NURS 6521 Week 7 ASSIGNMENT: CASE STUDIES
Walden University NURS 6521 Week 7 ASSIGNMENT: CASE STUDIES – Step-By-Step Guide
This guide will demonstrate how to complete the Walden University NURS 6521 Week 7 ASSIGNMENT: CASE STUDIES assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.
How to Research and Prepare for NURS 6521 Week 7 ASSIGNMENT: CASE STUDIES
Whether one passes or fails an academic assignment such as the Walden University NURS 6521 Week 7 ASSIGNMENT: CASE STUDIES depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.
After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.
How to Write the Introduction for NURS 6521 Week 7 ASSIGNMENT: CASE STUDIES
The introduction for the Walden University NURS 6521 Week 7 ASSIGNMENT: CASE STUDIES is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.
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How to Write the Body for NURS 6521 Week 7 ASSIGNMENT: CASE STUDIES
After the introduction, move into the main part of the NURS 6521 Week 7 ASSIGNMENT: CASE STUDIES assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.
Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.
How to Write the Conclusion for NURS 6521 Week 7 ASSIGNMENT: CASE STUDIES
After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.
How to Format the References List for NURS 6521 Week 7 ASSIGNMENT: CASE STUDIES
The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.
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Sample Answer for NURS 6521 Week 7 ASSIGNMENT: CASE STUDIES
Case Studies
Several factors are usually considered before prescribing medications to patients. This includes, patient factors, drug pharmacokinetic and pharmacodynamics properties, and drug-to-drug interactions. The purpose of this paper is to discuss different clinical case studies that involve different patients, review patient and drug factors, and formulate efficient treatment plan.
Case 1
Mary is a 35-year-old woman who has been diagnosed with hypothyroidism and her TSH is 20. She has a two-month history of iron deficiency anemia and her current medications include Kelp, ibuprofen, and ethinyl estradiol/norgestrel one tablet daily. What medication would you start this patient on for her hypothyroidism? How would you monitor this patient’s response to the medication? What education would you provide regarding her medications and their interactions?
To manage her hypothyroidism, I would prescribe Mary levothyroxine 112mcg PO QD and do six weekly thyroid biochemical tests to check on the TSH, T3, and T4 levels (Caron et al., 2022). A positive response to the levothyroxine prescribed would be a gradual decrease in TSH levels and an increase in T3 and T4 until an euthyroid state is achieved.
It is also crucial to consider her prior prescribed medications for drug interactions. For example, I would advise Mary to stop taking her Kelp tablets as they are rich in iodine content. The iodine content may alter levothyroxine activity and cause an unprecedented hyperthyroidism. In addition, I would advise Mary to stop taking herethinyl Estradiol/norgestrel tablets until an euthyroid state is achieved (Caron et al.,2022). This is because the tablets contain estrogen, which causes an increase in thyroxine-binding hormone (TBG). As a result, there is a decrease in the amount of unbound T4 in the blood, causing sub-optimal responses to levothyroxine.
Case 2
Joe is a 48-year-old male diagnosed with Type II Diabetes Mellitus for a year ago. He has controlled his blood glucose through dietary changes. He has hypertension and is currently on Lisinopril 20 mg po daily. He has no known allergies. His lab work includes these results: fasting BG is 225 mg/dL; HgA1C = 7.5%. Basic Metabolic Profile (BMP) is normal except for a Cr of 2.0 and eGRF of 28. What treatment plan would you implement for Joe? What medications would you prescribe and how would you monitor them? What education would you provide regarding his treatment plan?
In this case I would prescribe John glimepiride 1mg PO Q Day and Degludec 10 units subcutaneously and maintain the Lisinopril 20mg PO daily to ensure controlled blood glucose and pressure (Ni et al., 2022). I would also do would regular urea, electrolytes, and creatinine (UECs) tests, fasting blood glucose, blood pressure measurements, and Hb1C levels to help monitor the drugs where a decrease in creatine, HbA1C, and fasting blood glucose while an increase in eGFR would show an improvement.
