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Select an article about a situation where a decision by a physician, insurance company,     government agency, or health institution adversely affected a patient or countermanded a patient’s wishes. It is recommended that you utilize the LIRN Library when conducting research for this paper.
Write a 2- to 3-page paper analyzing this article and considering the following.
The nurse’s role in affirming the patient’s wishes and risks involved
The social and economic consequences of reversing this decision
Guidance from the Code of Ethic for Nurses that sheds light on this situation
The lessons to be learned for similar future situations
The moral residue that haunts the nurse
Provide a bibliography of at least three references. The first should be the citation for the article you selected, and another is the Code of Ethics for Nurses with Interpretive Statements.

The body of your paper should be 3-4 pages long NOT including the title page and reference page. Papers that are more than 4 pages long will not be accepted
References – incorporate information from the course text plus a minimum of two (2) scholarly references published within the last five (5) years. Textbooks are not to be considered scholarly references.
Use current APA format to style your paper and to cite your sources. Your source(s) should be integrated into the paragraphs. Use internal citations pointing to evidence in the literature and supporting your ideas. 
Headings are required.
Be sure to allow time for editing and proofreading. Budget your time to take advantage of Tutor.com services.
Discuss all aspects of healthcare coordination in context to the chosen diagnosis.
Your paper must include the following:
Identifying a chronic health condition listed on the CMS websiteLinks to an external site. https://www.cms.gov/medicare/enrollment-renewal/special-needs-plans/chronic-conditions
*PMHNP students should select a population focused chronic condition (i.e., Depression, Schizophrenia, Psychotic Disorders, etc. from this list).
Description of the health issue chosen from the CMS website.
The incidence and prevalence of this condition in the US.
How the condition is diagnosed, monitored, and treated in individuals with this condition?
Description of the interdisciplinary team that will participate in coordinating care. Specifically, define the role of the APRN in management and coordination.  
Can care teams use the CCCR model? Think in terms of systems and complexity reflective thinking. If not, name another model to help manage care?
What is the cost of managing this disease in the county you live? Download the CMS Excel to determine the cost of the condition in context to the state and county. Use the CMS link below:
Spending County Level: All Beneficiaries, 2007-2018 (ZIP)Links to an external site. (ATTACHED BELOW)
What resources are available to help manage the costs of care related to this condition?
Identify barriers or challenges that you foresee for patients and care teams. How can barriers be overcome?
Review the rubric for specific grading criteria.
Rubric
NURS 682 – Chronically Ill Patient Paper
NURS 682 – Chronically Ill Patient Paper
Criteria Ratings Pts
This criterion is linked to a Learning OutcomePatient Content
30 to >27.6 pts
Proficient
Description leaves the reader with a “holistic” picture of the patient’s history, diagnosis, management, and current plan of care.
27.6 to >24.6 pts
Acceptable
Description demonstrates a good understanding of the patient’s history, diagnosis, management, and current plan of care.
24.6 to >20.7 pts
Needs Improvement
Description demonstrates a fair understanding of the patient’s history, diagnosis, management, and current plan of care.
20.7 to >0 pts
Unsatisfactory
Description demonstrates no understanding of the patient’s history, diagnosis, management, and current plan of care.
30 pts
This criterion is linked to a Learning OutcomeClinic Setting Content
30 to >27.6 pts
Proficient
Provides a rich and detailed description of the clinic setting, providers, and support staff. Description leaves the reader with a complete picture of the setting and patients and diagnoses typically seen.
27.6 to >24.6 pts
Acceptable
Provides a good description of the clinic setting, providers, and support staff. Description leaves the reader with a good picture of the setting and patients and diagnoses typically seen.
24.6 to >20.7 pts
Needs Improvement
Provides a fair description of the clinic setting, providers, and support staff. Description leaves the reader with a fair picture of the setting and patients and diagnoses typically seen.
20.7 to >0 pts
Unsatisfactory
Provides no description of the clinic setting, providers, and support staff. Description leaves the reader with no picture of the setting and patients and diagnoses typically seen.
30 pts
This criterion is linked to a Learning OutcomeCare Coordination Model Content
20 to >18.4 pts
Proficient
Provides a rich and detailed description of the care coordination model proposed. Description is accurate and thorough demonstrating a sophisticated understanding of the care model.
