NURS 6512 Assignment 1 Case Study Assignment Assessing the Head, Eyes, Ears, Nose, and Throat INS

NURS 6512 Assignment 1 Case Study Assignment Assessing the Head, Eyes, Ears, Nose, and Throat INS

Sample Answer for NURS 6512 Assignment 1 Case Study Assignment Assessing the Head, Eyes, Ears, Nose, and Throat INS Included After Question

Most ear, nose, and throat conditions that arise in non-critical care settings are minor in nature. However, subtle symptoms can sometimes escalate into life-threatening conditions that require prompt assessment and treatment.

Nurses conducting assessments of the ears, nose, and throat must be able to identify the small differences between life-threatening conditions and benign ones. For instance, if a patient with a sore throat and a runny nose also has inflamed lymph nodes, the inflammation is probably due to the pathogen causing the sore throat rather than a case of throat cancer. With this knowledge and a sufficient patient health history, a nurse would not need to escalate the assessment to a biopsy or an MRI of the lymph nodes but would probably perform a simple strep test.

In this Case Study Assignment, you consider case studies of abnormal findings from patients in a clinical setting. You determine what history should be collected from the patients, what physical exams and diagnostic tests should be conducted, and formulate a differential diagnosis with several possible conditions.

To Prepare

 

  • By Day 1 of this week, you will be assigned to a specific case study for this Case Study Assignment. Please see the “Course Announcements” section of the classroom for your assignment from your Instructor.
  • Also, your Case Study Assignment should be in the Episodic/Focused SOAP Note format rather than the traditional narrative style format. Refer to Chapter 2 of the Sullivan text and the Episodic/Focused SOAP Template in the Week 5 Learning Resources for guidance. Remember that all Episodic/Focused SOAP Notes have specific data included in every patient case.

With regard to the case study you were assigned:

  • Review this week’s Learning Resources and consider the insights they provide.
  • Consider what history would be necessary to collect from the patient.
  • Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?
  • Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.

The Assignment

Use the Episodic/Focused SOAP Template and create an episodic/focused note about the patient in the case study to which you were assigned using the episodic/focused note template provided in the Week 5 resources. Provide evidence from the literature to support diagnostic tests that would be appropriate for each case. List five different possible conditions for the patient’s differential diagnosis and justify why you selected each.

By Day 6 of Week 5

Submit your Assignment.

Submission and Grading Information

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  • Click the Week 5 Assignment 1 Rubric to review the Grading Criteria for the Assignment.
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A Sample Answer For the Assignment: NURS 6512 Assignment 1 Case Study Assignment Assessing the Head, Eyes, Ears, Nose, and Throat INS

Title: NURS 6512 Assignment 1 Case Study Assignment Assessing the Head, Eyes, Ears, Nose, and Throat INS

Assessment of patients to determine conditions on the head, the eyes, the ears, the nose, and the throat ought to be properly done, which would then inform the appropriate treatment. Different formats can be used to assess the patient, and this essay considers Lily’s case, which is assessed using the SOAP Note format.  

Patient Information: the patient is Lily, aged 20 y/o      Sex: Female 

S 

CC: Lily indicated that she had a sore throat for the previous three days, and a headache accompanies this, a lot of pain while swallowing, and a decrease in appetite. She indicates that she is worried that the symptoms could be related to the current flu outbreak in her school.  

HPI: Lily, a 20 y/o Female Caucasian, presented with a sore throat that had lasted for three days. The presentation was not really concerning initially, but following the flu outbreak in her school, two weeks made her really get concerned as they could be related. The patient also reported having a headache, pain during swallowing, and appetite loss alongside the sore throat.  

The current medication indicated that the patient was taking an oral daily dose of multivitamin for six months.  

Allergies: the patient is allergic to bee stings and hives 

PMH: the patient did not report any previous hospitalizations or any underlying medical condition. She noted that there was a report of immunization against the flu in October 2017. 

Social History: Lily attends school in the local community college and lives with her parents and a younger brother. There is no report of using any drugs, and she also denies smoking and alcohol use history.  

