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Chamberlain College of Nursing
NR601
Case Study Assignment
Guidelines with Scoring Rubric
Purpose
The purpose of this case study assignment is to
1) Analyze provided subjective and objective information to diagnose and develop a
management plan for the case study patient.
2) Apply national diabetes guidelines to case study patient management plan.
3) Demonstrate mastery of SOAP note writing.
Course Outcomes
Through this assignment, the student will demonstrate the ability to:
1. Employ appropriate health promotion guidelines and disease prevention strategies in the
management of mature and aging individuals and families.
2. Formulate appropriate diagnoses and evidence-based plans of care for mature and aging
individuals and families using subjective and objective data.
3. Incorporate unique patient cultural preferences, values, and health beliefs in the care of mature
and aging individuals and families
4. Integrate theory and evidence based practice in the care of mature and aging individuals and
their families
6. Conduct pharmacologic assessment addressing polypharmacy, drug interactions and other
adverse events in the care of mature and aging individuals and their families.
7. Apply evidence-based screening tools to perform functional assessments with aging individuals
and their families as appropriate.
Due Date: Sunday 11:59 p.m. MT at the end of Week 5
Total Points Possible: 200 points
PREPARING THE ASSIGNMENT
The assignment is a paper, which is to be written in APA format using the provided assignment
template. The paper shall not exceed 20 pages.
Review the attached patient visit information. You are provided with the subjective and objective
exam findings. As the provider, you are to diagnose the case study patient and develop the
management plan for this case study patient.
Use the provided case study template for your paper. Review the APA Manual to adhere to APA
formatting.
Introduction: briefly discuss the purpose of this paper.
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NR601
Assessment: review the provided case study information.
Identify the primary, secondary and differential diagnoses for the patient. Use the 601 Clinical
SOAP note format as a guide to develop your diagnoses.
Each diagnosis will include the following information:
1. ICD 10 code.
2. A brief pathophysiology statement which is no longer that two sentences, paraphrased and
includes common signs and symptoms of the diagnosis and proper citation.
3. The patient’s pertinent positive and negative findings, including a brief 1-2 sentence
statement, which links the subjective and objective findings (including lab data and
interpretation).
4. A rationale statement, which summarizes why the diagnosis was chosen.
5. Do not include quotes, paraphrase all scholarly information and provide an in text citation to
your scholarly reference. Use the Reference Guidelines document for information on
scholarly references.
Plan (there are five (5) sections to the management plan)
1. Diagnostics. List all labs and diagnostic test you would like to order. Each test includes a
rationale statement following the listed lab, which includes the diagnosis for the test, the
purpose of the test and how the test results will contribute to your management plan. Each
rationale statement is cited.
2. Medications: Each medication is listed in prescription format. Each prescribed and OTC
medication is linked to a specific diagnosis and includes a paraphrased EBP rationale for
prescribing.
3. Education: section includes personalized detailed education on all five (5) subcategories:
diagnosis, each medication purpose and side effects, diet, personalized appropriate
exercise recommendations and warning sign for diagnosis and medications if applicable. All
education steps are linked to a diagnosis, paraphrased, and include a paraphrased EBP
rationale. Review the NR601 Clinical SOAP note guideline for more detailed information.
4. Referrals: any recommended referrals are appropriate to the patient diagnosis and current
condition, is linked to a specific diagnosis and includes a paraphrased EBP rationale with in
text citation.
5. Follow up: Follow up includes a specific time, not a time range, to return to PCP office for
next scheduled appointment. Includes EBP rationale with in text citation.
Medication costs: in this section students will research the costs of all prescribed and OTC
monthly medications that you have prescribed and that the patient is currently taking that you would
like to continue. Students may use Good Rx, Epocrates or another resource (students may use
local pharmacy websites) which provides medication costs. Students will list each medication, the
monthly cost of the medication and the reference source. Students will calculate the monthly cost of
the case study patient’s prescribed and OTC medications and provide the total costs of the month’s
medications. Reflect on the monthly cost of the medications prescribed. Discuss if prescriptions
were adjusted due to cost. Discuss if will you use medication pricing resources in future practice.
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NR601
SOAP note: A focused SOAP note, written on a separate page, follows the assignment. The SOAP
note is written following the provided Clinical SOAP note format.




The subjective section is organized to follow the Clinical SOAP note format. The ROS is
focused; only pertinent body systems are included. Only provided information is included in
the ROS. No additional data is added.
