11 Oct You are caring for a 59-year-old African American
You are caring for a 59-year-old African American male who is a non-smoker and a non-drinker. The individual has a healthy weight for his height. On weekends, he coaches a youth baseball team in his community and enjoys eating hot dogs and nachos with the children after games. He has been monitoring his blood pressure at the community center and noted that the highest reading was 168/92 mm Hg. He is pleased with this number, as the results were “lower than previous readings.” However, his healthcare provider is still concerned. She informed him about the dietary choices he was making and reminded him to limit his sodium intake. She also renewed the individual’s prescription for a thiazide diuretic and added an ACE inhibitor to his treatment regime. Please answer the following prompts in your analysis of the case: Speculate how the individual’s ethnicity contributes to his hypertension. Discuss other determinants of health that contribute to the prevalence of hypertensive disease in this population. Discuss the significance of an elevated systolic pressure, even in the absence of diastolic hypertension, detailing the pathophysiology behind elevation in blood pressure and the ultimate development of hypertension. Identify if this individual is at risk for developing heart failure. If so, what type of heart failure would he be most at risk of developing? Briefly discuss the mechanism of action of the two classes of drugs this individual was prescribed for the management of his hypertension. For additional details, please refer to the Case Study Guidelines and Rubric document. Hide Rubrics Rubric Name: NUR 315 Case Study Rubric This table lists criteria and criteria group name in the first column. The first row lists level names and includes scores if the rubric uses a numeric scoring method. Critical Elements Exemplary Proficient Needs Improvement Not Evident Pathology: Introduction and Identification 15 points Meets “Proficient” criteria and uses industry-specific language and is exceptionally clear and well-informed 12.75 points Introduces the reader to specific themes and main elements of the assigned case study without any gaps and precisely identifies specific pathology 8.25 points Introduces the reader to specific themes and main elements of the assigned case study and identifies the pathology, but with gaps in information presented 0 points Does not accurately introduce the reader to specific themes and main elements of the assigned case study and does not identify the pathology / 15 Pathology: Explanation and Plan of Care 20 points Meets “Proficient” criteria and uses industry-specific language to establish expertise 17 points Comprehensively explains the pathological condition in the development of plan of care for the individual in the assigned case study without any gaps 11 points Explains the pathological condition in the development of plan of care for the individual in the assigned case study, but with gaps 0 points Does not explain the pathological condition in the development of plan of care for the individual in the assigned case study / 20 Response to Questions 25 points Meets “Proficient” criteria and seamlessly incorporates these responses into the submission 21.25 points Thoroughly addresses all prompts from the case study and comprehensively explores issues, ideas, and concerns 13.75 points Adequately addresses most prompts included in the case study, but does not explore issues, ideas, or concerns 0 points Addresses less than half of the prompts from the case study / 25 Patient-Care Technologies 15 points Meets “Proficient” criteria, and explanation is exceptionally clear and well-informed 12.75 points Accurately explains the role of patient-care technologies (as appropriate) in caring for individuals identified in the assigned case study without any gaps 8.25 points Accurately explains the role of patient-care technologies (as appropriate) in caring for individuals identified in the assigned case study, but with gaps in information given 0 points Does not accurately explain the role of patient-care technologies (as appropriate) in caring for individuals identified in the assigned case study / 15 Incorporation of Resources 15 points Incorporates more than two discipline-specific, peer-reviewed journal articles and one source from an interdisciplinary, peer-reviewed journal. Viewpoints of experts are analyzed and well-informed 12.75 points Incorporates sources of evidence from at least two discipline-specific, peer-reviewed journal articles 8.25 points Incorporates at least two sources of evidence from peer-reviewed journals, but fails to make connection to case study clear 0 points Does not incorporate at least two sources of evidence from a peer-reviewed journal / 15 Articulation of Response (APA/Mechanics) 10 points Submission is free of errors related to citations, grammar, spelling, syntax, and organization and is presented in a professional and easy-to-read format 8.5 points Submission has no major errors related to citations, grammar, spelling, syntax, or organization 5.5 points Submission has major errors related to citations, grammar, spelling, syntax, or organization that negatively impact readability and articulation of main ideas 0 points Submission has critical errors related to citations, grammar, spelling, syntax, or organization that obstruct understanding / 10 Rubric Total Score Total / 100 Overall Score Overall Score Exemplary86 points minimum Instructors should not modify this row (it will automate from the scores above). This score represents the average evaluation across all rubric criteria. Proficient56 points minimum Instructors should not modify this row (it will automate from the scores above). This score represents the average evaluation across all rubric criteria. Needs Improvement1 point minimum Instructors should not modify this row (it will automate from the scores above). This score represents the average evaluation across all rubric criteria. Not Evident0 points minimum Instructors should not modify this row (it will automate from the scores above). This score represents the average evaluation across all rubric criteria.
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