Dorothy Johnson is a 57-year-old female with chronic lymphocytic leukemia (CLL). She has been admitted to the oncology unit for observation during the administration of Cyclophosphamide (Cytoxan), which is an antineoplastic drug frequently used for this type of cancer. Current labs: WBC Hgb Hct Platelets Lymphs Normal Lab Values Patient′s Lab Values 14,700/mcL 8.4g/dL 26.2% 24,000/mcL 900 Patient Scenario Patient is sitting on the side of the bed finishing a meal. As she reaches for a glass of water, a bruise is visible on her right forearm. She picks up a metal hair pick from the bedside table and begins to vigorously pick her hair. She then walks to the sink where she prepares to floss and brush her teeth. She flosses then brushes her teeth, and spits a moderate amount of bright red, bloody fluid into the sink. Answer the following questions based on the information you obtained about this patient: 1. Knowledge-Identification and recall of information It is important to know the normal values so that we can recognize when something is outside the normal. What are the normal levels for the blood work that is ordered for this patient? 2. Comprehension-Organization and selection of information What is the pathophysiology of chronic lymphocytic leukemia (CLL)? Explain it in your own words. 3. Reasoning-Provide support and analysis including rationale to the problem Looking at the patient’s current lab values, what worries you? In other words, what is the patient at risk for? 4. Interpretation-Explain meaning of problem, answer, and/or conclusion What teaching would you suggest for Dorothy Johnson? Why is this important to her overall well-being? Rubric HCR240 CLL Case Study (1) (1) HCR240 CLL Case Study (1) (1) CriteriaRatings This criterion is linked to a Learning OutcomeComprehension Organization and selection of information (retell in own words) EXCELLING – Able to independently summarize information in a highly organized, clear, well-articulated and original manner. PROFICIENT – Able to independently summarize information in an organized and clear manner. DEVELOPING – Able to summarize and organize some information independently. -Differentiating key vs. inconsequential elements is evident. EMERGING – Able to summarize and organize some information independently -Unable to differentiate key vs. inconsequential elements. NOT EVIDENT – Not able to independently summarize or organize. This criterion is linked to a Learning OutcomeInterpretation explain meaning of problem, answer, and/or conclusion EXCELLING – Able to provide an accurate and insightful interpretation. Conclusion is logical and consistent with reasoning. PROFICIENT – Able to provide an adequate and accurate rationale where conclusion is supported by reasoning. DEVELOPING – Able to provide a partially accurate interpretation. Conclusion is partially supported by reasoning. EMERGING – Provides an inaccurate interpretation. Conclusion barely supported by reasoning. NOT EVIDENT – Not able to interpret the problem. This criterion is linked to a Learning OutcomeKnowledge Identification and recall of information EXCELLING – Able to identify or recall a majority of the information of a subject with minimal to no missing components. PROFICIENT – Able to identify or recall most of the information with some missing components. DEVELOPING – Able to identify or recall some of the knowledge with key components missing. EMERGING – Able to identify or recall very little information with a majority component missing. NOT EVIDENT – Not able to identify or recall information of a subject. This criterion is linked to a Learning OutcomeReasoning provide support and analysis (facts and principles) including rationale to the problem EXCELLING – Able to thoroughly identify and support what is known about the subject -Presents a well-articulated rationale. PROFICIENT – Able to identify and support what is known about the subject -Presents a coherent rationale. DEVELOPING – Able to partially identify, support and present what is known about the subject. -Rationale only partially supported. EMERGING – Identification, support, and presentation are severely flawed. -Rationale not supported. NOT EVIDENT – Not able to identify, support or present any rationale to the problem.