The objective section is maintained as written, no additional information is added.
The assessment section includes only the diagnoses and ICD 10 codes. Diagnosed are
labeled as primary, secondary or differential diagnoses. Rationale is not included in the
SOAP note.
The plan includes five sections. Rationale is not included in the SOAP note.
The assignment will be submitted through TurnItIn. Due to the common language in a large
group assignment, it is possible that similarity scores can exceed 25%. It is the student’s
responsibility to review the TII paper and assure that sections of original work contain low
similarity. If there are concerns, please contact your instructor.
Category
Assessment
EvidenceBased
Practice
(EBP)
Points
50
50
%
25
25
Description
Each diagnosis, primary, secondary and differential,
includes the ICD10 codes in parentheses next to each
diagnosis. Diagnosis is consistent with the guideline
recommendations or scholarly reference.
Each diagnosis includes a one to two sentence
paraphrased pathophysiology statement explains the
diagnosis and a rationale statement. The rationale
statement includes pertinent positive and negative
subjective and objective findings from the history and
physical exam, which links this diagnosis to your patient.
Pertinent lab results are interpreted within the rationale
statement.
National guidelines, including the American Diabetes
Association Standards and Medical Care in Diabetes2018 or later (or article related to 2018 Guidelines) are
used to support the primary diagnosis and develop the
plan.
Every diagnosis rationale must include an in text citation
to a scholarly reference. Each action step or order within
all plan sections includes an in text citation to an
appropriate reference as listed in the Reference
Guidelines document. All cited information is paraphrased,
no quotes included. Reference interpretation is accurate.
Diagnoses plans are consistent with the guideline
recommendations.
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Chamberlain College of Nursing
NR601
Plan:
diagnostics
10
5
All ordered diagnostics tests are linked to a diagnosis and
include a paraphrased EBP rationale with citation. Each
diagnosis is included in the plan.
Plans are consistent with the guideline recommendations
or scholarly reference.
Plan:
medications
10
5
Each prescribed and OTC medication is linked to a
diagnosis, and include a paraphrased rationale EBP
rationale. Diagnosis is clearly stated in the rationale
statement.
Plans are consistent with the guideline recommendations
or scholarly reference
Plan:
education
10
5
All education steps are linked to a diagnosis,
paraphrased, and include an EBP rationale. Section
includes personalized detailed education on diagnoses,
medications, diet, exercise and warning signs.
Personalized diet and exercise recommendations are
included.
Plans are consistent with the guideline recommendations
or scholarly reference.
Plan:
Referrals
10
5
All recommended referrals are appropriate for the patient
diagnosis; each referral is linked to a specific diagnosis
and includes a paraphrased EBP rationale.
Plans are consistent with the guideline recommendations
or scholarly reference
Plan: Follow
up
10
5
Follow up includes a specific time/date to return to PCP
office. Includes EBP rationale with in text citation. Only
follow up information is listed in this section. Plans are
EBP and consistent with the guideline recommendations.
Medication
costs
10
5
Monthly medication costs are calculated and a total cost
for the month’s medication is included.
All medications including OTCs are included.
Medication cost citation is included. Summary/reflection
statement is included.
SOAP note
20
10
This SOAP note is an example of a patient chart entry.
SOAP note included at end of assignment before the
reference page.
SOAP note includes all elements and is formatted exactly
as described in the Clinical SOAP note guidelines
document. Rationales are not included. Only provided
information is included in the SOAP note.
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NR601
Grammar,
Syntax, APA
10
5
APA format, grammar, spelling, and/or punctuation are
accurate, or with zero to one errors. All referenced
information is cited, “according to” is not used.
Organization
10
5
Paper is developed in a logical, meaningful, and
understandable sequence using the provided assignment
template
Rationale length does not exceed template directions.
SOAP note presents case study findings in a logical,
meaningful, and understandable sequence following
provided format.
The paper does not exceed 20 pages.
200
100
Total
CCK01/19
A quality assignment will meet or exceed all of the above
requirements.
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Chamberlain College of Nursing
NR601
GRADING RUBRIC
Criterion
Exceptional
Exceeds
Meets
Outstanding or
highest level of
performance
Very good or high level
of performance
Satisfactory level of
performance
50 Points
44 Points
41 Points
Needs
Improvement
Developing
Poor or failing level
of performance
Unsatisfactory
level of
performance
20 Points
0 Points
Not all three
diagnostic categories
are developed: a
primary, secondary
or differential
diagnosis category is
not included.
