours completed in the case study. As progress is made on the case study, update this form indicating the date(s) each section is completed. This form will be submitted in Topic 3.
You are required to cite a minimum of three sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.
Benchmark Information
This benchmark assignment assesses the following programmatic competencies and professional standards:
RN-BSN
2.4: Diagnose actual or potential health problems and needs.
2.8: Promote self-care management.
American Association of Colleges of Nursing Core Competencies for Professional Nursing Education
This assignment aligns to AACN Core Competencies 2.3, 2.4, 2.8, 3.1, and 3.3.
Unformatted Attachment Preview
Case Study: Mr. D.
Directions: Read the case study below. Evaluate the information and formulate a
conclusion based on your evaluation. Complete the critical thinking table and submit this
completed template to the assignment dropbox.
Case Study: Mr. D.
It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the
pathophysiological processes of disease, the clinical manifestations and treatment protocols, and
how they affect clients across the life span.
Evaluate the Health History and Medical Information for Mr. D., presented below.
Health History and Medical Information
Mr. D. is a 65-year-old male nonadherence diabetic with end-stage renal disease receiving
dialysis. He is a retired certified public accountant in the last 5 years and practices the Muslim
faith. He reports that he avoids all pork products. His complaints included decreased balance,
loss of sensation, fear of falling, and decreased endurance during activities of daily living due to
the effects of dialysis treatment. Patient’s previous medical evaluation includes end stage renal
disease (ESRD) on dialysis and referral for recommendations for initiating exercise program.
Patient comorbidities include obesity with a body mass index (BMI) of 45, type II diabetes
mellitus with long-term insulin use, hypertension, sleep apnea, depression with lack of family
support and understanding, and diabetic neuropathy. Patient denies suicidal ideation but does
report feelings of loneliness and helplessness. Mr. D. reports increasing shortness of breath with
activity, swollen ankles, and pruritus over the last 6 months.
Objective Data:
1. Height: 68 inches; weight 134.5 kg
2. BP: 140/94, HR 84, RR 22
3. 2+ pitting edema bilateral feet and ankles
4. Fasting blood glucose: 146 mg/dL
5. Total cholesterol: 250 mg/dL
6. Triglycerides: 312 mg/dL
7. HDL: 30 mg/dL
8. Serum creatinine 1.8 mg/dL
9. BUN 32 mg/dl
10. GRF (glomerular filtration rate)-13mL/min
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Clinical Manifestations
Describe the clinical manifestations present in Mr. D., focusing on the normal and abnormal
findings and how this relates to his current condition.
Subjective
Objective
Potential Health Risks for Diabetes With End-Stage Renal Disease
Identify the potential health risks for a diabetic with ESRD and the impacts of nonadherence.
Identify the potential health
risks for a diabetic with endstage renal disease (ESRD) that
are of concern for Mr. D.
How does Mr. D.’s
nonadherence to his diabetes
self-management plan for DM
Type II contribute to ESRD?
Describe the common
considerations with insulin use
for practicing Muslims.
Pathophysiology of Renal Dialysis
Explain the pathophysiology of renal dialysis.
Explain the pathophysiology of
renal dialysis. Compare
peritoneal dialysis and
hemodialysis.
Describe in detail the
pathophysiological explanation
and stages of renal disease that
leads to ESRD.
Explain the potential factors
that contributed to Mr. D.’s
ESRD.
2
Functional Health Problems
Evaluate of Mr. D.’s functional health patterns.
Evaluate each of Mr. D.’s
functional health patterns using
the information given.
Discuss at least five actual or
potential problems you can
identify from the “Functional
Health Patterns Assessment
Guide,” located in the Topic 3
Resources. Provide a rationale
for each.
Nursing Health Management and Health Promotion
Provide ESRD nursing management and health promotion opportunities.
Provide ESRD nursing
management and health
promotion opportunities.
Develop a patient education
plan for ESRD that could be
offered to Mr. D. for prevention
of future events, health
restoration, and maintaining
renal status.
Assume Mr. D. lives in your
community. Include community
resources and supportive care
available for Mr. D. for ESRD
care and management at home.
Discuss the nurse’s role in
using the holistic
multidisciplinary care approach
that would be safe and effective
for patients like Mr. D.,
including aspects such as
devices, transportation,
eligibility for transplant, living
conditions, promotion of
resiliency, and independence.
3
Collapse All
Benchmark – Case Study: Mr. D. – Rubric
Clinical Manifestations in Mr. D.
6.5 points
Criteria Description
5. Target
6.5 points
Subjective and objective clinical manifestations are thorough.
