Laboratory and Diagnostic Tests  Identify and list a summary of relevant and significant lab values and diagnostic tests/procedures performed. Include the rationales f or performing the tests and for any abnormal results. Provide an analysis of the relationships between/among the diagnostic tests and lab results with the critically-ill individual’s current condition(s). 341/342 _RUA Assignment Guidelines 1

NR341/342 Complex Adult Health RUA: Interdisciplinary Care Assignment Guidelines Purpose The purpose of this assignment is for the student to reflect on the nursing care of a critically-ill individual from a clinical experience. The student will demonstrate clinical reasoning skills and will discuss interdisciplinary care that had been incorpo rated and/or anticipated during the care of the critically-ill individual. Course outcomes: This assignment enables the student to meet the following course outcomes: CO 1: Provide nursing care to patients and their families in critical and emergent care s ettings based on theories and principles of nursing and related disciplines. CO 2: Initiate the use of appropriate resources in direct care responsibilities within critical-care and emergent care settings. CO 3: Demonstrate effective therapeutic communicat ion and relationship skills in providing care to patients and families in critical-care and emergent care settings. CO 4: Demonstrate effective clinical decision-making based on critical thinking skills and legal, ethical, and professional standards and pr inciples when caring for patients and families in critical care and emergent care settings. CO 5: Implement a plan of for continued personal, professional, and educational development related to nursing practice within critical-care and emergent care setti ngs. CO 7: Use evidence including research findings from nursing and related disciplines to answer clinical questions related to nursing care of patients in critical care and emergent care settings. Preparing the assignment Follow these guidelines when completing this assignment. The paper should be typed and presented in APA format, including an A PA title page, use of headings, and references with in-text citations. Spelling and grammar will be evaluated with this assignment. Speak with your faculty member if you have questions. Background Information Summary :       Demographics History of present illness Relevant past medical and surgical history Admitting diagnosis (diagnoses) Course of current hospitalization to date Significant assessment findings during day(s) of care. Include vital signs, focused assessment, and data from monitoring devices. (This information can be presented in a table).

The topic for this assignment is Abdominal Aortic Aneurysm.

NR341/342 Complex Adult Health RUA: Interdisciplinary Care Assignment Guidelines Medications  Identify and list a summary of relevant and significant medications. Indicate the trade name and generic name, the medication classification, the therapeutic use, major adverse effects, timing, dosage, route of administration, and the nursing implications. Also include the rationale(s) as to why the medication is prescribed for treatment. For example, document the rationale for how the treatment corrects the critically-ill individual’s condition or a side effect of another drug that is prescribed for treatment. *This information can be presented in a table. Nursing Diagnoses  In order of priority, identify three (3) nursing diagnoses for the individualized plan of care for this patient. Two of the nursing diagnoses must address actual problems, and one of the nursing diagnoses must be a “Risk for” or “Potential Complication” (P C). For each nursing diagnosis, include three (3) specific, measurable, achievable, realistic, and timely (SMART) nursing goals/outcomes, three (3) nursing interventions, and three (3) collaborative interventions. *This section can be presented as a table or concept map. Interventions – R OUTINE N URSING M ANAGEMENT  Describe independent nursing care you provided in the care of the critically-ill individual. Examples include, but are not limited to: activity level, position, ongoing monitoring, and nutrition (prescribed diet, tube feedings/TPN, formula, rate, and calculation of basal energy expenditure (BEE), patient education, wound care etc.). The rationale must be i ncluded for each intervention. Interdisciplinary (ID) Care Collaborative Management  Identify the members of the interdisciplinary team caring for the critically-ill individual. Provide a brief description of their roles and responsibilities. Int erdisciplinary team members include, but are not limited to: physician, pharmacist, lab/diagnostic tests personnel, respiratory therapy, physical therapy, occupational therapy, speech therapy, social work/case management, pastoral care, ethicist, etc. T herapeutic Modalities  Describe the various therapeutic modalities used in the management of care for the critically-ill individual. Discuss the extent of the nurse’s responsibilities and skills required to manage the therapeutic modality in comparison to the responsibilities of the members of the interdisciplinary team. Therapeutic modalities include but are not limited to: oxygen therapy (mode, FiO2,), dialysis/CRRT (settings), ventilator therapy (mode of ventilation, settings, FiO2). The rationale must be included for each modality. Nursing Role Reflection  Provide a brief summary of how your role interacted with the members of the interdisciplinary team. Include in your summary Analysis of communication style preferences among interdisciplinary team members and with the critically-ill individual and family members. What is the impact of your own communication style on others? System barriers and facilitators. Did the organizational framework for interdisciplinary management of care facilitate or hindered the quality of care/outcomes for the critically-ill individual? What recommendations can you m ake to the organizational system for enhancing interdisciplinary collaboration? Provide at minimum two (2) evidence-based literature sources to support your recommendations. 341/342 _RUA Assignment Guidelines 2