Family Hx: there was no report of any significant family history from Lily’s assessment.  

Review of Systems 

General: the patient was alert in all spheres and was totally cooperative throughout the assessment. There was no indication of distress and no report of loss or gain of weight, no fever, no fatigue, and no weakness.  

HEENT: the patient indicated that she had a headache, there were no challenges with vision, no problems with hearing, but a running nose and pain while swallowing, and there was a sore throat. 

Skin: there were rashes or itching on the skin. No observable bruises on the skin.  

Cardiovascular: the patient did not report any chest pain, no report of palpitations, no pressure in the chest, and no edema reported.  

Respiratory: the patient indicated that she had a running nose, but there was no shortness of breath, there was nasal congestion, and no cough was reported. 

Gastrointestinal: no report of abdominal discomfort/ pain, no nausea, no vomiting but a decrease in appetite. There were observed abnormal bowel movements.  

Genitourinary: there were no changes in the patterns of urination, no urinary urgency, no increase in urine frequency, no report of blood in the urine. There was no report of any sexually transmitted diseases.  

Neurological: the patient reported a headache that had persisted for three days but no indication of dizziness or fainting.  

Hematologic: no report of a history of blood transfusion, and the patient did not have any history of anemia. 

Lymphatics: the patient did not have enlarged lymph nodes 

Psychiatric: patient did not indicate any history of psychiatric condition. 

Endocrinologic: no report of sweating, no heat or cold intolerance, and no reports of polydipsia.  

Allergies: patient allergic to bee stings and hives.  

O 

Physical Exam: the patient had blood pressure, pulse, and temperature within the normal ranges with adequate oxygen saturation. Blood Pressure 112/72, the pulse 65 (very regular); temperature 96.8 F; respiratory rate 20; the SpO2: 98% under room air; weight: 125 lbs; height: 5’4 

General: the patient was oriented in four spheres and very cooperative, and not under any duress. 

Diagnostic results 

Lab results: the CBC: WBC was 7.8; RBC 5.0; H/H 12.4/38.8. 

Swab culture: there were no conclusive results, but the intermediate findings could indicate group A strep infections. There was also a need to conduct a throat swab to determine if viral infections were present.  

A 

Differential Diagnoses: 

Influenza infection: this is a viral infection that attacks the throat, nose, and lungs, commonly known as flu. In most cases, it would resolve on its own, but when complications occur, they are deadly (Boggess, 2019). This condition is contagious and could easily spread with a lot of ease in Lily’s case due to the closeness with which students live with each other and the different social amenities that they share (Sellers, Hagan, Hayden, & Fischer, 2017). When it occurs, the condition is associated with a high fever, runny nose, and sore throat alongside headache, body aches, and even fatigue.  

Acute Laryngitis: this is a condition that is self-limiting, and it is caused by viral infections, postnasal drainage, irritants from the environment, and complicated allergic rhinitis (She, et al., 2020). In most cases, the condition would be less than three weeks but could become chronic beyond three weeks. Voice hoarseness, weak voice, sore throat, and a dry cough are symptoms associated with the condition (Jaworek et al., 2018). This diagnosis would easily be ruled out because the patient did not have any cough evidence, although there was hoarseness of voice.  

Postnasal drip: this is one of the common causes of a persistent cough, and there is often excessive production of mucus, which results in a scratchy throat. The voice’s hoarseness is associated with mucus getting plugged into the Eustachian tube, a connection between the throat and the middle ear, and this could potentially cause an ear infection (Wolf, n.d.). Other symptoms associated with the condition include a blocked or running nose, having a hoarse voice, tickling sensation in the throat, and wheezing while breathing. There were other presentations like headache, difficulties swallowing, and therefore, postnasal drip cannot be ascertained as the diagnosis.  