I would also emphasize to the patient to maintain his current diet and encourage him to exercise and be physically active to help control his blood sugars and reduce the need to increase the current medication doses. I would also inform the patient of the importance of medication compliance and follow-up visits as they contribute to improved health outcomes (Ernawati et al., 2021). Lastly, I would educate the patient on the warning signs of worsening renal function, such as pedal and facial edema, confusion, and nausea, among other symptoms, and recommend to him to available renal centers and nephrologists.
Case 3
Jose is a 55-year-old truck driver being evaluated for his commercial driver’s license. He has a known history of diabetes mellitus type II. Current medications include Metformin 1000 mg Bid, Glipizide 20 mg po daily. Diltiazem 120 mg po BID. He is allergic to sulfa. Lab results show a fasting blood glucose of 325 mg/dL, HgA1C = 10.6%. Basic metabolic Profile is normal. What treatment plan would you implement for Jose? What medications would you prescribe and how would you monitor them? What education would you provide regarding his treatment plan?
I would maintain the metformin 100mg BID and diltiazem 120mg PO BID but prescribe additional degludec ten units subcutaneously OD and sitagliptin 100mg PO OD to help attain glycemic control and atorvastatin 20mg PO at bedtime to help lower lipid levels and reduce incidences of coronary artery and cerebrovascular diseases (Ni et al., 2022). I would discontinue glipizide due to his sulfa allergy. To monitor the medications, I would do regular fasting blood sugars, HbA1C, and lipid levels for the patients to check if there is a response to their current medication and perform regular renal function tests to ensure optimal doses are being prescribed. Also, I would start by educating the him on diabetes and its complications, the medications, and what glycemic control is. In addition, I encourage the patient to ensure medication compliance and emphasize the need for nutritious diets that are low in carbohydrates and sugars and regular exercise as ways of attaining glycemic control (Ernawati et al., 2021). Lastly, I emphasize on need for regular follow-up visits for close monitoring.
Case 4
Jenny is a 63-year-old woman with complaints of heartburn 4 to 5 times a week over the past 3 months. Her symptoms are worse at night after going to bed. Her heartburn is worse, and she coughs a lot at night. She has tried OTC Prevacid 24 hour once daily for the past 2 weeks. This has helped the symptoms some, but she is still bothered by them. Current medications include Diltiazem CD 120 mg PO once daily, Hydrochlorothiazide 25 mg PO once daily, Metformin 500 mg PO twice daily, Aspirin 81 mg PO daily, Fluticasone/salmeterol DPI 100 mcg/50 mcg one inhalation twice daily. Your working diagnosis for this patient is GERD. What treatment plan would you implement for Jenny? What medications would you prescribe and how would you monitor them? What education would you provide regarding her treatment plan?
To effectively manage Jenny, I would discontinue aspirin for this patient as it is a non-steroidal anti-inflammatory drug that predisposes the patient to gastric conditions, including GERD, gastritis, and ulcers (Chhabra et al., 2022). I would then prescribe esomeprazole 20mg PO qDay for four weeks and substitute the aspirin for clopidogrel 75mg PO Q Day daily and maintain her other prescribed medications. It is crucial to explain to the patient what GERD is and its causes, why lansoprazole may not have relieved the GERD symptoms and encourage her to take the newly prescribed esomeprazole and clopidogrel (Chhabra et al., 2022). I would also encourage her to adhere to the new and previously prescribed medications. Lastly, I would inform her of warning signs of worsening symptoms such as hematemesis and melena stools.
Conclusion
The four clinical cases illustrate how the importance of including patient factors and drug properties before making a prescription decision. Drug interactions often affect the activity of another drug causing an altered efficiency. However, it is crucial to note that certain medication side effects and associated allergies that may limit its use in patients and the importance of using alternatives to them.
