BABY BORN TO ADDICTED MOTHERS OPIOIDS
| Student’s Name: Date of Care: Total Points: | ||
| CARE PLAN GRADING RUBRIC – BABY BORN TO ADDICTED MOTHERS OPIOIDS Part 1: Pts. | ||
| 1. | 5 | Include title page ( paper title, course number & name, clinical faculty & lab#, date, your name), body of paper, Citations, and Reference page. Reference and cite your textbook and at least one current nursing research article in your references and include a copy of the article. Cite ALL resources, including textbooks. Paper in correct APA format, typed. |
| BACKGROUND – MUST be in your own words, summarized with appropriate pathophysiology Part 2. Client Information | ||
| 1. | 5 | Admission Story: Relevant Family/Cultural Factors |
| 2. | 5 | Relevant Health History/Prenatal History/Labs for this pregnancy |
| 3. | 5 | Summary of this Hospital Admission/Events (tell me about her admission, labor, delivery, recovery and baby) |
| ASSESSMENT Part 3. Postpartum/Newborn ( image you are the nurse walk in the room and do head to toes assessment ) | ||
| 1. 2. | 10 | Mother – Postpartum Physical Assessment Summary AND Write your assessment as if you were there, please do a head to toe on both mom and baby, don’t just regurgitate the information given to you in the case study Newborn Assessment (includes Apgars, Gestational age, wt, length, gender, feedings, voids, stools and head to toe assessment) |
| Part 5. Priority Lab Tests/Implications for Client in Hospital (can make a table) | ||
| 1. | 5 | Maternal priority labs – postpartum hemoglobin, Blood type, Rh, Rubella, VDRL, Hepatitis, Group B strep- implications for each Explain the implications of the labwork |
| 2. | 5 | Newborn priority Labs – blood type (if available), implications address baby labwork please |
| Part 6. Medications (can make a table) | ||
| 1 2. | 10 | Mother – Two medications including pregnancy classification, safety in lactation, purpose, action, dose, route, side effects to mom, fetal, neonate – BE ABLE TO DESCRIBE WHAT safety in pregnancy & lactation means AND Newborn – Two medications including purpose, action, dose, route, side effects |
| PLAN Part 7. Priority Nursing Diagnosis (need two –One for mother and one for fetus/newborn (MUST BE APPROVED BY FACULTY) | ||
| 1 2. | 10 | Mother: Nursing problem –Nursing Diagnosis, related to contributing limitation(s), as evidenced by data quoted from your recorded subjective &/or objective assessment that supports nursing problem(s) and limitation(s)). DO NOT include medical diagnoses or pathophysiology. Newborn – See mother ****Write them in a form of nursing diagnosis, you gave a problem and simple defined it. Refer to your NANDA book**** |
| Part 8. Planning | ||
| 1 2.. 10 Mother- Goals a) identify priority needs, b) identify goals that are specific, measurable and patient centered, b) identify criteria (subjective & objective data that would indicate improvement Newborn – See mother | ||
| Part 9. All Relevant Interventions with Supporting Rationale/Citations | ||
| 1. | 5 | List BOTH capabilities & limitations in knowing, judging/deciding, & acting for BOTH mother and baby “what makes the goals attainable and what makes the goals difficult to achieve”. Please write as a paragraph. |
| 2. | 10 | Include all appropriate interventions (minimum of 3) for EACH problem a) Personalized and realistic for patient, b) action oriented, c) criteria (subjective & objective data that would indicate improvement) & d) Include rationale with CITATION for EACH intervention. |
| Part 10. Evaluation ( JUST IMAGE BOTH MOTHER AND NEW BORN GOT DISCHARGE and has the goal been met ) | ||
| 1. 2. !0 Mother-Has the Goal been met? Evaluate goals and interventions. a) Criteria (subjective & objective data that would indicate improvement), b) include reassessment and current status, and c) should the plan be continued, modified or changed? Newborn – See mother | ||
| Part 11. Reflection | ||
| 5 Include a thoughtful reflection about what you learned from this experience. What are some things you could do to make your patient comfortable with your presence? |
THIS PART BELOW IS EXPLAIN MORE ABOUT PART 7 TO PART 11
Nursing Care PLAN:
Priority problems (need TWO – mother and fetus/newborn) (MUST be approved by faculty)
All Relevant Interventions with Supporting Rationale (at least 3 for each). Each intervention must be personalized and detailed. The Evaluation describes the client’s current status and the client’s response to the interventions.
Mother’s Priority Nursing Diagnosis (include subjective and objective data that led you to this):
Planning:
- Prioritize needs and goals (specific, measurable and patient centered). Identify nursing concepts that you are addressing. Identify the patient’s capabilities and limitations and integrate this into your plan of care.
Implementation: Include all relevant interventions with supporting rationale (at least 3 for each). Cite the rationale for each intervention from the literature or your textbook. Address relevant concepts in your rationale. Each intervention must be personalized and detailed; consider individual capabilities and limitations that you have identified.
- Intervention, detailed actions and rationale
- Intervention, detailed actions and rationale
3. Intervention, detailed actions and rationale
Evaluation –
- Evaluate Patient’s Current Status; Evaluate each goal and intervention.Has the goal been met? Why or why not? Should the plan be continued, modified, or changed all together?
Baby’s Priority Nursing Diagnosis (include subjective and objective data that led you to this):
Planning:
- Prioritize needs and goals (specific, measurable and patient centered). Identify nursing concepts that you are addressing. Identify the patient’s capabilities and limitations and integrate this into your plan of care.
Implementation: Include all relevant interventions with supporting rationale (at least 3 for each). Cite the rationale for each intervention from the literature or your textbook. Address relevant concepts in your rationale. Each intervention must be personalized and detailed; consider individual capabilities and limitations. At least one intervention must include parent or caregiver education!
- Intervention, detailed actions and rationale
- Intervention, detailed actions and rationale
3. Intervention, detailed actions and rationale
Evaluation –
- Evaluate Patient’s Current Status; Evaluate each goal and intervention.Has the goal been met? Why or why not? Should the plan be continued, modified, or changed all together?
REFLECTION: INCLUDE A THOUGHTFUL REFLECTION ABOUT WHAT YOU HAVE LEARNED FROM THIS EXPERIENCE. WHAT ARE SOME THINGS YOU COULD DO TO MAKE YOUR PATIENT COMFORTABLE WITH YOUR PRESENCE?
Grading Rubric for the clinical day
| Points | Instructor comments | |
| Actively participates in the virtual assessment and completes all assessment data. Demonstrates professional behaviors and communication. | 20 | |
| Demonstrates knowledge of medications, ability to accurately calculate dose, and ability to safely administer medication. Demonstrates ability to accurately calculate IV rate (if applicable) | 20 | |
| Completes care plan and includes an evidenced based research article and applies to patient. Uses APA format. | 20 | |
| Identifies appropriate concerns, goals, interventions with citations and communication. | 20 | |
| Actively participates post conference, the evaluation process and completes a thoughtful reflection. Demonstrates professional behaviors and communication. | 20 | |
| Total points: (need 76 for satisfactory) Satisfactory/Unsatisfactory |
APA format, make sure to answer 11 part , Grading Rubric for the clinical
PLACE THIS ORDER OR A SIMILAR ORDER WITH SMASHING ESSAYS
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