data collection assignment

NURS3520: DATA COLLECTION ASSIGNMENT
STUDENT NAME: ____________________________ DATE: __________________
Instructions: Students should complete the Data Collection Assignment independently and submit as a Word document attachment on the Assignments link in Sakai by the deadline stated in the course schedule found in the syllabus. Specific grading criteria are outlined below. Do not include any patient identifiers to maintain confidentiality for the patient.

.
Grading Criteria:
CONTENT
Maximum Points
Points Awarded
Comments
Data Collection (Assessment)
(44 total for this section)
Chief Complaint (signs/symptoms,
medical diagnosis)
4
Patient Demographics
4
Patient Medical History
4
Patient Surgical History
4
Significant Family History
4
Diagnostics (lab, x-ray, etc.)
4
Current Medications
4
Pathophysiology
4
Developmental Considerations
4
Nursing Considerations
4
Patient Education Needs
4
Nursing Process
(56 total for this section)
Nursing Diagnosis – high priority
according to patient presentation
and assessment data provided

.
10
Planning – Patient Goals: measurable & realistic
10
Planning – Nursing Interventions
10
Implementation (selected
intervention)
10
Evaluation
10
Format [name included, correct grammar/spelling/punctuation, include references (APA format), submitted as Word document attachment via Assignments link]
NOTE: 10 points per day will be deducted if submitted late; assignment will not be accepted if submitted more than 3 days late and assigned grade will be 0 (zero).
6
TOTAL
100
12/18/2013
Page 2 of 4
DATA COLLECTION ASSIGNMENT
CHIEF COMPLAINT
Focused assessment findings related to medical and/or
nursing diagnosis, including vital signs:
Reason for Seeking Care, History of Present Illness,
Admitting Diagnosis and/or Rationale for Transfer to
Current Level of Acuity :
PATIENT DEMOGRAPHICS
Age/Birthdate:
Gender:
Marital Status:
Race/Ethnicity:
Height/Weight:
Occupation:
Support System:
PATIENT MEDICAL HISTORY
(Childhood illnesses, accidents or injuries,
immunizations, allergies, prior diagnoses, etc.)
PATIENT SURGICAL HISTORY
(Previous hospitalizations, operations, procedures, etc.
and dates)
SIGNIFICANT FAMILY HISTORY
(Positive or negative family history of disorders
including but not limited to diabetes, hypertension,
cardiac, cancer, endocrine, psychiatric. Also include
what family member was affected.)
DIAGNOSTICS
(Include labs, x-rays, special tests, etc. related to
medical and/or nursing diagnosis and values: normal vs.
abnormal)

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