Introduction (patient and problem)
Explain who the patient is (Age, gender, etc.)
Explain what the problem is (What were they diagnosed with, or what happened?)
Introduce your main argument (What should you as a nurse focus on or do?)
Explain the disease (What are the symptoms? What causes it?)
Explain what health problems the patient has (Have they been diagnosed with other diseases?)
Detail any and all previous treatments (Have they had any prior surgeries or are they on medication?)
Nursing Physical Assessment
List all the patient’s health stats in sentences with specific numbers/levels (Blood pressure, bowel sounds, ambulation, etc.)
Explain what treatments the patient is receiving because of their disease
Nursing Diagnosis & Patient Goal
Explain what your nursing diagnosis is (What is the main problem for this patient? What need to be addressed?)
Explain what your goal is for helping the patient recover (What do you want to change for the patient?)
Explain how you will accomplish your nursing goals, and support this with citations (Reference the literature)
Explain how effective the nursing intervention was (What happened after your nursing intervention? Did the patient get better?)
Explain what the patient or nurse should do in the future to continue recovery/improvement
Introduction summarizes the case comprehensively and prepares the reader for the remainder of the paper.
Identifies and thoroughly explains the pathogenesis of the disease topic. Information is scientifically sound, thorough, supported and sufficient.
Provides a detailed patient history, physical assessment findings, treatment, and related treatments for the disease topic. Information is scientifically sound, thorough, supported and sufficient.
Provides thorough and detailed nursing diagnosis and patient goal. Information is scientifically sound, supported and sufficient.
Thoroughly details the nursing interventions. Detailed explanation of nursing goals. Rationale is thorough, supported and sufficient.
Provides thorough and insightful explanation of the effectiveness of the nursing intervention. Information is scientifically sound, supported and sufficient in detail
Provides an overall thorough explanation of patient recommendations. Clinical findings are supported with evidence, compared and rationalized thoroughly. Recommendations for continued recovery/improvement explained and supported.
Meets all the requirements related to length. There is a minimum of 3 scholarly resources with at least 1 non-internet source. All references are correctly cited in APA format. The student shows a solid grasp of APA formatting, paraphrasing and citations.
Answers are well written throughout. Information is well organized and clearly communicated.The writing is free of spelling and grammatical errors.
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