The topic is below with all details provided. Will you pls let me know if you can deliver by monday night and what will be the charges and guarantee for plagrisim. This assignment relates to a Molly Mooney In order for you to attempt this assignment you must first familiarize yourself with Molly. Who is Molly Mooney? Molly was born in 1944 and is a widower of many years. She lives alone with no assistance. She had 3 children: 1 died at birth, 2 are still living: Michael is a firefighter, David is a Nurse Unit Manager, and neither live close to Molly. Molly has a sister Donna who is 65 years old and lives in UK. Molly is a long time ex-smoker. She stopped after her husband died of a heart attack. After many years of nursing as a GP Practice Nurse she retired. Her passion for nursing is strong and she still likes to be involved in reviewing articles for the Australian Practice Nurse Association. Whilst in hospital with an exacerbation of her COPD Molly talks in the multiple co morbidities and medications. Molly experiences many health issues which include; chronic obstructive pulmonary disease (COPD), hypertension (HTN), diabetes type 2, osteoporosis, cervical cancer for which she had a hysterectomy 10 years ago. She also suffers from anxiety. Her medications include Salbutamol 100mcgs prn, Tiotropium 18mcgs daily via a handihaler, Atenolol 25mgs BD and Alendronate once Weekly 70mg tablet in the morning, Metformin SR 1000mgs daily. During hospitalisation, Molly’s vital signs have been stable. Her last recorded observations were as follows: Blood Pressure – 158/94; Respiration rate – 26 breaths per minute; SPO2 saturation – 94%, Pulse – 92 beats per minute, blood sugar level (BSL) ranges between 4-8mmols post-prandial. You are the student nurse on the ward caring for Molly. Her admission relates to a moderate exacerbation of COPD. Due to Molly being prescribed prednisone 50 mgs daily for 7 days to manage her exacerbation her diabetes has now become unstable and her BSL is between 10-15mmols post prandial. • You are to consider Moly’s situation, and discuss the nursing care that you would provide to Molly in relation to her COPD and her diabetes. Although Molly is a retired nurse and keeps up to date she does experience some confusion relating to her medications. In the delivery of nursing care you provide her with medication and she becomes anxious about what all her medications are for. • Using communication principles how would you explain to Molly about the different medications and provide rationales for their use to reduce her anxiety? It is now 5 days post admission. Molly has progressed well under you care. The consultant reviews Molly and is happy to send her home. She is managing her medications well now and her BSL, although higher than normal at 8mmols post prandial she is reassured once she stops the prednisone in 2 days this should level out. You are preparing Molly for her discharge home. • Critically discuss self-management concepts for Molly in regards to her multiple co-morbidities in preparation for her discharge home. Ensure you consider her educational background, her cultural background, and social context. • Discuss two different types of technology to assist in the patientcentred care of Molly whilst in the hospital and how they will assist in her discharge home so as to ensure safe and continuous management of her complex conditions. Prior to discharge you chatted to Molly about advanced care planning and advanced care directives. She is a very independent lady and is reluctant to talk about this and make any decisions at this point. •Analyse and discuss the reasons why Molly may be resistant to the concept of an advanced health directive. What legal and ethical principles in regards to advanced health directives might you discuss further with Molly? Note to writer Do not use headings. The essay must flow with good paragraph structure • The inclusion of evidence based clinical guidelines that may be accessed from websites is acceptable. It is preferred that you use academic, peer reviewed articles/journals. NB: Journal articles used must be less than 5 years old and textbooks less than 10 years old • A Reference list that adheres to APA presentation guidelines and indicates that you have read widely must be included Marking criteria Clear and succinct introduction that introduces the topic of COPD and diabetes and outlines the direction of the paper. (5%) Clear and appropriate introduction that introduces the topic of COPD and diabetes and outlines the direction of the paper. Appropriate introduction that introduces the topic of COPD and diabetes and outlines the direction of the paper. Introduction is apparent although consists only of a list of the contents of the paper. Topic of COPD and diabetes not clearly introduced. No recognisable introduction— the topic of diabetes is not introduced and/or there is no direction offered in respect of the paper. /15 Clear and succinct conclusion that outlines the main points and brings the argument to a logical close. (5%) Clear and appropriate conclusion that outlines the main points and brings the argument to a close. Conclusion outlines most of the main points and brings some sense of closure. Conclusion apparent – outlines most of