Assignment Content

1. 
   
   Read the following case study.
   You are a staff nurse working in an intensive care unit and assigned to care for a 75-year-old man who had coronary artery bypass graft surgery four days ago. The patient has a history of chronic obstructive pulmonary disease exacerbated by heavy smoking. His postoperative course has been difficult, and he has suffered a number of setbacks. Staff members, despite their diligent efforts, have not been able to wean him off the ventilator since the surgery. He has required frequent suctioning throughout the shift, and he is being evaluated for the development of ventilator-associated pneumonia.
   Today, when returning from lunch, you observed that an experienced nurse was suctioning your patient. His secretions were thick, and you observed that the nurse was instilling saline into the patient’s endotracheal tube as she was suctioning him. The patient turned red and began coughing, and it was obvious he was in distress.You asked the nurse why she was instilling saline into his endotracheal tube. She replied that this was being done to loosen the secretions. You told her this was no longer an acceptable practice. She stated that she many years of critical care experience and she didn’t care what anyone said, that the only way you could loosen the patient’s secretions would be to instill saline. She also said that would be the last time she would do something for one of your patients while you were at lunch.
   
   

2. Determine a plan of care for the patient using the nursing process. Use at least two nursing diagnoses and include their associated goals, interventions, and outcomes that you expect to see for each diagnosis.
   
   
3. Define each step of the nursing process and align each step to critical thinking and clinical decision-making processes. This can be accomplished by using bubbl.us and developing multi-directional links in your concept map to demonstrate the interrelationships that exist among the various concepts.
   Format your care plan as a concept map using visual presentation software from the College of Education Technology Resource Library

   1. Click Web Tools. (I am requesting that you use bubbl.us to develop your concept map) https://bubbl.us/
   2. Click Collaboration & Productivity.

   Please note that in order to demonstrate critical thinking and clinical decision making, your links need to demonstrate all the multiple interrelationships of the concepts. You are basically demonstrating how every part of the care plan that you develop is correlated and connected. If your links are only going in one direction (unidirectional), then you may not be demonstrating the numerous interrelationships that exist among the concepts.

4. I am asking that you use bubbl.us as the option since this will allow you to develop a concept map type of presentation that you can then insert/copy and paste into a MS word document. When you develop the concept map within the bubbl.us website, save it to your computer as an ‘image’ (.jpeg) file. Once you save the image of the concept map on your computer, find it and paste your image of the completed concept map into the Microsoft Word document, include a title and reference page, grading rubric
   
5. Format your alignment of the nursing process with the critical thinking process and clinical decision-making process in a document, table, or other visual representation approved by your instructor. This can all be done within your bubbl.us concept map. Your concept map image should be copied and pasted into a Microsoft Word document with a title page, concept map image, reference page. Copy and paste the week two grading rubric on the last page of your MS Word document.

Grading Criteria

Critical Thinking Case Study

Content: 80 points possible	Points possible	Points earned	Comments
Correctly aligns nursing, critical thinking, and clinical decision making processes	30
Use of the nursing process is evident in the plan of care	30
Submits an accurate, complete care plan	20

Format: 20 points possible	Points possible	Points earned	Comments
Submits plan of care and definition, and alignment to critical thinking and clinical decision-making processes	10
Selects and uses appropriate medium for assignment completion	10

Points earned/possible

/100