References
Caron, P., Grunenwald, S., Persani, L., Borson-Chazot, F., Leroy, R., &Duntas, L. (2022). Factors influencing the levothyroxine dose in the hormone replacement therapy of primary hypothyroidism in adults. Reviews in Endocrine & Metabolic Disorders, 23(3), 463-483. https://doi.org/10.1007/s11154-021-09691-9
Chhabra, P., &Ingole, N. (2022). Gastroesophageal Reflux Disease (GERD): Highlighting Diagnosis, Treatment, and Lifestyle Changes. Cureus, 14(8). https://doi.org/10.7759/cureus.28563
Ernawati, U., Wihastuti, T. A., &Utami, Y. W. (2021). Effectiveness of diabetes self-management education (DSME) in type 2 diabetes mellitus (T2DM) patients: Systematic literature review. Journal of Public Health Research, 10(2). https://doi.org/10.4081/jphr.2021.2240
Ni, X., Zhang, L., Feng, X., & Tang, L. (2022). New Hypoglycemic Drugs: Combination Drugs and Targets Discovery. Frontiers in Pharmacology, 13, 877797. https://doi.org/10.3389/fphar.2022.877797
Sample Answer 2 for NURS 6521 Week 7 ASSIGNMENT: CASE STUDIES
HL presents to the clinic with symptoms of nausea, vomiting, and diarrhea. History of drug abuse and possible Hepatitis C. Currently prescribed levothyroxine 100mcg daily, nifedipine 30mg daily, and prednisone 10mg daily.
Review of Current Medications
Levothyroxine is a synthetic T4 hormone that increases the basal metabolic rate and the utilization and mobilizations of glycogen stores (levothyroxine, n.d.). It is absorbed 40-80% in the GI tract with a bioavailability of 64% (nonfasting) and 79-81% (fasting) individuals (levothyroxine, n.d.). Levothyroxine is 99% protein bound with volume of distribution of 9-10L (levothyroxine, n.d.). It is mainly eliminated through the urine (levothyroxine, n.d.). Adverse effects frequency not defined may include flushing, diarrhea, headache, and anxiety (levothyroxine, n.d.).
Nifedipine is a calcium channel blocker that inhibits the influx of calcium ions across myocardial and vascular smooth muscle cell membranes without affecting serum calcium concentrations (nifedipine, n.d.). Nifedipine has a bioavailability between 40-77% and peaks in 30-120 minutes (nifedipine, n.d.). Nifedipine is 92-98% protein bound with a volume of distribution of 1.42-2.2 L/kg (nifedipine, n.d.). It is metabolized in the liver and excreted through the urine and feces (nifedipine, n.d.). Adverse effects may include peripheral edema, dizziness, headache and nausea (nifedipine, n.d.).
Prednisone is a glucocorticosteroid that has mild to moderate anti-inflammatory effects by controlling the rate of protein synthesis, slowing the rate of migration of polymorphonuclear leukocytes and fibroblasts, reversing capillary permeability, and stabilizing lysosomes at a cellular level (prednisone, n.d.). Prednisone has a bioavailability of 92% and is 65-91% protein bound (prednisone, n.d.). It is extensively metabolized in the liver and is excreted through the urine (prednisone, n.d.). Glucocorticosteroids are known to have many adverse effects including mood swings, depression, anxiety, insomnia, restlessness, aggression, psychosis and personality changes (Arcangelo, 2017).
Phenothiazines
Phenothiazines is one of the most commonly prescribed medication classifications in the treatment of nausea and vomiting (Arcangelo, 2017). Prochlorperazine is a commonly prescribed phenothiazine acts through its antidopaminergic effects, blocking dopamine receptors in the brain and blocking the vagus nerve in the GI tract (prochlorperazine, n.d.). Prochlorperazine is 12.5% bioavailable with a volume of distribution of 1400-1548 L (prochlorperazine, n.d.). It is metabolized in the liver and excreted primarily in the feces (prochlorperazine, n.d.). The most commonly experienced side effects are drowsiness or sedation (Arcangelo, 2017).
