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Begin by identifying a patient from your clinicals who has a chronic health condition such as diabetes, COPD, hypertension, mental health diagnosis, and post stroke care. Discuss all aspects of healthcare coordination with the chosen diagnosis.

Begin by identifying a patient from your clinicals who has a chronic health condition such as diabetes, COPD, hypertension, mental health diagnosis, and post stroke care. Discuss all aspects of healthcare coordination with the chosen diagnosis. Your paper should include the following information:

  1. Description of the patient’s health issues, diagnoses, and treatment plan.
  2. Description of the interdisciplinary team that will participate in this care.
  3. Can the CCCR model be used in managing this patient’s care? How so? If not, can you name another model to help in managing this patient’s care?
  4. What is the cost of managing this disease? Are there resources available for the patient and family to help with costs and other factors such as commute and etc?
  5. What is your role as the APRN in this team?
  6. As the APRN, how can you evaluate if the care management is successful?
  7. As the APRN, how can you evaluate if this patient needs a higher level of care?
  8. Are there any barriers or challenges that you foresee for this patient? How can you overcome these barriers?
  • The body of your paper should be a three to four pages long. This does notinclude the title page and reference page. Papers that are more than four pages long will not be accepted. Incorporate information from the course text plus a minimum of three (3) scholarly references published within the last five (5) years. Textbooks are not to be considered scholarly references.
  • Use current APA Style to write your paper and to cite your sources. Your source(s) should be integrated into the paragraphs. Use internal citations pointing to evidence in the literature and supporting your ideas.
  • Headings are required.
  • Be sure to allow time for editing and proofreading. Paper will be submitted through turnitin.com to check for plagiarism.

Review the rubric for more information on how the assignment will be graded. Rubric will be submitted once bit is accepted. Thank you

Rubric

NURS 682 – Chronically Ill Patient Paper

NURS 682 – Chronically Ill Patient Paper
Criteria Ratings Pts
This criterion is linked to a Learning OutcomePatient Content
30 to >27.6 pts

Proficient

Description leaves the reader with a “holistic” picture of the patient’s history, diagnosis, management, and current plan of care.

27.6 to >24.6 pts

Acceptable

Description demonstrates a good understanding of the patient’s history, diagnosis, management, and current plan of care.

24.6 to >20.7 pts

Needs Improvement

Description demonstrates a fair understanding of the patient’s history, diagnosis, management, and current plan of care.

20.7 to >0 pts

Unsatisfactory

Description demonstrates no understanding of the patient’s history, diagnosis, management, and current plan of care.

30 pts
This criterion is linked to a Learning OutcomeClinic Setting Content
30 to >27.6 pts

Proficient

Provides a rich and detailed description of the clinic setting, providers, and support staff. Description leaves the reader with a complete picture of the setting and patients and diagnoses typically seen.

27.6 to >24.6 pts

Acceptable

Provides a good description of the clinic setting, providers, and support staff. Description leaves the reader with a good picture of the setting and patients and diagnoses typically seen.

24.6 to >20.7 pts

Needs Improvement

Provides a fair description of the clinic setting, providers, and support staff. Description leaves the reader with a fair picture of the setting and patients and diagnoses typically seen.

20.7 to >0 pts

Unsatisfactory

Provides no description of the clinic setting, providers, and support staff. Description leaves the reader with no picture of the setting and patients and diagnoses typically seen.

30 pts
This criterion is linked to a Learning OutcomeCare Coordination Model Content
20 to >18.4 pts

Proficient

Provides a rich and detailed description of the care coordination model proposed. Description is accurate and thorough demonstrating a sophisticated understanding of the care model.

18.4 to >16.4 pts

Acceptable

Provides a good description of the care coordination model proposed. Description is accurate and mostly thorough demonstrating a good understanding of the care model.

16.4 to >13.8 pts

Needs Improvement

Provides a fair description of the care coordination model proposed. Description is generally accurate demonstrating a fair understanding of the care model.

