Mr. K. is a 57-year-old man who consulted his physician after noticing marked leg pains while playing golf. He had previously noticed increasing fatigue and discomfort in his legs associated with moderate exercise. When sitting for extended periods with legs dangling, his legs became red, and sometimes his feet felt numb. His history indicates he smokes cigarettes and is , . His blood cholesterol and other lipid levels are abnormal, and his physician suspects peripheral atherosclerosis as the cause of his discomfort.
Case Study Rubric Criteria Mark Demonstrates synthesis of the case study and appropriate assessments, priorities, interventions, evaluations by answering the case study questions. (2 marks for each question) /dependant on case Care Plan Assessment is appropriate (see further details in the care plan creator for specifics for each section): 1. Assessment Data (2 marks) 2. Nursing Diagnosis/Priority Problem (2 marks) 3. Planning/Goals using SMART format – 2 goals (2 marks) 4. Interventions (1 intervention for each goal with rationale and in-text citation) (4 marks) 5. Evaluation – has appropriate timeline – (2 marks) /12 APA 7th edition – in-text citation and reference page (not formatted d/t using the care plan creator) /4 Clearly written and understandable /2 Grammar, Punctuation and Spelling. /1 Total Marks /dependent on case Weighted Grade /20% Cardiovascular Case Study Read the following Case Scenario. Answer the following questions. After answering the questions, use the "Care Plan Creator" to create a Plan for Care for this patient. Submit both the answers to the questions and the Plan of Care for this assignment. See Rubric on Rubric Page for Marking Details. Mr. K. is a 57-year-old man who consulted his physician after noticing marked leg pains while playing golf. He had previously noticed increasing fatigue and discomfort in his legs associated with moderate exercise. When sitting for extended periods with legs dangling, his legs became red, and sometimes his feet felt numb. His history indicates he smokes cigarettes and is chronically overweight. His blood cholesterol and other lipid levels are abnormal, and his physician suspects peripheral atherosclerosis as the cause of his discomfort. Case Study Questions 1. Discuss the development of atherosclerosis, including the predisposing factors in this case and the pathophysiological changes. (See Atherosclerosis.) 2. Discuss the complications that might develop in this patient. (See Atherosclerosis—Pathophysiology, Signs and Symptoms.) 3. Discuss the treatments for all aspects of the patient’s condition, including slowing the progress of the atherosclerosis, maintaining circulation in the leg, and treating complications. (Include both pharmacological and non-pharmacological treatments - don't forget to include any assessments or monitor that needs to happen with these treatments and any patient education required) 4. What patient education would be important for this patient? What Social Determinants of Health and health promotion would be important to include in this patients education/planning. Care Plan Analysis Care Plan Analysis Name & Student Number Assessment Data Nursing Diagnosis/Priority Problem Plan/Goals Interventions Evaluation Export your Care Plan Here! Nursing Diagnosis/Priority Problem The first step in creating a care plan is to identify your priority problem and create a nursing diagnosis. To do this you will need the following information: 1. The "Priority Problem" that you will be addressing first 2. Patient Assessment Data that supports the priority problem It can be written in the following format: Problem Related to (R/T) Diagnosis/Issue on admission or reason for you seeing them as evidenced by (AEB) Sypmtoms that support the problem. Example: Pain R/T Query Bowel Obstruction AEB Pain score 9/10, HR 142, BP 135/65, patient moaning in pain. Enter your Nursing Diagnosis/Priority Problem Statement Here Assessment Data Use this section to gather all of the assessment data related to your patient. Enter your assessment data here: Nursing Diagnosis/Priority Problem The first step in creating a care plan is to identify your priority problem and create a nursing diagnosis. To do this you will need the following information: 1. The "Priority Problem" that you will be addressing first 2. Patient Assessment Data that supports the priority problem It can be written in the following format: Problem Related to (R/T) Diagnosis/Issue on admission or reason for you seeing them as evidenced by (AEB) Sypmtoms that support the problem. Example: Pain R/T Query Bowel Obstruction AEB Pain score 9/10, HR 142, BP 135/65, patient moaning in pain. Enter your Nursing Diagnosis/Priority Problem Statement Here Plan/Goals The next step in a care plan is to develop goals for/with the patient and their support system. Remember that these goals need to be SMART S: Specific - "The patient will....." M: Measurable - "The patient will..." A: Attainable - Do you/patient have the resources (physical/mental/spiritual/emotional) needed to do this? R: Realistic/Relevant - Is your goal relevant for your patient? Is it realistic given the current circumstance? Ex. Are you trying to run before you have been able to walk 5 feet? T: Timely - MUST match both the need and priority for the patient. For example: reducing pain from 8/10 post-op is not a 4-hour goal, it is a 30 min max goal. Here is a quick video to remind you how to do this: Click for video! Interventions The next step in a care plan is the NURSING Interventions. For every goal, you need to have ONE nursing intervention. The intervention must have a rationale (why it will help to resolve the symptoms or issue identified in the goal) and it must be supported by scholarly evidence which will be in-text cited using APA 7th edition. If you need a refresher on Nursing Interventions check out this video: Click here for video! Goal #1 Intervention goes here. Goal #2 Intervention goes here. Evaluation A care plan is never complete without an evaluation of IF or HOW you will measure the success of the intervention. Because this care plan is for a simulated patient, you are pretending that you have done the intervention and will write your evaluation as if you have completed the intervention. You can choose for the intervention to be sucessful or not. If you choose for it to NOT be sucessful you must include that you will re-assess and when that re-assessment is needed. Example: Will re-assess in 2 hours. You need to write an evaluation statement for each intervention. The evaluation MUST include the time frame statement from the goal. Example: If you goal says - "In 30 minutes the patient will experience a decrease in pain" then your evaluation statement will say: "After 30 minutes the patient's pain has decreased from 8/10 to 2/10, I will re-assess patients pain again in 2 hours". Evaluation for Goal #1's Intervention Goes Here! Goal #2 Intervention Evaluation statement goes here. Case Study Rubric Criteria Mark Demonstrates synthesis of the case study and appropriate assessments, priorities, interventions, evaluations by answering the case study questions. (2 marks for each question) /dependant on case Care Plan Assessment is appropriate (see further details in the care plan creator for specifics for each section): 1. Assessment Data (2 marks) 2. Nursing Diagnosis/Priority Problem (2 marks) 3. Planning/Goals using SMART format – 2 goals (2 marks) 4. Interventions (1 intervention for each goal with rationale and in-text citation) (4 marks) 5. Evaluation – has appropriate timeline – (2 marks) /12 APA 7th edition – in-text citation and reference page (not formatted d/t using the care plan creator) /4 Clearly written and understandable /2 Grammar, Punctuation and Spelling. /1 Total Marks /dependent on case Weighted Grade /20%