NURS 14178 Nursing Care 1 Essay
INSTRUCTIONS
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Get Help Now!- Answers to all the questions:
- Typed and double spaced.
- Not exceeding 5 pages.
- Grammatically correct with proper sentence structure and citation.
- APA 7
- References should be scholarly articles (NOT VLOGs).
- Follow Rubric
CASE STUDY SCENARIO
Mr. Wilson is a 78-year-old widower, seen today by an Advanced Practice Registered Nurse (APRN), the healthcare provider (HCP) at the community ambulatory care clinic. He is accompanied by his daughter, who is concerned about his increasing forgetfulness, anxiety, and wandering in the house at night. He has a history of coronary artery disease, hypertension, and NIDDM. He was diagnosed with Mild Neurocognitive disorder due to Alzheimer’s disease one year ago.
Mr. Wilson’s daughter moved into his home 6 months ago to help care for him. She works full time as an engineer for the city. Mr. Wilson has managed his ADLs and medication administration until this past month. His daughter purchased a pill organizer to help him remember to take his medication, and she leaves him prepared lunches when she goes to work, which he forgets to eat.
The nurse administers the Mini-Cog assessment tool. Mr. Wilson has poor short-term memory, is easily distracted, and is orientated to person and place only.
Mr. Wilson is upset about visiting the NP and he tells the office RPN that there is nothing wrong with him. The RPN notes that Mr. Wilson’s face is flushed, and he is wringing his hands. He states that he does not know whey he is at the clinic. He stands by the door, shuffling his feet.
When Mr. Wilson goes to the bathroom, his daughter asks the nurse “My father just doesn’t act like himself anymore. Why is this happening?”
Answer questions 1-3 before proceeding:
- What are some of the risk factors for AD?
- What is the best response by the nurse that explains why this is happening to her father?
- Explain in terms that Mr. Wilson’s daughter would understand about the pathophysiology of AD.
Continued on next page………..
One year later, Mr. Wilson has progressed from mild to moderate neurocognitive disorder due to AD. He has started to wander, and his daughter is worried he might wander out of the house and forget where he is and not be able to get home.
Mr. Wilson’s daughter tells the nurse that he has been taking frequent naps during the day, has difficulty sleeping at night, and becomes afraid, particularly when the homecare nurse enters the room. The NP recognizes that Mr. Wilson’s symptoms are consistent with the delirium sundowning phenomenon also known as “sundown syndrome”.
Answer questions 4-6 to complete the assignment:
- Compare and contrast between mild (early onset) and severe (late stage) neurocognitive disorder due to AD.
- What are some strategies his daughter needs to consider to address the wandering behavior?
- How would you explain “sundowning syndrome” to Mr. Wilson’s daughter? What are some strategies she can use to help prevent “sundowning syndrome”?
Good luck!
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Category
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Content |
Marks |
Content |
Marks |
Content |
Marks |
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Organization—Structural Development of Ideas |
Demonstrates logical and subtle sequencing of ideas through well-developed paragraphs; transitions are used to enhance organization. |
3 |
Paragraph development present but not perfected. Logical organization: organization of ideas not fully developed. |
2 |
No evidence of structure or organization. |
0 |
|
Content—Correctness of Facts |
Facts are correct in all questions. Technical explanation is both concise and complete. |
4 |
Facts are correct in at least 3 questions. Technical explanation is both concise and complete. |
2 |
Most or all facts are incorrect. Minimal or no evidence of research noted. |
0 |
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Content—Completeness |
Addressed all the questions completely with significant data. |
8 |
Addressed at least 3 questions completely with significant data. |
4 |
Did not address some of the questions and/ or no evidence of research noted. |
0 |
|
Mechanics |
No errors in grammar, punctuation, capitalization, and spelling. |
2 |
No more than 3 errors in grammar, punctuation, capitalization, and spelling. |
1 |
Numerous and distracting errors in grammar, punctuation, capitalization, and spelling. |
0 |
|
Citation |
All questions are cited and done in correct format with no errors. |
2 |
At least 4 questions are cited and done in correct format with no errors. |
1 |
Citation is absent in most or all questions. |
0 |
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Overall Presentation |
Very neat and organized. Written the questions and provided answers. |
2 |
Neat and organized. Written the questions and provided answers. |
1 |
Difficult to read. No questions or answers provided. |
0 |
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APA & Submission |
Cover page with complete requirements; APA applied throughout assignment; no missing documents. |
2 |
Cover page with incomplete requirements; Some APA applied throughout assignment; submitted via email or mailbox instead; > 1 missing document. |
1 |
Incomplete cover page; no APA throughout assignment; submitted via email or mailbox instead; incomplete documents submitted. |
0 |
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References |
Done in correct format with no errors. Includes more than 5 major references (journal articles, books, but no more than two books, & one credible internet site). |
3 |
Done in correct format with 1-4 errors. Includes 4 major references (journal articles, books but no more than two books & one credible internet site). |
2 |
Done in incorrect format with many errors. Includes only the internet sites or completely absent. |
0 |
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