¿ cuáles son los factores de riesgos basado en la evidencia que tiene maritza ?¿ cuál debe ser la información que se le debe proveer H e a l t h M e d i c a l

¿ cuáles son los factores de riesgos basado en la evidencia que tiene maritza ?¿ cuál debe ser la información que se le debe proveer H e a l t h M e d i c a l

INSTRUCCIONES:

Situación: Maritza mujer de 66 años con diagnóstico de cáncer invasivo. Sera sometida una mastectomía derecha y quimioterapia. Tiene historial familiar de cáncer en la madre y la tía. Refiere sentirse ansiosa debido a que su hermana mayor fue diagnosticada con cáncer de ovario. Es casada y tiene dos hijas adultas que viven con sus familias en otro estado. Refiere estar preocupada por la predisposición que tienen sus hijas al cáncer de seno y ovario.

Conteste:

  • ¿Cuáles son los factores de riesgos basado en la evidencia que tiene Maritza?
  • ¿Cuál debe ser la información que se le debe proveer a ella y por qué?
  • ¿Qué se le debe explicar a ella sobre la quimioterapia para que se sienta segura?

Recuerde.

1. Realice la lectura de la pagina 1455 de su libro de texto.

2. Realice una introducción presentando el caso desde su punto de vista y su análisis del mismo.

3. Realice un plan de cuidado utilizando el caso presentado, y añádale la información que necesité para completar el caso. Utilice formato de la institución.

4. Utilice etiqueta NANDA y construya el diagnostico en formato PES.

5. Recuerde realizar una conclusión explicando el porqué de sus intervenciones de enfermería justificándolas con teorizantes de enfermería.

6. Finalicé con las referencias utilizadas para la elaboración del estudio de caso que estén actualizadas (no más de 5 años) y de fuentes confiables en estilo APA.

Referencias: Ignatavicius, D. D., Workman, M. L., & Rebar, C. R.(2018). Medical-surgical nursing: Concepts for interprofessional collaborative care (9th ed.). St. Louis, MO: Elsevier Saunders.

Rubrica

Rubric

Estudio de Caso

44 possible points

Excellent

4 points

Very Good

3 points

Satisfactory

2 points

Deficient

1 point

Not Present

0 points

Presentation

–/4 points

Formality of the written presentation.

Include in the task a cover with identification of the institution and the program, name and student number of each participant, and date of delivery.

Include in the task a cover with identification of the institution and the program, name and student number of each participant.

Include in the task a cover with identification of the institution and the program, and name of students.

Include in the task a cover with identification of the institution and the program.

Student did not complete assignment and delivery in the period assigned.

Assessment

–/4 points

Includes domain, needs, subjective and objective data and focal stimulus that support nursing diagnosis.

Utilizes multiple sources for data. Correctly identifies subjective and objective data which is clear, specific, and relevant. All data is clustered in a coherent manner and is related to a nursing diagnosis.

Identifies some significant, accurate and relevant data from more than one source. Does not consistently identify subjective and objective data correctly. Most assessment data supports nursing diagnosis.

Assessment portion is incomplete or inaccurate. Assessment data is not well organized. Subjective and objective data are not identified. Assessment data is irrelevant or does not support nursing diagnosis.

Student did not complete assignment and delivery in the period assigned.

Nursing Diagnosis

–/4 points

The diagnoses are identified and are clearly supported by assessment data, and reflect accurate clinical judgement. They are appropriate for patient, well prioritized, NANDA 2018-20 approved, and written in correct format.

One or two diagnosis are identified that are appropriate for patient and are NANDA 2018-20 approved and clearly supported by assessment data. May not be listed in order of priority, or lack the proper format.

Diagnosis portion is incomplete or irrelevant. Diagnosis not clearly supported by assessment data.

Diagnosis are not NANDA 2018-20 approved, appropriate for patient or not prioritized. Diagnosis not clearly supported by assessment data.

Student did not complete assignment and delivery in the period assigned.

Outcomes and Planning

–/4 points

Short and long term outcomes are identified that clearly relate to the nursing diagnosis, are written in a patient focused manner, and are realistic. Each outcome’s contains clear criteria for measurement and a time frame for evaluation.

Outcomes statements are identified that relate to the nursing diagnosis, and are patient focused. Criteria for measurement included but may not be clear or contain realistic time frame for evaluation.

Outcomes statement are not relevant to nursing diagnosis’s. Outcomes are consistently not client centered, measurable or have achievable target dates.

Outcomes portion is incomplete or completely unrelated to nursing diagnoses.

Student did not complete assignment and delivery in the period assigned.

