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Nursing Case Study
Nursing Case Study
Rubric Code:
B22X67C
By
rigelq13
Ready to use
Public Rubric
Subject:
Nursing
Type:
Assignment
Grade Levels:
(none)
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Nursing Clinical Case Study
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Poor
1 pts
Fair
2 pts
Good
3 pts
Excellent
4 pts
HISTORY OF PRESENT PROBLEM
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Poor
Poorly presented. More than 3 areas of pertinent information not presented or information presented not relevant to chief complaint presented.
Fair
History is scant. The majority of vital information is missing relating to the chief complain
Good
Well presented; 1-2 areas of pertinent information not presented.
Excellent
Presentation is excellent; all pertinent information presented.
PATIENT PAST MEDICAL HISTORY
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Poor
History obtained in case study not included in presentation.
Fair
Past Medical History is scant. The majority of vital information is missing relating to the chief complaint.
Good
History is age/gender appropriate and contains pertinent information. However, it is missing some vital points relating to the chief complaint.
Excellent
History is complete and age/gender appropriate. It is presented in logical format.
PATIENT PERSONAL/ SOCIAL HISTORY
Enter description
Poor
Poorly presented. More than 3 areas of pertinent information not presented or information presented not relevant to chief complaint presented.
Fair
Social history is fairly presented; 1-2 areas of pertinent information not presented.
Good
Social History is well presented; all pertinent information presented.
Excellent
Well presented; all pertinent information presented.
PATIENT ASSESSMENT
Poor
The assessment is missing or no other pertinent problems are presented.
Fair
The assessment lists the chief complaint/main problem for the patient but 2-3 problems are not presented.
Good
The assessment lists the chief complaint/main problem for the patient but one or more problems is missing.
Excellent
The assessment lists ALL of the pertinent problems for the patient, not just the chief complaint.
LABS / DIAGNOSTIC TESTS
Poor
Work in the category is far below what is expected. No laboratory work of diagnostic tests presented.
Fair
The majority of the laboratory work and appropriate tests are missing.
Good
The majority of the appropriate laboratory work and diagnostics tests have been ordered. There are one or more missing.
Excellent
All appropriate labs and diagnostic tests are recorded.
TREATMENT
Poor
The summary of treatment is inconsistent with chief compliant or not presented.
Fair
The summary of treatment is fair and 75% facts are omitted.
Good
The summary of treatment is adequate with 50% facts omitted.
Excellent
There is a complete discussion of the actual treatment including rationale for at least 25% of treatment.
PATIENT EDUCATION
Poor
The summary of education is inconsistent with chief compliant or not presented.
Fair
The summary of education is fair and 75% facts are omitted.
Good
The summary of education is adequate and 50% facts are omitted.
Excellent
The summary of education is good and 25% or less of the facts are omitted.
Subjects:
Nursing
Types:
Assignment
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