Acute Epiglottitis: this is a condition that is progressive and leads to an inflammation of the epiglottis and the tissues which surround the epiglottis, a situation that leads to blockage of the upper airway and challenges in breathing (Tsai et al., 2018). This condition is, in most cases, caused by bacterial colonization. Some of the symptoms associated with this condition include a very severe sore throat, having difficulties while swallowing, high fever, drooling, and abnormal sounds while breathing (Lindquist, Zachariah, & Kulkarni, 2017). The patient did not present with a high fever, and this condition can hence be ruled out. 

NURS 6512 Assignment 1 Case Study Assignment Assessing the Head, Eyes, Ears, Nose, and Throat INS
NURS 6512 Assignment 1 Case Study Assignment Assessing the Head, Eyes, Ears, Nose, and Throat INS

Infectious mononucleosis: The Epstein Barr virus causes this condition, and it is most commonly diagnosed among teenagers, although it could occur at any age. The virus is spread through saliva, and it is therefore referred to as the kissing virus. The condition symptoms include sore throat, fever, and enlargement of the lymph nodes (Zhang et al., 2018). The condition would also be associated with body aches, including headaches and a rash.  

P 

There is a need to complete the physical examination of the patient of the ear, nose throat to determine further presentations associated with the condition. Since there is a recent outbreak of influenza in the college, there would be a need for a nasopharyngeal swab to determine if she has the infection. A throat culture would also be needed to isolate the specific microorganisms responsible for the current clinical symptoms. If the hoarse voice persists, then there would be a need for a laryngoscopy to check the larynx’s shape and therefore rule out other potential complicated conditions.  

Examining the laryngeal structure is also important to eliminate possible underlying conditions that would cause long term problems with the voice. Since the patient had some disturbing symptoms, it would be necessary for symptomatic management. For instance, she would be put on analgesics to manage the headache and possible body aches. NSAIDs would also be an ideal choice to manage the inflammation, which is currently the reason for swallowing difficulties. It would also be necessary to expedite the tests to prevent complications for the patient.  

Conclusion 

During the assessment of patients, it is possible that several conditions can be associated with the presentation. Therefore, as a result, careful examination of the differentials helps to narrow down to a diagnosis and therefore initiate the appropriate interventions. SOAP Note provides an ideal approach to the assessment of patients and therefore informs diagnosis and treatment.  

 

References 

Boggess, K. (2019). The Deadly Influenza Virus and Its Changing Forms. D.U.Quark, 3(2). Retrieved from https://dsc.duq.edu/duquark/vol3/iss2/3 

Jaworek, A. J., Earasi, K., Lyons, K. M., Daggumati, S., Hu, A., & Sataloff, R. T. (2018). Acute infectious laryngitis: A case series. Ear, Nose and Throat Journal, 97(9), 306–313. https://doi.org/10.1177/014556131809700920 

Lindquist, B., Zachariah, S., & Kulkarni, A. (2017). Adult Epiglottitis: A Case Series. The Permanente Journal, 21, 16–089. https://doi.org/10.7812/TPP/16-089 

Sellers, S. A., Hagan, R. S., Hayden, F. G., & Fischer, W. A. (2017, September 1). The hidden burden of influenza: A review of the extra-pulmonary complications of influenza infection. Influenza and Other Respiratory Viruses, Vol. 11, pp. 372–393. https://doi.org/10.1111/irv.12470 

She, C., Wang, L., Liu, Y., Liu, J., Ahmad, F., Hamulati, H., … & Jiao, F. (2020). Acute Laryngitis in Children: A Study of 121 Cases. Clinical Research in Pediatrics, 3(1), 1-4. 

Tsai, Y.-T., Huang, E. I., Chang, G.-H., Tsai, M.-S., Hsu, C.-M., Yang, Y.-H., … Li, H.-Y. (2018). Risk of acute epiglottitis in patients with preexisting diabetes mellitus: A population-based case-control study. PLOS ONE, 13(6), e0199036. https://doi.org/10.1371/journal.pone.0199036 

Wolf. (n.d.). THI NA NAMIN TURUT HADITATE US009801752B2 ( 12 ) United States Patent. 

