Discharge Plan For the discharge plan, you will create a fictitious patient with your chosen chronic illness and usethis Discharge Plan documentto create a discharge plan for that patient. You are to

Collaboration for Improving Outcomes – Disc harge Plan Description: The ba ccalaureate graduate nurse will conduct a health history to identify current and future health problems. Course Competenc ies : 2) Develop a holistic case management plan for a specified disease or population that incorpo rates the role of insurance, heal th care finance, and utilization of community resources. 4) Coordinate the care of individuals across the lifespan utilizing principles and knowledge of interdisciplinary models of care delivery and case management. QSEN C ompetenc ies : 1) Patient -Center ed Care 2) Teamwork and Collaboration 3) Evidence - Based Practice BSN Essential VII Area Gold Mastery Silver Proficient Bronze Acceptable Acceptable Mastery not Demonstrated Assessment • General Information • Current Medications • Activity of Daily Living • Patient Support System • Medical Follow -up • Financial Summary Completes all sections of the assessment Completes half of the elements of the assessment. Completes less than half of the elements of the assessment Elements are superficially addressed or are miss ing. Diagnosis/Plan • Priority • Nursing Diagnosis • Client Outcomes/Goals Completes all elements of the diagnosis/plan Completes half of the elements of the diagnosis/plan Completes less than half of t he elements of the diagnosis/plan Elements are superficiall y addressed or are missing. Education Needs • Need • Method • Evaluation Completes all elements of the education needs Completes half of the elements of the education needs Completes less than half of the elements of the education needs Elements are superficial ly addressed or are missing. Financial Worksheet • Future Medical Care -routine -specialty -Tx interventions • Medication Needs • Supplies • Diagnostic Testing • Future Adjunctive Tx • Medical Equipment • Transportation • Home Furnishings & Adaptations • Potential Compli cations • Financial Summary Completes all elements of the financial worksheet Completes half of the elements of the financial worksheet Completes less than half of the elements of the financial worksheet Elements are superficially addressed or are missing. Reflection and Conclusion Interprets the complete format and develops a conclusion for the plan of care Reviews the format and does not fully develop a conclusio n for the plan of care Defines the format and does not present a conclusion Does not provide a n interpretation of the format and/or no conclusion for plan of care. APA, Grammar, Spelling, and Punctuation No errors in APA, Spelling, and Punctuation. One to three errors in APA, Spelling, and Punctuation. Four to six errors in APA, Spelling, and Punc tuation. Seven or more errors in APA, Spelling, and Punctuation. References Provides two or more references. Provides two references. Provides one references. Provides no references.