The purpose of the case study is to have you expand on the pathophysiological disease process by searching for evidence-based practice treatment and advanced practice nursing role implications related to the disease.

Review the patient’s TB questionnaire.   

Conduct an evidence-based literature search to identify the most recent standards of care/treatment modalities from peer-reviewed articles and professional association guidelines (). These articles and guidelines can be referenced, but not directly copied into the clinical case presentation. Cite a minimum of three resources. 

Answer the following questions:

  1. What is the transmission and pathophysiology of TB?
  2. What are the clinical manifestations? 
  3. After considering this scenario, what are the primary identified medical concerns for this patient?
  4. What are the primary psychosocial concerns?
  5. What are the implications of the treatment regimen, as far as likelihood of compliance and outcomes? Search the Internet to research rates of patient compliance in treatment of TB, as well as drug resistant TB.
  6. Identify the role of the community clinic in assisting patients, particularly undocumented patients, in covering the cost of TB treatment. What resources exist for TB treatment in community health centers around the United States? Compare the cost for treatment between subsidized and unsubsidized.
  7. What are the implications of TB for critical care and advanced practice nurses?

The use of medical terminology and appropriate graduate level writing is expected.  

Your paper should be 4–5 pages, excluding the cover page and references page.

Your resources must include research articles as well as reference to non-research evidence-based guidelines.  

Use APA format to style your paper and to cite your sources. Your source(s) should be integrated into the paragraphs. Use internal citations pointing to evidence in the literature and supporting your ideas. You will need to include a reference page listing those sources. Cite a minimum of three resources. 

Review the rubric for more information on how your assignment will be graded.  

Rubric

NURS_530B_DE – Case Study Rubric
NURS_530B_DE – Case Study Rubric
Criteria Ratings Pts
Critical Analysis

30 to >27.6 pts

Accomplished
Presents an exemplary articulation and insightful analysis of significant concepts and/or theories presented in the case. Offers detailed and specific examples for all questions. Makes keen observations, making note of essential information provided in the case. Ideas are professionally sound and creative; they are supported by scientific evidence that is credible and timely. Draws insightful and comprehensive conclusions and solutions.

27.6 to >24.6 pts

Satisfactory
Presents an accurate analysis of significant concepts and/or theories presented in the case. Offers some detail and some examples for most questions. Makes occasional note of essential information provided in the case. Ideas are mostly supported by scientific evidence that is credible and timely. Makes some attempt to draw conclusions and solutions.

24.6 to >20.7 pts

Needs Improvement
Provides insufficient explanations of significant concepts. Offers little or insignificant detail and no examples for most questions. Fails to address essential information provided in the case. Ideas are generally unsupported by scientific evidence, but some attempt has been made. Fails to draw conclusion.

20.7 to >0 pts

Unsatisfactory
Does not, or incorrectly, answers with insufficient explanations. Information is not scientifically sound.
30 pts
Content

30 to >27.6 pts

Accomplished
Makes insightful, clear and accurate connections to key concepts and relevant theories. Response indicates a comprehensive, high-level understanding of the concepts presented in the case.

27.6 to >24.6 pts

Satisfactory
Makes mostly accurate connections to key concepts and relevant theories. Response indicates a general understanding of the concepts presented in the case.

24.6 to >20.7 pts

Needs Improvement
Provides several insufficient or inaccurate explanations, although attempts are made to address some key concepts. Response indicates an introductory understanding of the concepts presented in the case.

20.7 to >0 pts

Unsatisfactory
Information is inaccurate or inadequate. Response indicates little or no understanding of the concepts presented in the case.
30 pts
Mechanics

10 to >9.2 pts

Accomplished
Answers are well written throughout. Information is well organized and clearly communicated. Assignment is free of spelling and grammatical errors.

9.2 to >8.2 pts

Satisfactory
Answers are well written throughout and the information is reasonably organized and communicated. Assignment is mostly free of spelling and grammatical errors.

8.2 to >6.9 pts

Needs Improvement
Answers are somewhat organized and lacks some clarity. Contains some spelling and grammatical errors.

6.9 to >0 pts

Unsatisfactory
Answers are not well written and lack clarity. Information is poorly organized. Assignment contains many spelling and grammatical errors.
10 pts
APA Format

10 to >9.2 pts

Accomplished
Follows all the requirements related to format, length, source citations, and layout.

9.2 to >8.2 pts

Satisfactory
Follows length requirement and most of the requirements related to format, source citations, and layout.

8.2 to >6.9 pts

Needs Improvement
Follows most of the requirements related to format, length, source citations, and layout.

6.9 to >0 pts

Unsatisfactory
Does not follow format, length, source citations, and layout requirements.
10 pts

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