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Explore the professional responsibilities involved in conducting a comprehensive health assessment and providing appropriate documentation.

Guidelines for Course Project
Milestone 2:
Nursing Diagnosis and Care Plan Assignment
Purpose
This activity will be a continuation of the Milestone 1:
Health History that you submitted in Week 4. In this part of the assignment you
will take the information you gathered, analyze the data, and develop a nursing
care plan.
Course
Outcomes
This assignment enables the student to meet the following
course outcomes:
CO
#3: Utilize effective communication when performing a health assessment. (PO
#3)
CO #4: Identify teaching/learning
needs from the health history of an individual. (PO #2)
CO
#5: Explore the professional responsibilities involved in conducting a
comprehensive health assessment and providing appropriate documentation. (PO
#6)
Points
This assignment is worth a total of 250 points.
Due
Date
The assignment is to be
submitted to the Dropbox by Sunday, 11:59 p.m. MT at the
end of Week 6.Post questions to the
weekly Q & A Forum. Contact your instructor if you need additional
assistance.See
the Course Policies regarding late assignments. Failure to submit your paper to
the Dropbox on time may result in a deduction of points.
Directions
1. Download the NR305_Milestone2_Form from
Doc Sharing. You will type your answers directly into this Word document. Your
paper does NOT need to follow APA formatting; however, you are expected to use
correct grammar, spelling, syntax and write in complete sentences.
2. Save the file by clicking Save as
and adding your last name to the file name, e.g., NR305_Milestone2_Form_Smith
3. Submit the completed form to the
Dropbox by Sunday, 11:59 p.m. MT at the end of Week 6. Please post questions in
the weekly Q & A Forums so the entire class may view the answers.

Grading Criteria

Category

Points

%

Description

ANALYZE
THE DATA

Areas
for focused assessment

30

12

Provide an overview of those areas
of strength and weakness noted on the Health Assessment, Health History. Do
not go into detail in this section.

Clients
strengths

30

12

Expand on
areas identified as strengths related to the person’s overall health. Support
your conclusions with data from the textbook.

Areas
of concern

30

12

Expand on areas previously
identified as abnormal and those that place the person at health risk.
Support your observations with data from the textbook.

Health
teaching topics

30

12

What health education needs have
you identified? Support your statements with facts from the Health History
and information from your textbook.

NURSING CARE
PLAN

Diagnosis

30

12

Write one nursing diagnosis that reflects a priority need
for this person. Types of diagnoses include an illness, risk for illness or a
wellness diagnosis.

Plan

30

12

Write one goal and one measurable expected outcome related
your nursing diagnosis. Explain why this goal and outcome is a priority.
Include cultural consideration of the client. For example, African Americans
are at higher risk for hypertension and any prehypertensive blood pressure
readings should be addressed.

Intervention

30

12

Write as many nursing orders or nursing interventions that
you need in order to achieve the outcome. Provide the rationale for each
intervention listed

Evaluation

30

12

You wont have an opportunity to carry out your care plan
so you cannot evaluate the effectiveness of your nursing
orders/interventions. Instead comment on what you would look for in order to
evaluate your effectiveness

CLARITY
OF WRITING

10

4

Use proper grammar, spelling and
medical language

Total

250 pts

100%

A quality paper
will meet or exceed all of the above requirements.

Grading Rubric

Assignment Criteria

A
Outstanding
or highest level of performance

B
Very good
or high level of performance

C
Competent
or satisfactory level of performance

F
Poor or
failing or unsatisfactory level of performance

Analyze the Data

Areas
for focused assessment
30
points

Identifies
all strengths and weaknesses
27-30
points

Overlooks
no more than 1 strength and/or 1 weakness
25-26
points

Overlooks
more than 1 strength and 1 weakness
22-24
points

Overlooks
more than 2 strengths and 2 weakness areas; item not included
0-21

Clients
strengths
30
points

Uses
textbook (cites source) to validate all traits identified as strengths
27-30
points

Uses
textbook (cites source) to validate all but 1 trait identified as a strength
25-26
points

Uses
source to validate strengths, but not the textbook
22-24

Does
not validate identified strengths
0-21

Areas
of concern
30
points

Uses
textbook (cites source) to validate all traits identified as concerns
27-30
points

