Nursing Diagnoses Smart Goals & Interventions Discussion

Module 05 Assignment – Designing a Care Map
Purpose of Assignment
⦁ Assist students with coordination of care for clients with musculoskeletal disorders.
⦁ Enhance understanding of the nursing process in coordinating care for a client.
Course Competency
⦁ Explain components of multidimensional nursing care for clients with musculoskeletal disorders.
⦁ Select appropriate nursing interventions when providing multidimensional care to clients experiencing alterations in mobility
Instructions
After reviewing the medical conditions presented in the textbook, including osteoporosis, osteomyelitis, disorders of the feet, plantar fasciitis, carpal tunnel disorder, rotator cuff injury, or other musculoskeletal disorders, develop a care map using the template directly after these instructions. For this assignment, include the following: common assessment findings, a nursing diagnosis, outcomes, and nursing interventions with rationale for a client with a musculoskeletal disorder.
Use at least two scholarly sources to support your care map. Be sure to cite your sources in-text and on a reference page using APA format.
You can find useful reference materials for this assignment in the School of Nursing guide:
https://guides.rasmussen.edu/nursing/referenceebooks
Have questions about APA? Visit the online APA guide:
https://guides.rasmussen.edu/apa

 

Subjective Subjective Subjective
Objective Objective Objective
Diagnostic Diagnostic Diagnostic

Nursing Diagnosis Nursing Diagnosis Nursing Diagnosis

SMART Goal SMART Goal SMART Goal

Nursing Interventions Nursing Diagnoses Smart Goals & Interventions Discussion

Module 05 Assignment – Designing a Care Map Rubric
Total Assessment Points – 65
Levels of Achievement
Criteria Emerging Competence Proficiency Mastery
Assessment / Data Collection
(10 Pts) Lacks basic factors of the disease process, and common labs, diagnostic tests, and history. Briefly identifies the four factors including the disease process, common labs, diagnostic tests, and history. Clearly identifies four factors including the disease process, common labs, and other diagnostic tests, and history. Identifies all factors including the disease process, common labs, other diagnostic tests, and health history and demonstrated deep understanding of the assessment
Points – 0-7 Points – 8 Points – 9 Points – 10
Nursing Hypothesis / Diagnosis (should fit the data)
(10 Pts) Nursing hypothesis/diagnosis is insufficient and/or does not fit the data. Writes nursing hypothesis/ diagnosis in the correct format with adequate connection to identified data. Writes nursing hypothesis/diagnosis in the correct format with a clear connection to identified data. Writes nursing hypothesis/diagnosis in the correct format with a strong connection to identified data.
Points – 0-7 Points – 8 Points – 9 Points – 10
SMART Goal (should reflect the diagnosis and follow guidelines)
(15 Pts) The goal meets few SMART goal guidelines and/or is not related to the nursing diagnosis. The goal meets some of the SMART goal guidelines and is related to the nursing diagnosis. The goal meets most of the SMART goal guidelines and is related to the nursing diagnosis. The goal meets all of the SMART goal guidelines and is related to the nursing diagnosis.
Points – 0-11 Points – 12 Points – 13 Points – 14-15
Interventions and Rationale
(20 Pts) Lacks appropriate interventions to assist the client in resolving the issues leading to the problem. Write 3 interventions to assist the client in resolving the issues leading to the problem with appropriate references. Write 5 interventions to assist the client in resolving the issues leading to the problem with appropriate references. Writes more than 5 interventions to assist the client in resolving the issues leading to the problem with appropriate references.
Points – 0-15 Points – 16 Points – 17-18 Points –19- 20
APA Citation
(5 Pts) APA in-text citations and references are missing. Attempted to use APA in-text citations and references. APA in-text citations and references are used with few errors. APA in-text citations and references are used correctly.
Points- 0-2 Points- 3 Points- 4 Points- 5
Spelling and Grammar
(5 Pts) Numerous spelling and grammar errors, which detract from the audience’s ability to comprehend material.
Some spelling and grammar errors, which detract from the audience’s ability to comprehend material. Few spelling and grammar errors. Minimal to no spelling and grammar errors.
Points- 0-2 Points- 3 Points- 4 Points- 5

