Situation Mary Aged Explained for Students (Easy Guide)

This type of question evaluates analytical and critical thinking skills.

What This Question Is About

This question relates to situation mary aged and requires a structured academic response.

How to Approach This Question

Use appropriate theories and support your answer with clear reasoning.

Key Explanation

This topic involves situation mary aged. A strong answer should include explanation, application, and examples.

Original Question

Situation Mary is aged 42 years, divorced with two children, employed part time and cares for her mother who has Alzheimer’s disease. She has no extended family to help with caring for her mother. She reports feeling isolated from the world and lonely without a significant other. Mary complains of feeling ‘stressed’ all the time and constantly worries about ‘anything and everything’. She describes herself as always having been a ‘worrier’ but her anxiety has become much worse in the past 12 months since her mother became unwell, and she no longer feels that she can control these thoughts. When worried, Mary feels tension in her shoulders, stomach and legs, her heart races and sometimes she finds it difficult to breathe. Her sleep is poor with difficulty getting off to sleep due to worrying and frequent wakening. She feels tired and irritable. She does not drink any alcohol. Background Mary has no significant past medical history, although she frequently makes appointments with her Primary Care Physician and Advanced practice nurse about problems experienced by her and her children. She was moderately depressed following her divorce 5 years ago and was offered antidepressants but declined them. She was referred for six sessions of counseling, which led to some improvement in her symptoms. Assessment Mary has difficulty focusing on interview questions; she is fidgeting in her chair, wringing her hands, and is slightly tremulous. BP=156/92 HR= 120 Respirations=32 She reports that she is frightened because she has had some fleeting thoughts of “ending it all” so that is why she came to the Psychiatric Hospital seeking admission to the inpatient unit. Instructions Analyze the scenario and write assessment findings. list of PRIORITIZED patient needs. Use the template on the next page as it will be helpful to use Maslow’s Hierarchy Model for this section. Format the care plan according to the template. Using the template below: Develop a care plan based on the information and data analysis from the scenario. Include two NANDA nursing diagnoses. With each nursing diagnosis, formulate one goal, and two interventions for the goal. One of the nursing plans must address patient and family education needs. You may elect to use “Deficient Knowledge” or a different diagnosis with at least one intervention that includes patient/family teaching All interventions and rationales must be supported from professional nursing literature such as mental health textbook or a nursing care plan book. Indicate specific revisions you would use to modify the plan for partially or unmet goals to facilitate patient progress toward goal achievement. NSG221 Case Study Rubric Criteria Ratings This criterion is linked to a Learning OutcomeAssessment/Predisposing Factors 10 to >9.0 pts A Assessment is holistic. Key assessment factors are included and consistent with information from the case study 9 to >6.0 pts B Assessment is holistic 1 or 2 key assessment factors are missing 6 to >4.0 pts C Assessment not holistic More than 2 key assessment factors missing 4 to >0 pts 0 Did not complete This criterion is linked to a Learning OutcomeProblem listPrioritized Comprehensive List of Patient Needs 7 to >6.0 pts A List is comprehensive and prioritized to the individual patient 6 to >4.0 pts B Problem list missing 1 or 2 patient needs. Problem list has 1 error in prioritization 4 to >2.0 pts C Problem list missing more than 2 patient needs. List is not prioritized 2 to >0 pts 0 Did not complete This criterion is linked to a Learning OutcomeNursing Diagnoses (2) 5 to >4.0 pts A Nursing Diagnoses formulated correctly according to NANDA 4 to >3.0 pts B Nursing Diagnoses have 1 mistake in construction 3 to >1.0 pts C Nursing Diagnoses are not NANDA format 1 to >0 pts 0 Did not complete This criterion is linked to a Learning OutcomeCare Plan1 Goal for each diagnosis 2 Interventions for each Goal (must cite source) Rationale for each intervention (must cite source) 15 to >14.0 pts A Each goal is evaluated with correct terminology Identifies ways to modify the plan based on findings from patient care data Education needs of patient/family included The interventions are specific, complete, and the tasks are well defined and include frequency Each intervention and rationale is cited from professional nursing literature The plan is formatted with correct headers and columns 14 to >11.0 pts B One goal not measurable or time framed Interventions are clearly related to diagnosis Education needs of family/patient included 1 Intervention not clearly related to goals 1 intervention or rationale missing citation from literature Frequency missing for 1 or 2 interventions The plan is formatted with correct headers and columns 11 to >7.0 pts C Goals not measurable or time framed Interventions not related to diagnosis or goals Education needs of family/patient not included Interventions not supported from literature Rationales not supported from literature Frequency of interventions missing The plan is not formatted with correct headers and columns 7 to >0 pts 0 Did not complete This criterion is linked to a Learning OutcomeEvaluationHow would you evaluate progress toward goals Indicate revisions that could be made for unmet goals 10 to >9.0 pts A Assessment is holistic. Key assessment factors are included and consistent with information from the case study 9 to >7.0 pts B Each goal is evaluated with correct terminology. Clear explanation of how progress toward goals would be evaluated Identifies ways to modify the plan based on findings from patient care data 7 to >5.0 pts C Goals are not evaluated with correct terminology Missing explanation of how progress toward EACH goal would be evaluated Potential modifications for unmet goals missing 5 to >0 pts 0 Did not complete This criterion is linked to a Learning OutcomeGrammar/Usage; Formatting 3 pts A Correct grammar and usage Includes title page, correct in-text citations, and reference page 2 pts B 1 or 2 grammar/usage errors 1 or 2 errors 1 pts C More than 2 grammar/usage errors More than 2 errors 0 pts 0 Did not complete Total Points: 50 Image transcription text Mental Health Prioritization of Needs ssessment findings Subjective Prioritized Problem List Physiologic Objecti… Show more Image transcription text Assessment (findings Evaluation (Met/Partially Nursing related to this Goals Interventions Rationale (citation … Show more

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