Zhang, L., Zhou, P., Meng, Z., Pang, C., Gong, L., Zhang, Q., … Song, K. (2018). Infectious mononucleosis and hepatic function. Experimental and Therapeutic Medicine, 15(3), 2901–2909. https://doi.org/10.3892/etm.2018.5736 

 

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A Sample Answer 2 For the Assignment: NURS 6512 Assignment 1 Case Study Assignment Assessing the Head, Eyes, Ears, Nose, and Throat INS

Title: NURS 6512 Assignment 1 Case Study Assignment Assessing the Head, Eyes, Ears, Nose, and Throat INS

HPI: The patient is a 20-year-old female who presented to the facility for evaluation. She complained of a sore throat of insidious onset that began 3 days before the admission. The patient had previously been treated for a tonsillar infection a month ago. It is associated with a clear nasal discharge, occasional nasal congestion, voice alteration into hoarseness, fatigue, chills, unilateral ear pain located on the right, fever, rigors, and occasional headaches. The patient grades the pain as 5/10. The patient also reports poor appetite, nausea, and feeling generally unwell. Moreover, she developed painful swallowing a day ago and difficulty in swallowing. The discomfort was briefly relieved by over-the-counter analgesics but is now persistent. The pain is worsened on swallowing and taking cold drinks or food.

Current Medications: currently the patient isn’t on any medication but had tried over-the-counter Tylenol with no significant improvement.

Allergies: None

PMHx: The patient reports her immunization status is updated. However, she doesn’t recall her last tetanus immunization. The patient has been previously admitted for an ectopic pregnancy where she underwent an emergency explorative laparotomy. There was no history of other surgeries. She received a blood transfusion of one pint after the procedure.

Soc Hx: The patient works part-time at the mall and works the afternoon and weekend shifts when she’s not at school. She is majoring in marketing and finance at the local college. The patient participates in awareness programs at her school. She is also a member of the rehab club at school and they mentor and help other students with drug abuse issues in partnership with a local clinic. She enjoys visiting museums and art shows. She also enjoys watching football games. The patient denied taking any drugs.

Fam Hx: the patient denied any history of inheritable diseases in her family including cancers and allergic illnesses.

ROS:

GENERAL: chills, fatigue, no history of weight loss

HEENT: Eyes: no pain, no disturbances of color vision, no conjunctival pallor, no visual disturbances, no jaundice. Ears: No hearing loss. Nose: No pain, no congestion. Throat: pain, no coughing blood,

SKIN: no jaundice, no wounds, no itching, no bruises, no xanthoma

CARDIOVASCULAR: no palpitations, no dyspnea, no paroxysmal dyspnea, no cough, RESPIRATORY: No chest pain,

GASTROINTESTINAL: no abdominal pain, no diarrhea,

GENITOURINARY: No hematuria, no urgency, no frequency. The patient is 4 weeks pregnant.

NEUROLOGICAL: no focal neurological deficits, no syncope, no sensation loss, no gait disturbances, GCS 15/15,

MUSCULOSKELETAL: no joint stiffness, no joint sweating, no joint

HEMATOLOGIC: No palmar or conjunctival pallor, no prolonged bleeding, LYMPHATICS: No lymphadenopathy.

PSYCHIATRIC: No history of anxiety, irritability, or elated mood. The patient denies any psychiatric management.

ENDOCRINOLOGIC: no weight loss, no polyphagia, no tremors, no neck swellings, no darkening of the skin, no nipple discharge,

ALLERGIES: No history of asthma or eczema.

Physical exam:

GENERAL: a 20-year-old female patient, seated comfortable, not in pain, no palmar pallor or redness, no Osler’s nodes, no jaundice, maintains eye contact, is appropriately groomed and well kempt, cooperative,

Temperature 101.5 F, BP 121/79, Pulse 75 beats per minute, Respiratory rate 17 breaths per minute, oxygen saturation 99%, height 5”4”, Weight 119 lbs.

