NRS 455 Benchmark – Case Study: Mr. D. GCU

Sample Answer for NRS 455 Benchmark – Case Study: Mr. D. GCU Included After Question

Assessment Description

Use the “Case Study: Mr. D.” template and the “Functional Health Patterns Assessment Guide”, located in the topic Resources, to complete the assignment.

Case Study: Mr. D. has indirect care experience requirements. The “NRS-455 – Case Studies: Indirect Care Experience Hours” form, found in the Topic 1 Resources, will be used to document the indirect care experience hours completed in the case study. As progress is made on the case study, update this form indicating the date(s) each section is completed. This form will be submitted in Topic 3.

You are required to cite a minimum of three sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

Benchmark Information

This benchmark assignment assesses the following programmatic competencies and professional standards:

RN-BSN

2.4: Diagnose actual or potential health problems and needs.

2.8: Promote self-care management.

American Association of Colleges of Nursing Core Competencies for Professional Nursing Education

This assignment aligns to AACN Core Competencies 2.3, 2.4, 2.8, 3.1, and 3.3.

Course Description

This course is designed to build upon existing knowledge of the pathophysiological processes of disease as they affect patients across the life span, recognizing the nurse’s multidimensional role in health promotion and disease management and prevention, which include biological, environmental, social, psychological, and spiritual dimensions. Integration of nutritional and pharmacological concepts encourages critical thinking and application of nursing interventions. Prerequisite: NRS-420.

Case Study: Mr. D.

Directions: Read the case study below. Evaluate the information and formulate a conclusion based on your evaluation. Complete the critical thinking table and submit this completed template to the assignment dropbox.

A Sample Answer For the Assignment: NRS 455 Benchmark – Case Study: Mr. D. GCU

Title:  NRS 455 Benchmark – Case Study: Mr. D. GCU

Case Study: Mr. D. 

It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.

Evaluate the Health History and Medical Information for Mr. D., presented below.

Health History and Medical Information

Mr. D. is a 65-year-old male nonadherence diabetic with end-stage renal disease receiving dialysis. He is a retired certified public accountant in the last 5 years and practices the Muslim faith. He reports that he avoids all pork products. His complaints included decreased balance, loss of sensation, fear of falling, and decreased endurance during activities of daily living due to the effects of dialysis treatment. Patient’s previous medical evaluation includes end stage renal disease (ESRD) on dialysis and referral for recommendations for initiating exercise program. Patient comorbidities include obesity with a body mass index (BMI) of 45, type II diabetes mellitus with long-term insulin use, hypertension, sleep apnea, depression with lack of family support and understanding, and diabetic neuropathy. Patient denies suicidal ideation but does report feelings of loneliness and helplessness. Mr. D. reports increasing shortness of breath with activity, swollen ankles, and pruritus over the last 6 months.

Objective Data:

1. Height: 68 inches; weight 134.5 kg
   1. BP: 140/94, HR 84, RR 22
   1. 2+ pitting edema bilateral feet and ankles
   1. Fasting blood glucose: 146 mg/dL
   1. Total cholesterol: 250 mg/dL
   1. Triglycerides: 312 mg/dL
   1. HDL: 30 mg/dL
   1. Serum creatinine 1.8 mg/dL
   1. BUN 32 mg/dl
   1. GRF (glomerular filtration rate)-13mL/min

A Sample Answer For the Assignment: NRS 455 Case Study: Mr. D. GCU

Title: NRS 455 Case Study: Mr. D. GCU

Clinical Manifestations Describe the clinical manifestations present in Mr. D., focusing on the normal and abnormal findings and how this relates to his current condition.
Subjective
Objective
Potential Health Risks for Diabetes With End-Stage Renal Disease Identify the potential health risks for a diabetic with ESRD and the impacts of nonadherence.
Identify the potential health risks for a diabetic with end-stage renal disease (ESRD) that are of concern for Mr. D.
How does Mr. D.’s nonadherence to his diabetes self-management plan for DM Type II contribute to ESRD?
Describe the common considerations with insulin use for practicing Muslims.
Pathophysiology of Renal Dialysis Explain the pathophysiology of renal dialysis.
Explain the pathophysiology of renal dialysis. Compare peritoneal dialysis and hemodialysis.
Describe in detail the pathophysiological explanation and stages of renal disease that leads to ESRD.
Explain the potential factors that contributed to Mr. D.’s ESRD.
Functional Health Problems Evaluate of Mr. D.’s functional health patterns.
Evaluate each of Mr. D.’s functional health patterns using the information given.
Discuss at least five actual or potential problems you can identify from the “Functional Health Patterns Assessment Guide,” located in the Topic 3 Resources. Provide a rationale for each.
Nursing Health Management and Health Promotion Provide ESRD nursing management and health promotion opportunities.
Provide ESRD nursing management and health promotion opportunities.
Develop a patient education plan for ESRD that could be offered to Mr. D. for prevention of future events, health restoration, and maintaining renal status.
Assume Mr. D. lives in your community. Include community resources and supportive care available for Mr. D. for ESRD care and management at home.
Discuss the nurse’s role in using the holistic multidisciplinary care approach that would be safe and effective for patients like Mr. D., including aspects such as devices, transportation, eligibility for transplant, living conditions, promotion of resiliency, and independence.

