case study week 4

Directions: Complete a full intake on this patient and then develop a treatment plan using the template offered.

 

Patient History

The patient is a 59-year-old married woman with 5 grown children

She is moderately overweight (BMI 30) and was diagnosed with non-insulin-dependent diabetes 10 years ago; she is fairly well managed on an oral hypoglycemic medication (glipizide 10 mg twice per day)

Two years ago, the patient experienced 2 tremendous stressors: her oldest child developed leukemia (now in remission), and her mother and father both passed away

She suffered a significant and impairing major depressive episode that went untreated until recently

This was her fifth episode of depression; she experienced 2 major depressive episodes as a teenager, and she developed postpartum depression and anxiety following the births of 2 of her children

Four months ago, after she was too fatigued to get out of bed, she sought treatment for the first time in her life

After receiving education and support from her clinician, she reluctantly agreed to take Paxil30 mg/day

The patient has experienced a near-complete resolution of her symptoms in the last 6 months; however, she has developed side effects and wants to discontinue the medication

Specifically, she has increased appetite and has correspondingly gained 7 pounds in the last 4 months, with an increase in HgA1c of 1 full percentage point

She also reports excess daytime sedation and anorgasmia (very unusual for her)

What options can you offer to manage these side effects? Be specific

What education should you give the patient about stopping this medication abruptly?

What is your treatment plan?

 

Rubric below:

 

NU670 Unit 4 Assignment – Case Study Rubric

NU670 Unit 4 Assignment – Case Study Rubric

CriteriaRatingsPts

This criterion is linked to a Learning OutcomeContent of Paper

30 pts

Exemplary – Exceeds Expectations

The writer demonstrates a well-articulated understanding of the subject matter in a clear, complex, and informative manner. The paper content and theories are well developed and linked to the paper requirements and practical experience. The paper includes relevant material that fulfills all objectives of the paper. Follows the assignment instructions around expectations for scholarly references. Uses scholarly resources that were not provided in the course materials. All instruction requirements noted.

26 pts

Advanced – Meets Expectations

The writer demonstrates an understanding of the subject matter, and components of the paper are accurately represented with explanations and application of knowledge to include evidence-based practice, ethics, theory, and/or role. Course materials and scholarly resources support required concepts. The paper includes relevant material that fulfills all objectives of the paper. Follows the assignment instructions around expectations for scholarly references. All instruction requirements noted.

23 pts

Intermediate – Needs Improvement

The writer demonstrates a moderate understanding of the subject matter as evidenced by components of the paper being summarized with minimal application to evidence-based practice, theory, or role-development. Course content is present but missing depth and or development. Does not follow the assignment instructions around expectations for scholarly references. Only uses scholarly resources that were provided in the course materials. Most instruction requirements are noted.

20 pts

Novice – Inadequate

Absent application to evidence-based practice, theory, or role development. Use of course content is superficial. Demonstrates incomplete understanding of content and/or inadequate preparation. Content of paper is inaccurately portrayed or missing. Does not follow the assignment instructions around expectations for scholarly references. Does not use scholarly resources. Missing some instruction requirements.

0 pts

Not Proficient

Did not complete assignment.

30 pts

This criterion is linked to a Learning OutcomeAnalysis and Synthesis of Paper Content and Meaning

30 pts

Exemplary – Exceeds Expectations

Through critical analysis, the submitted paper provides an accurate, clear, concise, and complete presentation of the required content. Information from scholarly resources is synthesized, providing new information or insight related to the context of the assignment by providing both supportive and alternative information or viewpoints. All instruction requirements noted.

26 pts

Advanced – Meets Expectations

Paper is complete, providing evidence of further synthesis of course content via scholarly resources. Information is synthesized to help fulfill paper requirements. The content supports at least one viewpoint. All instruction requirements noted.

23 pts

Intermediate – Needs Improvement

Paper lacks clarification or new information. Scholarly reference supports the content without adding any new information or insight. The paper’s content may be confusing or unclear, and the summary may be incomplete. Most instruction requirements are noted.

