C.L. Community-Acquired Pneumonia Case Study
Order ID 53563633773 Type Essay Writer Level Masters Style APA Sources/References 4 Perfect Number of Pages to Order 5-10 Pages Description/Paper Instructions
C.L. Community-Acquired Pneumonia Case Study
Patient Profile
C.L., a 73-yr-old Taiwanese woman, was admitted through the emergency department with shortness of breath. She was diagnosed with community-acquired pneumonia. Her medical history includes COPD, hypertension, diabetes, mild cognitive impairment, depression, macular degeneration, and significant hearing loss.
Subjective Data
A stroke 5 years ago and has right-sided weakness
A 100 pack-year history of tobacco use but quit smoking after her stroke
Not seen primary care physician in 1 year
In past year has had an unplanned weight loss of 15 pounds
Spends her days either in bed or in a recliner watching television
Shortness of breath for past 5 days
Psychosocial Data
Came to the United States 15 years ago from Taiwan
Speaks Mandarin Chinese with limited English proficiency
Lives with her unemployed adult son who provides help with ADLs and IADLs
Has 3 daughters who live within a 2-hour drive
Limited financial resources but has Medicare and Medicaid benefits
Daughters raise concerns about their mother’s care and safety at home, given their brother’s history of anger issues and a gambling addiction
When daughters ask their brother about how he is caring for his mother, he says, “I’m doing the best I can. She refuses help. She refuses to go to the doctor. What do you want me to do? She’s old. She’s crazy. She’s going to die anyway!”
Daughters state their mother does not want to go to a nursing home
Objective Data
Physical Examination
Unwashed, matted hair, poor oral hygiene, overgrown toenails
2 Stage 3 sacral pressure injuries
Unstageable right heel pressure injury
Multiple small bruises on her forearms and shins
5- × 10-cm bruise in the middle of her back
Diagnostic Tests
Serum albumin 2.4 g/dL
X-ray reveals consolidation in lower left and right lung lobes
Discussion Questions
What other information do you need to assess C.L.’s condition? How should you address questions about potential elder mistreatment?
Define ageism, and explain how it may be manifested in this case.
Identify the stage of Corbin and Strauss chronic illness trajectory that describe C.L.’s current status. Which stage is the goal of your nursing care?
Patient-Centered Care: What is your assessment of C.L.’s ability to manage her chronic illnesses? What will you include in your care planning to optimize her self-care ability?
Priority Decision: Based on your assessment of C.L., what are the priority nursing diagnoses?
Safety: To ensure C.L.’s safety, what nursing interventions are necessary during her hospitalization?
Collaboration: How would you use unlicensed assistive personnel (UAP) on the hospital unit to carry out the priorities that you identified in question 4?
What risk factors does C.L. have for developing frailty? Which factors are modifiable?
Based on your knowledge of care alternatives for older adults, what setting would be most appropriate for C.L. upon hospital discharge?
Collaboration: Because she has an expressed desire to return home, what referrals would be indicated if this were the plan?
What risk factors does C.L. have for becoming a victim of elder mistreatment? List and provide the rationale for nursing interventions and legal and ethical responsibilities in this case.
