nursing discussion

Purpose

Problem-based learning is a methodology designed to help students develop the reasoning process used in clinical practice through problem solving actual patient problems in the same manner as they occur in practice.  The purpose of this activity is to develop students’ clinical reasoning skills using a case-based learning exercise. Through participation in an online discussion forum, students identify learning issues in a self-directed manner which facilitates learning for the entire group.

Case Study & Discussion Questions

Mr. Brown, a 50 year-old male who comes into your office today complaining of  a constant burning pain in his stomach a couple of hours after he eats. He states that he was seen in the emergency room 2 days ago for the same complaint and was given something called a “GI cocktail” which relieved his symptoms. Mr. Brown reports that he enjoys coffee every morning with breakfast and sometimes in the afternoon with a donut.  A review of his records show that acute coronary syndrome was ruled out in the emergency room 2 days ago. His last stress test was 6 months ago, which was negative. EKG in the office today is normal.

Past Medical History: Obesity and High Cholesterol.

Surgical History: None.

Family history: Unknown he is adopted

Social History: Smoker x 10 years 1ppd, drinks 2-4 beers a day and ½ pack on the weekends. Denies recreational drugs, does not exercise.

Drug allergies: NKDA

Current medications: None

All vaccines are up to date. 

Vitals Height 69 inches, weight 205 pounds, BP 120/75, P 70, R 16.

Mr. Brown’s physical exam is normal, including the abdominal exam .

· What are your treatment goals for Mr. Brown today?

· What is your pharmacological plan and rationale? (cite with appropriate clinical practice guidelines or scholarly peer-reviewed articles and always include medication name, strength, dosage form, route, frequency and duration when making recommendations)

· Pick one medication from your response above and list 5 patient-centered teaching points for the medication.

 

Direct Quotes

Good writing calls for the limited use of direct quotes. Direct quotes in discussions are to be limited to one short quotation (not to exceed 15 words). The quote must add substantively to the discussion. Points will be deducted under the grammar, syntax, APA category.

 

DISCUSSION CONTENT
Category Points % Description
Application of Course Knowledge 35 35% 1. Decisions are well supported with EBM arguments that are in-line with the scenario; AND

2. Proper rationale and reasoning skills are demonstrated; AND

3. Information is taken from source(s) with appropriate interpretation/evaluation to develop a comprehensive analysis or synthesis of the topic at hand; AND

4. Applies concepts to personal experience in the professional setting and/or information has relevant application to real life; AND

5. All of the post makes direct reference to concepts discussed in the lesson; AND

6. Posts are on topic and answer all presented questions which demonstrates a solid understanding of the topic.

(6 critical elements)

Support from Evidence-Based Practice (EBP) 35 35% 1. Discussion post is supported with appropriate, scholarly sources; uses valid, relevant, and reliable outside sources to contribute to the threaded discussion; AND

2. Sources are published within the last 5 years (unless it is the most current CPG); AND

3. Reference list is provided and in-text citations match; AND

4. Provides relevant evidence of scholarly inquiry clearly stating how the evidence informed or changed professional or academic decisions

(4 critical elements)

Interactive Dialogue 15 15% 1. Student provides a substantive* response to at least one topic-related post of a peer; AND

2. Evidence from appropriate scholarly sources are included; AND

3. Reference list is provided and in-text citations match; AND

4. Student responds to all direct faculty questions OR if student was not asked a direct question student responds to either a 2nd peer post or a faculty question directed towards another student

 

(*) A substantive post adds new content or insights to the discussion thread and information from student’s original post is not reused in peer or faculty response

(4 critical elements)

      Total CONTENT Points= 85 pts
DISCUSSION FORMAT
Category Points % Description
Grammar, Syntax, Spelling & Punctuation 15 15% Discussion post has minimal grammar, syntax, spelling, punctuation, or APA format errors*

(*) APA style references and in text citations are required; however, there are no deductions for errors in indentation or spacing of references. All elements of the reference otherwise must be included.

 

Criteria Ratings Pts
This criterion is linked to a Learning OutcomeApplication of Course Knowledge

1. Decisions are well supported with EBM arguments that are in-line with the scenario; AND 2. Proper rationale and reasoning skills are demonstrated; AND 3. Information is taken from source(s) with appropriate interpretation/evaluation to develop a comprehensive analysis or synthesis of the topic at hand; AND 4. Applies concepts to personal experience in the professional setting and/or information has relevant application to real life; AND 5. All of the post makes direct reference to concepts discussed in the lesson; AND 6. Posts are on topic and answer all presented questions which demonstrate a solid understanding of the topic. (6 critical elements)

35.0 pts

Excellent

All 6 critical elements are present.

32.0 pts

V. Good

1 critical element is missing.

29.0 pts

Satisfactory

2-3 critical elements are missing.

18.0 pts

Needs Improvement

4-5 critical elements are missing.

0.0 pts

Unsatisfactory

All 6 critical elements are missing.

 

35.0 pts
This criterion is linked to a Learning OutcomeSupport from Evidence-Based Practice (EBP)

Support from Evidence-Based Practice (EBP) 1. Discussion post is supported with appropriate, scholarly sources; AND  2. Sources are published within the last 5 years (unless it is the most current CPG); AND 3. Reference list is provided and in-text citations match; AND 4. Provides relevant evidence of scholarly inquiry clearly stating how the evidence informed or changed professional or academic decisions (4 critical elements)

35.0 pts

Excellent

All 4 critical elements are present.

32.0 pts

V. Good

1 critical element is missing.

29.0 pts

Satisfactory

2 critical elements are missing.

18.0 pts

Needs Improvement

3 critical elements are missing.

0.0 pts

Unsatisfactory

4 critical elements missing. *Students should note that factitious sources, sources that are clearly not read by the student and used, or sources that have incorrect dates will result in an automatic ZERO (0) for this section for the week.

 

35.0 pts
This criterion is linked to a Learning OutcomeInteractive Dialogue

1. Student provides a substantive* response to at least one topic-related post of a peer; AND 2. Evidence from appropriate scholarly sources are included; AND 3. Reference list is provided and in-text citations match; AND 4. Student responds to all direct faculty questions OR if student was not asked a direct question student responds to either a 2nd peer post or a faculty question directed towards another student (*) A substantive post adds new content or insights to the discussion thread and information from student’s original post is not reused in peer or faculty response (4 critical elements)

15.0 pts

Excellent

All 4 critical elements are present.

13.0 pts

V. Good

1 critical element is missing.

12.0 pts

Satisfactory

2 critical elements are missing.

7.0 pts

Needs Improvement

3 critical elements are missing.

0.0 pts

Unsatisfactory

4 critical elements missing.

 

15.0 pts
This criterion is linked to a Learning OutcomeGrammar, Syntax, Spelling, & Punctuation

Discussion post has minimal grammar, syntax, spelling, punctuation, or APA format errors* (*) APA style references and in text citations are required; however, there are no deductions for errors in indentation or spacing of references. All elements of the reference otherwise must be included.

15.0 pts

Excellent

0-1 errors in grammar, syntax, spelling, punctuation, or APA format*

13.0 pts

V. Good

2-3 errors in grammar, syntax, spelling, punctuation, or APA format*

12.0 pts

Satisfactory

4-5 errors in grammar, syntax, spelling, punctuation, or APA format*

7.0 pts

Needs Improvement

6-9 errors in grammar, syntax, spelling, punctuation, or APA format*

0.0 pts

Unsatisfactory

10 or more errors in grammar, syntax, spelling, punctuation, or APA format*

 

15.0 pts

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