20 pts

Novice – Inadequate

Submission is primarily a summation of the assignment without further synthesis of course content or analysis of the scenario. Demonstrates incomplete understanding of content and/or inadequate preparation. Missing some instruction requirements. Submits assignment late.

0 pts

Not Proficient

Did not complete assignment.

30 pts

This criterion is linked to a Learning OutcomeApplication of Knowledge

30 pts

Exemplary – Exceeds Expectations

The summary of the paper provides information validated via scholarly resources that offer a multidisciplinary approach. The student’s application in practice is accurate and plausible, and additional scholarly resource(s) supporting the application is provided. All questions posed within the assignment are answered in a well-developed manner with citations for validation. All instruction requirements noted.

26 pts

Advanced – Meets Expectations

A summary of the paper’s content, findings, and knowledge gained from the assignment is presented. Student indicates how the information will be used within their professional practice. All instruction requirements noted.

23 pts

Intermediate – Needs Improvement

Objective criteria are not clearly used, allowing for a more superficial application of content between the assignment and the broader course content. Student’s indication of how they will apply this new knowledge to their clinical practice is vague. Most instruction requirements are noted.

20 pts

Novice – Inadequate

The application of knowledge is significantly lacking. Student’s indication of how they will apply this new knowledge to their clinical practice is not practical or feasible. Demonstrates incomplete understanding of content and/or inadequate preparation. Application of knowledge is incorrect and/or student fails to explain how the information will be used within their personal practice. Missing several instruction requirements. Submits assignment late.

0 pts

Not Proficient

Did not complete assignment.

30 pts

This criterion is linked to a Learning OutcomeOrganization

5 pts

Exemplary – Exceeds Expectations

Well-organized content with a clear and complex purpose statement and content argument. Writing is concise with a logical flow of ideas.

4 pts

Advanced – Meets Expectations

Organized content with an informative purpose statement and supportive content and summary statement. Argument content is developed with minimal issues in content flow.

3 pts

Intermediate – Needs Improvement

Poor organization, and flow of ideas distract from content. Narrative is difficult to follow and frequently causes reader to reread work. Purpose statement is noted.

2 pts

Novice – Inadequate

Illogical flow of ideas. Missing significant content. Prose rambles. Purpose statement is unclear or missing. Demonstrates incomplete understanding of content and/or inadequate preparation. No purpose statement. Submits assignment late.

0 pts

Not Proficient

Did not complete assignment.

5 pts

This criterion is linked to a Learning OutcomeAPA, Grammar, and Spelling

5 pts

Exemplary – Exceeds Expectations

Correct APA formatting with no errors. The writer correctly identifies reading audience, as demonstrated by appropriate language (avoids jargon and simplifies complex concepts appropriately). Writing is concise, in active voice, and avoids awkward transitions and overuse of conjunctions. There are no spelling, punctuation, or word-usage errors.

4 pts

Advanced – Meets Expectations

Correct and consistent APA formatting of references and cites all references used. No more than two unique APA errors. The writer demonstrates correct usage of formal English language in sentence construction. Variation in sentence structure and word usage promotes readability. There are minimal to no grammar, punctuation, or word-usage errors.

3 pts

Intermediate – Needs Improvement

Three to four unique APA formatting errors. The writer occasionally uses awkward sentence construction or overuses/inappropriately uses complex sentence structure. Problems with word usage (evidence of incorrect use of thesaurus) and punctuation persist, often causing some difficulties with grammar. Some words, transitional phrases, and conjunctions are overused. Multiple grammar, punctuation, or word usage errors.

2 pts

Novice – Inadequate

Five or more unique formatting errors or no attempt to format in APA. The writer demonstrates limited understanding of formal written language use; writing is colloquial (conforms to spoken language). The writer struggles with limited vocabulary and has difficulty conveying meaning such that only the broadest, most general messages are presented. Grammar and punctuation are consistently incorrect. Spelling errors are numerous. Submits assignment late.

0 pts

Not Proficient

Did not complete assignment.

5 pts

Total Points: 100

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