Nursing Question

In order to write a case study paper, you must carefully address a number of sections in a specific order with specific information contained in each. The guideline below outlines each of those sections.

Section	Information to Include
Introduction (patient and problem)	Explain who the patient is (Age, gender, etc.) Explain what the problem is (What was he/she diagnosed with, or what happened?) Introduce your main argument (What should you as a nurse focus on or do?)
Pathogenesis	Explain the development or evolution of the disease, from the initial stimulus (how etiologic factors alter physiologic function) to ultimate expression of manifestations of the disease and related complications.
History	Explain what health problems the patient has (Has she/he been diagnosed with other diseases?) Detail any and all previous treatments (Has she/he had any prior surgeries or is he/she on medication?)
Nursing Physical Assessment	List all the patients health stats in sentences with specific numbers/levels (Blood pressure, bowel sounds, ambulation, etc.)
Related Treatments	Explain what treatments the patient is receiving because of his/her disease
Nursing Diagnosis & Patient Goal	Explain what your nursing diagnosis is (What is the main problem for this patient? What need to be addressed?) Explain what your goal is for helping the patient recover (What do you want to change for the patient?)
Nursing Interventions	Explain how you will accomplish your nursing goals, and support this with citations (Reference the literature)
Evaluation	Explain how effective the nursing intervention was (What happened after your nursing intervention? Did the patient get better?)
Recommendations	Explain what the patient or nurse should do in the future to continue recovery/improvement

Your paper should be 3-4 pages in length and will be graded on how well you complete each of the above sections. You will also be graded on your use of APA style and on your application of nursing journals into the treatments and interventions. For integrating nursing journals, remember the following:

Make sure to integrate citations into all of your paper
Support all claims of what the disease is, why it occurs, and how to treat it with references to the literature on this disease
Always use citations for information that you learned from a book or article; if you do not cite it, you are telling your reader that YOU discovered that information (how to treat the disease, etc.)
Patient Scenario: Ischemic Stroke Case Study

Patient Introduction
- Name: Mr. David Ramirez
- Age: 68 years old
- Gender: Male
- Diagnosis: Acute ischemic stroke (left middle cerebral artery)
- Admitted after sudden right-sided weakness and slurred speech.
History
- Past medical history:
  - Hypertension
  - Type 2 diabetes
  - Hyperlipidemia
  - Former smoker (40 pack-years)
- Medications at home:
  - Lisinopril
  - Metformin
  - Atorvastatin
- No prior stroke history.
Initial Symptoms
- Facial droop on right side
- Right arm weakness
- Difficulty speaking (expressive aphasia)
- Confusion
- Symptom onset: 2 hours before ED arrival.
Nursing Physical Assessment (example data youll use)
- BP: 178/96 mmHg
- HR: 102 bpm
- RR: 20/min
- SpO: 93% on room air
- Temp: 37.2C
- GCS: 14
- Pupils equal and reactive
- Right-sided motor strength: 2/5
- Left side: 5/5
- Slight dysphagia noted.
Related Treatments
- CT scan confirms ischemic stroke.
- IV thrombolytic therapy administered.
- Oxygen via nasal cannula.
- Antiplatelet therapy initiated.
- Swallow evaluation ordered.
- Cardiac monitoring.
Nursing Diagnosis Ideas (youll use later)
- Impaired physical mobility
- Risk for aspiration
- Impaired verbal communication
- Ineffective cerebral tissue perfusion
Goals
- Improve oxygenation and cerebral perfusion
- Prevent aspiration
- Maintain safe mobility
- Support neurological recovery
Why this scenario will score HIGH
- Clear pathogenesis: clot decreased perfusion neuron injury.
- Strong nursing interventions you can cite (neuro checks, positioning, swallowing precautions).
- Easy evaluation section (improvement in speech, motor strength, vitals).