Uses
textbook (cites source) to validate all but 1 trait identified as a concern
25-26
points

Uses
source to validate concerns, but not the textbook
22-24

Does
not validate identified concerns
0-21

Health
teaching topics
30
points

Identifies
all areas of knowledge deficit contained in Health History; validates
findings using textbook (cites source)
27-30
points

Identifies
all but 1-2 knowledge deficits contained in Health History; validates
findings using textbook (cites source)
25-26
points

Fails
to identify 3 areas of knowledge deficit contained in Health History;
validates findings using textbook (cites source)
22-24

Does
not validate findings with textbook
0-21

Nursing Care Plan

Diagnosis
30
points

Diagnosis
properly written in NANDA terms and reflects an
illness, risk for illness or a wellness diagnosis.
27-30
points

Diagnosis
not written in NANDA terms or does not reflect an
illness, risk for illness or a wellness diagnosis.25-26 points

Diagnosis
not written in NANDA terms and does not reflectan
illness, risk for illness or wellness diagnosis.
22-24

Diagnosis
is not documented
0-21

Plan
30
points

Goal
realistic; outcome measurable and timed. Cultural considerations are
identified and addressed.
27-30
points

Goal
realistic but outcome not measurable or timed. Cultural considerations are mostly
addressed
25-26
points

Goal
somewhat realistic; outcome not measurable or timed. Cultural considerations
are barely addressed.
22-24

Goal
is not documented; cultural considerations are not adequately addressed
0-21

Intervention
30
points

Interventions
will aid in achievement of outcome; sound, rationale provided
27-30
points

Interventions
will aid in achievement of outcome; rationale provided but not necessarily
sound
25-26
points

Interventions
incomplete and rationale provided but
not necessarily sound
22-24

Interventions
will not support outcome achievement; no rationale provided
0-21

Evaluation
30
points

Criteria
listed to thoroughly evaluate effectiveness of health education
27-30
points

Criteria
listed mostly evaluates effectiveness of health education
25-26
points

Criteria
listed partially evaluates effectiveness of health education
22-24

No
evaluation criteria listed
0-21

CLARITY
OF WRITING
10
points

No
grammar, spelling, or syntax errors. Writes logically in complete sentences.
10
points

No
more than 2 errors of any type
8-9
points

2-3
errors of any type
6-7
points

3
or more errors of any type
0-5
points

Total Points Possible = 250 pointsCourse Project Milestone #2: Nursing Diagnosis and Care Plan
FormYour Name: Date:
Your Instructors Name: Directions:
Refer to the Milestone 2: Nursing Diagnosis and Care plan guidelines and
grading rubric found in Doc Sharing to complete the information below. This
assignment is worth 250 points, with 10 points awarded for clarity of writing,
which means the use of proper grammar, spelling and medical language. Type your answers on this form. Click
Save as and save the file with the assignment name and your last name, e.g.,
NR305_Milestone2_Form_Smith When you are finished, submit the form to the
Milestone 2 Dropbox by the deadline indicated in your guidelines. Post questions
in the Q&A Forum or contact your instructor if you have questions about
this assignment.1: Analyze Assessment Data:Based on the health history
information, identify the following:A. Areas for focused assessment (30 points)Provide a brief overview of those areas of
strength and weakness noted from Milestone 1: Health History.B. Clients strengths (30 points)Expand on areas
identified as strengths related to the person’s overall health. Support your
conclusions with data from the textbook.C. Areas of concern (30 points)Expand on areas
previously identified as abnormal and those that place the person at a health
risk. Support your observations with data from the textbook.D. Health teaching topics (30 points)Identify health education needs. Support your statements with facts from
the Health History and information from your textbook.2: Nursing Care PlanNext, plan your care based on your
analysis of your assessment data:A. Diagnosis (30 points)Write one nursing diagnosis that reflects a
priority need for this person. Remember
a wellness diagnosis is a possibility.B. Plan (30 points)Write one goal and one measurable expected outcome related to your nursing
diagnosis. Explain why this goal and
outcome is a priority. Include cultural considerations for this client.C. Intervention (30 points)Write as many
nursing orders or nursing interventions that you need in order to achieve the
outcome. Provide the rationale for each
intervention listed.D. Evaluation (30 points)You will not
carry out your care plan so you cannot evaluate the effectiveness of your
nursing interventions. Instead, comment on what you would look for in order to
evaluate your effectiveness.