HEENT: Head: normocephalic. Eyes: normal visual acuity, normal color vision, no watery eyes, no tearing, no ptosis, no pain, no conjunctival pallor, no jaundice. Ears: No discharge, no conductive or sensorineural hearing loss, normal appearance of the tympanic membranes. Nose: Normal nasolabial folds, no crusting, clear discharge, no pain, Throat: there is an obvious swelling around the pillars with a deviation of the uvula to the left, fetid breath, edema and redness of the pillars, soft palate hyperemia, purulent discharge around the tonsils, enlarged tonsils

CARDIOVASCULAR: normoactive precordium, peripheral pulse present, radial pulse present, no delays, capillary refill 2 seconds, no murmurs, S1 and S2 heard

RESPIRATORY: trachea centrally placed, no obvious masses, resonant percussion note, vesicular breath sounds heard bilaterally, no added sounds.

GASTROINTESTINAL: flat abdomen, no obvious masses, no cars or therapeutic marks, tympanic percussion note, bowel sounds present.

NEUROLOGICAL: GCS 15/15, normal reflexes, normal muscle bulk, normal muscle tone, lower 5/5 in all muscle groups

Diagnostic results:

Complete blood count revealed elevated white blood cells, other differentials normal, normal electrolyte, complete metabolic profile with normal parameters, awaiting culture results

Differential Diagnoses

  1. Quincy (Peritonsillar abscess)

Peritonsillar abscess is the collection of purulent material within the confines of the peritonsillar space. It can arise as an isolated infection of the space but occasionally may be preceded by acute or chronic infection of the tonsils. The signs of presentation may include but are not limited to the deviation of the uvula, usually to the contralateral side, edema of the soft palate, tonsils, and pillars. Pus may also be revealed on the tonsils (Jameson, 2018). Hypertrophy of the tonsils may be revealed. Redness of the palate and pillars may be evident. Additionally, some patients may present with torticollis. The patient presented with a deviation of the uvula, congestion, and edema of the soft palate, pillars, and tonsils. Moreover, there was hyperemia of the soft palate and pharyngeal wall. However, the patient did not present with torticollis. Some of the symptoms may include throat discomfort, fever, constipation, headache, body pains, rigors, chills, earache on the same side, trismus, foul breath, and thick speech. Odynophagia and cervical lymphadenopathy may also be a presentation. The patient in question presented with hoarseness, ipsilateral earache, foul breath, painful swallowing, fever, chills, headaches, rigors, and fatigue. She however did not present with trismus or cervical lymphadenopathy. Her signs and symptoms point to a likely diagnosis of peritonsillar abscess.

  1. Acute Tonsillitis

This is an infection of the tonsils and may be classified as acute or chronic. Some of the signs and symptoms include fever, general body malaise, chills, dysphagia, edema of the pharynx, redness of the palate, pillars, and tonsillar hypertrophy (Ralston et al., 2018). The causes may be classified as infectious and non-infectious. The infectious causes include bacteria and viruses. Non-infectious causes include fungi and parasites. The patient presented with constitutional symptoms such as fever, general body weakness, chills, rigors, congestion of the pharyngeal wall, and hyperemia of the pillars and palate. These presentations could mimic acute tonsillitis thus making this a likely diagnosis.

  1. Covid 19

This is a highly infectious respiratory illness that may be spread through inhalation of infected aerosols which may be produced by infected individuals through laughing, speaking, sneezing, and even coughing. It has a myriad of presentations with mild symptoms and in some cases severe life-threatening symptoms. Some of the symptoms may mimic flu-like illnesses and include but are not limited to fever, cough, rigors, chills, loss of sense of smell and taste, sore throat, nasal discharge general body malaise, and headaches (Esakandari et al., 2020). Life-threatening symptoms include shortness of breath, confusion, and respiratory failure. These may need aggressive management strategies such as implementing ventilator use. The patient in question presented with similar flu-like symptoms such as fever, headaches, rigors, chills, and fatigue. However, she did not present with anosmia or loss of sensation of taste, or any of the life-threatening conditions. This is still a likely diagnosis due to the symptomatology presented.