4. Acceptable
5.79 points
Subjective and objective clinical manifestations are detailed.
3. Approaching
5.14 points
Subjective and objective clinical manifestations are present but lack detail.
2. Insufficient
4.88 points
Subjective and objective clinical manifestations are incomplete or incorrect.
1. Unsatisfactory
0 points
Subjective and objective clinical manifestations are not present.
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Potential Health Risks (B)
19.5 points
Criteria Description
(C2.4)
5. Target
19.5 points
Discussion of the potential health risks for a diabetic with end stage renal disease
that are of concern to the patient is thorough.
4. Acceptable
17.36 points
Discussion of the potential health risks for a diabetic with end stage renal disease
that are of concern to the patient is detailed.
3. Approaching
15.41 points
Discussion of the potential health risks for a diabetic with end stage renal disease
that are of concern to the patient is present but lacks detail.
2. Insufficient
14.63 points
Discussion of the potential health risks for a diabetic with end stage renal disease
that are of concern to the patient is incomplete or incorrect.
1. Unsatisfactory
0 points
Discussion of the potential health risks for a diabetic with end-stage renal disease
that are of concern to the patient is not present.
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Nonadherence to Diabetes Self-Management Plan (B)
13 points
Criteria Description
(C2.8)
5. Target
13 points
Explanation of how nonadherence to the diabetes self-management plan
contributes to end-stage renal disease is thorough.
4. Acceptable
11.57 points
Explanation of how nonadherence to the diabetes self-management plan
contributes to end-stage renal disease is detailed.
3. Approaching
10.27 points
Explanation of how nonadherence to the diabetes self-management plan
contributes to end-stage renal disease is present but lacks detail.
2. Insufficient
9.75 points
Explanation of how nonadherence to the diabetes self-management plan
contributes to end-stage renal disease is incomplete or incorrect.
1. Unsatisfactory
0 points
Explanation of how nonadherence to the diabetes self-management plan
contributes to end-stage renal disease is not present.
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Pathophysiology of Renal Dialysis and ESRD
19.5 points
Criteria Description
5. Target
19.5 points
Explanation of the pathophysiology of renal dialysis, stages of renal disease that
lead to ESRD, and potential factors that contributed to the patient’s ESRD is
thorough.
4. Acceptable
17.36 points
Explanation of the pathophysiology of renal dialysis, stages of renal disease that
lead to ESRD, and potential factors that contributed to the patient’s ESRD is
detailed.
3. Approaching
15.41 points
Explanation of the pathophysiology of renal dialysis, stages of renal disease that
lead to ESRD, and potential factors that contributed to the patient’s ESRD is present
but lacks detail.
2. Insufficient
14.63 points
Explanation of the pathophysiology of renal dialysis, stages of renal disease that
lead to ESRD, and potential factors that contributed to the patient’s ESRD is
incomplete or incorrect.
1. Unsatisfactory
0 points
Explanation of the pathophysiology of renal dialysis, stages of renal disease that
lead to ESRD, and potential factors that contributed to the patient’s ESRD is not
present.
© 2024. Grand Canyon University. All Rights Reserved.
Functional Health Patterns
13 points
Criteria Description
5. Target
13 points
Evaluation of the functional health patterns, including a discussion of at least five
actual or potential health problems identified from the Functional Health Patterns
Assessment Guide, is thorough.
4. Acceptable
11.57 points
Evaluation of the functional health patterns, including a discussion of at least five
actual or potential health problems identified from the Functional Health Patterns
Assessment Guide, is detailed.
3. Approaching
10.27 points
Evaluation of the functional health patterns, including a discussion of at least five
actual or potential health problems identified from the Functional Health Patterns
Assessment Guide, is present but lacks detail.
2. Insufficient
9.75 points
Evaluation of the functional health patterns, including a discussion of at least five
actual or potential health problems identified from the Functional Health Patterns
Assessment Guide, is incomplete or incorrect.
1. Unsatisfactory
0 points
Evaluation of the functional health patterns, including a discussion of at least five
actual or potential health problems identified from the Functional Health Patterns
Assessment Guide, is not present.
© 2024. Grand Canyon University. All Rights Reserved.
Nursing Management and Health Promotion
13 points
Criteria Description
5. Target
13 points
Description of nursing management and health promotion opportunities for
patients with ESRD is thorough.
4. Acceptable
11.57 points
Description of nursing management and health promotion opportunities for
patients with ESRD is detailed.
3. Approaching
10.27 points
Description of nursing management and health promotion opportunities for
patients with ESRD is present but lacks detail.
