Respiratory Care Plan

Order Description
Assignment 2: Case Study Analysis and Care Plan Creation
South University Student login for digital book Username: chan01 Password:Perfume01
Click here to download and analyze the case study for this week. Create a holistic care plan for disease prevention, health promotion, and acute care of the patient in the clinical case. Your care plan should be based on current evidence and nursing standards of care.

Visit the South University Online Library and research for current scholarly evidence (no older than 5 years) to support your nursing actions. In addition, consider visiting government sites such as the CDC, WHO, AHRQ, and Healthy People 2020. Provide a detailed scientific rationale justifying the inclusion of this evidence in your plan.

Next determine the ICD-10 classification (diagnoses). The International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-10-CM) is the official system used in the United States to classify and assign codes to health conditions and related information.

Click here to access the codes.

Click here to download the care plan template to help you design a holistic patient care plan. The care plan example provided here is meant only as a frame of reference for you to build your care plan. You are expected to develop a comprehensive care plan based on your assessment, diagnosis, and advanced nursing interventions. Reflect on what you have learned about care plans through independent research and peer discussions and incorporate the knowledge that you have gained into your patient’s care plan.

Format

Your care plan should be formatted as a Microsoft Word document. Follow the current APA edition style. Your paper should be 2 pages excluding the title page and references and in 12pt font.

Name your document: SU_NSG6001_W2_A2_LastName_FirstInitial.doc.

Submit your document to the W2 Assignment 2 Dropbox by Week 2, Day 6.

Assignment 2 Grading Criteria
Maximum Points
Subjective Data

The submission included the patient’s interpretation of current medical problem. It included chief complaint, history of present illness, current medications and reason prescribed, past medical history, family history, and review of systems.

15
Objective Data

The submission included measurements and observations obtained by the nurse practitioner. It included head to toe physical examination as well as laboratory and diagnostic testing results and interpretation (especially those that pertain to the diagnosis).

15
Assessment

The submission included at least three priority diagnoses. Each diagnosis was supported by documentation in subjective and objective notes and free of essential omissions. All diagnoses were documented using acceptable terminologies and current ICD-10 codes.

15
Plan of Care

Plan included diagnostic and therapeutic (pharmacologic and non-pharmacologic) management as well as education and counseling provided. The plan was supported by evidence/guidelines, and the follow-up plans were noted.

20
APA

Used APA standards consistently and accurately when citing in the SOAP note and reference page. Utilized proper format with coversheet and header.

10
Total
75

Assignment 2: Case Study Analysis and Care Plan Creation

Click here to download and analyze the case study for this week. Create a holistic care plan for disease prevention, health promotion, and acute care of the patient in the clinical case. Your care plan should be based on current evidence and nursing standards of care.

Visit the South University Online Library and research for current scholarly evidence (no older than 5 years) to support your nursing actions. In addition, consider visiting government sites such as the CDC, WHO, AHRQ, and Healthy People 2020. Provide a detailed scientific rationale justifying the inclusion of this evidence in your plan.

Next determine the ICD-10 classification (diagnoses). The International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-10-CM) is the official system used in the United States to classify and assign codes to health conditions and related information.

Click here to access the codes.

Click here to download the care plan template to help you design a holistic patient care plan. The care plan example provided here is meant only as a frame of reference for you to build your care plan. You are expected to develop a comprehensive care plan based on your assessment, diagnosis, and advanced nursing interventions. Reflect on what you have learned about care plans through independent research and peer discussions and incorporate the knowledge that you have gained into your patient’s care plan.

Format

Your care plan should be formatted as a Microsoft Word document. Follow the current APA edition style. Your paper should be 2 pages excluding the title page and references and in 12pt font.

Name your document: SU_NSG6001_W2_A2_LastName_FirstInitial.doc.

Submit your document to the W2 Assignment 2 Dropbox by Week 2, Day 6.

Assignment 2 Grading Criteria
Maximum Points
Subjective Data

The submission included the patient’s interpretation of current medical problem. It included chief complaint, history of present illness, current medications and reason prescribed, past medical history, family history, and review of systems.

15
Objective Data

The submission included measurements and observations obtained by the nurse practitioner. It included head to toe physical examination as well as laboratory and diagnostic testing results and interpretation (especially those that pertain to the diagnosis).

15
Assessment

The submission included at least three priority diagnoses. Each diagnosis was supported by documentation in subjective and objective notes and free of essential omissions. All diagnoses were documented using acceptable terminologies and current ICD-10 codes.

15
Plan of Care

Plan included diagnostic and therapeutic (pharmacologic and non-pharmacologic) management as well as education and counseling provided. The plan was supported by evidence/guidelines, and the follow-up plans were noted.

20
APA

Used APA standards consistently and accurately when citing in the SOAP note and reference page. Utilized proper format with coversheet and header.

10
Total
75
Primary Care
Author: Terry Mahan Buttaro; JoAnn Trybulski; Patricia Polgar Bailey; Joanne Sandberg-Cook
Edition: 4
Copyright Date:
Publisher: Elsevier – Health Sciences Division
ISBN: 9780323075015
Retail Price: $133.95
Delivery Method: This item is available via the South University Online Digital Bookshelf and will be delivered to you electronically within the course, unless you choose to opt out. If you do not opt out, there is no need to purchase a textbook.

Dates Active: 10/1/2016 – 1/1/2099
Title: Pocket Guide to APA Style
Author: Robert Perrin
Edition: 5
Copyright Date: 2015-01-01
Publisher: Cengage Learning
ISBN: 9781285425917
Retail Price: $51.95
Delivery Method: This item is available via the South University Online Digital Bookshelf and will be delivered to you electronically within the course, unless you choose to opt out. If you do not opt out, there is no need to purchase a textbook.

Dates Active: 11/1/2016 – 1/1/2099
Title: A Manual of Laboratory and Diagnostic Tests
Author: Frances Fischbach; Marshall B. Dunning
Edition: 9
Copyright Date:
Publisher: Lippincott Williams & Wilkins
ISBN: 9781451190892
Retail Price: $66.99
Delivery Method: This item is available via the South University Online Digital Bookshelf and will be delivered to you electronically within the course, unless you choose to opt out. If you do not opt out, there is no need to purchase a textbook.