Implementation

–/4 points

Identifies all specific interventions for each outcome criteria in order to help the patient/family reach the desired goal. Interventions are specific in action and frequency, and include rationales which are researched and clearly referenced with very reliable sources.

Identifies at least 3-4 specific interventions for each outcome criteria in order to help the patient/family reach the desired goal. Interventions are specific in action and frequency, and include rationales which are researched and clearly referenced with very reliable sources.

Identifies two or less interventions for each outcome that relate to the etiology of the nursing diagnosis. Not all interventions may be specific. Rationales included but may be weak, or references are incomplete or from sources that may not be reliable.

Interventions are unclear or do not clearly focus on the etiology of the nursing diagnosis or relate to patient goal outcomes.
Rationales provided do not demonstrate an understanding of the purpose of the interventions or no references are provided.

Student did not complete assignment and delivery in the period assigned.

Evaluation

–/4 points

Evaluation portion contains data that is listed as criteria in outcomes statement and lists expectations for meeting the goal. Clear explanation of the criteria for goals being met, partially met, or not met. Includes plan for continuation or revision, clearly referenced rationale for revisions from reliable sources, and a new evaluation date/time.

The evaluation contains data that are listed as criteria in the statement of results and lists the expectations to achieve the goal. There is no clear explanation of the criteria to meet the results, partially meet or not meet them. It does not include a plan for the continuation or revision, the clearly mentioned reasons for reviews of reliable sources and a new date / time of evaluation

Clearly states how each outcome would be evaluated. Able to correctly identify criteria for goal being met, partially met, or unmet. Identifies revisions for care plan but may not include accurate rationale for revision or references may be from sources that may not be reliable, or a new date is not provided for reevaluation.

Evaluation portion does not consistently contain data that is listed as criteria in outcomes statement. May also not describe outcomes as met, partially met, or not met. May also not include revision or new evaluation date/time.

Student did not complete assignment and delivery in the period assigned.

Reflection

–/4 points

Reflect critically in 15 sentences or more on the importance of the concepts raised in the guide for nursing discipline.

Reflect critically in 15 sentences or more on the importance of the concepts raised in the guide for nursing discipline.

Reflect critically in 10 sentences or more on the importance of the concepts raised in the guide for nursing discipline.

Reflect critically in 5 sentences or more on the importance of the concepts raised in the guide for nursing discipline.

Reflect critically in 4 sentences or less on the importance of the concepts raised in the guide for nursing discipline.

It does not reflect.

Professionalism

–/4 points

Identifies implications for the practice of nursing discipline.

Identify implications for the practice of nursing discipline in 15 sentences or more. Providing always valid and verifiable arguments through scientific evidence.

Identify implications for the practice of nursing discipline in 10 sentences or more. Providing almost always valid and verifiable arguments through scientific evidence.

Identify implications for the practice of nursing discipline in 5 sentences or more. Providing sometimes valid and verifiable arguments through scientific evidence.

Identify implications for the practice of nursing discipline in 5 sentences or less. It does not provide valid and verifiable arguments through scientific evidence.

It does not identify implications for the practice of nursing.

Conclusion

–/4 points

Summarize the learning obtained through the answers of the study guide.

Make a critical, analytical and profound summary of the learning obtained in 15 sentences or more. Includes at least 3 citations of authors of updated nursing references that support their approaches.

Make a critical, analytical summary, but with less depth of learning obtained in 10 sentences or more. Include at least 2 contributions from authors of updated nursing references that support their approaches.

Make a summary of learning obtained in 5 sentences or more. Include at least 1 contribution from authors of updated nursing references that support their approaches.

Make a short summary of the learning obtained in less than 5 sentences. It does not include contributions from authors of updated nursing references that support their approaches.

It does not include a summary of the learning obtained. It does not include contributions from authors of updated nursing references that support their approaches.

References

–/4 points

The student cites authors of recent references (5 years or less of published) related to the topic of the discussion forum, written according to the latest edition of APA.

Sometimes the student cites authors of recent references (5 years or less of published) related to the topic of the discussion forum, written according to the latest edition of APA.

On rare occasions the student cites authors of recent references (5 years or less of published) related to the topic of the discussion forum, written according to the latest edition of APA.

The student never cites authors of recent references (5 years or less of published) related to the topic of the discussion forum, written according to the latest edition of APA.

Does not include references in the task.

Nursing Note

–/4 points

Includes for this case along with the care plan, the nursing progress note with date, time, focus, data, action and evaluation.

It includes the nursing progress note with date, time, focus, but the data, action and evaluation are not clear.

It includes the nursing progress note with date, time, focus, data, action, but the evaluation does not appear and the identified focuses are not clear.

It includes the nursing progress note, but does not consider the format FOCUS CHARTING in the writing.

Does not include the nursing progress note.