NR341/342 Complex Adult Health RUA: Interdisciplinary Care Assignment Guidelines Professional Development. Based on your experience(s), write ideas for your own professional self-development plan to enhance your potential for becoming an effective member i n an interdisciplinary team. Page Limits The body of the paper should be between 7-10 pages, NOT including the Title and Reference pages.         Background Summary Laboratory and Diagnostic Tests Medications Nursing Diagnoses Interventions Interdisciplinary Care Nursing Role Reflection 1 to 1.5 pages 1 to 1.5 pages 1 to 1.5 pages 1 to 1.5 pages 1 page 1 to 1.5 pages 1 to 1.5 pages For writing assistance (APA, formatting, or grammar) visit the APA Citation and Writing page in the online library. Please note that your instructor may provide you with additional assessments in an y form to determine that you fully understand the concepts learned in the review module. 341/342 _RUA Assignment Guidelines 3

NR341/342 Complex Adult Health RUA: Interdisciplinary Care Assignment Guidelines G rading R ubric Criteria are met when the student’s application of knowledge within the paper demonstrates achievement of the outcomes for this assignment. 341/342 _RUA Assignment Guidelines 4 Assignment Section and Required Criteria (Points possible/% of total p oints available) Highest Level of Performance High Level of Performance Satisfactory Level of Performance Unsatisfactory Level of Performance Section not present in paper Background Information (10 points/10%) 10 points 8 points 6 points 4 points 0 points Required criteria Demographics History of present illness Relevant past medical and surgical history Admitting diagnosis(es) Course of current hospitalization to date Significant assessment findings during day(s) of care. Include vital signs, focused assessment, and data from monitoring devices. Includes no fewer than 6 requirements for section. Includes no fewer than 4 requirements for section. Includes no less than 2 requirement for section. Section present, yet includes no required criteria. No requirements for this section presented. Laboratory and Diagnostic Tests (10 points/10%) 10 points 8 points 6 points 4 points 0 points Required criteria Identifies and lists relevant and significant lab values and diagnostic tests/procedures performed. Includes the rationales for performing the tests and for any abnormal results. Provides an analysis of the relat ionships between/among the diagnostic tests and lab results with the critically-ill individual’s current condition(s). Includes no fewer than 3 requirements for section. Items are relevant, include rationales for abnormal results, and an appropriate analysis. Includes no fewer than 2 requirements for section. Items are relevant, include rationales for abnormal results, and an appropriate analysis. Includes no less than 1 requirements for section. Items are relevant, include rationales for abnormal results, and an appropriate analysis. Section present, yet does not include relevant items, rationales for abnormal results, or an appropriate analysis . No requirements for this section presented. Medications (10 points/10%) 10 points 8 points 6 points 4 points 0 points Required criteria Identifies and lists relevant and significant medications. Indicates the generic name, dosage, medication classification, the therapeutic use, major adverse effects, and nursing implications. Includes the rationale(s) as to why the medication is prescribed for treatment. Includes no fewer than 3 requirements for section. Items include all relevant and significant medication information and rationale for each. Includes no fewer than 2 requirements for section. Items include all relevant and significant medication information and rationale for each. Includes no less than 1 requirements for section. Items include all relevant and significant medication informat ion and rationale for each. Section present, yet includes no required criteria. Relevant medication information or rationale(s) missing. No requirements for this section presented.