Review the rubric for specific grading criteria. Points possible: 65

Rubric

General Education Standardized Rubric: PATH 370 Signature Assignment

General Education Standardized Rubric: PATH 370 Signature Assignment
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeIntroduction	3.5 to >3.12 ptsExceeds ExpectationsIntroduction summarizes the case comprehensively and prepares the reader for the remainder of the paper.3.12 to >2.52 ptsMeets ExpectationsIntroduction summarizes the case and somewhat prepares the reader for the remainder of the paper.2.52 to >2.07 ptsApproaches ExpectationsIntroduction lacks detail to prepare the reader for the case.2.07 to >0 ptsDoes Not Meet ExpectationsIntroduction is not present or is grossly erroneous.	3.5 pts
This criterion is linked to a Learning OutcomePathophysiology	8.1 to >7.21 ptsExceeds ExpectationsIdentifies and thoroughly explains the pathogenesis of the disease topic. Information is scientifically sound, thorough, supported and sufficient.7.21 to >5.83 ptsMeets ExpectationsMostly Identifies and thoroughly explains the pathogenesis of the disease topic. Information is scientifically sound, thorough, necessary and sufficient.5.83 to >4.78 ptsApproaches ExpectationsProvides insufficient explanations. Information is not entirely scientifically sound, necessary or supported with evidence and a sound rationale.4.78 to >0 ptsDoes Not Meet ExpectationsDoes not answer or answers incorrectly with insufficient explanations. Information is not scientifically sound, necessary or sufficient.	8.1 pts
This criterion is linked to a Learning OutcomeHistory, Physical and Related Treatments	8.4 to >7.48 ptsExceeds ExpectationsProvides a detailed patient history, physical assessment findings, treatment, and related treatments for the disease topic. Information is scientifically sound, thorough, supported and sufficient.7.48 to >6.05 ptsMeets ExpectationsProvides most patient history, physical assessment findings, treatment, and related treatments for the disease topic. but may be limited. Information is mostly scientifically sound, thorough, necessary and sufficient.6.05 to >4.96 ptsApproaches ExpectationsProvides insufficient explanations. Information is not entirely scientifically sound, necessary or supported with evidence and a sound rationale.4.96 to >0 ptsDoes Not Meet ExpectationsDoes not answer or answers incorrectly with insufficient explanations. Information is not scientifically sound, necessary or sufficient.	8.4 pts
This criterion is linked to a Learning OutcomeNursing Diagnosis and Patient Goals	8.1 to >7.21 ptsExceeds ExpectationsProvides thorough and detailed nursing diagnosis and patient goal. Information is scientifically sound, supported and sufficient.7.21 to >5.83 ptsMeets ExpectationsProvides mostly detailed nursing diagnosis and patient goal. Information is mostly scientifically sound, support and sufficient.5.83 to >4.78 ptsApproaches ExpectationsProvides insufficient explanations. Information is not entirely scientifically sound, necessary and sufficient. Does not address the context sufficiently or with sound rationale.4.78 to >0 ptsDoes Not Meet ExpectationsDoes not answer or incorrectly explains content.Information is not scientifically sound, necessary or sufficient	8.1 pts
This criterion is linked to a Learning OutcomeNursing Interventions	8.1 to >7.21 ptsExceeds ExpectationsThoroughly details the nursing interventions. Detailed explanation of nursing goals.Rationale is thorough, supported and sufficient.7.21 to >5.83 ptsMeets ExpectationsProvides some details of the nursing interventions. Detailed explanation of nursing goals.Rationale is supported and mostly sufficient.5.83 to >4.78 ptsApproaches ExpectationsProvides insufficient explanations. Information is not entirely scientifically sound, necessary and sufficient. Does not address the context sufficiently or with sound rationale.4.78 to >0 ptsDoes Not Meet ExpectationsDoes not answer or answers incorrectly with insufficient explanations. Information is not scientifically sound, necessary or sufficient.	8.1 pts
