Nursing
Rubrics for Process Paper
Write in a Word Document, using APA format (Adapted for T5/2020)
Case presentation (10 points)
· Medical Diagnosis- (Pathophysiology of medical diagnosis including definition, signs & symptoms, and treatment/diagnostic measures) cite your sources. Explain why this topic is important to you. (8)
· Past medical history, Chief Complaints/Date, Relevant Labs Reports and Relevant Data (2)
Nursing Process
Assessment- (10 points)
· What subjective or Objective data was present with this type of patient? (2)
· What did you glean from the chart? (2)
· What information from report was most useful? (2)
· Was there any aspect of your education that helped with this assessment decision? (3)
· Explain why? (1)
Diagnosis (10 points)
· Develop Nursing diagnoses related to medical diagnoses (include primary physical, psychosocial and education nursing diagnosis). (4)
· Why did you choose them for this patient? (1)
· Did you agree with them? (1)
· Did you speak to the preceptor about adding, deleting, or modifying them? (2)
· How did care planning at Stratford help with this? Explain your response. (2)
Planning-(10 points)
· How would you plan your care for such a patient? (2)
· Do you foresee any difficulties with planning when caring for this patient and what or how would it impact your care process? (4)
· Did your plan for this patient change as the day progressed? (2)
Implementing- (10 points)
· What institutional resources played a factor in accomplishing your plan? (2
· What are the Nursing Considerations for this medical diagnosis? (Are there particular aspects that should be monitored such as lab values or etc.?) (4)
· What are some tasks that could be delegated if any, for this type of patient? Talk about that decision). (4)
Evaluation-(10 points
· Identify one best practice that could impact your care for this patient’s quality of care or patient’s safety. (4)
· What have you learned from choosing and presenting this medical diagnosis? (1)
· How did your patient do? How did you do? (1)
· Were there any institutional barriers and/or facilitators during your shifts? (4)
Format- (20 points)
· 4-10 pages (5)
· Double-spaced with 1” margins (5)
· 12-point font (5)
· Spelling and grammar correct (5)
· APA and references (5)