Diagnoses are not
present.
Content
Possible Points = 180
Assessment
All three diagnostic
categories are
present.
Each diagnosis,
primary, secondary
and differential,
includes the ICD10
codes in
parentheses next to
each diagnosis.
Diagnosis is
consistent with the
guideline
recommendations or
scholarly reference.
Each diagnosis
includes a one to
two sentence
NR601 Week 5 Directions & Rubric_1_2019
All three diagnostic
categories are present.
Each diagnosis,
primary, secondary and
differential includes the
ICD10 codes in
parentheses next to
each diagnosis.
Diagnosis is consistent
with the guideline
recommendations or
scholarly reference.
Each diagnosis
includes a one to two
sentence paraphrased
pathophysiology
statement explains the
All three diagnostic
categories are
present.
Each diagnosis,
primary, secondary
and differential
includes the ICD10
codes in
parentheses next to
each diagnosis.
Diagnosis is
consistent with the
guideline
recommendations or
scholarly reference.
The pathophysiology
statement is not
Any diagnosis is not
consistent with the
guideline
recommendations or
scholarly reference.
OR
Includes treatment
information
OR
Includes information
that does not pertain
to the case study
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Chamberlain College of Nursing
Evidence-Based Practice
NR601
paraphrased
pathophysiology
statement explains
the diagnosis and a
rationale statement.
The rationale
statement includes
pertinent positive
and negative
subjective and
objective findings
from the history and
physical exam,
which links this
diagnosis to your
patient. Pertinent all
lab results are
interpreted within the
rationale statement.
diagnosis and a
rationale statement.
The rationale statement
includes pertinent
positive and negative
subjective and
objective findings from
the history and physical
exam, which links this
diagnosis to your
patient.
Pertinent lab or
diagnostic results are
not interpreted within
the rationale statement.
present or not
paraphrased,
The rationale
statement includes
pertinent positive
and negative
subjective and
objective findings
from the history and
physical exam,
which links this
diagnosis to your
patient.
Pertinent lab or
diagnostic results
are not interpreted
within the rationale
statement.
patient such as
pregnancy
information or
gender information
that does not pertain
to the case study
patient’s listed
gender or age.
50 Points
44 Points
41 Points
20 Points
0 Points
National guidelines,
including the
American Diabetes
Association
Standards and
Medical Care in
Diabetes-2018 or
later, (or article
related to 2018
Guidelines) are used
to support the
primary diagnosis
and develop the
plan.
National guidelines,
including the American
Diabetes Association
Standards and Medical
Care in Diabetes-2018
or later, (or article
related to 2018
Guidelines), are used
to support the primary
diagnosis and develop
the plan.
National guidelines,
including the
American Diabetes
Association
Standards and
Medical Care in
Diabetes-2018 or
later, (or article
related to 2018
Guidelines), are
used to support the
primary diagnosis
and develop the
plan.
The American
Diabetes Association
Standards and
Medical Care in
Diabetes-2018 or
later (or article
related to 2018
Guidelines) is not
used to support the
primary diagnosis.
OR
Not every diagnosis
rationale includes an
in-text citation to an
appropriate
National
guidelines,
including the
American
Diabetes
Association
Standards and
Medical Care in
Diabetes-2018 or
later, (or article
related to 2018
Guidelines) are
not used as
references.
NR601 Week 5 Directions & Rubric_1_2019
Every diagnosis
rationale must include
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Chamberlain College of Nursing
Every diagnosis
rationale must
include an in text
citation to a
scholarly reference.
Each action step or
order within all plan
sections includes an
in text citation to an
appropriate
reference as listed in
the Reference
Guidelines
document. All cited
information is
paraphrased, no
quotes included.
Reference
interpretation is
accurate.
Diagnoses plans are
consistent with the
guideline
recommendations.
Plan: Diagnostics
NR601
an in text citation to a
scholarly reference.
One or two steps or
orders within all plan
sections may be
missing an in text
citation to an
appropriate reference
as listed in the
Reference Guidelines
document. All cited
information is
paraphrased, no quotes
included.
Diagnoses plans are
consistent with the
guideline
recommendations.
Every diagnosis
rationale does not
include an in text
citation to an
appropriate
reference as listed in
the Reference
Guidelines
document.
