Individual Care Map Evaluation Tool
Individual Care Map Evaluation Tool
Name: _______________________ Date: ___________ Patient’s initials: _______________
| Concept | |||||||
| (Follow instructions provided and on Moodle) | |||||||
| The student will:
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Maxi-mum Points/ | ||||||
| Prepare: Written Analysis (50 pts) and Concept Map | Student points | Comments: | |||||
| Selects relevant objective and subjective assessment data for the client situation. | 5 | Organizes relevant data into objective and subjective data.(2) | Does not organize data.(1) | ||||
| Demonstrate appropriate use of Gordon’s Functional Patterns by organizing data into meaningful data clusters to determine priority problem | 5 | Data cluster complete the support Gordon’s patterns selected (3) | Empty space | Data clusters present, < 80% of relevant data uncluded, appropriate Gordon’s pattern selected (2.5) | Empty space | Data clusters do not support Gordon’s pattern selected. (1) | |
| Plans appropriate care for client:
· Goal statement · Expected outcomes
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10 | Goal statement reflects resolution or reduction of priority problem identified. (2) | Empty space | Empty space | Empty space | Client goal does not address the nursing diagnosis or Expected outcomes do not support goal achievement or are no written in SMART format. (0.5) | |
| Plans appropriate care for client:
· Nursing interventions · Clearly support interventions with one individualized EBP rationale per intervention and write a citation for each intervention.
|
20 | 3 or more nursing interventions listed address the cause of the problem and help the client achieve the goal use evidence based practice, individualized for the patient, each intervention has rationale with APA citation and reference. (20) | ≤ 3 nursing interventions listed address the cause of the problem and help the client achieve the goal, use evidence based practice, each intervention has rationale with APA citation and reference. (18) | ≤ 3 Interventions listed do not address the cause of the problem nor help the client achieve the goal, use evidence based practice, or not relevant for the patient, each intervention has rationale with APA citation and reference. (16) | Interventions(s) do not address the cause of the problem nor assist the client to achieve the goal with evidence based practice, Or rationale inappropriate for the selected interventions, each intervention has with APA citation and reference (10) | Interventions without rationale or APA citation and reference (0) | |
| Use Care Map to plan client care | |||||||
| Format relevant Care Map: Patient is represented and data cues organized into data clusters which reveal
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10 | Relationships between concepts indicated as cause/effect, indications, examples, leading to conclusions, etc. Indicates how each step in the nursing process affects the others, and is formatted logically. (10)
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Relationships between concepts indicated as cause/effect, indications, examples, leading to conclusions, etc. Does not indicate how each step in the nursing process affects the others; formatted logically. (9) | Does not originate from the client OR Relationships between concepts indicated as cause/effect, indications, examples, leading to conclusions, etc. Indicates how each step in the nursing process affects the others, and is formatted logically. (7) | Data originates from the client. Two or more of the following is not present: Relationships between concepts indicated as cause/effect, indications, examples, leading to conclusions, etc. Or Indicates how each step in the nursing process affects the others, Or is formatted logically. (5) | Does not originate from the client. Relationships between concepts are illogical or do not indicate cause/effect. Steps in nursing process not included. (2) | |
| Total Points Available/ Student Points Earned: | 50
|
Faculty signature: ______________________Student signature:
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