the main points and endeavours to bring the argument to a close –some incongruity. No recognisable conclusion – little reference to the main points does not offer a clear conclusion to the paper. Consistently accurate with spelling, grammar, use of punctuation. Excellent presentation of assignment, double spaced with 12 point font. Organisation and structure is clear and concise. (5%) Generally accurate (1-3inaccuracies) with spelling, grammar, use of punctuation. A well-presented assignment, double spaced with 12 point font. Organisation and structure is clear Occasional inaccuracies (4-6) with spelling, grammar, use of punctuation. A well-presented assignment, double spaced with 12 point font. Organisation and structure is appropriate. Frequent inaccuracies (6-8) with spelling, grammar, use of punctuation. A well- presented assignment, double spaced with 12 point font. Organisation and structure allows misinterpretation of the meaning of the content. Many inaccuracies (>8) with spelling, grammar, use of punctuation. Poorly presented assignment, double spacing not used, 12 point font not used. Organisation and structure detract from the meaning of the content/or is irrelevant Approach and Argument (70%) Comprehensively includes a detailed discussion and rationale for the nursing care of Molly in relation to her COPD and her diabetes whilst in hospital. (14%) Clear, coherent and convincing critical thought displayed. Relating all findings back to the scenario of Molly. (14%) Extensively includes a thorough discussion and rationale for the nursing care of Molly in relation to her COPD and her diabetes whilst in hospital. Well-developed critical thought evident. Relating most findings back to the scenario of Molly. Generally includes a reasonable discussion and rationale for the nursing care of Molly in relation to her COPD and her diabetes whilst in hospital. Critical thought developed and presented. Relating some findings back to the scenario of Molly. Demonstrates a limited discussion and rationale for the nursing care of Molly in relation to her COPD and her diabetes whilst in hospital. Perceptible critical thought. Minimal findings related back to the scenario of Molly. Not able to provide a discussion and rationale for the nursing care of Molly in relation to her COPD and her diabetes whilst in hospital. No critical thought. No relationship of finding to scenario of Molly. /70 Comprehensively includes a detailed discussion and rationale for use of medications in relation to Molly and her co morbidities. (consider communication principles) (14%) Clear, coherent and convincing critical thought displayed. Relating all findings back to the scenario of Molly. (14%) Extensively includes a thorough discussion and rationale for use of medications for use of medications in relation to Molly and her co morbidities. (consider communication principles) Well-developed critical thought evident. Relating most findings back to the scenario of Molly. Generally includes a reasonable discussion and rationale for use of medications for use of medications in relation to Molly and her co morbidities. (consider communication principles) Critical thought developed and presented. Relating some findings back to the scenario of Molly. Demonstrates a limited discussion and rationale for use of medications for use of medications in relation to Molly and her co morbidities. (consider communication principles) Perceptible critical thought. Minimal findings related back to the scenario of Molly. Not able to provide a discussion and rationale for use of medications for use of medications in relation to Molly and her co morbidities (consider communication principles) No critical thought. No relationship of findings to scenario of Molly. Comprehensively includes a detailed discussion and rationale for self-management strategies and an awareness of educational, cultural and social issues in relation to Molly and her co morbidities. Clear, coherent and convincing critical thought displayed. Relating all findings back to the scenario of Molly. (14%) Extensively includes a thorough discussion and rationale for self-management strategies and an awareness of educational, cultural and social issues in relation to Molly and her co morbidities. Well-developed critical thought evident. Relating most findings back to the scenario of Molly. Generally includes a reasonable discussion and rationale for self-management strategies and an awareness of educational, cultural and social issues in relation to Molly and her co morbidities. Critical thought developed and presented. Relating some findings back to the scenario of Molly. Demonstrates a limited discussion and rationale for self-management strategies and an awareness of educational, cultural and social issues in relation to Molly and her co morbidities. Perceptible critical thought. Minimal findings related back to the scenario of Molly. Not able to provide a discussion and rationale for self-management strategies and an awareness of educational, cultural and social issues in relation to Molly and her co morbidities. No critical thought. No relationship of findings to scenario of Molly. Comprehensively includes a detailed discussion and rationale of 2 different types of technology that