Guidelines for Course Project
Milestone 2:Nursing Diagnosis and Care Plan AssignmentThis activity will be a continuation of the Milestone 1:
Health History that you submitted in Week 4. In this part of the assignment you
will take the information you gathered, analyze the data, and develop a nursing
care plan.This assignment enables the student to meet the following
course outcomes: CO
#3: Utilize effective communication when performing a health assessment. (PO
#3)CO #4: Identify teaching/learning
needs from the health history of an individual. (PO #2)CO
#5: Explore the professional responsibilities involved in conducting a
comprehensive health assessment and providing appropriate documentation. (PO
#6)PointsThis assignment is worth a total of 250 points.Due
DateThe assignment is to be
submitted to the Dropbox by Sunday, 11:59 p.m. MT at the
end of Week 6.Post questions to the
weekly Q & A Forum. Contact your instructor if you need additional
assistance.See
the Course Policies regarding late assignments. Failure to submit your paper to
the Dropbox on time may result in a deduction of points.Directions1. Download the NR305_Milestone2_Form from
Doc Sharing. You will type your answers directly into this Word document. Your
paper does NOT need to follow APA formatting; however, you are expected to use
correct grammar, spelling, syntax and write in complete sentences.2. Save the file by clicking Save as
and adding your last name to the file name, e.g., NR305_Milestone2_Form_Smith3. Submit the completed form to the
Dropbox by Sunday, 11:59 p.m. MT at the end of Week 6. Please post questions in
the weekly Q & A Forums so the entire class may view the answers.CategoryPoints%DescriptionANALYZE
THE DATAAreas
for focused assessment3012Provide an overview of those areas
of strength and weakness noted on the Health Assessment, Health History. Do
not go into detail in this section.Clients
strengths3012Expand on
areas identified as strengths related to the person’s overall health. Support
your conclusions with data from the textbook.Areas
of concern3012Expand on areas previously
identified as abnormal and those that place the person at health risk.
Support your observations with data from the textbook.Health
teaching topics3012What health education needs have
you identified? Support your statements with facts from the Health History
and information from your textbook.NURSING CARE
PLANDiagnosis3012Write one nursing diagnosis that reflects a priority need
for this person. Types of diagnoses include an illness, risk for illness or a
wellness diagnosis.Plan3012Write one goal and one measurable expected outcome related
your nursing diagnosis. Explain why this goal and outcome is a priority.
Include cultural consideration of the client. For example, African Americans
are at higher risk for hypertension and any prehypertensive blood pressure
readings should be addressed. Intervention3012Write as many nursing orders or nursing interventions that
you need in order to achieve the outcome. Provide the rationale for each
intervention listedEvaluation3012You wont have an opportunity to carry out your care plan
so you cannot evaluate the effectiveness of your nursing
orders/interventions. Instead comment on what you would look for in order to
evaluate your effectivenessCLARITY
OF WRITING104Use proper grammar, spelling and
medical languageTotal250 pts100%A quality paper
will meet or exceed all of the above requirements.Assignment Criteria AOutstanding
or highest level of performanceBVery good
or high level of performanceCCompetent
or satisfactory level of performanceFPoor or
failing or unsatisfactory level of performanceAnalyze the DataAreas
for focused assessment30
pointsIdentifies
all strengths and weaknesses27-30
pointsOverlooks
no more than 1 strength and/or 1 weakness25-26
pointsOverlooks
more than 1 strength and 1 weakness22-24
pointsOverlooks
more than 2 strengths and 2 weakness areas; item not included0-21Clients
strengths30
pointsUses
textbook (cites source) to validate all traits identified as strengths27-30
pointsUses
textbook (cites source) to validate all but 1 trait identified as a strength25-26
pointsUses
source to validate strengths, but not the textbook22-24Does
not validate identified strengths0-21Areas
of concern30
pointsUses
textbook (cites source) to validate all traits identified as concerns27-30
pointsUses
textbook (cites source) to validate all but 1 trait identified as a concern25-26
pointsUses
source to validate concerns, but not the textbook22-24Does
not validate identified concerns0-21Health
teaching topics30
pointsIdentifies