This criterion is linked to a Learning OutcomeEvaluation	8.1 to >7.21 ptsExceeds ExpectationsProvides thorough and insightful explanation of the effectiveness of the nursing intervention. Information is scientifically sound, supported andsufficient in detail7.21 to >5.83 ptsMeets ExpectationsProvides most thorough and insightful explanation of the effectiveness of the nursing intervention. Information is mostly scientifically sound, supported but may lack detail in some areas.5.83 to >4.78 ptsApproaches ExpectationsProvides insufficient explanations of the effectiveness of the nursing interventions. Does not address the context sufficiently or with sound rationale.4.78 to >0 ptsDoes Not Meet ExpectationsDoes not answer or answers incorrectly with insufficient explanations. Information is not scientifically sound, necessary or sufficient.	8.1 pts
This criterion is linked to a Learning OutcomeRecommendations	8.1 to >7.21 ptsExceeds ExpectationsProvides an overall thorough explanation of patient recommendations.Clinical findings are supported with evidence, compared and rationalized thoroughly. Recommendations for continued recovery/improvement explained and supported.7.21 to >5.83 ptsMeets ExpectationsProvides an overall thorough explanation of patient recommendations.Some clinical findings are supported with evidence, compared and rationalized thoroughly. Recommendations for continued recovery/improvement explained and supported.5.83 to >4.78 ptsApproaches ExpectationsProvides insufficient explanations. Information is not entirely scientifically sound, necessary and sufficient. Does not address the context sufficiently or with sound rationale4.78 to >0 ptsDoes Not Meet ExpectationsDoes not answer or answers incorrectly with insufficient explanations. Information is not scientifically sound, necessary or sufficient.	8.1 pts
This criterion is linked to a Learning OutcomeAPA format and References	7 to >6.23 ptsExceeds ExpectationsMeets all the requirements related to length. There is a minimum of 3 scholarly resources with at least 1 non-internet source. All references are correctly cited in APA format. The student shows a solid grasp of APA formatting, paraphrasing and citations.6.23 to >5.04 ptsMeets ExpectationsMeets most of the requirements related to length. There is a minimum of 3 resources with at least 1 non-internet source; the references may be questionable or not scholarly in nature. Most references are correctly cited in APA format. The student shows a good grasp of APA formatting, paraphrasing and citations but needs refinement in some areas.5.04 to >4.13 ptsApproaches ExpectationsMeets some of the requirements related to length but is lacking enough to impede the meaning of the paper. The references do not meet required count and/or may be questionable or not scholarly in nature. References are not correctly cited in APA format. The student does not show a good grasp of APA formatting, paraphrasing and citations.4.13 to >0 ptsDoes Not Meet ExpectationsDoes not follow format, length and layout requirements. References are not present or do not support scholarly intention. A lack of effort it apparent. There are extensive errors in formatting.	7 pts
This criterion is linked to a Learning OutcomeMechanics	5.6 to >4.98 ptsExceeds ExpectationsAnswers are well written throughout. Information is well organized and clearly communicated.The writing is free of spelling and grammatical errors.4.98 to >4.03 ptsMeets ExpectationsAnswers are well written throughout and the information is reasonably organized and communicated. It is mostly free of spelling and grammatical errors.4.03 to >3.3 ptsApproaches ExpectationsAnswers are somewhat organized and lacks some clarity. Contains some spelling and grammatical errors3.3 to >0 ptsDoes Not Meet ExpectationsAnswers are not well written and the information is poorly organized and lacks clarity. It contains many spelling and grammatical errors	5.6 pts

=65

Requirements: 7-8 pages

WRITE MY PAPER

Patient Scenario: Ischemic Stroke Case Study

Patient Introduction

History

Initial Symptoms

Nursing Physical Assessment (example data youll use)

Related Treatments

Nursing Diagnosis Ideas (youll use later)

Goals

Why this scenario will score HIGH

Rubric

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