would assist in Molly’s care in hospital and with discharge planning to ensure safe and continuous management of her complex conditions. (14%) Clear, coherent and convincing critical thought displayed. Relating all findings back to the scenario of Molly. (14%) Extensively includes a thorough discussion and rationale of 2 different types of technology that would assist in Molly’s care in hospital and with discharge planning to ensure safe and continuous management of her complex conditions. Well-developed critical thought evident. Relating most findings back to the scenario of Molly. Generally includes a reasonable discussion and rationale of 2 different types of technology that would assist in Molly’s care in hospital and with discharge planning to ensure safe and continuous management of her complex conditions. Critical thought developed and presented. Relating some findings back to the scenario of Molly. Demonstrates a limited discussion and rationale of 2 different types of technology that would assist in Molly’s care in hospital and with discharge planning to ensure safe and continuous management of her complex conditions. Perceptible critical thought. Minimal findings related back to the scenario of Molly. Not able to provide a discussion and rationale of 2 different types of technology that would assist in Molly’s care in hospital and with discharge planning to ensure safe and continuous management of her complex conditions. No critical thought. No relationship of findings to scenario of Molly. Comprehensively includes a detailed discussion and rationale of the legal and ethical principles in relation to Molly and the completion of an advanced health directive (14%) Clear, coherent and convincing critical thought displayed. Relating all findings back to the scenario of Molly. (14%) Extensively includes a thorough discussion and rationale of the legal and ethical principles in relation to Molly and the completion of an advanced health directive Well-developed critical thought evident. Relating most findings back to the scenario of Molly. Generally includes a reasonable discussion and rationale the legal and ethical principles in relation to Molly and the completion of an advanced health directive Critical thought developed and presented. Relating some findings back to the scenario of Molly. Demonstrates a limited discussion and rationale the legal and ethical principles in relation to Molly and the completion of an advanced health directive Perceptible critical thought. Minimal findings related back to the scenario of Molly. Not able to provide a discussion and rationale the legal and ethical principles in relation to Molly and the completion of an advanced health directive No critical thought. No relationship of findings to scenario of Molly. Referencing-15% 5% 4% 3% 2.5% >2.5% Consistently accurate with in-text peer reviewed and quality referencing to support and reflect all ideas, factual information and quotations. (5%) Generally integrates up to date peer reviewed and quality references to support and reflect ideas, factual information and quotations, with 1 or 2 exceptions. Frequently integrates up to date peer reviewed and quality references to support and reflect ideas, factual information and quotations, with 3 to 5 exceptions. Occasionally integrates up to date peer reviewed and quality references to support and reflect ideas, factual information and quotations (6-10 exceptions). Fails to or infrequent attempts to integrate up to date peer reviewed and quality references to support and reflect ideas, factual information and quotations (>10). /15 Peer reviewed and quality references in reference list have been entered as per APA referencing style guide. Reference list in alphabetical order No errors identified in the reference list. Consistently accurate with in text referencing. (5%) Peer reviewed and quality references list in alphabetical order. Referencing is mostly consistent throughout with APA style of referencing (1-2 errors) with in text referencing Peer reviewed and quality references list in alphabetical order. References have been entered consistently throughout with APA style of referencing (3-5 errors) with in text referencing. Peer reviewed and quality references list in alphabetical order. References have been entered as per APA style of referencing is occasionally consistent with APA style. Frequent inaccuracies (6-10 errors) with in text referencing. Peer reviewed and quality references list not alphabetical order. APA referencing style is not used. Many inaccuracies (>10) with in text referencing A minimum of 10 peer reviewed and quality references used. At least 7 journal articles with the others relevant websites. (5%) A minimum of 10 peer reviewed and quality references used. At least 6 journal articles with the others relevant websites. A minimum of 10 peer reviewed and quality references used. At least 5 journal articles with the other relevant websites. A minimum of 10 peer reviewed and quality references used. At least 4 journal articles with the others relevant websites. A minimum of 10 peer reviewed and quality references not used. The required number of journal articles not sourced. Relevant websites
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