BSN 445: Concepts of Nursing in the Complex Patient – Assessment 2: Case Study Assignment
Assignment Overview
This assessment requires you to analyze a complex patient scenario, applying key nursing concepts to develop a comprehensive care plan. The goal is to demonstrate understanding of holistic care, evidence-based practices, and interdisciplinary collaboration in managing patients with multiple comorbidities.
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Assignment Instructions
Select a case study from the provided scenarios or create one based on a real-world complex patient (e.g., an elderly individual with diabetes, heart failure, and renal impairment). In a 1000- to 1500-word paper, address the following:
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- Describe the patient’s health history, including pathophysiology of primary conditions and contributing factors.
- Identify three key nursing concepts (e.g., patient-centered care, safety, and health promotion) relevant to the case.
- Develop a nursing care plan with at least four prioritized interventions, including rationales supported by evidence.
- Discuss potential challenges in care delivery, such as ethical dilemmas or resource limitations, and propose solutions.
- Reflect on how interdisciplinary teamwork enhances outcomes for complex patients.
Use APA formatting, including in-text citations and a reference list. Submit via the course portal by the due date.
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Length and Formatting Requirements
- Word count: 1000-1500 words (excluding references).
- Font: Times New Roman, 12-point, double-spaced.
- Margins: 1-inch on all sides.
- Include a title page and abstract.
Grading Rubric/Marking Criteria
Total: 100 points
- Case Description and Pathophysiology (20 points): Accurate, detailed, and relevant.
- Application of Nursing Concepts (25 points): Clear identification and integration.
- Care Plan Development (25 points): Prioritized, evidence-based, and comprehensive.
- Challenges and Solutions (15 points): Insightful analysis.
- Reflection on Teamwork (10 points): Thoughtful discussion.
- Formatting, Grammar, and APA (5 points): Professional and error-free.
References
- Lorenzini, E., Bambi, S., Rasero, L. and Di Giulio, P. (2024) ‘Impact of nurse staffing coverage and care complexity factors on health outcomes in hospitalized COVID-19 patients: a cross-sectional study’, BMC Nursing, 23(331). doi:10.1186/s12912-024-01989-0. Available at: https://link.springer.com/article/10.1186/s12912-024-01989-0 (Accessed: 31 December 2025).
- Di Giulio, P., Clari, M., Conti, A., Campagna, S., Dimonte, V., Gonella, S. and Ivziku, D. (2024) ‘Nurse‐Related Complexity of Care Perceived by Critical Care Nurses: A Constructivist Grounded Theory Study’, Journal of Advanced Nursing, 80(11), pp. 4590-4603. doi:10.1111/jan.16134. Available at: https://onlinelibrary.wiley.com/doi/10.1111/jan.16134 (Accessed: 31 December 2025).
- Leijten, F.R.M., Struckmann, V., van Ginneken, E., Czypionka, T., Kraus, M., Reiss, M., Tsiachristas, A., Boland, M., Rutten-van Mölken, M. and on behalf of the SELFIE consortium (2018) ‘The SELFIE framework for integrated care for multi-morbidity: Development and description’, Health Policy, 122(1), pp. 12-22. doi:10.1016/j.healthpol.2017.06.002. Available at: https://www.sciencedirect.com/science/article/pii/S016885101730157X (Accessed: 31 December 2025).
