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I had started the discharge project on CVA stroke but it is not completed. Please complete it using the rubric and instruction. There is also a sample project from last year about diverticulitis. Please use the attached text books to assist. the patient is fictional. this is a final project and worth 20\%.  Thank you for your help.Page 5 of 6 Methodist College N432 Complex Health Alterations in Nursing Practice Discharge Planning Project Overview Introduction: Discharge planning begins at the point of entry into the hospital. Third party payers as well as clients themselves demand quality care that includes well-planned, smooth, and timely discharge. As professional nurses, it is our responsibility to begin the discharge plan, to possess a fundamental knowledge of available resources, and to continually change the plan of care based on the status of the client. Objective: Learners will develop and clearly communicate a comprehensive discharge plan of care that demonstrates critical thinking and accurately links community and medical surgical theory to practice. Guidelines: 1. Each students will work alone to complete this project. Students will select a client that he/she cared for during the clinical rotation and who, at the time of care, was experiencing a complex alteration in health. 2. The discharge planning project will be presented in the form of a PowerPoint presentation. Dates of presentations will be determined by the clinical instructor. 3. Citations should be provided for information that is not the student’s own – i.e. pathophysiology, stats, etc. Personal communications should also be cited. Please follow APA for citations. 4. A reference list for citations should be included at the end of the PowerPoint presentation and should be submitted as a hard copy word document to your clinical instructor. 5. One PowerPoint slide should address each element that is bulleted with a blank box – i.e. · Blank box 6. Submit the PowerPoint presentation in the electronic dropbox on the assigned date. 7. Submit one black and white “hard” copy of your PowerPoint presentation and a word processed reference list to the clinical faculty member evaluating your presentation on the day that you present. 8. Your presentation will be scored using the Discharge Project Presentation Scoring Rubric and the points earned will be entered into the course gradebook. 9. Students are encouraged to read and follow rubric in developing their projects and to note point deductions for critical errors noted at the end of the rubric. Discharge Planning Project: Scoring Rubric Total Points Possible: Pass/Fail Clinical Name: Evaluators: Date of presentation: Date grade posted: Start time: Stop time: Total points earned: Patient Overview Points: 2/3 1 0 Points Earned: Component 1: Objectives, clinical picture, and concept map Elements: · Provide a clinical picture of your patient using the SHARE form report as a guide. (SHARE form located in course resources within D2L.) · Develop concept map connecting primary problem and secondary problems. · Explain the relationships depicted on thPATIENT HAND-OFF “SHARE” FORM (complete only what applies) Sending Unit ___________ Time: ____________ Transferring RN: __________________ Receiving Unit ___________ Date: ____________ Receiving RN: ____________________ RM#:______________ Allergies: S SITUATION DIAGNOSIS: Name: ___________________________________________ Age: _________ Physician/Surgeon: ________________________________________________ Reason for Admission/Transfer: ______________________________________ _________________________________________________________________ _________________________________________________________________ ED Admits: Did patient meet Sepsis Criteria: ___ Yes ___ No If yes, was the fluid bolus and antibiotics given: ___ Yes ___ No (If no, to be addressed in ED) Procedures: ______________________________________________________ H HISTORY HISTORY: Pertinent History: _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ Meds: Code Status: A ASSESSMENT PERTINENT ASSESSMENT: V.S. ___________________________________________________________________________________ Neuro: _________________________________________________________________________________ Cardio/Vasc: _____________________________________________ Phase 2:_______________________ Skin: __________________________________________________________________________________ Respiratory: _____________________________________________________________________________ GI: ____________________________________________________________________________________ GU: ___________________________________________________________________________________ Pain: _________________________________ / Intervention + / - __________________________________ I/O: ___________________________________________________________________________ Drains/Tubes/Foley: ______________________________________________________________ Dressings: ___________________________________ Other: ____________________________ O2: ________________________________________ IV’s: __________________________________________________________________________ R REQUIREMENTS REQUIREMENTS: Isolation: ______________________________________________________________________________ Fall Risk: ______________________________________________________________________________ Restraints: _____________________________________________________________________________ Other: _________________________________________________________________________________ E EVALUATE THINGS TO EVALUATE NEXT INTERVAL CARE (if applicable): Tests: __________________________________________________________________________________ Labs: __________________________________________________________________________________ Other: _________N432 DISCHARGE Cerebral vascular accident (CVA) Clinical Instructor: Student: Component 1: Objectives, Clinical Picture. SITUATION Diagnosis: Ischemic stroke. Cerebral vascular accident (CVA) Demographic data: 80-year-old female. Admitted post cardiogenic embolic stroke resulting in contralateral paralysis of the arm, leg, and face. HISTORY 2 Pertinent History: Hypertension, peripheral vascular disease, type 2 diabetes, hyperlipidemia, Kidney injury. Family History: Father & Sister- Hypertension. Mother- Diabetes. Lifestyle Practices: Smoking: 3 pack per day smoker. Alcohol Use: 1 12 oz bear per day. ASSESSMENT Vital Signs: Temp – 98-degree Fahrenheit, pulse -90, MAP -97 mmHg, BP – 160/75, Resp. 18, O2: 97 \% on 2L nasal cannula. Neuro: Orientation: X4, Sensation: Numbness & weakness to the left leg. Neglect syndrome to left side. Paresthesia. Ataxia. Dysphagia Cardio/Vasc: Left Anterior Descending Artery Stenosis. ST elevation. Normal S1, S2, no murmurs. Raspatory: Diminished bilateral breath sounds at the base of the lungs. Gastrointestinal : Dysphagia, constipation. Genitourinary: Urinary incontinence. Musculoskeletal: weakness to the left leg. Hemiplegia. Poor DTR. I/O: Intake= 2532 mL, Output= 1587 mL. Foley: Urinary catheter. IV’s: 0.9\% NaCl. REQUIREMENTS Isolation: N/A Fall Risk: Active Restraints: N/A Other: Seizure precaution with Na+ = <135 mEq/L EVALUATE Tests: ECG, Echocardiogram, Clotting times, Stress test Labs: BMP, CBC, Lipid panel, BNP test Other: Hemodynamic monitoring (PAWP, CVP, CO, PAP Component 1: Concept Map 9/3/20XX Presentation Title 3 Agenda Topic one Topic two Topic three Topic four Presentation Title Agenda With PowerPoint, you can create presentations and share your work with others, wherever they are. Type the text you want here to get started. You can also add images, art, and videos on this template. Save to OneDrive and access your presentations from your computer, tablet, or phone. 9/3/20XX Presentation Title 5 Topic one Subtitle Chart 9/3/20XX Presentation Title 7 Series 1 Category 1 Category 2 Category 3 Category 4 4.3 2.5 3.5 4.5 Series 2 Category 1 Category 2 Category 3 Category 4 2.4 4.4000000000000004 1.8 2.8 Series 3 Category 1 Category 2 Category 3 Category 4 2 2 3 5 Table Category 1 Category 2 Category 3 Category 4 Item 1 4.5 2.3 1.7 5 Item 2 3.2 5.1 4.4 3 Item 3 2.1 1.7 2.5 2.8 Item 4 4.5 2.2 1.7 7 9/3/20XX Presentation Title 8 The way to get started is to quit talking and begin doing. Walt Disney 9/3/20XX Presentation Title 9 Team Name Name Name Name Name Title Title Title Title Title 9/3/20XX Presentation Title 10 Timeline 9/3/20XX Presentation Title 11 Title To start a presentation, go to the Slide Show tab, and select From Beginning. Title To display Presenter view, in Slide Show view, on the control bar at the bottom left select the three dots, and then Show Presenter View.  Title Duri: PATIENT WITH DIVERTCULITIS OF THE LARGE INTESTINE Component 1: Objectives, clinical picture and concept map Situation Diagnosis Name: B.C.R Age: 78-year-old male Physician/Surgeon: Mohammed I.G Reason for Admission/Transfer: diverticulitis of the large intestine, with perforation and without bleeding ED Admits-Did patient meet Sepsis Criteria: No Component 1: Objectives, clinical picture and concept map Pertinent History: Chronic obstructive pulmonary disease(COPD), depression, anxiety, obstructive sleep apnea, former smoker (0.5 packs/day, quit 03/01/19) and current alcohol user. Pertinent assessments Vital Signs: Temperature – 98-degree Fahrenheit, pulse -85, MAP -97 mmHg, BP – 150/71, Resp. 18. GI: Soft, right abdominal tenderness, non-distended, bowel sound sluggish GU: Urine is amber/yellow no odour and voiding without trouble PAIN: 8.5/10, abdominal pain on a pain scale 1 to 10. Component 1: Objectives, clinical picture and concept map Pertinent assessments Neuro: alert oriented, no gross motor deficits Cardio/Vasc: Normal S1, S2, no murmurs Skin: No rash, skin warm, intact and dry. Respiratory: clear to auscultation bilaterally, no crackles or wheezes I/O: Intake= 2493 mL, Output= 4145 mL Drains/Tubes/Foley: Colostomy LLQ and NG tube Dressings: Negative Pressure wound therapy