SIM 440 Activity 6 Family Support Assessment Paper

Case management is useful in a variety of settings. You will be using the nursing process to conduct an in-home assessment in Sentinel City^® to develop a plan of care for a family.

The process of collecting, analyzing, and synthesizing data from a variety of sources can help the nurse to gain an understanding of family strengths, values, and needs related to physical and social determinants of health to promote the health and well-being of the family unit.

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Develop a Family Support Care Plan to address the needs of this family using your institutions’ care plan template or use this care plan template.

Include a properly formatted community health nursing diagnosis that addresses either preschool age children, single mothers, or pregnant women.
Increased risk of (disability, disease, etc.) among (community or population) related to (disability, disease, etc.) as demonstrated in or by (health status indicator, or etiological/causal statement).
- Example: Increased risk of obesity among school-age children related to lack of safe outdoor play areas for children as demonstrated by elevated BMI rates.

Reading and Resources

Chapter 16 pages 297-316, Chapter 23 pages 395-404, Chapter 20 pages 367-375, Chapter 26 pages 439-447 in Fundamentals of Case Management Practice.

Review clinical guidelines of the AHRQ

Additional Instructions:

All submissions should have a title page and reference page.
Utilize a minimum of two scholarly resources.
Adhere to grammar, spelling and punctuation criteria.
Adhere to APA compliance guidelines.
Adhere to the chosen Submission Option for Delivery of Activity guidelines.

Submission Options
Choose One:	Instructions:
Paper	4 page paper. Include title and reference pages.

Rubric

Collaboration for Improving Outcomes – Family Support Assessment
Description: Identify the determinants of health and illness of individuals and families using multiple sources of data.
Course Competencies: 2) Develop a holistic case management plan for a specified disease or population that incorporates the role of insurance, health care finance, and utilization of community resources. 4) Coordinate the care of individuals across the lifespan utilizing principles and knowledge of interdisciplinary models of care delivery and case management.
QSEN Competencies: 1) Patient-Centered Care 2) Teamwork and Collaboration 3) Evidence- Based Practice 5) Safety
BSN Essential VII
Area	Gold Mastery	Silver Proficient	Bronze Acceptable	Acceptable Mastery not Demonstrated
Data	Includes detailed objective and subjective data	Lists objective and subjective data	Identifies only subjective or objective data	Does not address section
Nursing Diagnosis	Develops a nursing diagnosis (using NANDA) for an individual in the family unit	Outlines a nursing diagnosis (using NANDA) for an individual in the family unit but some elements are missing	Defines a nursing diagnosis for an individual in the family unit but is not appropriate for family member	Does not address section
Community Health Nursing Diagnosis	Develops a properly formatted community health nursing diagnosis	Outlines a community health nursing diagnosis but some elements are missing	Defines a community health nursing diagnosis that is not appropriate	Does not address section
Plan of Care	Designs a plan of care that is relevant to identified problems, issues, or concerns	Prepares a plan of care that addresses some of the problems, issues, or concerns.	Infers a plan of care that is not relevant to identified problems, issues, or concerns.	Does not address section
SMART Goal Statements	Develops 3 clear SMART goal statements (Specific, Measurable, Achievable, Relevant, Time- Bound [realistic deadlines to	Develops 2 clear SMART goal statements (Specific, Measurable, Achievable, Relevant, Time- Bound [realistic deadlines to	Develops 1 clear SMART goal statement and/or elements of the goal statement are missing or not clear	Does not address section

	meet goals/outcomes])	meet goals/outcomes])
Evidence-based Rationale	Illustrates evidence-based rationale to support nursing actions that address identified problem, issues, or concerns	Lists evidence- based rationale with minimal explanation for support of nursing actions r/t problem, issues, or concerns	Mentions evidence-based rationale with no support for nursing actions addressing problem, issues, or concerns.	Does not address section
Evaluation Plan	Designs an evaluation plan addressing each goal statement	Provides an evaluation plan addressing some of the goal statements	Names an evaluation plan that doesn’t address each goal statement	Does not address section
APA, Grammar, Spelling, and Punctuation	No errors in APA, Spelling, and Punctuation.	One to three errors in APA, Spelling, and Punctuation.	Four to six errors in APA, Spelling, and Punctuation.	Seven or more errors in APA, Spelling, and Punctuation.
References	Provides two or more references.	Provides two references.	Provides one references.	Provides no references.