Non-Hodgkin’s Lymphoma Patient Care Homework

Mrs. Thomas Non-Hodgkin’s Lymphoma and End of Life Care Case Study

Rubics

Appendix C – Mrs. Thomas

Due on:

Ticket to class:

· Place in appropriate folder the day before class by 1159 pm.

· No single word responses (at least 100+ words for each response)

· Give at least 1 example

· Cite resources, APA formatting (7th ed)

· Give the questions some thought and answer honestly

· Number your answers to correspond with the question

Scenario:Mrs. Thomas is a 54, year old African American widow, mother and grandmother, who lives with her daughter and four grandchildren (ages 12, 10, 7 and 5) in a 4 story walk up apartment. She is an active member of her church community and friends, comments that she had so much energy that she exhausted all of them just being around her. At age 51, she was diagnosed with non-Hodgkin’s lymphoma. Busy with raising her grandchildren, a little more than 3 years went by before she sought attention for her symptoms and was diagnosed. Despite aggressive treatments with chemotherapy and radiation, her diseased progressed and she was considering undergoing a bone marrow transplant. Climbing the stairs to the apartment one afternoon she became very short of breath and collapsed. Her twelve, year old granddaughter called 911. At the hospital she was minimally responsive and in severe respiratory distress. She was intubated and transferred to the ICU. A family meeting with the oncology and ICU team was called to discuss Mrs. Thomas’s advanced condition, the fact that she would probably not survive further treatment of the lymphoma and to decide on goals of care. Fifteen family members arrived, including her daughter, pre-teen granddaughters and grandson, three nieces, four nephews, several friends from her church and the minister. On being asked that only the immediate family participate in the meeting, the family and friends became angry and insisted that all of them be involved in this discussion.Discussion questions:1. What is your impression regarding this scenario? What are some concerns you have with this case and what do you anticipate would happen? Support your answer.2. Have you thought about what kind of care you would want if you could no longer speak for yourself at the End of Life? Give examples.3. How would you handle all the family members and friends wanting to be included in the discussion?

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This table lists criteria and criteria group names in the first column. The first row lists level names and includes scores if the rubric uses a numeric scoring method. You can give feedback on each criterion by tabbing to the add feedback buttons in the table.Criteria

Meets

3 points

Mostly Meets

2 points

Partially Meets

1 point

Incomplete/ Insufficient

0 points

Criterion Score

Thoroughness: 1) All components of questions answered 2) Answers relevant to topic 3) Clear logic and smooth transitions

No/insignificant errors noted for all 3 components in all questions

Partially meets thoroughness requirement (for more than 50% of questions)

Partially meets thoroughness requirement (for 50% or less of questions)

Lacking all 3 listed components for all questions

Score of Thoroughness: 1) All components of questions answered 2) Answers relevant to topic 3) Clear logic and smooth transitions,/ 3

Support for Answer(s): 1) References* included AND/OR 2) Examples provided *References REQUIRED for non-opinion-based questions

Meets support requirement for all questions

Mostly meets support requirement (references/ examples provided in more than 50% of questions)

Partially meets support requirement (references/ examples provided in 50% or less of questions)

Void of references or examples

Score of Support for Answer(s): 1) References* included AND/OR 2) Examples provided *References REQUIRED for non-opinion-based questions,/ 3

Mandates: 1) Meets minimum length requirements

Meets minimum length requirements for all questions

Mostly meets minimum length requirement (for more than 50% of questions)

Partially meets minimum length requirement (for 50% or less of questions)

Does not meet minimum length requirement for any questions

Score of Mandates: 1) Meets minimum length requirements,/ 3

Mechanics of Writing: 1) Correct spelling 2) Correct grammar/punctuation 3) Accurate APA format for citations and references

No/insignificant errors noted for all 3 components

Errors in 1 of 3 listed components

Errors in 2 of 3 listed components

Lacking all 3 listed components

Score of Mechanics of Writing: 1) Correct spelling 2) Correct grammar/punctuation 3) Accurate APA format for citations and references,/ 3

Rubric Total ScoreTotal

Score of Appendix Grading Rubrics

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· No single word responses (at least 100+ words for each response)

· Give at least 1 example

· Cite resources, APA formatting (7th ed)

· Give the questions some thought and answer honestly

· Number your answers to correspond with the question

· Worth 12 points / 5%

Questions

Describe your response to the pain you have experienced. Explain and describe the pain you were experiencing. What were the effective methods used to deal with the pain? Describe pharmacological and non-pharmacological therapies used to relieve pain.

Did those around you understand the pain you were experiencing? Why or why not? How did their understanding or lack of understanding make you feel?

How could this experience with pain impact your response to a patient with pain?

Rubric

Criterion

Thoroughness: 1) All components of questions answered 2) Answers relevant to topic 3) Clear logic and smooth transitions

Support for Answer(s): 1) References* included AND/OR 2) Examples provided *References REQUIRED for non-opinion-based questions

Mandates: 1) Meets minimum length requirements

Mechanics of Writing: 1) Correct spelling 2) Correct grammar/punctuation 3) Accurate APA format for citations and references