Antihistamines-Anticholinergics
This classification of medications is used in the treatment of mild nausea and motion sickness (Arcangelo, 2017). Hydroxyzine, a commonly used antihistamine-anticholinergic act by inhibiting respiratory, vascular and GI smooth muscle constriction (hydroxyzine, n.d.). Hydroxyzine reaches onset in 15-30 minutes and peak in 1-2 hours. Hydroxyzine has a volume of distribution of 16 L/kg in adults and 23L/kg in the elderly (hydroxyzine, n.d.). It is metabolized in the liver and is excreted through the urine (hydroxyzine, n.d.). Adverse effects include dry mouth and drowsiness (hydroxyzine, n.d.).
Benzodiazepines
Lorazepam, a common benzodiazepine prescribed in the treatment of nausea and vomiting is believed to centrally affect the vomiting center (Arcangelo, 2017). Lorazepam is 90% bioavailable and in oral doses reaches a peak in 2 hours (lorazepam, n.d.). Lorazepam is 85-93% protein bound with a volume of distribution of 1.3 L/kg in adults (lorazepam, n.d.). Lorazepam undergoes glucuronic acid conjugation and is excreted in the urine mainly as inactive metabolites (lorazepam, n.d.). The most common side effects include drowsiness, fatigue, confusion, and impaired coordination (Arcangelo, 2017).
Serotonin Antagonists
This classification is utilized to prevent nausea and vomiting, often being used in patients who are receiving chemotherapy and radiation (Arcangelo, 2017). The addition of ondansetron has made this classification of medications more affordable. Ondansetron’s exact mechanism of action is not fully understood, but what is known is that it selectively binds to 5-HT3 receptor in the periphery and in the CNS causing effects in the GI tract (ondansetron, n.d.). It is between 56-71% bioavailable and is 70-76% protein bound with a volume of distribution of 2.2-2.5 L/kg in adults (ondansetron, n.d.). It is hepatically metabolized and excreted primarily through the urine but some through feces (ondansetron, n.d.). Common side effects include a headache, malaise, and constipation (ondansetron, n.d.).
Metoclopramide
Metoclopramide acts by blocking the dopamine receptors and serotonin receptors in chemoreceptor trigger zone of the central nervous system, it sensitizes tissues to acetylcholine, enhances gastric motility excluding secretions, and increases lower esophageal sphincter tone (metoclopramide, n.d.). When administered orally it is 65-95% bioavailable and peaks in 60-120 minutes (metoclopramide, n.d.). Metoclopramide is 30-40% protein bound with a volume of distribution of 3.5 L/kg (metoclopramide, n.d.). It is metabolized in the liver and is excreted through the urine (metoclopramide, n.d.). Commonly experienced side effects are extrapyramidal symptoms such as dystonia (Arcangelo, 2017).
Direct Acting Antivirals
Direct acting antivirals (DAAs) have proven to be effective in the treatment of chronic hepatitis C (Foster et al., 2016). Sofosbuvir, a DAA, acts by suppressing viral replication through inhibiting HCV Ns5B RNA-dependent polymerase (sofosbuvir, n.d.). Sofosbuvir reaches peak plasma in 0.5-2 hours and is 61-65% protein bound (sofosbuvir, n.d.). It is metabolized in the liver and is excreted in the urine (sofosbuvir, n.d.). Side effects may include fatigue, headache, nausea, insomnia, and pruritis (sofosbuvir, n.d.).
A major setback with the use of direct-acting antivirals in the treatment of hepatitis C virus is the costs associated with treatment. The high price of these medications has limited access to care and rationing of these medications in the United States, focusing treatment on those who have advanced liver disease, access to specialty care, and who are not current substance users (Rosenthal & Graham, 2016). In a study conducted by Aggarwal et al. (2017), they looked at the effectiveness of generic DAAs and the cost-saving potentials that could potentially be effective. In their study, they found that in India treatment with generic DAAs improved patient outcomes and provided a similar value for money within 2 years’ time as the individual’s life expectancy and quality of life improved.