all areas of knowledge deficit contained in Health History; validates
findings using textbook (cites source)27-30
pointsIdentifies
all but 1-2 knowledge deficits contained in Health History; validates
findings using textbook (cites source)25-26
pointsFails
to identify 3 areas of knowledge deficit contained in Health History;
validates findings using textbook (cites source)22-24Does
not validate findings with textbook0-21Nursing Care PlanDiagnosis30
pointsDiagnosis
properly written in NANDA terms and reflects an
illness, risk for illness or a wellness diagnosis.27-30
pointsDiagnosis
not written in NANDA terms or does not reflect an
illness, risk for illness or a wellness diagnosis.25-26 pointsDiagnosis
not written in NANDA terms and does not reflectan
illness, risk for illness or wellness diagnosis.22-24Diagnosis
is not documented 0-21Plan30
pointsGoal
realistic; outcome measurable and timed. Cultural considerations are
identified and addressed.27-30
pointsGoal
realistic but outcome not measurable or timed. Cultural considerations are mostly
addressed25-26
pointsGoal
somewhat realistic; outcome not measurable or timed. Cultural considerations
are barely addressed. 22-24Goal
is not documented; cultural considerations are not adequately addressed0-21Intervention30
pointsInterventions
will aid in achievement of outcome; sound, rationale provided27-30
pointsInterventions
will aid in achievement of outcome; rationale provided but not necessarily
sound25-26
pointsInterventions
incomplete and rationale provided but
not necessarily sound22-24Interventions
will not support outcome achievement; no rationale provided 0-21Evaluation30
pointsCriteria
listed to thoroughly evaluate effectiveness of health education27-30
pointsCriteria
listed mostly evaluates effectiveness of health education25-26
points Criteria
listed partially evaluates effectiveness of health education22-24No
evaluation criteria listed0-21CLARITY
OF WRITING10
pointsNo
grammar, spelling, or syntax errors. Writes logically in complete sentences.10
pointsNo
more than 2 errors of any type8-9
points2-3
errors of any type6-7
points3
or more errors of any type0-5
pointsTotal Points Possible = 250 pointsYour Name: Date:
Your Instructors Name: Directions:
Refer to the Milestone 2: Nursing Diagnosis and Care plan guidelines and
grading rubric found in Doc Sharing to complete the information below. This
assignment is worth 250 points, with 10 points awarded for clarity of writing,
which means the use of proper grammar, spelling and medical language. Type your answers on this form. Click
Save as and save the file with the assignment name and your last name, e.g.,
NR305_Milestone2_Form_Smith When you are finished, submit the form to the
Milestone 2 Dropbox by the deadline indicated in your guidelines. Post questions
in the Q&A Forum or contact your instructor if you have questions about
this assignment.1: Analyze Assessment Data:Based on the health history
information, identify the following:A. Areas for focused assessment (30 points)Provide a brief overview of those areas of
strength and weakness noted from Milestone 1: Health History.B. Clients strengths (30 points)Expand on areas
identified as strengths related to the person’s overall health. Support your
conclusions with data from the textbook.C. Areas of concern (30 points)Expand on areas
previously identified as abnormal and those that place the person at a health
risk. Support your observations with data from the textbook.D. Health teaching topics (30 points)Identify health education needs. Support your statements with facts from
the Health History and information from your textbook.2: Nursing Care PlanNext, plan your care based on your
analysis of your assessment data:A. Diagnosis (30 points)Write one nursing diagnosis that reflects a
priority need for this person. Remember
a wellness diagnosis is a possibility.B. Plan (30 points)Write one goal and one measurable expected outcome related to your nursing
diagnosis. Explain why this goal and
outcome is a priority. Include cultural considerations for this client.C. Intervention (30 points)Write as many
nursing orders or nursing interventions that you need in order to achieve the
outcome. Provide the rationale for each
intervention listed.D. Evaluation (30 points)You will not
carry out your care plan so you cannot evaluate the effectiveness of your
nursing interventions. Instead, comment on what you would look for in order to
evaluate your effectiveness.

"Order a similar paper and get 15% discount on your first order with us
Use the following coupon
"FIRST15"

Order Now