MN584 A 73-year-old male patient, Samuel J., presents to you for his annual physical with ongoing fatigue. His vital signs are 142/86, P 74, and a weight gain of 15 pounds from the previous visit 6 months ago for a urinary tract infection | Homework Solution
Case Study: A 73-year-old male patient, Samuel J., presents to you for his annual physical with ongoing fatigue. His vital signs are 142/86, P 74, and a weight gain of 15 pounds from the previous visit 6 months ago for a urinary tract infection.
He further expresses concerns over his nighttime insomnia, daytime napping, slow weight gain, and growing lack of motivation to engage in his hobbies (tennis and ham radio operation) and part-time job (at a local big box appliance and tech store), which he formerly enjoyed. His wife of 45 years died within the last year, and he expresses concerns that he is not eating properly since she had done most of the grocery shopping and cooking. A 73-year-old male patient
His own father died at age 75 after complications of a stroke sustained at age 74, and he does not want to end up the same way. PMH is significant for hernia operation at age 32 during his military service as a Navy radio operator on a submarine. He has one daughter who lives about 10 miles away from him and with whom he enjoys a close relationship. He has a military pension and Social Security income and is covered by Medicare and Tricare supplemental insurance. His home is easy to maintain and paid for, and his vehicle is paid for and in good condition.
Case Questions:
- How does Samuel compare to the US demographic profile for his age group in terms of life expectancy, marital status, working status, and financial status?
- Which theories of aging can you identify as being relevant as part of Samuel’s current status, and why do you believe them relevant to Samuel?
- Provide one example of how the theory of aging you selected will assist you as a nurse practitioner in promoting health care in the frail elderly population in general. A 73-year-old male patient
- Provide two examples of how you as the nurse practitioner will synthesize best practice in the care of the aging population based on relevant research with regard to organ system changes with normal aging.
- Would you consider referral to any other members of the healthcare team, and if so, who and why?
- What data would you collect, and what physical workup would you need prior to a referral?
Rubric Title:
| MSN 30 point Discussion Rubric |
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| Criteria 1 | Level III Max Points
Points: 6 |
Level II Max Points
Points: 4.8 |
Level I Max Points
Points: 3.6 |
Not Present
0 Points |
| Identification
(20%)
|
Thorough identification of the importance of the subject matter to the individual, clinical, and professional. A 73-year-old male patient
Supports discussion concepts through personal experience and evidence-based information. Submits a minimum of three posts, one initial and two responses to either the course faculty or peers, with thorough reflection and content. |
Reflection of subject to self, clinical, and professional importance with minimal integration of evidence-based information.
Submits two or more posts with some reflection and content. |
Minimal reflection without reference to personal, clinical, or profession.
Submits one or more posts that have minimal reflection or content. A 73-year-old male patient |
No Posts |
| Criteria 2 | Level III Max Points
Points: 18 |
Level II Max Points
Points: 14.4 |
Level I Max Points
Points: 10.8 |
Not Present
0 Points |
| Reflection/Participation/Knowledge
(60%) |
Provides a well-written reflection that is clearly connected to the outcomes and clinical insight.
Responds to at least two other student postings with a response that advances the discussion. Clear critical thinking acknowledges application, analysis, synthesis, and evaluation. Replies move the conversation forward. Makes a reply to a question asked in response to their own posting. Builds a focused argument. Asks new or related questions. Makes an oppositional or congruent statement that is supported by experience or research.
|
Provides a well-written reflection and there is a clear connection to outcomes, but lacks clinical insight.
Replies partially move the conversation forward. Makes a reply to question asked in response to their own posting. A 73-year-old male patient Some clear critical thinking acknowledges application, analysis, synthesis, and evaluation. Affirms statements or references to relevant research. Asks similar or related questions within the context of the conversation. A 73-year-old male patient
|
Provides short reflection and there is a slight connection to outcomes. A 73-year-old male patient
Student does not move the conversation forward within their own post or in their response to peer/faculty. Minimal critical thinking that acknowledges application, analysis, synthesis, and evaluation. Does not affirm or oppose statements in conversation. Does not pose or ask related question in the context of DB conversation. |
No Posts |
| Criteria 3 | Level III Max Points
Points: 6 |
Level IIÂ Max Points
Points: 4.8 |
Level IÂ Max Points
Points: 3.6 |
Not Present
0 Points |
| Format/Style/APA/ Citations
(20%) |
No grammar, word usage, or punctuation errors. Overall style is consistent with professional work.
Writing style facilitates communication. Provides three references that are relevant to the content and published within the last five years.
|
Fewer than three grammatical errors.
Provides less than three references that are relevant to the content and published within the last five years. A 73-year-old male patient Writing style facilitates some communication.
|
More than three grammatical errors.
Provides less than three references that are relevant to the content and published within the last five years. Writing style does not facilitate communication. A 73-year-old male patient
|
No Posts |
| Maximum Total Points | 30 | 24 | 18 | 0 |
| Minimum Total Points | 25 points minimum | 19 points minimum | 1 point minimum | 0 |