Diagnosis
While there is certainly a multitude of diagnosis that could be probable for this patient, the one that I find the most plausible is related to the history of his drug abuse. I would be concerned that HL’s current symptoms are a result of drug usage or drug withdrawal. If this was the case, I would be more cautious in prescribing benzodiazepines for concern of abuse or addiction. I would also be concerned about prescribing any medications that could suppress the CNS system if the patient is still actively abusing substances. Alcohol and marijuana are two of the most commonly abused substances in the United States. I have encountered patients who abuse marijuana and have suffered from hyperemesis syndrome from its usage. While hyperemesis syndrome related to cannabinoid use would not account for diarrhea associated in this case, without out having greater detail I support substance abuse related illnesses as a potential diagnosis.
References
Aggarwal, R., Chen, Q., Goel, A., Seguy, N., Pendse, R., Ayer, T., & Chhatwal, J. (2017, May 17). Cost-effectiveness of hepatitis C treatment using generic direct-acting antivirals available in India. PLOS ONE. http://dx.doi.org/10.1371/journal.pone.0176503
Arcangelo, V.P., Peterson, A.M., Wilbur, V., & Reinhold, J.A. (Eds.). (2017). Pharmacotherapeutics for advance practice: A practical approach (4th ed.). Ambler, PA: Lippincott Williams & Wilkins.
Foster, G. R., Irving, W. L., Cheung, M. C., Walker, A. J., Hudson, B. E., Verma, S., … Agarwal, K. (2016, June). Impact of direct-acting antiviral therapy in patients with chronic hepatitis C and decompensated cirrhosis. Journal of Hepatology, 64, 1224-1231. http://dx.doi.org/10.1016/j/jhep.2016.01.029
hydroxyzine. (n.d.). Retrieved from https://reference.medscape.com/drug/atarax-vistaril-hydroxyzine-343395#10
levothyroxine. (n.d.). Retrieved from https://reference.medscape.com/drug/synthroid-levoxyl-levothyroxine-342732#10
lorazepam. (n.d.). Retrieved from https://reference.medscape.com/drug/ativan-loraz-lorazepam-342906#10
metoclopramide. (n.d.). Retrieved from https://reference.medscape.com/drug/reglan-metozolv-odt-metoclopramide-342051#10
nifedipine. (n.d.). Retrieved from https://reference.medscape.com/drug/procardia-xl-nifedipine-342378#10
ondansetron. (n.d.). Retrieved from https://reference.medscape.com/drug/zofran-zuplenz-ondansetron-342052#4
prednisone. (n.d.). Retrieved from https://reference.medscape.com/drug/prednisone-intensol-342747#10
prochlorperazine. (n.d.). Retrieved from https://reference.medscape.com/drug/compazine-spansules-prochlorperazine-342055#10
Rosenthal, E. S., & Graham, C. S. (2016). Price and affordability of direct-acting antiviral regimens for hepatitis C virus in the United States. Infectious Agents and Cancer, 11. http://dx.doi.org/10.1186/s13027-016-0071-z
sofosbuvir. (n.d.). Retrieved from https://reference.medscape.com/drug/sovaldi-sofosbuvir-999890#10
NURS_6521_Week7_Assignment_Rubric
Criteria | Ratings | Pts | |
---|---|---|---|
This criterion is linked to a Learning OutcomeScenario 1: Appropriate medication is prescribed or changed. Rationale provided and includes current literature to support decision. All aspects of the patient history are considered in making the medication selection. | 15 to >11.0 ptsExcellentMedication selected is appropriate and considers all of the unique patient characteristics. Rationale for selection is clear, complete, and appropriate.11 to >7.0 ptsGoodMedication selected might be appropriate but conflicts with the unique patient characteristics. Rationale for selection is clear but lacks discussion about potential prescribing issues.7 to >3.0 ptsFairMedication selected is not appropriate for this patient unique characteristics. Rationale provided is not correct or is flawed in applying the medication to this patient.3 to >0 ptsPoorMedication selected is inappropriate or would not be provided based on patient unique characteristics. | 15 pts | |
This criterion is linked to a Learning OutcomeScenario 1: Written medication orders include all 5 aspects required for a valid order. The order is complete, accurate, and appropriate. | 3 ptsCompleteWritten medication orders includes all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.0 ptsPoorThe prescription is incomplete. Aspects of a complete order are missing. The order is either incomplete, inaccurate, or inappropriate. | 3 pts | |