 

 

References

Esakandari, H., Nabi-Afjadi, M., Fakkari-Afjadi, J., Farahmandian, N., Miresmaeili, S.-M., & Bahreini, E. (2020). A Comprehensive Review of COVID-19 Characteristics. Biological Procedures Online, 22(1). https://doi.org/10.1186/s12575-020-00128-2

Jameson, J. L. (2018). Harrison’s principles of internal medicine (20th ed.). New York Mcgraw-Hill Education.

Ralston, S. H., Penman, I. D., Strachan, M. W. J., & Hobson, R. P. (2018). Davidson’s principles and practice of medicine (23rd ed.). Churchill Livingstone/Elsevier.

 

Rubric Detail 

  Excellent Good Fair Poor
Using the Episodic/Focused SOAP Template:
· Create documentation or an episodic/focused note in SOAP format about the patient in the case study to which you were assigned.
·  Provide evidence from the literature to support diagnostic tests that would be appropriate for your case.
Points Range: 45 (45%) – 50 (50%)

The response clearly, accurately, and thoroughly follows the SOAP format to document the patient in the assigned case study. The response thoroughly and accurately provides detailed evidence from the literature to support diagnostic tests that would be appropriate for the patient in the assigned case study.

Points Range: 39 (39%) – 44 (44%)

The response accurately follows the SOAP format to document the patient in the assigned case study. The response accurately provides detailed evidence from the literature to support diagnostic tests that would be appropriate for the patient in the assigned case study.

Points Range: 33 (33%) – 38 (38%)

The response follows the SOAP format to document the patient in the assigned case study, with some vagueness and inaccuracy. The response provides evidence from the literature to support diagnostic tests that would be appropriate for the patient in the assigned case study, with some vagueness or inaccuracy in the evidence selected.

Points Range: 0 (0%) – 32 (32%)

The response incompletely and inaccurately follows the SOAP format to document the patient in the assigned case study. The response provides incomplete, inaccurate, and/or missing evidence from the literature to support diagnostic tests that would be appropriate for the patient in the assigned case study.

·   List five different possible conditions for the patient’s differential diagnosis, and justify why you selected each. Points Range: 30 (30%) – 35 (35%)

The response lists five distinctly different and detailed possible conditions for a differential diagnosis of the patient in the assigned case study, and provides a thorough, accurate, and detailed justification for each of the five conditions selected.

Points Range: 24 (24%) – 29 (29%)

The response lists four or five different possible conditions for a differential diagnosis of the patient in the assigned case study and provides an accurate justification for each of the five conditions selected.

Points Range: 18 (18%) – 23 (23%)

The response lists three to five possible conditions for a differential diagnosis of the patient in the assigned case study, with some vagueness and/or inaccuracy in the conditions and/or justification for each.

Points Range: 0 (0%) – 17 (17%)

The response lists two or fewer, or is missing, possible conditions for a differential diagnosis of the patient in the assigned case study, with inaccurate or missing justification for each condition selected.

Written Expression and Formatting – Paragraph Development and Organization:
Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction are provided that delineate all required criteria.
Points Range: 5 (5%) – 5 (5%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity. A clear and comprehensive purpose statement, introduction, and conclusion are provided that delineate all required criteria.

Points Range: 4 (4%) – 4 (4%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. Purpose, introduction, and conclusion of the assignment are stated, yet are brief and not descriptive.

Points Range: 3 (3%) – 3 (3%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time. Purpose, introduction, and conclusion of the assignment are vague or off topic.

Points Range: 0 (0%) – 2 (2%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time. No purpose statement, introduction, or conclusion were provided.

Written Expression and Formatting – English writing standards:
Correct grammar, mechanics, and proper punctuation
Points Range: 5 (5%) – 5 (5%)

Uses correct grammar, spelling, and punctuation with no errors.

Points Range: 4 (4%) – 4 (4%)

Contains a few (1 or 2) grammar, spelling, and punctuation errors.

Points Range: 3 (3%) – 3 (3%)

Contains several (3 or 4) grammar, spelling, and punctuation errors.

Points Range: 0 (0%) – 2 (2%)

Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.

Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running heads, parenthetical/in-text citations, and reference list. Points Range: 5 (5%) – 5 (5%)

Uses correct APA format with no errors.

Points Range: 4 (4%) – 4 (4%)

Contains a few (1 or 2) APA format errors.

Points Range: 3 (3%) – 3 (3%)

Contains several (3 or 4) APA format errors.

Points Range: 0 (0%) – 2 (2%)

Contains many (≥ 5) APA format errors.

Total Points: 100

Name: NURS_6512_Week_5_Assignment_1_Rubric

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NURS 6512 Assignment 1 Case Study Assignment Assessing the Head, Eyes, Ears, Nose, and Throat INS Grading Rubric

Performance Category 100% or highest level of performance

100%

16 points

Very good or high level of performance

88%

14 points

Acceptable level of performance

81%

13 points

Inadequate demonstration of expectations

68%

11 points

Deficient level of performance

56%

9 points

 

Failing level

of performance

55% or less

0 points

 Total Points Possible= 50           16 Points    14 Points 13 Points        11 Points           9 Points          0 Points
Scholarliness

Demonstrates achievement of scholarly inquiry for professional and academic topics.

Presentation of information was exceptional and included all of the following elements:

  • Provides evidence of scholarly inquiry relevant to required TD topic(s).
  • Presents specific information from scholarly sources to develop a comprehensive presentation of facts.
  • Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.*
  • Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.
Presentation of information was good, but was superficial in places and included all of the following elements:

  • Provides evidence of scholarly inquiry relevant to required TD topic(s).
  • Presents specific information from scholarly sources to develop a comprehensive presentation of facts.
  • Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.*
  • Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.
Presentation of information was minimally demonstrated in all of the following elements:

  • Provides evidence of scholarly inquiry relevant to required TD topic(s).
  • Presents specific information from scholarly sources to develop a comprehensive presentation of facts.
  • Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.*
  • Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.
 

Presentation of information is unsatisfactory in one of the following elements:

  • Provides evidence of scholarly inquiry relevant to required TD topic(s).
  • Presents specific information from scholarly sources to develop a comprehensive presentation of facts.
  • Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.*
  • Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.
 

Presentation of information is unsatisfactory in two of the following elements:

  • Provides evidence of scholarly inquiry relevant to required TD topic(s).
  • Presents specific information from scholarly sources to develop a comprehensive presentation of facts.
  • Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.*
  • Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.
Presentation of information is unsatisfactory in three or more of the following elements

  • Provides evidence of scholarly inquiry relevant to required TD topic(s).
  • Presents specific information from scholarly sources to develop a comprehensive presentation of facts.
  • Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.*
  • Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information
 16 Points  14 Points  13 Points 11 Points 9 Points  0 Points
Application of Course Knowledge

Demonstrate the ability to analyze and apply principles, knowledge and information learned in the outside readings and relate them to real-life professional situations

Presentation of information was exceptional and included all of the following elements:

  • Applies principles, knowledge and information from scholarly resources to the required topic.
  • Applies facts, principles or concepts learned from scholarly resources to a professional experience.
  • Application of information is comprehensive and specific to the required topic.
Presentation of information was good, but was superficial in places and included all of the following elements:

  • Applies principles, knowledge and information from scholarly resources to the required topic.
  • Applies facts, principles or concepts learned from scholarly resources to a professional experience.
  • Application of information is comprehensive and specific to the required topic.
Presentation of information was minimally demonstrated in the all of the following elements:

  • Applies principles, knowledge and information from scholarly resources to the required topic.
  • Applies facts, principles or concepts learned from scholarly resources to a professional experience.
  • Application of information is comprehensive and specific to the required topic.
Presentation of information is unsatisfactory in one of the following elements:

  • Applies principles, knowledge and information from scholarly resources to the required topic.
  • Applies facts, principles or concepts learned from and scholarly resources to a professional experience.
  • Application of information is comprehensive and specific to the required topic.
Presentation of information is unsatisfactory in two of the following elements:

  • Applies principles, knowledge and information from scholarly resources to the required topic.
  • Applies facts, principles or concepts learned from scholarly resources to a professional experience.
  • Application of information is comprehensive and specific to the required topic.
Presentation of information is unsatisfactory in three of the following elements

  • Applies principles, knowledge and information and scholarly resources to the required topic.
  • Applies facts, principles or concepts learned scholarly resources to a professional experience.
  • Application of information is comprehensive and specific to the required topic.
   10 Points 9 Points  6 Points  0 Points
Interactive Dialogue

Initial post should be a minimum of 300 words (references do not count toward word count)

The peer and instructor responses must be a minimum of 150 words each (references do not count toward word count)

Responses are substantive and relate to the topic.

Demonstrated all of the following:

  • Initial post must be a minimum of 300 words.
  • The peer and instructor responses must be a minimum of 150 words each.
  • Responses are substantive
  • Responses are related to the topic of discussion.
Demonstrated 3 of the following:

  • Initial post must be a minimum of 300 words.
  • The peer and instructor responses must be a minimum of 150 words each.
  • Responses are substantive
  • Responses are related to the topic of discussion.
Demonstrated 2 of the following:

  • Initial post must be a minimum of 300 words.
  • The peer and instructor responses must be a minimum of 150 words each.
  • Responses are substantive
  • Responses are related to the topic of discussion.
Demonstrated 1 or less of the following:

  • Initial post must be a minimum of 300 words.
  • The peer and instructor responses must be a minimum of 150 words each.
  • Responses are substantive
  • Responses are related to the topic of discussion.
  8 Points 7 Points  6 Points         5 Points          4 Points  0 Points
Grammar, Syntax, APA

Points deducted for improper grammar, syntax and APA style of writing.

The source of information is the APA Manual 6th Edition

Error is defined to be a unique APA error. Same type of error is only counted as one error.

The following was present:

  • 0-3 errors in APA format

AND

  • Responses have 0-3 grammatical, spelling or punctuation errors

AND

  • Writing style is generally clear, focused on topic,and facilitates communication.
The following was present:

  • 4-6 errors in APA format.

AND/OR

  • Responses have 4-5 grammatical, spelling or punctuation errors

AND/OR

  • Writing style is somewhat focused on topic.
The following was present:

  • 7-9 errors in APA format.

AND/OR

  • Responses have 6-7 grammatical, spelling or punctuation errors

AND/OR

  • Writing style is slightly focused on topic making discussion difficult to understand.
 

The following was present:

  • 10- 12 errors in APA format

AND/OR

  • Responses have 8-9 grammatical, spelling and punctuation errors

AND/OR

  • Writing style is not focused on topic, making discussion difficult to understand.
 

The following was present:

  • 13 – 15 errors in APA format

AND/OR

  • Responses have 8-10 grammatical, spelling or punctuation errors

AND/OR

  • Writing style is not focused on topic, making discussion difficult to understand.

AND/OR

  • The student continues to make repeated mistakes in any of the above areas after written correction by the instructor.
The following was present:

  • 16 to greater errors in APA format.

AND/OR

  • Responses have more than 10 grammatical, spelling or punctuation errors.

AND/OR

  • Writing style does not facilitate communication
  0 Points Deducted 5 Points Lost
Participation

Requirements

Demonstrated the following:

  • Initial, peer, and faculty postings were made on 3 separate days
Failed to demonstrate the following:

  • Initial, peer, and faculty postings were made on 3 separate days
  0 Points Lost 5 Points Lost
Due Date Requirements Demonstrated all of the following:

  • The initial posting to the graded threaded discussion topic is posted within the course no later than Wednesday, 11:59 pm MT.

A minimum of one peer and one instructor responses are to be posted within the course no later than Sunday, 11:59 pm MT.

Demonstrates one or less of the following.

  • The initial posting to the graded threaded discussion topic is posted within the course no later than Wednesday, 11:59 pm MT.

A minimum of one peer and one instructor responses are to be posted within the course no later than Sunday, 11:59 pm MT.

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