I had started the discharge project on CVA stroke but it is not completed. Please complete it using the rubric and instruction. There is also a sample project from last year about diverticulitis. Please use the attached text books to assist. the patient is fictional. this is a final project and worth 20%. 

Thank you for your help. 

:
PATIENT WITH DIVERTCULITIS OF THE LARGE INTESTINE

Component 1: Objectives, clinical picture and concept map

Situation

Diagnosis

Name: B.C.R

Age: 78-year-old male

Physician/Surgeon: Mohammed I.G

Reason for Admission/Transfer: diverticulitis of the large intestine, with perforation and without bleeding

ED Admits-Did patient meet Sepsis Criteria: No

Component 1: Objectives, clinical picture and concept map

Pertinent History: Chronic obstructive pulmonary disease(COPD), depression, anxiety, obstructive sleep apnea, former smoker (0.5 packs/day, quit 03/01/19) and current alcohol user.

Pertinent assessments

Vital Signs: Temperature – 98-degree Fahrenheit, pulse -85, MAP -97 mmHg, BP – 150/71, Resp. 18.

GI: Soft, right abdominal tenderness, non-distended, bowel sound sluggish

GU: Urine is amber/yellow no odour and voiding without trouble

PAIN: 8.5/10, abdominal pain on a pain scale 1 to 10.

Component 1: Objectives, clinical picture and concept map

Pertinent assessments

Neuro: alert oriented, no gross motor deficits

Cardio/Vasc: Normal S1, S2, no murmurs

Skin: No rash, skin warm, intact and dry.

Respiratory: clear to auscultation bilaterally, no crackles or wheezes

I/O: Intake= 2493 mL, Output= 4145 mL

Drains/Tubes/Foley: Colostomy LLQ and NG tube

Dressings: Negative Pressure wound therapy

O2: 97 %

IV’s: 0.9% NaCl, Dextrose 10%, Fentanyl PCA, Piperacillin, Thiamine

Component 1: Objectives, clinical picture and concept map

REQUIREMENTS

Isolation: None

Fall Risk: YES

Restraints: NONE

Other: NPO

EVALUATE

Labs: Glucose, chlorine, sodium, calcium, blood urea nitrogen (BUN) test, hemoglobin, hematocrit and MCV blood test.

CORE MEASURES

Surgery/ Procedure took place on 10.4.2020

Component 1: Objectives, clinical picture and concept map

The objective is to develop a comprehensive discharge care plan for the patient as a cardinal part of the nursing care and to aid the care transition in a pertinent manner(Schieffer et al. 2018). The objective is also to develop a quality and safe plan that is important to note.

Component 2: Pathophysiology

Diverticulitis involves small abscesses or infection in one or more of the diverticula, or perforation of the bowel. The disorder pathogenesis that involves three major areas which is the colonic wall structural abnormalities, absence of fibers in the diet and lack of proper motility of the small intestine. There are various etiologi

N432 DISCHARGE

Cerebral vascular accident (CVA)

Clinical Instructor:

Student:

Component 1: Objectives, Clinical Picture.

SITUATION

Diagnosis: Ischemic stroke. Cerebral vascular accident (CVA)

Demographic data: 80-year-old female. Admitted post cardiogenic embolic stroke resulting in contralateral paralysis of the arm, leg, and face.

HISTORY

2

Pertinent History: Hypertension, peripheral vascular disease, type 2 diabetes, hyperlipidemia, Kidney injury.

Family History: Father & Sister- Hypertension. Mother- Diabetes.

Lifestyle Practices: Smoking: 3 pack per day smoker. Alcohol Use: 1 12 oz bear per day.

ASSESSMENT

Vital Signs: Temp – 98-degree Fahrenheit, pulse -90, MAP -97 mmHg, BP – 160/75, Resp. 18, O2: 97 % on 2L nasal cannula.

Neuro: Orientation: X4, Sensation: Numbness & weakness to the left leg. Neglect syndrome to left side. Paresthesia. Ataxia. Dysphagia

Cardio/Vasc: Left Anterior Descending Artery Stenosis. ST elevation. Normal S1, S2, no murmurs.

Raspatory: Diminished bilateral breath sounds at the base of the lungs.

Gastrointestinal : Dysphagia, constipation.

Genitourinary: Urinary incontinence.

Musculoskeletal: weakness to the left leg. Hemiplegia. Poor DTR.

I/O: Intake= 2532 mL, Output= 1587 mL.

Foley: Urinary catheter.

IV’s: 0.9% NaCl.

REQUIREMENTS

Isolation: N/A

Fall Risk: Active

Restraints: N/A

Other: Seizure precaution with Na+ = <135 mEq/L

EVALUATE

Tests: ECG, Echocardiogram, Clotting times, Stress test

Labs: BMP, CBC, Lipid panel, BNP test

Other: Hemodynamic monitoring (PAWP, CVP, CO, PAP

Component 1: Concept Map

9/3/20XX

Presentation Title

3

Agenda

Topic one

Topic two

Topic three

Topic four

Presentation Title

Agenda

With PowerPoint, you can create presentations and share your work with others, wherever they are. Type the text you want here to get started. You can also add images, art, and videos on this template. Save to OneDrive and access your presentations from your computer, tablet, or phone.

