Patient:
Admission Date: 07/30/2019
Insurance: Seasons Hospice
Directive: Hospice and DNR( Do not Resuscitate)
Allergies: Donepezil, Mirtazapine, Naproxen, Penicillin V potassium
Refused Vaccines: Pneumococal & Influenza
Physician Approved Side Rails
DNR order Signed By Daughter and Physician
Pured Diet
Ambulated with Assistive Devices
Sight; Impaired
Rirk Alerts: Falls and Difficulty Swallowing
Social History: Denies tobacco use or illicit drugs
Podiatrist Notes: Ingrow nail, Chronic Disease PVD. Treatment: Debridement.
Progress Note 12-23-19 ( Chronically ill, lower back pain. Decrease ROM on extremities, Constipation)
Patient always appeared anxious and depressed, she was always complaining of being uncomfortable and seem confused and week. Patient will always keep begging for help and would have to leave the room for her to be able to eat by herself bc otherwise she kept saying she was not able to eat. Patient was also very shy, did not liked being undressed in front of student.
All of the requirements are attached.
School of Nursing QEP Writing Prompt
NUR 1025L/1002L (Fundamentals of/Transition to Nursing Clinical)
During this clinical rotation, you have taken care of several clients. Pick one client that you took
care of, and based on that specific patient scenario, write a reflective journal on the care of your
client on one of the topics listed below based on evidenced based practice. Your reflective
journal will include the following: An introduction to the topic that will be written on and how it
connects to your client, cited references from your textbook and outside source on the
assigned/selected topic, analysis of the topic and care of your client, and conclude by
summarizing what was learned from the assignment and if new knowledge was gained.
Nur1025L/1002L QEP Topic List
1. Nutrition
2. Patient education
3. Mobility
4. Communication
5. Pain Scales/ Assessment/ Interventions (Non-Pharmacologic)
6. Asepsis and infection Control
7. Skin Integrity and Wound Care
8. Comfort and Pain Management
9. Stress and Adaptation
10. Loss, Grief, and Dying
Requirements:
o
Your paper must be at least 750 words not to exceed 1000 words.
o
Please double space your paper and use Times New Roman standard 12-point font.
o
Make sure to proofread your paper; visit and present proof of seeing a writing tutor
before submitting to “Turn-it-in”
o
Please use a minimum of two (2) references. The two references will include the required
class textbook and at least one outside scholarly source. Follow APA format must be
used citing and referencing sources.
o
Please include your word count at the end of your assignment.
MDC BLSON 1/2020 QEP Fundamentals Writing Prompt
MIAMI DADE COLLEGE BENJAMIN LEON SCHOOL OF NURSING
QEP GRADING RUBRIC
Criteria
Introduction
Content/Application
of Scholarly
Resources
Score-Exemplary (A)
18.5-20%
States topic
thoroughly with a
well-developed
definitive statement
which is consistently
the focal point
throughout the
paper.
Score-Proficient (B)
16.9-18.4%
States the topic
clearly with adequate
direction for the
paper and is the focal
point for most of the
paper.
Score-Developing (C)
15.3-16.8%
States topic but is
too vague or unclear
and focal point not
maintained
throughout the
paper.
Score-Emerging (D)
13.7-15.2%
The topic is not
clearly defined and
lacks focus
throughout.
Score-Deficient (F)
0-13.6%
Fails to identify the
topic and lacks focus
throughout.
At least two (2) cited,
scholarly sources
which are current,
(within the last 5-10
years) and relevant,
to the topic. There is
analysis,
(compare/contrast)
of the topic.
At least two (2) cited,
scholarly sources
which are current,
(within the last 5-10
years) and relevant,
to the topic.
However, there is
limited, or no
analysis, (compare
and contrast) of the
topic.
Only one (1) cited,
scholarly source
which is current,
(within the last 5-10
years) relevant, to
the topic. However,
there is limited, or no
analysis, (compare
and contrast) of the
topic.
Only one (1) cited,
scholarly source
which is current,
(within the last 5-10
years) relevant, to
the topic. However,
there is no analysis,
(compare and
contrast) of the topic.
There is no cited
scholarly source.
There is no analysis,
(compare and
contrast) of the topic.
MDC BLSON 1/2020 QEP Grading Rubric T.M
Conclusion
Writing
APA/Content/
Quality of Research
Thoroughly
Summarizes what
was learned from this
assignment and the
particular topic.
Includes if new
knowledge was
gained.
Content is well
organized, logical,
and clearly stated
with little, or no
grammatical,
punctuation, or
spelling errors.
Compliant with
current APA
formatting
guidelines.
References are
appropriate and
properly cited within
the paper and on the
reference page. All
references are
included. Minimal
errors are noted.
Clearly summarizes
what was learned
from the assignment
and the particular
topic. Includes if new
knowledge was
gained.
Mostly summarizes
what was learned
from the assignment
and the particular
topic. Does not
include whether or
not new knowledge
was gained.
Content is mostly
Content is somewhat
organized, logical and organized, several
clearly stated and
ideas are off topic,
with minimal
several grammatical,
grammatical,
punctuation and
punctuation, or
spelling errors.
spelling errors.
Good use current
Fair use of current
APA formatting
APA formatting
guidelines.
guidelines. Provides
References are
references that may
mostly appropriate
not be relevant or
and well cited within appropriately cited.
the paper and on the All sources cited are
reference page.
not present on the
Occasional errors are reference page.
noted.
Multiple errors are
noted.
Total Points:
Possible Points: 100
A (93-100) B (85-92) C (77-84) D (76-69) F (69 and below)
MDC BLSON 1/2020 QEP Grading Rubric T.M
Minimal summary of
the topic.
There is a lack of
summary of the
topic.
Content is fairly
organized, many
ideas are off topic,
many grammatical,
punctuation and
spelling errors.
Content is
disorganized with
numerous
grammatical,
punctuation and
spelling errors.
Current APA
formatting guidelines
were minimally used.
All sources cited are
not present on the
reference page or
not cited. Many
errors noted.
Current APA
formatting guidelines
were not used. No
references cited.
Numerous errors
noted.
NUR 1025L/1002L Fundamentals of Nursing/Transition to Nursing QEP Assignment
Introduce your QEP topic.
Patient Description
Include age, ethnic background (if relevant to the topic), gender, acuity level within hospital
(step down, floor, ICU), or if in a nursing home (assisted living facility, rehabilitation, or
skilled nursing), relevant medical history, diagnosis, reasons for admission, length of stay, etc.
Please be mindful of HIPPA.
Patient Care
Read and insert literature relevant to the topic:
• What kind of care is the patient receiving?
• How is the nursing staff currently addressing the patient’s health concerns?
• Why are the current nursing interventions important for the patient’s overall health?
• How do these interventions contribute to improving the patient’s health?
Analysis
Read and insert literature which is relevant to the topic:
• How does the care the patient is currently receiving compare/contrast to evidencebased practice?
• If the care provided differs from suggested practice, why did the nurse or student
nurse choose to deviate?
• If there is limited information available on patient care, what kind of care MIGHT the
patient receive for their current ailment(s) according to evidence-based practice?
Summary
Summarize most important points from paper. Draw any final conclusions about topic.
Reflection
In this section, you may now begin to write in first person (I, me, my). Address these
questions in this section in a narrative fashion:
• What did you learn from the assignment?
• How does this new information compare to your prior knowledge?
• How do you feel about it?
• How did it change you?
• What new skills can you now apply?
• How it will impact your practice in the future?
• Did you experience any “a-ha” moment(s)?
• What new connections did you make from your class, textbook, research, and
experience?