Mr. Smith brings his 4-year-old son to your primary care office. He states the boy has been ill for three days. Mr. Smith indicates that he would like antibiotics so he can send his son back to pre-school the next day.
History – Child began with sneezing, mild cough, and low grade fever of 100 degrees three days ago. All immunizations UTD. Father reports that the child has had only two incidents of URI and no other illnesses.
Social – non-smoking household. Child attends preschool four mornings a week and is insured through his father’s employment. No other siblings in the household.
PE/ROS -T 99, R 20, P 100. Alert, cooperative, in good spirits, well-hydrated. Mildly erythemic throat, no exudate, tonsils +2. Both ears mild pink tympanic membrane with good movement. Lungs clear bilaterally. All other systems WNL.
Do not consider COVID-19 for this patient diagnosis.
For the assignment, do the following:
1. Diagnose the child and describe how you arrived at the diagnosis (i.e. how you ruled out other diagnoses).
2. Provide a specific treatment plan for this patient, pharmacologic and/or nonpharmacologic.
3. Provide a communication plan for how the family will be involved in the treatment plan.
4. Provide resources that Mr. Smith could access which would provide information concerning your treatment decisions.
5. Utilize national standards, your pharm and/or patho book and medical or advanced practice professional sources. Do not use patient-facing sources or general nursing texts to support your diagnosis and treatment.
6. Use references to support your concepts. Utilize correct APA formatting and mechanics of professional communication.
Present this Assignment as a narrative document, with a minimum of 4, and maximum of 5 pages not counting the cover page or reference page. It is not necessary to repeat the facts of the case in your narrative.
Before finalizing your work, you should:
·
Read the Assignment description carefully (as displayed above);
·
Consult the Grading Rubric (under Course Resources) to make sure you have included everything necessary; and
· Utilize
spelling and
grammar check to minimize errors.
Your writing assignment should:
· Follow the conventions of
Standard American English (correct grammar, punctuation, mechanics, etc.);
· Be
well organized, logical, and
unified, as well as
original and insightful;
· Utilize correct APA formatting, 7th edition.
· Submit to, and review results of Turnitin.
|
Unit 6 Assignment Criteria |
Level III |
Level II |
Level I |
Not Present |
|
Criteria 1 |
Level III Max Points Points: 8 |
Level II Max Points Points: 6.4 |
Level I Max Points Points: 4.8 |
Not Present 0 Points |
|
Making a correct diagnosis |
· An accurate diagnosis is provided · Rationale for arrival at the diagnosis with support from literature |
· An accurate diagnosis is provided · Rationale for the diagnosis is provided without support from literature |
· An accurate diagnosis is provided · Rationale for the diagnosis is not provided |
· Does not meet the criteria |
|
Criteria 2 |
Level III Max Points Points: 12 |
Level II Max Points Points: 9.6 |
Level I Max Points Points: 7.2 |
Not Present 0 Points |
|
Developing a treatment plan |
· A correct and specific pharmacologic and non-pharmacologic treatment plan for the case study patient is provided |
· A specific treatment plan is provided for the case study patient but is missing less than 50% of pharmacologic and non-pharmacologic treatment. |
· A specific treatment plan is provided for the case study patient but is missing more than 50% of pharmacologic and non-pharmacologic treatment. |
· Does not meet the criteria |
|
Criteria 3 |
Level III Max Points Points: 8 |
Level II Max Points Points: 6.4 |
Level I Max Points Points: 4.8 |
Not Present 0 Points |
|
Providing the patient or family with resources |
· Three or more patient resources to assist with understanding the treatment plan are provided |
· Two patient resources to assist with understanding the treatment plan are provided |
· One patient resource to assist with understanding the treatment plan is provided |
· Does not meet the criteria |
|
Criteria 4 |
Level III Max Points Points: 7 |
Level II Max Points Points: 5.6 |
Level I Max Points Points: 4.2 |
Not Present 0 Points |
|
Developing a communication plan |
· A communication plan which includes principles of therapeutic communication is included |
· A communication plan that does not include principles of therapeutic communication is provided |
· Does not meet the criteria |
· Does not meet the criteria |
|
Criteria 5 |
Level III Max Points Points: 10 |
Level II Max Points Points: 8 |
Level I Max Points Points: 6 |
Not Present 0 Points |
|
College-level academic writing |
· Professional, peer-reviewed, advanced practice references are used · Grammar and mechanics of writing demonstrate graduate level work · Adheres to page number requirements |
· The majority of references used are professional, peer-reviewed and advanced practice · Errors in grammar or mechanics of writing are present but do not interfere with readability · Adhere to page number requirements |
· The minority of references used are professional, peer-reviewed and advanced practice · Errors in grammar or mechanics of writing are present Which interferes with readability · Does not adhere to page number requirements |
· Does not meet the criteria |
|
Criteria 6 |
Level III Max Points Points: 10 |
Level II Max Points Points: 8 |
Level I Max Points Points: 6 |
Not Present 0 Points |
|
Citations and Formatting |
· Includes a strong attempt to cite all sources using APA style. · Minor paper formatting errors may occur. · Minor in-text citation errors may occur. · All authorship is clear and retrievable. |
· Includes an overall attempt at APA formatting and citation style. · Errors in formatting of citation or sources are present. · All sources have some form of citation and all citations have a matching source. · Citations generally make authorship clear. |
· Major errors in citations or source formatting are present. · Citation or source information may be missing or incorrect. · Authorship may be unclear. |
· Does not meet the criteria |
|
Maximum Total Points |
55 |
44 |
33 |
0 |
|
Minimum Total Points |
45 points minimum |
34 points minimum |
1 point minimum |
0 |