OR
One or two steps or
orders within all plan
sections may be
missing an in text
citation to an
appropriate
reference as listed in
the Reference
Guidelines
document. All cited
information is
paraphrased, no
quotes included.
Diagnoses plans are
consistent with the
guideline
recommendations.
reference as listed in
the Reference
Guidelines
document.
Reference
interpretation is not
accurate, diagnosis
or plan is not
consistent with the
guideline
recommendations.
OR
Three steps or
orders within any/all
plan section are
missing an in text
citation to an
appropriate
reference as listed in
the Reference
Guidelines
document.
Scholarly information
includes quotations.
Diagnoses and/or
plan are not
consistent with the
guideline
recommendations.
10 Points
9 Points
8 Points
4 Points
All ordered
diagnostics tests are
linked to a diagnosis
and include a
paraphrased EBP
All ordered diagnostics
tests are linked to a
diagnosis listed in the
assessment section
All ordered
diagnostics tests are
linked to a diagnosis
listed in the
assessment section.
Ordered diagnostics
tests are not linked
to a diagnosis listed
in the assessment
section
NR601 Week 5 Directions & Rubric_1_2019
0 Points
Diagnostic tests
are not included
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Chamberlain College of Nursing
rationale with
citation. Each
diagnosis is included
in the plan.
Plans are consistent
with the guideline
recommendations or
scholarly reference.
Plan: Medications
NR601
and includes an EBP
rationale.
Plans are consistent
with the guideline
recommendations or
scholarly reference.
A diagnosis is not
included within the
rationale statement.
Plans are consistent
with the guideline
recommendations or
scholarly reference.
OR
Plans are not
consistent with the
guideline
recommendations.
EBP rationale within
text citation is
missing;
OR
Rationale is a
quotation.
10 Points
9 Points
8 Points
4 Points
0 Points
Each prescribed and
OTC medication is
linked to a
diagnosis, and
include a
paraphrased
rationale EBP
rationale. Diagnosis
is clearly stated in
the rationale
statement.
Plans are consistent
with the guideline
recommendations or
scholarly reference.
All prescribed and OTC
medication include a
paraphrased EBP
rationale. The
diagnosis is not clearly
listed within the
rationale statement.
Plans are consistent
with the guideline
recommendations or
scholarly reference.
Each prescribed and
OTC medication is
linked to a specific
diagnosis. The
diagnosis is clearly
listed within the
rationale statement.
An EBP rationale is
not included
OR
Rationale is a
quotation.
Plans are consistent
with the guideline
recommendations or
scholarly reference.
Prescribed
medications are
listed but OTC
medications are not
present.
OR
Not every medication
is linked to a
diagnosis, and
include a
paraphrased
rationale EBP
rationale.
OR
Plans are not
consistent with the
guideline
recommendation or
scholarly references.
Prescribed and
OTC medications
are not included
in the case study.
10 Points
9 Points
8 Points
4 Points
0 Points
NR601 Week 5 Directions & Rubric_1_2019
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Chamberlain College of Nursing
Plan: Education
Plan: Referral
NR601
All education steps
are linked to a
diagnosis,
paraphrased, and
include an EBP
rationale. Section
includes
personalized
detailed education
on diagnoses,
medications, diet,
exercise and
warning signs.
Personalized diet
and exercise
recommendations
are included.
Plans are consistent
with the guideline
recommendations or
scholarly reference.
All education steps are
linked to a diagnosis,
paraphrased and
include an EBP
rationale.
One or 2 educational
areas are not detailed
or personalized to the
patient.
Plans are consistent
with the guideline
recommendations or
scholarly reference.
All education steps
are linked to a
diagnosis and
includes an EBP
rationale.
EBP rationale
is a quotation.
OR
Three (3) or more
education areas do
not include
personalized
detailed information
or scholarly
reference.
Plans are consistent
with the guideline
recommendations or
scholarly reference.
Any education step
is not linked to a
diagnosis, not
paraphrased or an
EBP rational is not
provided.
OR
Plans are not
consistent with the
guideline
recommendations or
scholarly reference.
Education section
is not present.
10 Points
9 Points
8 Points
4 Points
0 Points
All recommended
referrals are
appropriate for the
patient diagnosis;
each referral is
linked to a specific
diagnosis and
includes a
paraphrased EBP
rationale.
Plans are consistent
with the guideline
Some recommended
referrals are
appropriate for the
patient diagnosis and
condition, each referral
is linked to a specific
diagnosis and includes
a paraphrased EBP
ra …
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