NR341/342 Complex Adult Health RUA: Interdisciplinary Care Assignment Guidelines 34 1/342 _RUA Assignment Guidelines 5 Nursing Diagnoses (15 points/15%) 15 points 13 points 11 points 9 points 0 points Required criteria Identifies three (3) nursing diagnoses in order of priority: 2 actual problems and 1 risk for or potential complications for the plan of care. Includes 3 nursing outcomes, 3 nursing interventions, and 3 collaborative interventions for each nursing diagnosi s. Includes no fewer than 3 appropriate and accurate diagnoses that have the required outcomes, and collaborative interventions. Includes no fewer than 2 appropriate and accurate diagnoses that have the required outcomes, and collaborative interventi ons. Includes no less than 1 appropriate and accurate diagnoses that have the required outcomes, and collaborative interventions. Does not Include appropriate or accurate diagnoses and/or outcomes, or collaborative interventions. No requirements for this section presented. Interventions: Routine Nursing Management (10 points/10%) 10 points 8 points 6 points 4 points 0 points Required criteria Describes independent nursing care provided in the care of the critically-ill individual. The rationales are included for each intervention. Includes appropriate nursing care and rationales for each intervention Includes appropriate nursing care bu t does not include correct or appropriate rationales for interventions Does not include appropriate nursing care and/or does not include correct rationales for interventions Does not include nursing care and rationales. No requirements for this section presented. ID Care: Collaborative Management (10 points/10%) 10 points 8 points 6 points 4 points 0 points Required criteria Provides a comprehensive list of the interdisciplinary team members caring for the critically-ill individual. Provides a brief description of the roles and responsibilities of each respective interdisciplinary team members. At least two (2) scholarly, prim ary sources from the last 5 years, excluding the textbook, are provided Includes no fewer than 3 requirements for section. Includes no fewer than 2 requirements for section. Includes no less than 1 requirements for section. Section present, yet includes no required criteria. No requirements for this section presented. ID Care: Therapeutic Modalities (10 points/10%) 10 points 8 points 6 points 4 points 0 points Required criteria Describes the various therapeutic modalities used in the management of care for the critically-ill individual. Discusses the extent of the nurse’s responsibilities and skills required to manage the therapeutic modality in Includes no fewer than 3 requirements for section. Includes no fewer than 2 requirements for section. Includes no fewer than 1requirem ents for section. Section present, yet includes no required criteria. No requirements for this section presented.

NR341/342 Complex Adult Health RUA: Interdisciplinary Care Assignment Guidelines 341/342 _RUA Assignment Guidelines 6 comparison to the responsibilities of the members of the interdisciplinary team. The rationales are included for each modality. Nursing Role Reflection (20 points/20%) 20 points 16 points 12 points 8 points 0 points Required criteria Analysis of communication style preferences among interdisciplinary team members and with the critically- ill individual and family members; Analysis of the impact of own communication style on others Description of system barriers and facilitators in relation to the quality of care/outcomes for the critically-ill individual Discussion of recommendations to the organizational system for enhancing interdisciplinary collaboration, which are supported by a t least two (2) evidence- based literature Description of ideas for own professional self- development plan to enhance own potential for becoming an effective member in an interdisciplinary team. Includes no fewer than 5 requirements for section. In cludes no fewer than 4 requirements for section. Includes no fewer than 3 requirements for section. Includes 1-2 requirements for section. No requirements for this section presented. APA Format, Spelling, Grammar, and Mechanics (5 points/5%) 5 points 4 points 3 points 2 points 0 points Proper APA format for title page, headings, references and in-text citations. No errors in spelling, grammar, and mechanics Proper APA with fewer than 4 errors Proper APA with fewer than 6 errors Proper APA with fewer than 8 errors Proper APA with fewer than 10 errors No proper APA or significant more than 10 errors Total Points Possible = 100 points

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