Module 06 Assignment – Designing a Care Map
Assignment 02
Discussion post
Consider the scenario below, then follow the instructions underneath it to complete the discussion. If appropriate, support your position with credible resources/examples/evidence and provide APA references.
| Mr. B Mr. B, a 70-year-old male client, presented to his primary care physician with complaints of blurred vision and headaches over the last two months. On several visits, Mr. B’s blood pressure was found to be elevated, so the physician started him on hydrochlorothiazide 25 mg by mouth daily. One month later, Mr. B began to have chest pains and shortness of breath, so his primary care provider referred Mr. B to a cardiologist for further evaluation. The cardiologist ordered an echocardiogram and stress test which revealed heart enlargement and a reduced ejection fraction (volume of blood pumped out of the heart per minute). As a result, the cardiologist started Mr. B on a beta-blocker (metoprolol 25 mg by mouth daily). A few days after taking the new medication (in addition to the hydrochlorothiazide ordered by the primary physician), Mr. B suffered a fall at home. Upon arrival at the emergency room, Mr. B’s blood pressure was 80/50. The emergency room physician suspected the cause of Mr. B’s fall was hypotension secondary to the medications he was taking. The ER physician recommended that Mr. B follow up with his primary care physician and cardiologist, but hold the medication until seen by them. As recommended, Mr. B visits his primary care physician for a follow-up. During the visit, Mr. B’s blood pressure is found to be elevated (160/90), so his physician tells Mr. B to restart taking his blood pressure medication. |
Imagine that you are the nurse attending to Mr. B and that he indicates that he’s afraid to restart the medication because of his recent fall.
- What considerations/actions should the nurse make regarding the client’s refusal to restart his blood pressure medication?
- What considerations/actions would have helped the healthcare team to prevent the client’s fall?
Review the posts made by your classmates and reply to someone expanding on their idea or offering an alternative for consideration.
Discussion post rubric
| Initial post (12 pts) | Points: 9 (30.00%) Initial post does not include explanations with examples or supporting evidence when applicable. Failure to submit initial posting will result in zero points for this criteria | Points: 10 (33.33333%) Initial post includes brief explanation with limited examples or supporting evidence when applicable | Points: 11 (36.66666%) Initial post includes clear explanation with examples when applicable | Points: 12 (40.00%) Initial post includes comprehensive explanation with detailed examples when applicable |
| Response posting (12 pts) | Points: 9 (30.00%) Response to peers attempts to contribute to the discussion but is missing suggestions or supporting evidence when applicable. Failure to submit response postings will result in zero points for this criteria | Points: 10 (33.33333%) Response to peers provides minimal contribution with limited suggestions or supporting evidence when applicable | Points: 11 (36.66666%) Response to peers contributes to the discussion with suggestions or supporting evidence when applicable | Points: 12 (40.00%) Response to peers offers substantial contribution with detailed suggestions or supporting evidence when applicable |
| Spelling & Grammar (3 pts) | Points: 0 (0.00%) Numerous spelling or grammar error that detract from readability | Points: 1 (3.33333%) Some spelling or grammar errors; minimally detracts from readability | Points: 3 (10.00%) Minimal spelling or grammar errors, not detracting from readabilty | Points: 3 (10.00%) Correct spelling and grammar |
| APA citation (3pts) | Points: 0 (0.00%) Numerous APA citation errors in initial and response postings when applicable | Points: 1 (3.33333%) Some APA citation errors in initial and response postings when applicable | Points: 2 (6.66666%) Minimal APA citation errors in initial and response postings when applicable | Points: 3 (10.00%) Correct APA citations in initial and response postings when applicable |