This criterion is linked to a Learning OutcomeScenario 1: References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable. | 4 ptsExcellentReferences for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable. Correct APA format is used.3 ptsGoodReferences for the scenario are within past 5 years but do not include the appropriate clinical practice guideline if applicable. Contains a few (1 or 2) APA format errors.2 ptsFairReferences for the scenario are not from within the past 5 years or do not reflect the content of this scenario and do not include the appropriate clinical practice guideline if applicable. Contains several (3 or 4) APA format errors.0 ptsPoorNo references are included. References do not reflect the content of this scenario. Appropriate clinical practice guideline is not include. Contains many (≥ 5) APA format errors. | 4 pts | |
This criterion is linked to a Learning OutcomeScenario 1: Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation | 3 ptsExcellentUses correct grammar, spelling, and punctuation with no errors.2 ptsGoodContains a few (1 or 2) grammar, spelling, and punctuation errors.1 ptsFairContains several (3 or 4) grammar, spelling, and punctuation errors.0 ptsPoorContains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding. | 3 pts | |
This criterion is linked to a Learning OutcomeScenario 2: Appropriate medication is prescribed or changed. Rationale provided and includes current literature to support decision. All aspects of the patient history are considered in making the medication selection. | 15 to >11.0 ptsExcellentMedication selected is appropriate and considers all of the unique patient characteristics. Rationale for selection is clear, complete, and appropriate.11 to >7.0 ptsGoodMedication selected might be appropriate but conflicts with the unique patient characteristics. Rationale for selection is clear but lacks discussion about potential prescribing issues.7 to >3.0 ptsFairMedication selected is not appropriate for this patient unique characteristics. Rationale provided is not correct or is flawed in applying the medication to this patient.3 to >0 ptsPoorMedication selected is inappropriate or would not be provided based on patient unique characteristics. | 15 pts | |
This criterion is linked to a Learning OutcomeScenario 2: Written medication orders include all 5 aspects required for a valid order. The order is complete, accurate, and appropriate. | 3 ptsCompleteWritten medication orders includes all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.0 ptsPoorThe prescription is incomplete. Aspects of a complete order are missing. The order is either incomplete, inaccurate, or inappropriate. | 3 pts | |
This criterion is linked to a Learning OutcomeScenario 2: References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable. | 4 ptsExcellentReferences for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable. Correct APA format is used.3 ptsGoodReferences for the scenario are within past 5 years but do not include the appropriate clinical practice guideline if applicable. Contains a few (1 or 2) APA format errors.2 ptsFairReferences for the scenario are not from within the past 5 years or do not reflect the content of this scenario and do not include the appropriate clinical practice guideline if applicable. Contains several (3 or 4) APA format errors.0 ptsPoorNo references are included. References do not reflect the content of this scenario. Appropriate clinical practice guideline is not include. Contains many (≥ 5) APA format errors. | 4 pts | |
This criterion is linked to a Learning OutcomeScenario 2: Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation | 3 ptsExcellentUses correct grammar, spelling, and punctuation with no errors.2 ptsGoodContains a few (1 or 2) grammar, spelling, and punctuation errors.1 ptsFairContains several (3 or 4) grammar, spelling, and punctuation errors.0 ptsPoorContains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding. | 3 pts | |
This criterion is linked to a Learning OutcomeScenario 3: Appropriate medication is prescribed or changed. Rationale provided and includes current literature to support decision. All aspects of the patient history are considered in making the medication selection. | 15 to >11.0 ptsExcellentMedication selected is appropriate and considers all of the unique patient characteristics. Rationale for selection is clear, complete, and appropriate.11 to >7.0 ptsGoodMedication selected might be appropriate but conflicts with the unique patient characteristics. Rationale for selection is clear but lacks discussion about potential prescribing issues.7 to >3.0 ptsFairMedication selected is not appropriate for this patient unique characteristics. Rationale provided is not correct or is flawed in applying the medication to this patient.3 to >0 ptsPoorMedication selected is inappropriate or would not be provided based on patient unique characteristics. | 15 pts | |
