Situation Mary is aged 42 years, divorced with two children,
Situation Mary is aged 42 years, divorced with two children,… SituationMary is aged 42 years, divorced with two children, employed part time and cares for her mother who has Alzheimer’s disease. She has no extended family to help with caring for her mother. She reports feeling isolated from the world and lonely without a significant other.Mary complains of feeling ‘stressed’ all the time and constantly worries about ‘anything and everything’. She describes herself as always having been a ‘worrier’ but her anxiety has become much worse in the past 12 months since her mother became unwell, and she no longer feels that she can control these thoughts. When worried, Mary feels tension in her shoulders, stomach and legs, her heart races and sometimes she finds it difficult to breathe. Her sleep is poor with difficulty getting off to sleep due to worrying and frequent wakening. She feels tired and irritable. She does not drink any alcohol.BackgroundMary has no significant past medical history, although she frequently makes appointments with her Primary Care Physician and Advanced practice nurse about problems experienced by her and her children. She was moderately depressed following her divorce 5 years ago and was offered antidepressants but declined them. She was referred for six sessions of counseling, which led to some improvement in her symptoms.AssessmentMary has difficulty focusing on interview s; she is fidgeting in her chair, wringing her hands, and is slightly tremulous.BP=156/92 HR= 120 Respirations=32She reports that she is frightened because she has had some fleeting thoughts of “ending it all” so that is why she came to the Psychiatric Hospital seeking admission to the inpatient unit. InstructionsAnalyze the scenario and write assessment findings. list of PRIORITIZED patient needs. Use the template on the next page as it will be helpful to use Maslow’s Hierarchy Model for this section.Format the care plan according to the template.Using the template below: Develop a care plan based on the information and data analysis from the scenario. Include two NANDA nursing diagnoses. With each nursing diagnosis, formulate one goal, and two interventions for the goal.One of the nursing plans must address patient and family education needs.You may elect to use “Deficient Knowledge” or a different diagnosis with at least one intervention that includes patient/family teachingAll interventions and rationales must be supported from professional nursing literature such as mental health textbook or a nursing care plan book.Indicate specific revisions you would use to modify the plan for partially or unmet goals to facilitate patient progress toward goal achievement. NSG221 Case Study RubricCriteriaRatingsPts This criterion is linked to a Learning OutcomeAssessment/Predisposing Factors 10 to >9.0 ptsAAssessment is holistic. Key assessment factors are included and consistent with information from the case study 9 to >6.0 ptsBAssessment is holistic 1 or 2 key assessment factors are missing 6 to >4.0 ptsCAssessment not holistic More than 2 key assessment factors missing 4 to >0 pts0Did not complete 10 pts This criterion is linked to a Learning OutcomeProblem listPrioritized Comprehensive List of Patient Needs 7 to >6.0 ptsAList is comprehensive and prioritized to the individual patient 6 to >4.0 ptsBProblem list missing 1 or 2 patient needs. Problem list has 1 error in prioritization 4 to >2.0 ptsCProblem list missing more than 2 patient needs. List is not prioritized 2 to >0 pts0Did not complete 7 pts This criterion is linked to a Learning OutcomeNursing Diagnoses (2) 5 to >4.0 ptsANursing Diagnoses formulated correctly according to NANDA 4 to >3.0 ptsBNursing Diagnoses have 1 mistake in construction 3 to >1.0 ptsCNursing Diagnoses are not NANDA format 1 to >0 pts0Did not complete 5 pts This criterion is linked to a Learning OutcomeCare Plan1 Goal for each diagnosis2 Interventions for each Goal (must cite source)Rationale for each intervention (must cite source) 15 to >14.0 ptsAEach goal is evaluated with correct terminology Identifies ways to modify the plan based on findings from patient care data Education needs of patient/family included The interventions are specific, complete, and the tasks are well defined and include frequency Each intervention and rationale is cited from professional nursing literature The plan is formatted with correct headers and columns 14 to >11.0 ptsBOne goal not measurable or time framed Interventions are clearly related to diagnosis Education needs of family/patient included 1 Intervention not clearly related to goals 1 intervention or rationale missing citation from literature Frequency missing for 1 or 2 interventions The plan is formatted with correct headers and columns 11 to >7.0 ptsCGoals not measurable or time framed Interventions not related to diagnosis or goals Education needs of family/patient not included Interventions not supported from literature Rationales not supported from literature Frequency of interventions missing The plan is not formatted with correct headers and columns 7 to >0 pts0Did not complete 15 pts This criterion is linked to a Learning OutcomeEvaluationHow would you evaluate progress toward goalsIndicate revisions that could be made for unmet goals 10 to >9.0 ptsAAssessment is holistic. Key assessment factors are included and consistent with information from the case study 9 to >7.0 ptsBEach goal is evaluated with correct terminology. Clear explanation of how progress toward goals would be evaluated Identifies ways to modify the plan based on findings from patient care data 7 to >5.0 ptsCGoals are not evaluated with correct terminology Missing explanation of how progress toward EACH goal would be evaluated Potential modifications for unmet goals missing 5 to >0 pts0Did not complete 10 pts This criterion is linked to a Learning OutcomeGrammar/Usage; Formatting 3 ptsACorrect grammar and usage Includes title page, correct in-text citations, and reference page 2 ptsB1 or 2 grammar/usage errors 1 or 2 errors 1 ptsCMore than 2 grammar/usage errors More than 2 errors 0 pts0Did not complete 3 pts Total Points: 50Image transcription textMental Health Prioritization of Needsssessment findings SubjectivePrioritized Problem List P… Show more… Show moreImage transcription textAssessment (findings Evaluation(Met/Partially Nursing related to thisGoals Interventions Ratio… Show more… Show more Health Science Science Nursing NSG 221
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