RUBRIC
QUALITY OF RESPONSE NO RESPONSE POOR / UNSATISFACTORY SATISFACTORY GOOD EXCELLENT Content (worth a maximum of 50% of the total points) Zero points: Student failed to submit the final paper. 20 points out of 50: The essay illustrates poor understanding of the relevant material by failing to address or incorrectly addressing the relevant content; failing to identify or inaccurately explaining/defining key concepts/ideas; ignoring or incorrectly explaining key points/claims and the reasoning behind them; and/or incorrectly or inappropriately using terminology; and elements of the response are lacking. 30 points out of 50: The essay illustrates a rudimentary understanding of the relevant material by mentioning but not full explaining the relevant content; identifying some of the key concepts/ideas though failing to fully or accurately explain many of them; using terminology, though sometimes inaccurately or inappropriately; and/or incorporating some key claims/points but failing to explain the reasoning behind them or doing so inaccurately. Elements of the required response may also be lacking. 40 points out of 50: The essay illustrates solid understanding of the relevant material by correctly addressing most of the relevant content; identifying and explaining most of the key concepts/ideas; using correct terminology; explaining the reasoning behind most of the key points/claims; and/or where necessary or useful, substantiating some points with accurate examples. The answer is complete. 50 points: The essay illustrates exemplary understanding of the relevant material by thoroughly and correctly addressing the relevant content; identifying and explaining all of the key concepts/ideas; using correct terminology explaining the reasoning behind key points/claims and substantiating, as necessary/useful, points with several accurate and illuminating examples. No aspects of the required answer are missing. Use of Sources (worth a maximum of 20% of the total points). Zero points: Student failed to include citations and/or references. Or the student failed to submit a final paper. 5 out 20 points: Sources are seldom cited to support statements and/or format of citations are not recognizable as APA 6th Edition format. There are major errors in the formation of the references and citations. And/or there is a major reliance on highly questionable. The Student fails to provide an adequate synthesis of research collected for the paper. 10 out 20 points: References to scholarly sources are occasionally given; many statements seem unsubstantiated. Frequent errors in APA 6th Edition format, leaving the reader confused about the source of the information. There are significant errors of the formation in the references and citations. And/or there is a significant use of highly questionable sources. 15 out 20 points: Credible Scholarly sources are used effectively support claims and are, for the most part, clear and fairly represented. APA 6th Edition is used with only a few minor errors. There are minor errors in reference and/or citations. And/or there is some use of questionable sources. 20 points: Credible scholarly sources are used to give compelling evidence to support claims and are clearly and fairly represented. APA 6th Edition format is used accurately and consistently. The student uses above the maximum required references in the development of the assignment. Grammar (worth maximum of 20% of total points) Zero points: Student failed to submit the final paper. 5 points out of 20: The paper does not communicate ideas/points clearly due to inappropriate use of terminology and vague language; thoughts and sentences are disjointed or incomprehensible; organization lacking; and/or numerous grammatical, spelling/punctuation errors 10 points out 20: The paper is often unclear and difficult to follow due to some inappropriate terminology and/or vague language; ideas may be fragmented, wandering and/or repetitive; poor organization; and/or some grammatical, spelling, punctuation errors 15 points out of 20: The paper is mostly clear as a result of appropriate use of terminology and minimal vagueness; no tangents and no repetition; fairly good organization; almost perfect grammar, spelling, punctuation, and word usage. 20 points: The paper is clear, concise, and a pleasure to read as a result of appropriate and precise use of terminology; total coherence of thoughts and presentation and logical organization; and the essay is error free. Structure of the Paper (worth 10% of total points) Zero points: Student failed to submit the final paper. 3 points out of 10: Student needs to develop better formatting skills. The paper omits significant structural elements required for and APA 6th edition paper. Formatting of the paper has major flaws. The paper does not conform to APA 6th edition requirements whatsoever. 5 points out of 10: Appearance of final paper demonstrates the student’s limited ability to format the paper. There are significant errors in formatting and/or the total omission of major components of an APA 6th edition paper. They can include the omission of the cover page, abstract, and page numbers. Additionally the page has major formatting issues with spacing or paragraph formation. Font size might not conform to size requirements. The student also significantly writes too large or too short of and paper 7 points out of 10: Research paper presents an above-average use of formatting skills. The paper has slight errors within the paper. This can include small errors or omissions with the cover page, abstract, page number, and headers. There could be also slight formatting issues with the document spacing or the font Additionally the paper might slightly exceed or undershoot the specific number of required written pages for the assignment. 10 points: Student provides a high-caliber, formatted paper. This includes an APA 6th edition cover page, abstract, page number, headers and is double spaced in 12’ Times Roman Font. Additionally, the paper conforms to the specific number of required written pages and neither goes over or under the specified length of the paper. GET THIS PROJECT NOW BY CLICKING ON THIS LINK TO PLACE THE ORDER
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