9/3/20XX

Presentation Title

5

Topic one

Subtitle

Chart

9/3/20XX

Presentation Title

7

Series 1 Category 1 Category 2 Category 3 Category 4 4.3 2.5 3.5 4.5 Series 2 Category 1 Category 2 Category 3 Category 4 2.4 4.4000000000000004 1.8 2.8 Series 3 Category 1 Category 2 Category 3 Category 4 2 2 3 5

Table

PATIENT HAND-OFF “SHARE” FORM (complete only what applies)
Sending Unit

___________

Time: ____________ Transferring RN: __________________

Receiving Unit
___________

Date: ____________ Receiving RN: ____________________ RM#:______________

Allergies:

S

SITUATION

DIAGNOSIS:
Name: ___________________________________________ Age: _________
Physician/Surgeon: ________________________________________________
Reason for Admission/Transfer: ______________________________________
_________________________________________________________________
_________________________________________________________________
ED Admits: Did patient meet Sepsis Criteria: ___ Yes ___ No
If yes, was the fluid bolus and antibiotics given: ___ Yes ___ No (If no,
to be addressed in ED)
Procedures: ______________________________________________________

H
HISTORY

HISTORY:
Pertinent History:
_________________________________________________________________

_________________________________________________________________

_________________________________________________________________

Meds:

Code Status:

A
ASSESSMENT

PERTINENT ASSESSMENT:
V.S. ___________________________________________________________________________________
Neuro: _________________________________________________________________________________
Cardio/Vasc: _____________________________________________ Phase 2:_______________________
Skin: __________________________________________________________________________________
Respiratory: _____________________________________________________________________________
GI: ____________________________________________________________________________________
GU: ___________________________________________________________________________________
Pain: _________________________________ / Intervention + / – __________________________________

I/O: ___________________________________________________________________________
Drains/Tubes/Foley: ______________________________________________________________
Dressings: ___________________________________ Other: ____________________________
O2: ________________________________________
IV’s: __________________________________________________________________________

R
REQUIREMENTS

REQUIREMENTS:
Isolation: ______________________________________________________________________________
Fall Risk: ______________________________________________________________________________
Restraints: _____________________________________________________________________________
Other: _________________________________________________________________________________

E
EVALUATE

THINGS TO EVALUATE NEXT INTERVAL CARE (if applicable):
Tests: ____________

Page 5 of 6

Methodist College

N432 Complex Health Alterations in Nursing Practice

Discharge Planning Project


Overview

Introduction: Discharge planning begins at the point of entry into the hospital. Third party payers as well as clients themselves demand quality care that includes well-planned, smooth, and timely discharge. As professional nurses, it is our responsibility to begin the discharge plan, to possess a fundamental knowledge of available resources, and to continually change the plan of care based on the status of the client.

Objective: Learners will develop and clearly communicate a comprehensive discharge plan of care that demonstrates critical thinking and accurately links community and medical surgical theory to practice.

Guidelines:

1. Each students will work alone to complete this project. Students will select a client that he/she cared for during the clinical rotation and who, at the time of care, was experiencing a complex alteration in health.

2. The discharge planning project will be presented in the form of a PowerPoint presentation. Dates of presentations will be determined by the clinical instructor.

3. Citations should be provided for information that is not the student’s own – i.e. pathophysiology, stats, etc. Personal communications should also be cited. Please follow APA for citations.

4. A reference list for citations should be included at the end of the PowerPoint presentation and should be submitted as a hard copy word document to your clinical instructor.

5. One PowerPoint slide should address each element that is bulleted with a blank box – i.e.

· Blank box

6. Submit the PowerPoint presentation in the electronic dropbox on the assigned date.

7. Submit one black and white “hard” copy of your PowerPoint presentation and a word processed reference list to the clinical faculty member evaluating your presentation on the day that you present.

8. Your presentation will be scored using the Discharge Project Presentation Scoring Rubric and the points earned will be entered into the course gradebook.

9. Students are encouraged to read and follow rubric in developing their projects and to note point deductions for critical errors noted at the end of the rubric.


Discharge Planning Project: Scoring Rubric

Total Points Possible: Pass/Fail Clinical

Name:

Evaluators:

07/24/15 April 9, 2019 11:12 AM rm_rn_2019_ams_FRONT-MATTER

RN ADULT MEDICAL SURGICAL NURSING I

RN Adult Medical Surgical Nursing
REVIEW MODULE EDITION 11.0

Contributors
Honey C. Holman, MSN, RN

Debborah Williams, MSN, RN

Sheryl Sommer, PhD, RN, CNE

Janean Johnson, MSN, RN, CNE

Brenda S. Ball, MEd, BSN, RN

LaKeisha Wheless, MSN, RN

Peggy Leehy, MSN, RN

Terri Lemon, DNP, MSN, RN

Consultants
Greta Lucinda Baldwin Mason, MSN, RN

Christi Blair, DNP, RN

Tracey Bousquet, BSN, RN

Valerie S. Eschiti, PhD, RN,
AHN-BC, CHTP, CTN-A

Penny Fauber, PhD, MS, BSN, RN

Sara Hoffmann, MSN, RN

Tomekia Luckett, PhD, RN

Donna Russo, RN, MSN, CCRN, CNE

Melanie P. Schrader, PhD, RN

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II CONTENT MASTERY SERIES

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