Mr. G is a 66-year-old Hispanic gentleman who presents to the clinic with a chief complaint of bilateral lower leg pain. He first noticed the pain earlier this week while he was cleaning out his garag

NUR 545 Module Three Case Study Guidelines and Rubric Scenario: Mr. G is a 6 6-year -old Hispanic gentleman who presents to the clinic with a chief complaint of bilateral lower leg pain. He first noticed the pain earlier this week while he was cleaning out his garage. Mr. G. describes the pain as, “persistent over the last few days at a 5 or a 6 when getting up in the morning ”, based on a 1 -10 scale. He feels less pain when walking (at a 4 or a 5) and feels ev en less pain when he is seated with his legs propped up, but he prefers to be active. A review of his medical record reveals a history of hyperlipidemia, hypertension, “diet -controlled” type II diabetes and former smoker (quit more than 10 years ago) . His current daily medications are Atorvastatin 20 mg, benazepril 40 mg, metoprolol 25 mg, and a “baby aspirin.” Current v ital signs are BP 154/94, HR 92, RR 20 , o2 stats 96% on RA . Based on an exam, bilateral lower extremity findings are as follows: slightly bluish color, visible varicosities, +1 edema ending just above ankles, capillary refill brisk, skin temperature warm , and peripheral pu lses strong. Prompt : After reviewing the above scenario, address the following elements:  Summarize the client’s history of present illness , identifying subjective and objective findings.  Plan a focused assessment , including the steps that you would ta ke to assess the client’s peripheral vascular system.  Interpret the data to determine multiple differential diagnoses to consider. Be sure to include a description of the health risk or healthy behaviors that you identified during your assessment .  Develop a potential care plan for one of the possible differential diagnoses that includes collaboration with other necessary healthcare disciplines .  Research a health promotion tool (such as brochure, poster, pamphlet, handout, website, etc.) for the clie nt. Be sure to identify at least two goals or objectives for your proposed tool based on the assessment you conducted.  Explain the health literacy best practices you would implement to ensure your health promotion tool is appropriate for a diverse populat ion. Support your explanation with specific examples. Rubric Guidelines for Submission: Your case study should be at least 3 page s in length , with 12 -point Times New Roman font , one -inch margins, and double spacing. Follow proper APA formatting . Critical Elements Exemplary (100%) Proficient (85%) Needs Improvement (55%) Not Evident (0%) Value Client’s History Meets “Proficient” criteria and supports summary with exceptional detail and explanation Thoughtfully summarizes the client’s history, identifying subjective and objective findings Summarizes the client’s history but is missing key elements or does not identify both subjective and objective findings Does not summarize the client’s history 15 Assessment Meets “Proficient” criteria and includes exceptional detail related to the planned assessment steps Plans a focused assessment of the peripheral vascular system with clear steps Plans a focused assessment of the peripheral vascular system but is missing key steps or lacking clarity Does not plan a focused assessment of the peripheral vascular system 15 Diagnose s Meets “Proficient” criteria and includes exceptional detail to explain interpretation and support differential diagnoses Determines multiple relevant differential diagnoses to consider and includes descriptions of the behaviors identified during the assessment Dete rmines one differential diagnosi s, is lacking detail or clarity in explain ing multiple diagnoses , or does not include descriptions of the behavio rs identified during the assess ment Does not determine any differential diagnoses 15 Care Plan Meets “Proficient” criteria and includes exceptional detail to explain the plan and necessary disciplines for collaboration Develops a potential care plan that utilizes collaboration with other necessary healthcare disciplines Develops a potential care plan but is missing key elements or lacking details regarding collaboration between n ecessary healthcare disciplines Does not develop a potential care plan 15 Health Promotion Tool Meets “Proficient” criteria and includes exceptional detail to explain the examination of health promotion tool for the client Examines health promotion tool for the client and identifies at least two goals for that tool based on the assessment Examines health promotion tool for the client, but tool is inappropriate or does not identify at least two goals for the tool based on the assessment Does not examine health promotion tool for the client 15 Health Literacy Best Practices Meets “Proficient” criteria and includes exceptional detail related to ensuring the tool is appropriate for a diverse population Explains the health literacy best practices to be implemented to ensure the health promotion tool is appropriate for a diverse population and supports rationale with specific examples Explains the health literacy best practices to be implemented to ensure the health promotion tool is appropriate for a diverse populatio n, but explanation is cursory, lacks adequate detail, or is not supported with specific examples Does not explains the health literacy best practices to be implemented to ensure the health promotion tool is appropriate for a diverse population 15 Articu lation of Response Submission is free of errors related to citations, grammar, spelling, syntax, and organization and is prese nted in a professional and easy -to-read format Submission has no major errors related to citations, grammar, spelling, syntax, or organization Submission has major errors related to citations, grammar, spelling, syntax, or organization that negatively impact readability and articulation of main ideas Submission has critical errors related to citations, grammar, spelling, syntax, or o rganization that prevent understanding of ideas 10 Total 100%