|Course Code||Class Code||Assignment Title||Total Points|
|NRS-451VN||NRS-451VN-O500||Health Organization Evaluation||180.0|
|Criteria||Percentage||Unsatisfactory (0.00%)||Less Than Satisfactory (65.00%)||Satisfactory (75.00%)||Good (85.00%)||Excellent (100.00%)||Comments||Points Earned|
|Health Care Organization or Network||15.0%||Health care organization or network is not described.||Health care organization or network is partially presented. There are significant omissions and inaccuracies.||Health care organization or network is summarized. Some information is needed. There are minor inaccuracies related to the representation of the organization or network.||Health care organization or network is described. Some detail is needed for clarity.||Health care organization or network is clearly and accurately described.|
|Assessment of Overall Organizational Readiness||15.0%||Assessment of overall organizational readiness is omitted.||Assessment of overall organizational readiness is partially presented. There are significant omissions. Degree of organizational readiness is not established.||Assessment of overall organizational readiness is summarized. Degree of organizational readiness is partially established. More information, rationale, and support are needed.||Assessment of overall organizational readiness is described. Degree of organizational readiness is generally established. Some evidence or rationale is needed for support.||Assessment of overall organizational readiness is described in detail. Degree of organizational readiness is established. Strong evidence and rationale support the assessment.|
|Strategic Plan||20.0%||Strategic plan is omitted.||Strategic plan is partially presented. Plan contains major omissions. The plan fails to address issues outlined in the assignment criteria.||The strategic plan generally addresses network growth, nurse staffing, resource management, and patient satisfaction. More information, rationale, and support are needed.||The strategic plan addresses network growth, nurse staffing, resource management, and patient satisfaction. Some evidence or rationale is needed for support.||The strategic plan is well developed. Network growth, nurse staffing, resource management, and patient satisfaction are addressed in detail. The plan is supported with strong evidence and rationale.|
|Identification of Current or Potential Issues in Organizational Culture and Impact of These to Strategic Plan||15.0%||Current or potential issues in the organizational culture and the impact of these to strategic plan are omitted.||Current or potential issues in the organizational culture are partially summarized. The potential impact of these on the strategic plan is unclear. There are omissions and inaccuracies throughout.||Current or potential issues in the organizational culture are generally discussed. The impact of these on the strategic plan is summarized. Evidence and rationale are needed to support claims.||Current or potential issues in the organizational culture and the potential impact of these on the strategic plan are discussed. Some evidence or rationale is needed.||Current or potential issues in the organizational culture are clearly identified. The potential impact of these on the strategic plan is thoroughly described and supported with evidence and rationale.|
|Theory or Model to Support Implementation of Strategic Plan||15.0%||Theory or model to support strategic plan implementation is omitted.||Theory or model to support strategic plan implementation is partially described. It is unclear how the theory or model would support implementation of strategic plan for the organization.||Theory or model to support strategic plan implementation is proposed. The theory or model demonstrates some support for implementation of the strategic plan for the organization. It is unclear why this theory or model is the best choice. More information is needed.||Theory or model to support strategic plan implementation is proposed. The theory or model demonstrates support for implementation of the strategic plan for the organization. General rationale is provided for why the theory or model is the best choice.||Theory or model to support strategic plan implementation is proposed. The theory or model demonstrates strong support for implementation of the strategic plan for the organization. Compelling rationale supports why the theory or model is the best choice.|
|Organization, Effectiveness, and Format||20.0%|
|Thesis Development and Purpose||5.0%||Paper lacks any discernible overall purpose or organizing claim.||Thesis is insufficiently developed or vague. Purpose is not clear.||Thesis is apparent and appropriate to purpose.||Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.||Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.|
|Argument Logic and Construction||5.0%||Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.||Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.||Argument is orderly but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.||Argument shows logical progression. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.||Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.|
|Mechanics of Writing (includes spelling, punctuation, grammar, language use)||5.0%||Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.||Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied.||Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed.||Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.||Writer is clearly in command of standard, written, academic English.|
|Paper Format (use of appropriate style for the major and assignment)||2.0%||Template is not used appropriately, or documentation format is rarely followed correctly.||Appropriate template is used, but some elements are missing or mistaken. A lack of control with formatting is apparent.||Appropriate template is used. Formatting is correct, although some minor errors may be present.||Appropriate template is fully used. There are virtually no errors in formatting style.||All format elements are correct.|
|Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)||3.0%||Sources are not documented.||Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.||Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.||Sources are documented, as appropriate to assignment and style, and format is mostly correct.||Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.|
It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.
Evaluate the Health History and Medical Information for Mrs. J., presented below.
Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.
Health History and Medical Information
Mrs. J. is a 63-year-old married woman who has a history of hypertension, chronic heart failure, and chronic obstructive pulmonary disease (COPD). Despite requiring 2L of oxygen/nasal cannula at home during activity, she continues to smoke two packs of cigarettes a day and has done so for 40 years. Three days ago, she had sudden onset of flu-like symptoms including fever, productive cough, nausea, and malaise. Over the past 3 days, she has been unable to perform ADLs and has required assistance in walking short distances. She has not taken her antihypertensive medications or medications to control her heart failure for 3 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure and acute exacerbation of COPD.
1. Is very anxious and asks whether she is going to die.
2. Denies pain but says she feels like she cannot get enough air.
3. Says her heart feels like it is “running away.”
4. Reports that she is exhausted and cannot eat or drink by herself.
1. Height 175 cm; Weight 95.5kg.
2. Vital signs: T 37.6C, HR 118 and irregular, RR 34, BP 90/58.
3. Cardiovascular: Distant S1, S2, S3 present; PMI at sixth ICS and faint: all peripheral pulses are 1+; bilateral jugular vein distention; initial cardiac monitoring indicates a ventricular rate of 132 and atrial fibrillation.
4. Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%.
5. Gastrointestinal: BS present: hepatomegaly 4cm below costal margin.
The following medications administered through drug therapy control her symptoms:
1. IV furosemide (Lasix)
2. Enalapril (Vasotec)
3. Metoprolol (Lopressor)
4. IV morphine sulphate (Morphine)
5. Inhaled short-acting bronchodilator (ProAir HFA)
6. Inhaled corticosteroid (Flovent HFA)
7. Oxygen delivered at 2L/ NC
Critical Thinking Essay
In 750-1,000 words, critically evaluate Mrs. J.’s situation. Include the following:
1. Describe the clinical manifestations present in Mrs. J.
2. Discuss whether the nursing interventions at the time of her admissions were appropriate for Mrs. J. and explain the rationale for each of the medications listed.
3. Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition.
4. Taking into consideration the fact that most mature adults take at least six prescription medications, discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide a rationale for each of the interventions you recommend.
5. Provide a health promotion and restoration teaching plan for Mrs. J., including multidisciplinary resources for rehabilitation and any modifications that may be needed. Explain how the rehabilitation resources and modifications will assist the patients’ transition to independence.
6. Describe a method for providing education for Mrs. J. regarding medications that need to be maintained to prevent future hospital admission. Provide rationale.
7. Outline COPD triggers that can increase exacerbation frequency, resulting in return visits. Considering Mrs. J.’s current and long-term tobacco use, discuss what options for smoking cessation should be offered.
You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.
Prepare this assignment according to the guidelines found in the APA Style Guide,