18.4 to >16.4 pts
Acceptable
Provides a good description of the care coordination model proposed. Description is accurate and mostly thorough demonstrating a good understanding of the care model.
16.4 to >13.8 pts
Needs Improvement
Provides a fair description of the care coordination model proposed. Description is generally accurate demonstrating a fair understanding of the care model.
13.8 to >0 pts
Unsatisfactory
Provides no description of the care coordination model proposed. Description is inaccurate demonstrating a lack of understanding of the care model.
20 pts
This criterion is linked to a Learning OutcomeAnalysis
20 to >18.4 pts
Proficient
Demonstrates a sophisticated understanding and of how the care model will be effective for patients exhibiting similar diagnoses and how the care model will fit into the clinic setting described. Provides an insightful explanation of what will need to change in the clinic setting to improve the fit.Demonstrates a sophisticated understanding of the topic(s) and issue(s). Provides a rich and detailed explanation to the questions.Provides an in-depth, critical analysis appropriately connecting findings to specific clinical concepts, using carefully selected quotes, principles, and/or theories cited from course readings.
18.4 to >16.4 pts
Acceptable
Demonstrates a good understanding of how the care model will be effective for patients exhibiting similar diagnoses and how the care model will fit into the clinic setting described. Provides an insightful explanation of what will need to change in the clinic setting to improve the fit.Demonstrates a good understanding of the topic(s) and issue(s). Provides a rich and detailed explanation to the questions. Provides a fairly in-depth, critical analysis connecting many findings to specific clinical concepts, using carefully selected quotes, principles, and/or theories cited from course readings.
16.4 to >13.8 pts
Needs Improvement
Demonstrates a fair understanding of how the care model will be effective for patients exhibiting similar diagnoses and how the care model will fit into the clinic setting described. Provides an insightful explanation of what will need to change in the clinic setting to improve the fit.Demonstrates a fair understanding of the topic(s) and issue(s). Provides a rich and detailed explanation to the questions. Provides a somewhat critical analysis connecting some findings to specific clinical concepts, using carefully selected quotes, principles, and/or theories cited from course readings.
13.8 to >0 pts
Unsatisfactory
Demonstrates a lack of understanding of how the care model will be effective for patients exhibiting similar diagnoses and how the care model will fit into the clinic setting described. Provides an insightful explanation of what will need to change in the clinic setting to improve the fit.Demonstrates a lack of understanding of the topic(s) and issue(s). Provides a rich and detailed explanation to the questions. Provides no critical analysis connecting findings to specific clinical concepts, using carefully selected quotes, principles, and/or theories cited from course readings.
20 pts
This criterion is linked to a Learning OutcomeEvidence-based Research
10 to >9.2 pts
Proficient
Supplements the paper with relevant and appropriate research; clearly and thoroughly documents all sources of information.
9.2 to >8.2 pts
Acceptable
Supplements the paper with relevant and somewhat thorough research; generally, correctly documents all sources of information.
8.2 to >6.9 pts
Needs Improvement
Supplements the paper with little relevant research into the present: not all sources of information are clearly and thoroughly documented.
6.9 to >0 pts
Unsatisfactory
Does not supplement the paper with relevant research; does not appropriately document all sources of information.
10 pts
This criterion is linked to a Learning OutcomeAPA and Mechanics
10 to >9.2 pts
Proficient
The assignment consistently follows current APA format and is free from errors in formatting, citation, and references. No grammatical, spelling, or punctuation errors. All sources are cited and referenced correctly.
9.2 to >8.2 pts
Acceptable
The assignment consistently follows current APA format with only isolated and inconsistent mistakes and/or has a few grammatical, spelling, or punctuation errors. Most sources are cited and referenced correctly.
8.2 to >6.9 pts
Needs Improvement
The assignment does not follow current APA format and/or has many grammatical, spelling, or punctuation errors. Many sources are cited and referenced incorrectly, or citations and references are missing where needed.
6.9 to >0 pts
Unsatisfactory
No attempt to follow APA format is indicated. Sources are not used and/or there is no reference page. Mechanical errors significantly interfere with the readability of the paper.
10 pts
Total Points: 120
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