This criterion is linked to a Learning OutcomeScenario 3: Written medication orders include all 5 aspects required for a valid order. The order is complete, accurate, and appropriate. | 3 ptsCompleteWritten medication orders includes all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.0 ptsPoorThe prescription is incomplete. Aspects of a complete order are missing. The order is either incomplete, inaccurate, or inappropriate. | 3 pts | |
This criterion is linked to a Learning OutcomeScenario 3: References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable. | 4 ptsExcellentReferences for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable. Correct APA format is used.3 ptsGoodReferences for the scenario are within past 5 years but do not include the appropriate clinical practice guideline if applicable. Contains a few (1 or 2) APA format errors.2 ptsFairReferences for the scenario are not from within the past 5 years or do not reflect the content of this scenario and do not include the appropriate clinical practice guideline if applicable. Contains several (3 or 4) APA format errors.0 ptsPoorNo references are included. References do not reflect the content of this scenario. Appropriate clinical practice guideline is not include. Contains many (≥ 5) APA format errors. | 4 pts | |
This criterion is linked to a Learning OutcomeScenario 3: Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation | 3 ptsExcellentUses correct grammar, spelling, and punctuation with no errors.2 ptsGoodContains a few (1 or 2) grammar, spelling, and punctuation errors.1 ptsFairContains several (3 or 4) grammar, spelling, and punctuation errors.0 ptsPoorContains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding. | 3 pts | |
This criterion is linked to a Learning OutcomeScenario 4: Appropriate medication is prescribed or changed. Rationale provided and includes current literature to support decision. All aspects of the patient history are considered in making the medication selection. | 15 to >11.0 ptsExcellentMedication selected is appropriate and considers all of the unique patient characteristics. Rationale for selection is clear, complete, and appropriate.11 to >7.0 ptsGoodMedication selected might be appropriate but conflicts with the unique patient characteristics. Rationale for selection is clear but lacks discussion about potential prescribing issues.7 to >3.0 ptsFairMedication selected is not appropriate for this patient unique characteristics. Rationale provided is not correct or is flawed in applying the medication to this patient.3 to >0 ptsPoorMedication selected is inappropriate or would not be provided based on patient unique characteristics. | 15 pts | |
This criterion is linked to a Learning OutcomeScenario 4: Written medication orders include all 5 aspects required for a valid order. The order is complete, accurate, and appropriate. | 3 ptsCompleteWritten medication orders includes all 5 aspects required for a valid order. The order is complete, accurate, and appropriate.0 ptsPoorThe prescription is incomplete. Aspects of a complete order are missing. The order is either incomplete, inaccurate, or inappropriate. | 3 pts | |
This criterion is linked to a Learning OutcomeScenario 4: References for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable. | 4 ptsExcellentReferences for the scenario are within past 5 years and include the appropriate clinical practice guideline if applicable. Correct APA format is used.3 ptsGoodReferences for the scenario are within past 5 years but do not include the appropriate clinical practice guideline if applicable. Contains a few (1 or 2) APA format errors.2 ptsFairReferences for the scenario are not from within the past 5 years or do not reflect the content of this scenario and do not include the appropriate clinical practice guideline if applicable. Contains several (3 or 4) APA format errors.0 ptsPoorNo references are included. References do not reflect the content of this scenario. Appropriate clinical practice guideline is not include. Contains many (≥ 5) APA format errors. | 4 pts | |
This criterion is linked to a Learning OutcomeScenario 4: Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation | 3 ptsExcellentUses correct grammar, spelling, and punctuation with no errors.2 ptsGoodContains a few (1 or 2) grammar, spelling, and punctuation errors.1 ptsFairContains several (3 or 4) grammar, spelling, and punctuation errors.0 ptsPoorContains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding. | 3 pts | |
Total Points: 100 |