Assignment – Designing a Care Map
Assignment – Designing a Care Map
Purpose of Assignment
1. Assist with coordination of care for clients with musculoskeletal disorders.
2. Enhance understanding of the nursing process in coordinating care for a client.
Course Competency
· Explain components of multidimensional nursing care for clients with musculoskeletal disorders.
· Select appropriate nursing interventions when providing multidimensional care to clients experiencing alterations in mobility
Instructions
For this assignment you will pick a musculoskeletal disorder ( Osteoporosis ) .
Develop a care map using the template directly after these instructions. For this assignment, include the following: assessment and data collection (including disease process, common lab work/diagnostics, subjective, objective, and health history data), three NANDA-I approved nursing diagnosis, one SMART goal for each nursing diagnosis, and two nursing interventions with rationale for each SMART goal for a client with a musculoskeletal disorder.
Use at least FOUR scholarly sources to support your care map. Be sure to cite your sources in-text and on a reference, page using APA format.
USED THE MAP FORMAT BELOW FOR THIS ASSISGNMENT
WRITE FROM NURSE PERSPECTIVE
NO CONSIDERATION FOR PLAGIARISM
DUE 8/7/2021
| AssessmentandData Collection | Three NANDA-I Approved Nursing Diagnosis | One Smart Goal for EACH Nursing Diagnosis | Two Nursing Interventions with Rationale for EACH Nursing Diagnosis |
| Disease Process (short description of patho of disorder- cite this- do not copy and paste):Rheumatoid arthritis is an autoimmune process affecting synovial joints. It is chronic and systemic, causing inflammation and permanent joint damage (Ignatavicius et al., 2018)Common Labwork/Diagnostics:Labs:Rheumatoid factorANAESRAlbumin (Ignatavicius et al., 2018)Diagnostics:XraysArthrocentesis (Ignatavicius et al., 2018)Assessment Data (consider subjective, objective, and heath history):Subjective: joint pain, anorexia, fatigue, painful stiff joints (Ignatavicius et al., 2018)Objective: redness in joints, deformed joints, physical limitations, decreased mobility (Ignatavicius et al., 2018) | Nursing Diagnosis: Disturbed body image r/t alteration in body function AEB painful, deformed hand joints.Nursing Diagnosis:Nursing Diagnosis | SMART Goal: Patient will verbalize physical changes without making disparaging comments by 5/5SMART Goal:SMART Goal: | 1. Intervention: Provide emotional support and encourage patientRationale: With deformed joints, this will improve patients self -concept (Phelps, 2021)2. Intervention Involve patient in planningRationale : This will increase patient compliance with activities to the best of their ability(Phelps, 2021)1.2.1.2. |
| 3. |
Module 05 Assignment – Designing a Care Map Rubric
Total Assessment Points – 65
| Levels of Achievement | ||||
| Criteria | Emerging | Competence | Proficiency | Mastery |
| Assessment / Data Collection(10 Pts) | Lacks basic factors of the disease process, common labs, diagnostic tests, and subjective, objective, and health history data.Failure to submit Assessment/Data Collection will result in zero points for this criterion. | Briefly identifies the factors including the disease process, common labs, diagnostic tests, and subjective, objective, and health history data. | Clearly identifies the factors including the disease process, common labs, and diagnostic tests, and subjective, objective, and health history data. | Thoroughly identifies all factors including the disease process, common labs, diagnostic tests, and subjective, objective, and health history data with a deep understanding. |
| Points – 7 | Points – 8 | Points – 9 | Points – 10 | |
| Nursing Diagnosis (should fit the data)(10 Pts) | Nursing diagnoses are insufficient and/or do not fit the data.Failure to submit Nursing Diagnosis will result in zero points for this criterion. | Writes ONE NANDA-I approved nursing diagnosis in the correct format (including related to/as evidenced by) with a strong connection to identified data. | Writes TWO NANDA-I approved nursing diagnoses in the correct format (including related to/as evidenced by) with a strong connection to identified data. | Writes THREE NANDA-I approved nursing diagnoses in the correct format (including related to/as evidenced by) with a strong connection to identified data. |
| Points – 7 | Points – 8 | Points – 9 | Points – 10 | |
| SMART Goal (should reflect the diagnosis and follow guidelines)(15 Pts) | The goals meet few SMART goal guidelines and/or are not related to the nursing diagnoses.Failure to submit SMART goals will result in zero points for this criterion. | Writes ONE goal for ONE nursing diagnosis and the goal meets all the SMART goal guidelines and are related to the nursing diagnosis. | Writes ONE goal for TWO nursing diagnoses and the goals meet all the SMART goal guidelines and are related to the nursing diagnoses. | Writes ONE goal for THREE nursing diagnoses and the goals meet all the SMART goal guidelines and are related to the nursing diagnoses. |
| Points – 11 | Points – 12 | Points – 13 | Points – 15 | |
| Interventions and Rationale(20 Pts) | Lacks appropriate interventions and rationale to assist the client in resolving the issues leading to the problem.Failure to submit Interventions and Rationale will result in zero points for this criterion. | Writes 3 interventions with rationale to assist the client in resolving the issues leading to the problem with appropriate references. | Writes 5 interventions with rationale to assist the client in resolving the issues leading to the problem with appropriate references. | Writes more than 5 interventions with rationale to assist the client in resolving the issues leading to the problem with appropriate references. |
| Points – 15 | Points – 16 | Points – 18 | Points –20 | |
| APA Citation(5 Pts) | APA in-text citations and references are missing. | Attempted to use APA in-text citations and references. | APA in-text citations and references are used with few errors. | APA in-text citations and references are used correctly. |
| Points- 2 | Points- 3 | Points- 4 | Points- 5 | |
| Spelling and Grammar(5 Pts) | Numerous spelling and grammar errors, which detract from the audience’s ability to comprehend material. | Some spelling and grammar errors, which detract from the audience’s ability to comprehend material. | Few spelling and grammar errors. | Minimal to no spelling and grammar errors. |
| Points- 2 | Points- 3 | Points- 4 | Points- 5 |