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Assignment 02
Course Competency:
⦁ Design plans for care specific to the older adult.
Consider the scenario below, then follow the instructions underneath it to complete the assignment.
Mrs. Y
Mrs. Y is an 84-year-old client who was recently discharged from the hospital for an infected diabetic ulcer on her left leg. During her hospitalization, Mrs. Y required intravenous antibiotic therapy through a peripherally inserted central catheter (PICC) line.
Due to Mrs. Y’s long history of diabetes, her physician ordered that intravenous antibiotic therapy be continued at home. Subsequently, home health services were initiated, a home health nurse was assigned to Mrs. Y’s case, and an initial home visit was scheduled.
The home health nurse arrives at Mrs. Y’s home and introduces herself to the client and the family. The nurse explains the home nursing services that will be provided, including the PICC line and intravenous antibiotic therapy treatments.
During the initial home visit, the nurse assessed the physiological, psychological, functional, and safety needs of the client. The nurse’s findings were as follows:
⦁ Mrs. Y lives alone; however, her daughter checks on her frequently throughout the day.
⦁ The client is noted to have moderate functional issues and ambulates with a cane.
⦁ The client has several throw rugs in the main walking quarters and minimal lighting throughout the hallways.
⦁ Mrs. Y states “I used to get around my house with ease, but now I get a little tired and have to sit down and rest frequently.”

Consider Mrs. Y’s current health status and functional decline, then address the following:
⦁ Download the Concept Map and Plan of Care worksheet below. An example is also provided for your reference.
⦁ File: ⦁ Concept Map and Plan of Care worksheet
⦁ File: ⦁ Concept Map and Plan of Care example
⦁ Identify three (3) priority nursing diagnoses for Mrs. Y. Consider using the resource below to assist you.
⦁ eBook: Nursing Diagnosis Manual: Planning, Individualizing, and Documenting Client Care – ⦁ Chapter 5 Nursing Diagnoses in Alphabetical Order
⦁ Create a visual representation of the three (3) priority nursing diagnoses by incorporating them into the Concept Map (template in the worksheet). Be sure each nursing diagnosis includes the following elements:
a. “related to (r/t)” — description of the client’s problem
b. “as evidenced by” — description of the client’s symptoms
⦁ Complete the Nursing Plan of Care (table in the worksheet) describing what should be implemented for Mrs. Y.
a. Goals: Establish at least one (1) goal for each of the nursing diagnoses you identified (for a total of 3 goals). Goals should be: patient specific, measurable, actionable, realistic, and time limited.
b. Nursing Interventions: Describe at least three (3) nursing interventions for each of the goals (for a total of 9 nursing interventions). Each intervention should be in alignment with the goal it is supporting.
⦁ Complete the assignment using proper spelling, grammar, and APA.
For information about creating a concept map, consult the resource(s) below.
⦁ eBook: Nursing Diagnosis Manual: Planning, Individualizing, and Documenting Client Care, ⦁ Chapter 4 – Concept or Mind Mapping to Create and Document the Plan of Care
⦁ Q. ⦁ What is a concept map and how do I create one?

Assignment 03 (Discussion post)
Provide your responses to the questions in the answer box. Post by due date.
Janelle Waldrop is a 78-year-old woman who is living at her daughter’s home after having a mild cerebrovascular accident (CVA). She has some residual weakness on her right and needs assistance with ambulation and activity daily living. The current plan is to have Mrs. Waldrop stay with her daughter for a few weeks until she is stronger and safe enough to return to her own home. Her physician has authorized home health nursing and physical therapy to work on medication management, medication education, strengthening exercises, and safe ambulation techniques. Mrs. Waldrop is first seen by the home health registered nurse, who conducts the initial assessment.
1.Which portion of the health history will be most pertinent in planning the care needs of Mrs. Waldrop?
2.Discuss the functional assessment findings that may be encountered in a patient with a new-onset CVA. What will be a primary factor in getting Mrs. Waldrop moved back into her own home?
3.Which assessment tool will the home health registered nurse utilize during the initial visit? What are the benefits of using this tool? RC NUR 2214 Mod 5 Nursing Diagnoses Smart Goals & Interventions Discussion