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Case Study Analysis and Care Plan Creation NUMBER 1

 

Analyze the case study assigned to you at the outpatient clinic. Create a holistic care plan for disease prevention, health promotion, and acute care of the patient in the clinical case. Your care plan should be based on current evidence and nursing standards of care.

Visit the online library and research for current scholarly evidence (no older than 5 years) to support your nursing actions. In addition, consider visiting government sites such as the CDC, WHO, AHRQ, Healthy People 2020. Provide a detailed scientific rationale justifying the inclusion of this evidence in your plan.

Next determine the ICD-9 classification (diagnoses). The International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) is the official system used in the United States to classify and assign codes to health conditions and related information.

By Sunday, September 28, 2014, post your plan to this Discussion Area.

By Monday, September 29, 2014, review the care plan of at least two of your peers and provide constructive feedback.

Click here to download the care plan template to help you design a holistic patient care plan. The care plan example provided here is meant only as a frame of reference for you to build your care plan. You are expected to develop a comprehensive care plan based on your assessment, diagnosis, and advanced nursing interventions. Reflect on what you have learned about care plans through independent research and peer discussions, and incorporate the knowledge that you have gained into your patient’s care plan.

Format

Your care plan should be formatted as a Microsoft Word document. Follow APA style. Your paper should be double-spaced and in 12pt font.

Grading Criteria

Maximum Points

Care plan demonstrated involvement of the client in the process of recognition, planning, and resolution of the problem.

4

Care plan included effective nursing interventions that are customized for the client and appropriate to the goal.

4

Care plan included diagnostic work-up, medications, conservative measures, and follow-up plan.

4

Care plan provided rationale for choosing a particular treatment modality.

4

Care plan demonstrated logical diagnosis that was substantiated with relevant evidence.

4

Care plan focused on patient education and maintained a fine balance between major and minor health issues of the patient.

4

Care plan included nursing interventions that are specific, appropriate, and free of essential omissions.

4

Used APA standards consistently and accurately.

4

Reviewed at least two peer postings and provided constructive feedback.

4

 

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