The diagnosis given is that of Cirrhosis. I am attaching the grading rubric with the scenario.
James Alverez is a 52 y.o., recently divorced, Hispanic male; new patient who arrives at the community health clinic for an appointment with a primary care NP. His chief complaint of abdominal pain and vomiting, fatigue, and weight loss. He notes that although he has experienced overall weight loss, his stomach “looks huge.” As his history is taken, he notes no alcohol use. In speaking with him, the NP notices a yellow tinge to the whites of his eyes. During examination, the NP notes organomegaly in the right upper quadrant.
In a document not to exceed four double-spaced pages:
1 What would be your priority diagnosis for James?
2 Identify the organ and describe the pathophysiological processes, which may have caused the organomegaly. Within your description, place in bold font the key pathophysiological concepts (terms).
3 Develop a comprehensive and holistic plan of care for this patient based on James’ diagnosis.. Include recommendations for follow-up with the NP. Incorporate a population-based component to James’ plan of care.
Include citations from the text or the external literature. Please use the Assignment 3 rubric below to help you complete this assignment.
Assignment 3 Grading Rubric
Competency 20 Points 12 Points 6 Points 0 Points Points Earned
Nursing Application and Analysis of Content with Connection to Expert Nurse Level Knowledge Base Establishes very high level of nursing knowledge application and analysis to assignment that equates to the expert practice nurse knowledge base. Briefly describes application to nursing knowledge or that knowledge is not of an expert nurse but more than a novice nurse base knowledge. Level of nursing knowledge is of a novice nurse with little application or support to expert nurse practice. Does not include established nursing knowledge base and/or does not apply this to current clinical practice. /20
Teaching Considerations Evidence of intentional inclusion of patient and family teaching considerations which is sensitive to diversity, demographics and education level as necessary for the assignment. These are well supported in the literature and demonstrate clear positive impact on compliance with excellent patient outcomes. Moderate attempt to demonstrate patient and family inclusion in teaching approaches. Some consideration given to sensitive factors which would positively impact patient receptivity and implementation for impact on patient outcomes. Little demonstration of awareness and inclusion of patient and family sensitive teaching considerations. Impact on outcomes is not clearly addressed but can be inferred. No attempt to demonstrate sensitive approach to patient and family teaching considerations. Impact on outcomes is not addressed. /20
Critical thinking Pathophysiology content and integration with current best practice standards (supported by the scholarly literature) are used to construct critical examination and application of concepts and content. Connection between pathophysiology knowledge and current best practices is stated but now well supported with scholarly sources and/or weakly used to construct examination and application of concepts and constructs. Integration of pathophysiology and current best practice standards are anecdotal and not supported by the literature or are outdated based on current best practice standards. Little attempt to apply knowledge in examination and application to concepts and constructs. No attempt to integrate pathophysiology and current best practice standards in examination and application to constructs and concepts with no support from relevant, scholarly literature. /20
Scholarly, evidence based, current standards of practice, Sources: 3-5+ Current, relevant and authoritative scholarly sources are used to support content. Demonstrates current, evidence-based standards of practice. Minimum of 3-5+ sources. Moderate inclusion of current, relevant and authoritative scholarly sources are used to support content. Demonstrates occasional current, evidence-based standards of practice. Little attempt to include current, relevant and authoritative scholarly sources are used to support content. Or, information is purely anecdotal or not current, evidence-based practice knowledge. No attempt to use current, relevant and authoritative scholarly sources to support content. Does not demonstrate current, evidence-based standards of practice. /20
Competency 5-4 Points 2-3 Points 1 Point 0 Point Points Earned
Organization Organization excellent, ideas clear and arranged logically, transitions smooth, no flaws in logic. Organization good; ideas usually clear and arranged in acceptable sequence; transitions usually smooth, good support Organization minimally effective; problems in approach, sequence, support and transitions Organization does not meet requirements /5
Grammar Grammar, punctuation, mechanics, and usage correct and idiomatic, consistent with Standard American English Grammar, punctuation, mechanics, and usage good mostly consistent with Standard American English; errors do not interfere with meaning or understanding Grammar, punctuation, mechanics and usage distracting and often interfere with meaning or understanding Grammar, punctuation, mechanics, and usage interfere with understanding /5
APA Format Demonstrates competent use of mechanics and APA Minimal APA errors Many APA errors Complete lack of understanding /5
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