ROGERS CELLULITIS 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
GENDER Male
AGE 91
SETTING Long-term care
SOCIOECONOMIC Long-term care resident for past nine years
ETHNICITY White American
CULTURAL CONSIDERATIONS
PREEXISTING CONDITIONS
Benign prostatic hypertrophy (BPH); gout
COEXISTING CONDITION
COMMUNICATION
Alert and oriented to person, place, and time
SPIRITUAL/RELIGIOUS
PHARMACOLOGIC
Colchicine; allopurinol (Alloprim); probenecid (Benemid); sulfinpyrazone (Anturane)
LEGAL
ETHICAL
ALTERNATIVE THERAPY
PRIORITIZATION
DELEGATION
Nursing collaboration with the dietician
DISABILITY
Overview: The client’s symptoms are consistent with cellulitis. His history, however, necessitates consideration of the possibility of a recurrence of gout. The case requires the nurse to consider the defining characteristics of cellulitis and gout. Treatment options are discussed for the two possible diagnoses. Nursing priorities are considered following a definitive medical diagnosis.
Client Profile
Mr. Rogers is an 91-year-old resident of a long-term care facility who tells the nurse, “I have an ache in my right foot.” He offers an explanation, suggesting, “I must have stepped on something or twisted my ankle. Maybe I got bit by a bug when I was outside yesterday.” The nurse notes the medial aspect of Mr. Rogers’s right ankle is reddened, slightly swollen, and warm. His temperature is within normal limits. He has a strong pedal pulse bilaterally.
Case Study
Mr. Rogers’s ankle is X-rayed and there is no fracture noted. He has full range-of-motion of his right ankle and lower extremity, although the pain in his ankle increases with movement. A Doppler ultrasound rules out a deep vein thrombosis.
Questions
- Prior to the Doppler ultrasound, how could the nurse explain this diagnostic procedure to prepare Mr. Rogers?
- Define cellulitis and discuss its common manifestations.
- Briefly explain what gout is and describe the causes of primary and secondary gout.
- What are the common characteristics of each of the four stages of gout?
- Explain what will facilitate a definitive diagnosis (cellulitis or gout) in Mr. Rogers’s case.
- If it is determined that Mr. Rogers has cellulitis, what treatments will the health care provider most likely prescribe?
- If Mr. Rogers’s symptoms are diagnosed as a recurrence of gout, what treatments will the health care provider most likely prescribe? Consider short-and long-term treatment.
- The nurse collaborates with the dietician to adjust Mr. Rogers’s diet to decrease his uric acid levels. Provide at least two examples of purine-containing foods and discuss appropriate fluid and alcohol intake to promote uric acid secretion.
- Write a nursing diagnosis the nurse will consider adding to Mr. Rogers’s plan of care upon learning the definitive diagnosis is gout.
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. The 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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