2. Insufficient
9.75 points
Description of nursing management and health promotion opportunities for
patients with ESRD is incomplete or incorrect.
1. Unsatisfactory
0 points
Description of nursing management and health promotion opportunities for
patients with ESRD is not present.
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Patient Education Plan
13 points
Criteria Description
5. Target
13 points
Development of patient education plan that could be offered to the patient for
prevention of future events, health restoration, and maintaining renal status is
thorough.
4. Acceptable
11.57 points
Development of patient education plan that could be offered to the patient for
prevention of future events, health restoration, and maintaining renal status is
detailed.
3. Approaching
10.27 points
Development of patient education plan that could be offered to the patient for
prevention of future events, health restoration, and maintaining renal status is
present but lacks detail.
2. Insufficient
9.75 points
Development of patient education plan that could be offered to the patient for
prevention of future events, health restoration, and maintaining renal status is
incomplete or incorrect.
1. Unsatisfactory
0 points
Development of patient education plan that could be offered to the patient for
prevention of future events, health restoration, and maintaining renal status is not
present.
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Community Resources
6.5 points
Criteria Description
5. Target
6.5 points
Explanation of the community resources and supportive care available for ESRD
patient management at home is thorough.
4. Acceptable
5.79 points
Explanation of the community resources and supportive care available for ESRD
patient management at home is detailed.
3. Approaching
5.14 points
Explanation of the community resources and supportive care available for ESRD
patient management at home is present but lacks detail.
2. Insufficient
4.88 points
Explanation of the community resources and supportive care available for ESRD
patient management at home is incomplete or incorrect.
1. Unsatisfactory
0 points
Explanation of the community resources and supportive care available for ESRD
patient management at home is not present.
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Multidisciplinary Care Approach
13 points
Criteria Description
5. Target
13 points
Discussion of the role of the nurse in using the multidisciplinary approach that
would be safe and effective for patients like Mr. D., including aspects such as
devices, transportation, eligibility for transplant, living conditions, promotion of
resiliency, and independence, is thorough.
4. Acceptable
11.57 points
Discussion of the role of the nurse in using the multidisciplinary approach that
would be safe and effective for patients like Mr. D., including aspects such as
devices, transportation, eligibility for transplant, living conditions, promotion of
resiliency, and independence, is detailed.
3. Approaching
10.27 points
Discussion of the role of the nurse in using the multidisciplinary approach that
would be safe and effective for patients like Mr. D., including aspects such as
devices, transportation, eligibility for transplant, living conditions, promotion of
resiliency, and independence, is present but lacks detail.
2. Insufficient
9.75 points
Discussion of the role of the nurse in using the multidisciplinary approach that
would be safe and effective for patients like Mr. D., including aspects such as
devices, transportation, eligibility for transplant, living conditions, promotion of
resiliency, and independence, is incomplete or incorrect.
1. Unsatisfactory
0 points
Discussion of the role of the nurse in using the multidisciplinary approach that
would be safe and effective for patients like Mr. D., including aspects such as
devices, transportation, eligibility for transplant, living conditions, promotion of
resiliency, and independence, is not present.
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Mechanics of Writing
7.8 points
Criteria Description
Includes spelling, capitalization, punctuation, grammar, language use, sentence
structure, etc.
5. Target
7.8 points
No mechanical errors are present. Appropriate language choice and sentence
structure are used throughout.
4. Acceptable
6.94 points
Few mechanical errors are present. Suitable language choice and sentence
structure are used.
3. Approaching
6.16 points
Occasional mechanical errors are present. Language choice is generally
appropriate. Varied sentence structure is attempted.
2. Insufficient
5.85 points
Frequent and repetitive mechanical errors are present. Inconsistencies in language
choice or sentence structure are recurrent.
1. Unsatisfactory
0 points
Errors in grammar or syntax are pervasive and impede meaning. Incorrect language
choice or sentence structure errors are found throughout.
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Format/Documentation
5.2 points
Criteria Description
Uses appropriate style, such as APA, MLA, etc., for college, subject, and level;
documents sources using citations, footnotes, references, bibliography, etc.,
appropriate to assignment and discipline.
5. Target
5.2 points
No errors in formatting or documentation are present.
4. Acceptable
4.63 points
Appropriate format and documentation are used with only minor errors.
3. Approaching
4.11 points
Appropriate format and documentation are used, although there are some obvious
errors.
2. Insufficient
3.9 points
Appropriate format is attempted, but some elements are missing. Frequent errors
in documentation of sources are evident.
1. Unsatisfactory
0 points
Appropriate format is not used. No documentation of sources is provided.
Total 130 points
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