Benchmark – Case Study: Mr. D. – Rubric

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Rubric Criteria

Total130 points

Criterion	1. Unsatisfactory	2. Insufficient	3. Approaching	4. Acceptable	5. Target
Clinical Manifestations in Mr. D.	0 pointsSubjective and objective clinical manifestations are not present.	4.88 pointsSubjective and objective clinical manifestations are incomplete or incorrect.	5.14 pointsSubjective and objective clinical manifestations are present but lack detail.	5.79 pointsSubjective and objective clinical manifestations are detailed.	6.5 pointsSubjective and objective clinical manifestations are thorough.
Potential Health Risks (B)(C2.4)	0 pointsDiscussion of the potential health risks for a diabetic with end-stage renal disease that are of concern to the patient is not present.	14.63 pointsDiscussion of the potential health risks for a diabetic with end stage renal disease that are of concern to the patient is incomplete or incorrect.	15.41 pointsDiscussion of the potential health risks for a diabetic with end stage renal disease that are of concern to the patient is present but lacks detail.	17.36 pointsDiscussion of the potential health risks for a diabetic with end stage renal disease that are of concern to the patient is detailed.	19.5 pointsDiscussion of the potential health risks for a diabetic with end stage renal disease that are of concern to the patient is thorough.
Nonadherence to Diabetes Self-Management Plan (B)(C2.8)	0 pointsExplanation of how nonadherence to the diabetes self-management plan contributes to end-stage renal disease is not present.	9.75 pointsExplanation of how nonadherence to the diabetes self-management plan contributes to end-stage renal disease is incomplete or incorrect.	10.27 pointsExplanation of how nonadherence to the diabetes self-management plan contributes to end-stage renal disease is present but lacks detail.	11.57 pointsExplanation of how nonadherence to the diabetes self-management plan contributes to end-stage renal disease is detailed.	13 pointsExplanation of how nonadherence to the diabetes self-management plan contributes to end-stage renal disease is thorough.
Pathophysiology of Renal Dialysis and ESRD	0 pointsExplanation of the pathophysiology of renal dialysis, stages of renal disease that lead to ESRD, and potential factors that contributed to the patient’s ESRD is not present.	14.63 pointsExplanation of the pathophysiology of renal dialysis, stages of renal disease that lead to ESRD, and potential factors that contributed to the patient’s ESRD is incomplete or incorrect.	15.41 pointsExplanation of the pathophysiology of renal dialysis, stages of renal disease that lead to ESRD, and potential factors that contributed to the patient’s ESRD is present but lacks detail.	17.36 pointsExplanation of the pathophysiology of renal dialysis, stages of renal disease that lead to ESRD, and potential factors that contributed to the patient’s ESRD is detailed.	19.5 pointsExplanation of the pathophysiology of renal dialysis, stages of renal disease that lead to ESRD, and potential factors that contributed to the patient’s ESRD is thorough.
Functional Health Patterns	0 pointsEvaluation of the functional health patterns, including a discussion of at least five actual or potential health problems identified from the Functional Health Patterns Assessment Guide, is not present.	9.75 pointsEvaluation of the functional health patterns, including a discussion of at least five actual or potential health problems identified from the Functional Health Patterns Assessment Guide, is incomplete or incorrect.	10.27 pointsEvaluation of the functional health patterns, including a discussion of at least five actual or potential health problems identified from the Functional Health Patterns Assessment Guide, is present but lacks detail.	11.57 pointsEvaluation of the functional health patterns, including a discussion of at least five actual or potential health problems identified from the Functional Health Patterns Assessment Guide, is detailed.	13 pointsEvaluation of the functional health patterns, including a discussion of at least five actual or potential health problems identified from the Functional Health Patterns Assessment Guide, is thorough.
Nursing Management and Health Promotion	0 pointsDescription of nursing management and health promotion opportunities for patients with ESRD is not present.	9.75 pointsDescription of nursing management and health promotion opportunities for patients with ESRD is incomplete or incorrect.	10.27 pointsDescription of nursing management and health promotion opportunities for patients with ESRD is present but lacks detail.	11.57 pointsDescription of nursing management and health promotion opportunities for patients with ESRD is detailed.	13 pointsDescription of nursing management and health promotion opportunities for patients with ESRD is thorough.
