MRS SWEENEY INCONTINENCE 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
Mrs. Sweeney
GENDER Female
SOCIOECONOMIC ■ Lives alone in a first-floor apartment
AGE 70
SETTING Home
ETHNICITY White American
CULTURAL CONSIDERATIONS
PREEXISTING CONDITION Stroke ten months ago with right-sided weakness
COEXISTING CONDITIONS Urinary incontinence; impaired mobility
COMMUNICATION
DISABILITY Right-sided weakness; ambulates with a walker
LEGAL
ETHICAL
ALTERNATIVE THERAPY
PRIORITIZATION Educating client and caregiver to promote skin integrity
DELEGATION
Overview: This case requires that the nurse understand the impact of incontinence on impaired skin integrity. The nurse teaches the client and primary caregiver ways to minimize episodes of incontinence and promote good skin care.
Client Profile
Mrs. Sweeney is a 70-year-old woman who had a stroke less than a year ago. Mrs. Sweeney is alert and oriented. She feels the sensation to void, but right-sided weak-ness prevents her from always being able to get to the bathroom in time. For this reason, she wears incontinence undergarments. Mrs. Sweeney’s daughter, Adele, stops by twice each day to check on Mrs. Sweeney and prepare meals for her. There are times when Mrs. Sweeney is incontinent and remains in a wet undergarment until Adele comes to visit.
Case Study
While assisting Mrs. Sweeney in the bathroom, Adele notices that Mrs. Sweeney’s coccyx and perineum area are reddened and excoriated. Adele learns that Mrs. Sweeney sometimes sits in a wet undergarment until she arrives. Mrs. Sweeney explains, “I know I am wet. It is just easier to wait for you to get here than to try and change the undergarment myself.” Adele is concerned. She calls a local visiting nurses association to get some information about how to manage Mrs. Sweeney’s incontinence and asks if there is any skin therapy to reduce the redness.
Questions
- Describe at least three factors that affect voiding and may result in incontinence in an adult.
- What is incontinence? Describe the characteristics of each of the six types of urinary incontinence: stress, reflex, urge, functional, total (chronic incontinence), and transient (acute incontinence).
- Which type of incontinence does Mrs. Sweeney have and what data support the diagnosis?
- Sweeney tells the nurse, “I try to limit the amount of fluid I drink to one or two small glasses a day so that I do not have to go to the bathroom as much.” What teaching should the nurse provide in response to Mrs. Sweeney’s comment?
- Explain at least three factors that are contributing to Mrs. Sweeney’s impaired skin integrity.
- What will the visiting nurse most likely tell Mrs. Sweeney and Adele to consider in an effort to minimize Mrs. Sweeney’s incontinent episodes?
- What are three suggestions the visiting nurse will include while teaching Adele to care for Mrs. Sweeney’s skin?
- List five nursing diagnoses that are appropriate for Mrs. Sweeney.
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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