O2: 97 \% IV’s: 0.9\% NaCl, Dextrose 10\%, Fentanyl PCA, Piperacillin, Thiamine Component 1: Objectives, clinical picture and concept map REQUIREMENTS Isolation: None Fall Risk: YES Restraints: NONE Other: NPO EVALUATE Labs: Glucose, chlorine, sodium, calcium, blood urea nitrogen (BUN) test, hemoglobin, hematocrit and MCV blood test. CORE MEASURES Surgery/ Procedure took place on 10.4.2020 Component 1: Objectives, clinical picture and concept map The objective is to develop a comprehensive discharge care plan for the patient as a cardinal part of the nursing care and to aid the care transition in a pertinent manner(Schieffer et al. 2018). The objective is also to develop a quality and safe plan that is important to note. Component 2: Pathophysiology Diverticulitis involves small abscesses or infection in one or more of the diverticula, or perforation of the bowel. The disorder pathogenesis that involves three major areas which is the colonic wall structural abnormalities, absence of fibers in the diet and lack of proper motility of the small intestine. There are various etiological factors that are involved in the development of the clinical condition and as for a matter of fact, inflammation is a major process causing issues (Nalamati & Munie, 2018, p. 210). Hyperplasia and hypertrophy due to the elastin deposition is a major critical process. The myoelectric patterns along with the very chemical messengers with different hormones also a major role in the development of the diverticular disease(Ellison, 2018, p. 68). Component 2: Pathophysiology-statistical information The prevalence of 07/24/15 April 9, 2019 11:12 AM rm_rn_2019_ams_FRONT-MATTER RN ADULT MEDICAL SURGICAL NURSING I RN Adult Medical Surgical Nursing REVIEW MODULE EDITION 11.0 Contributors Honey C. Holman, MSN, RN Debborah Williams, MSN, RN Sheryl Sommer, PhD, RN, CNE Janean Johnson, MSN, RN, CNE Brenda S. Ball, MEd, BSN, RN LaKeisha Wheless, MSN, RN Peggy Leehy, MSN, RN Terri Lemon, DNP, MSN, RN Consultants Greta Lucinda Baldwin Mason, MSN, RN Christi Blair, DNP, RN Tracey Bousquet, BSN, RN Valerie S. Eschiti, PhD, RN, AHN-BC, CHTP, CTN-A Penny Fauber, PhD, MS, BSN, RN Sara Hoffmann, MSN, RN Tomekia Luckett, PhD, RN Donna Russo, RN, MSN, CCRN, CNE Melanie P. Schrader, PhD, RN INTELLECTUAL PROPERTY NOTICE ATI Nursing is a division of Assessment Technologies Institute®, LLC. Copyright © 2019 Assessment Technologies Institute, LLC. All rights reserved. The reproduction of this work in any electronic, mechanical or other means, now known or hereafter invented, is forbidden without the written permission of Assessment Technologies Institute, LLC. 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No. i Title: Medical-Surgical Nursing: Critical Thinking in Patient Care 6e C/M/Y/K Short / Normal DESIGN SERVICES OF S4carliSle Publishing Services Brief Contents UNIT 1 Dimensions of Medical-Surgical Nursing 1 Chapter 1 Medical-Surgical Nursing in the 21st Century 2 Chapter 2 Informatics and Evidence-Based Practice in Medical-Surgical Nursing 17 Chapter 3 Health and Illness Care of Adults 27 UNIT 2 Alterations in Patterns of Health 48 Chapter 4 Nursing Care of Patients Having Surgery 49 Chapter 5 Nursing Care of Patients Experiencing Loss, Grief, and Death 79 Chapter 6 Nursing Care of Patients with Problems of Substance Abuse 96 Chapter 7 Nursing Care of Patients Experiencing Disasters 117 UNIT 3 Pathophysiology and Patterns of Health 135 Chapter 8 Genetic Implications of Adult Health Nursing 136 Chapter 9 Nursing Care of Patients in Pain 151 Chapter 10 Nursing Care of Patients with Altered Fluid, Electrolyte, and Acid–Base Balance 177 Chapter 11 Nursing Care of Patients Experiencing Trauma and Shock 229 Chapter 12 Nursing Care of Patients with Infections 260 Chapter 13 Nursing Care of Patients with Altered Immunity 297 Chapter 14 Nursing Care of Patients with Cancer 333 UNIT 4 Responses to Altered Integumentary Structure and Function 376 Chapter 15 Assessing the Integumentary System 377 Chapter 16 Nursing Care of Patients with Integumentary Disorders 390 Chapter 17 Nursing Care of Patients with Burns 432 UNIT 5 Responses to Altered Endocrine Function 460 Chapter 18 Assessing the Endocrine System 461 Chapter 19 Nursing Care of Patients with Endocrine Disorders 475 Chapter 20 Nursing Care of Patients with Diabetes Mellitus 501 UNIT 6 Responses to Altered Gastrointestinal Function 537 Chapter 21 Assessing the Gastrointestinal System 538 Chapter 22 Nursing Care of Patients with Nutritional Disorders 563 Chapter 23 Nursing Care of Patients with Upper Gastrointestinal Disorders 588 Chapter 24 Nursing Care of Patients with Bowel Disorders 625 Chapter 25 Nursing Care of Patients with Gallbladder, Liver, and Pancreatic Disorders 692 UNIT 7 Responses to Altered Urinary Elimination 731 Chapter 26 Assessing the Renal System 732 Chapter 27 Nursing Care of Patients with Urinary Tract Disorders 746 Chapter 28 Nursing Care of Patients with Kidney Disorders 779 UNIT 8 Responses to Altered Cardiovascular