Patient Education Plan	0 pointsDevelopment of patient education plan that could be offered to the patient for prevention of future events, health restoration, and maintaining renal status is not present.	9.75 pointsDevelopment of patient education plan that could be offered to the patient for prevention of future events, health restoration, and maintaining renal status is incomplete or incorrect.	10.27 pointsDevelopment of patient education plan that could be offered to the patient for prevention of future events, health restoration, and maintaining renal status is present but lacks detail.	11.57 pointsDevelopment of patient education plan that could be offered to the patient for prevention of future events, health restoration, and maintaining renal status is detailed.	13 pointsDevelopment of patient education plan that could be offered to the patient for prevention of future events, health restoration, and maintaining renal status is thorough.
Community Resources	0 pointsExplanation of the community resources and supportive care available for ESRD patient management at home is not present.	4.88 pointsExplanation of the community resources and supportive care available for ESRD patient management at home is incomplete or incorrect.	5.14 pointsExplanation of the community resources and supportive care available for ESRD patient management at home is present but lacks detail.	5.79 pointsExplanation of the community resources and supportive care available for ESRD patient management at home is detailed.	6.5 pointsExplanation of the community resources and supportive care available for ESRD patient management at home is thorough.
Multidisciplinary Care Approach	0 pointsDiscussion of the role of the nurse in using the multidisciplinary approach that would be safe and effective for patients like Mr. D., including aspects such as devices, transportation, eligibility for transplant, living conditions, promotion of resiliency, and independence, is not present.	9.75 pointsDiscussion of the role of the nurse in using the multidisciplinary approach that would be safe and effective for patients like Mr. D., including aspects such as devices, transportation, eligibility for transplant, living conditions, promotion of resiliency, and independence, is incomplete or incorrect.	10.27 pointsDiscussion of the role of the nurse in using the multidisciplinary approach that would be safe and effective for patients like Mr. D., including aspects such as devices, transportation, eligibility for transplant, living conditions, promotion of resiliency, and independence, is present but lacks detail.	11.57 pointsDiscussion of the role of the nurse in using the multidisciplinary approach that would be safe and effective for patients like Mr. D., including aspects such as devices, transportation, eligibility for transplant, living conditions, promotion of resiliency, and independence, is detailed.	13 pointsDiscussion of the role of the nurse in using the multidisciplinary approach that would be safe and effective for patients like Mr. D., including aspects such as devices, transportation, eligibility for transplant, living conditions, promotion of resiliency, and independence, is thorough.
Mechanics of WritingIncludes spelling, capitalization, punctuation, grammar, language use, sentence structure, etc.	0 pointsErrors in grammar or syntax are pervasive and impede meaning. Incorrect language choice or sentence structure errors are found throughout.	5.85 pointsFrequent and repetitive mechanical errors are present. Inconsistencies in language choice or sentence structure are recurrent.	6.16 pointsOccasional mechanical errors are present. Language choice is generally appropriate. Varied sentence structure is attempted.	6.94 pointsFew mechanical errors are present. Suitable language choice and sentence structure are used.	7.8 pointsNo mechanical errors are present. Appropriate language choice and sentence structure are used throughout.
Format/DocumentationUses appropriate style, such as APA, MLA, etc., for college, subject, and level; documents sources using citations, footnotes, references, bibliography, etc., appropriate to assignment and discipline.	0 pointsAppropriate format is not used. No documentation of sources is provided.	3.9 pointsAppropriate format is attempted, but some elements are missing. Frequent errors in documentation of sources are evident.	4.11 pointsAppropriate format and documentation are used, although there are some obvious errors.	4.63 pointsAppropriate format and documentation are used with only minor errors.	5.2 pointsNo errors in formatting or documentation are present.