13.8 to >0 pts

Unsatisfactory

Provides no description of the care coordination model proposed. Description is inaccurate demonstrating a lack of understanding of the care model.

20 pts
This criterion is linked to a Learning OutcomeAnalysis
20 to >18.4 pts

Proficient

Demonstrates a sophisticated understanding and of how the care model will be effective for patients exhibiting similar diagnoses and how the care model will fit into the clinic setting described. Provides an insightful explanation of what will need to change in the clinic setting to improve the fit.Demonstrates a sophisticated understanding of the topic(s) and issue(s). Provides a rich and detailed explanation to the questions.Provides an in-depth, critical analysis appropriately connecting findings to specific clinical concepts, using carefully selected quotes, principles, and/or theories cited from course readings.

18.4 to >16.4 pts

Acceptable

Demonstrates a good understanding of how the care model will be effective for patients exhibiting similar diagnoses and how the care model will fit into the clinic setting described. Provides an insightful explanation of what will need to change in the clinic setting to improve the fit.Demonstrates a good understanding of the topic(s) and issue(s). Provides a rich and detailed explanation to the questions. Provides a fairly in-depth, critical analysis connecting many findings to specific clinical concepts, using carefully selected quotes, principles, and/or theories cited from course readings.

16.4 to >13.8 pts

Needs Improvement

Demonstrates a fair understanding of how the care model will be effective for patients exhibiting similar diagnoses and how the care model will fit into the clinic setting described. Provides an insightful explanation of what will need to change in the clinic setting to improve the fit.Demonstrates a fair understanding of the topic(s) and issue(s). Provides a rich and detailed explanation to the questions. Provides a somewhat critical analysis connecting some findings to specific clinical concepts, using carefully selected quotes, principles, and/or theories cited from course readings.

13.8 to >0 pts

Unsatisfactory

Demonstrates a lack of understanding of how the care model will be effective for patients exhibiting similar diagnoses and how the care model will fit into the clinic setting described. Provides an insightful explanation of what will need to change in the clinic setting to improve the fit.Demonstrates a lack of understanding of the topic(s) and issue(s). Provides a rich and detailed explanation to the questions. Provides no critical analysis connecting findings to specific clinical concepts, using carefully selected quotes, principles, and/or theories cited from course readings.

20 pts
This criterion is linked to a Learning OutcomeEvidence-based Research
10 to >9.2 pts

Proficient

Supplements the paper with relevant and appropriate research; clearly and thoroughly documents all sources of information.

9.2 to >8.2 pts

Acceptable

Supplements the paper with relevant and somewhat thorough research; generally, correctly documents all sources of information.

8.2 to >6.9 pts

Needs Improvement

Supplements the paper with little relevant research into the present: not all sources of information are clearly and thoroughly documented.

6.9 to >0 pts

Unsatisfactory

Does not supplement the paper with relevant research; does not appropriately document all sources of information.

10 pts
This criterion is linked to a Learning OutcomeAPA and Mechanics
10 to >9.2 pts

Proficient

The assignment consistently follows current APA format and is free from errors in formatting, citation, and references. No grammatical, spelling, or punctuation errors. All sources are cited and referenced correctly.

9.2 to >8.2 pts

Acceptable

The assignment consistently follows current APA format with only isolated and inconsistent mistakes and/or has a few grammatical, spelling, or punctuation errors. Most sources are cited and referenced correctly.

8.2 to >6.9 pts

Needs Improvement

The assignment does not follow current APA format and/or has many grammatical, spelling, or punctuation errors. Many sources are cited and referenced incorrectly, or citations and references are missing where needed.

6.9 to >0 pts

Unsatisfactory

No attempt to follow APA format is indicated. Sources are not used and/or there is no reference page. Mechanical errors significantly interfere with the readability of the paper.

10 pts
Total Points: 120
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