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The following provides an example of the Basic Concept ALT to help clarify the assignment guidelines.

NOT FOR STUDENT SUBMISSION

The following provides an example of the System Disorder ALT to help clarify the assignment guidelines.

NOT FOR STUDENT SUBMISSION

The following provides an example of the 1-page Analysis to help clarify the assignment guidelines.

NOT FOR STUDENT SUBMISSION

Since the largest group to experience hip fractures are older adults, the normal changes that occur with aging place them at higher risk for complications of immobility and surgical repair of the fracture (for example: decreased muscle mass, decreased bone density, suppressed immune response, and loss of muscle strength and flexibility).

Immobility after a hip fracture (and surgical repair of the break) contributes to the following undesirable changes within the body.

·       Deep vein thrombosis (DVT) occurs when blood pools in the lower extremity veins, which increases the risk of pulmonary embolism and compromised circulation and oxygenation.

·       Muscle atrophy contributes to orthostatic hypotension when the smooth muscles of the venous system fail to contract when the client changes from a supine to an upright position.

·       Loss of appetite due to inactivity, depression, boredom, or pain can contribute to weight loss and malnutrition impacting muscle mass and delaying healing.

·       Use of an indwelling urinary catheter increases the risk for urinary tract infection.

·       Calcium loss from long bones may lead to renal calculi and osteoporosis.

·       Pressure and moisture to the skin increases the risk of pressure ulcers.

·       If client unable to reposition themselves in bed, skin can break down increasing the chance for infection.

·       Social isolation increases the risk of delirium and disorientation.

·       When supine, the weight of the chest wall limits lung expansion and contributes to atelectasis.

·       Blood redistribution and fluid shifts increase the risk for pulmonary edema.

·       Pooling of secretions increases the risk for pneumonia and decreased gas exchange.

·       Decreased weight bearing contributes to hormone imbalances.

Considering the concept of mobility with the systems disorder of a hip fracture, it is evident that the older adult is most at risk for not only experiencing a hip fracture but having one or more complications of immobility due to the injury, as well.

Patient-focused care should address pain management (pharmacologic and non-pharmacologic), promoting optimal respiratory status, and early movement with the help of physical therapy. As always, client safety should be incorporated into all care.

Grading Rubric: Criteria are met when the student’s application of knowledge demonstrates achievement of the outcomes for this assignment.

Assignment Section and Required Criteria

(Points possible/% of total points available)

Highest Level of Performance

High Level of Performance

Satisfactory Level of Performance

Unsatisfactory Level of Performance

Section not Presented in Assignment

Basic Concept Active Learning Template

(15 points/30%)

15 points

13 points

12 points

6 points

0 points

Required criteria

1.       Complete the entire template.

a.       Student name

b.       Concept

c.        Related content

d.       Underlying principles

e.       Nursing interventions

2.        Be ready to submit, present, and/or teach this concept to others.

5 of 5 required criteria are included.

4 of 5 required criteria are included.

3 of 5 required criteria are included.

1-2 of 5 required criteria are included.

0 of 5 required criteria are included.

Systems Disorder Active Learning Template

(15 points/30%)

15 points

13 points

12 points

6 points

0 points

Required criteria

1.       Complete these sections

a.       Student name

b.       Disorder/Disease process

c.        Alterations in health (diagnosis)

d.       Pathophysiology Related to client problem

e.       Health promotion and disease prevention

f.         Risk factors

g.       Expected findings

h.       Laboratory tests

i.         Diagnostic procedures

j.         Safety considerations

9 of 9 required criteria are included.

8 of 9 required criteria are included.

7 of 9 required criteria are included.

1-4 of 9 required criteria are included.

0 of 9 required criteria are included.

Analysis Paper

(15 points/30%)

15 points

13 points

6 points

0 points

Required criteria

1.       Create a 1-page analysis describing how the selected Basic Concept ALT relates to the selected Systems Disorder ALT.

A strong connection and correlation are made between the selected basic concept and the selected system disorder.

Information was described and compared between the basic concept and system disorder, but only a weak correlation or connection was made between them.

Some information was described and compared between the basic concept and system disorder, but no correlation or connection was made between them.

Little information was described and compared between the basic concept and system disorder, and no correlation or connection or a wrong correlation or connection was made between them.

APA Formatting and Grammar

(5 points/10%)

5 points

4 points

2 points

0 points

1.       Spelling is correct.

2.       Grammar is correct.

3.       Submission is legible.

4.       Includes APA formatted reference list.

4 of 4 required criteria are included.

3 of 4 required criteria are included.

1-2 of 4 required criteria are included.

0 of 4 required criteria are included.

Total for Assignment = 50 points