Running head: Project Part 2- Patterns, Challenges or Needs 1 Project Part 2- Patterns, Challenges or Needs 2 Project Part 2- Patterns, Challenges or Needs Tanyanika McMillian South University Summary of the case study interview The case study is a 55 years old man named R.M, who has been living with diabetes two since he was 42 years old. The patient also suffers from the loss of vision caused by diabetes as the condition affects the blood vessels in the part of the eyes that reads images. In addition, the patient suffers from weight loss and general body weakness. The present concerns of the patient is to identify the most appropriate ways of managing the condition and prevent the occurrence of diabetes complications. The patient found it hard to cope with the condition at first due to depression but his mentality has changed and he is currently coping well with medication, practicing a healthy lifestyle, eating healthy foods, and exercising regularly. The patient believes that he cannot be healed but can live a healthy life and manage the disease. His belief is that having good health should be a priority in life. The patient’s family has been offering him social support by making lifestyle modifications and making other changes to help him cope with the condition. He is also a member of diabetes patients support group. R. M is a Christian and believes that his faith is strong, attends church often and is of the opinion that his religion is critical in maintaining his current health. R.M’s personal health goals are to follow the instructions from his physician to manage the condition and avoid complications. Pattern, challenge or needs associated with each parameter of the case study On the physical parameter, the patient has the challenge of general body weakness that affects his normal movement and balance. This challenge makes the patient unable to move around well, perform the daily activities, and attend nature calls. The condition requires him to urinate severally and the inability to move properly poses one of the biggest challenges. The weakness also prevents the patient to undertake the physical exercises, which is one of the prescribed requirements for patients living with diabetes. On the emotional parameter, the patient has the challenges of recurring emotions of anger and sadness that the patient gets due to the challenges and pain caused by the illness. During the times when the condition is affecting him a lot, R.M becomes angry and stressed and ha at times suffered from depression. However, as stated in the interview, the patient has been having emotional stability but he loses the stability at times. This recurrence of these bad emotions creates the need for means to assist the patient to be emotionally stable. The changes in the stability of emotions at tim ...

1. Running head: Project Part 2- Patterns, Challenges or Needs
1
Project Part 2- Patterns, Challenges or Needs
2
Project Part 2- Patterns, Challenges or Needs
Tanyanika McMillian
South University
Summary of the case study interview
The case study is a 55 years old man named R.M, who has been
living with diabetes two since he was 42 years old. The patient
also suffers from the loss of vision caused by diabetes as the
condition affects the blood vessels in the part of the eyes that
reads images. In addition, the patient suffers from weight loss
and general body weakness. The present concerns of the patient
is to identify the most appropriate ways of managing the
condition and prevent the occurrence of diabetes complications.
The patient found it hard to cope with the condition at first due
to depression but his mentality has changed and he is currently

2. coping well with medication, practicing a healthy lifestyle,
eating healthy foods, and exercising regularly.
The patient believes that he cannot be healed but can live a
healthy life and manage the disease. His belief is that having
good health should be a priority in life. The patient’s family has
been offering him social support by making lifestyle
modifications and making other changes to help him cope with
the condition. He is also a member of diabetes patients support
group. R. M is a Christian and believes that his faith is strong,
attends church often and is of the opinion that his religion is
critical in maintaining his current health. R.M’s personal health
goals are to follow the instructions from his physician to
manage the condition and avoid complications.
Pattern, challenge or needs associated with each parameter of
the case study
On the physical parameter, the patient has the challenge of
general body weakness that affects his normal movement and
balance. This challenge makes the patient unable to move
around well, perform the daily activities, and attend nature
calls. The condition requires him to urinate severally and the
inability to move properly poses one of the biggest challenges.
The weakness also prevents the patient to undertake the
physical exercises, which is one of the prescribed requirements
for patients living with diabetes.
On the emotional parameter, the patient has the challenges of
recurring emotions of anger and sadness that the patient gets
due to the challenges and pain caused by the illness. During the
times when the condition is affecting him a lot, R.M becomes
angry and stressed and ha at times suffered from depression.
However, as stated in the interview, the patient has been having
emotional stability but he loses the stability at times. This
recurrence of these bad emotions creates the need for means to
assist the patient to be emotionally stable.
The changes in the stability of emotions at times, led to the
patient being stressed and depressed. This mental disability
creates a challenge in the mental parameter because it affects

3. the progress made during the periods of mental stability. The
patient has been receiving excellent psychological support from
his family and support groups, which has assisted him to have a
positive attitude towards managing his condition. However, the
lapses in maintaining this stability creates a need of assisting
the patient to be mentally stable at all times to improve his
health.
One spiritual pattern that the patient has been pursuing is
attending church and reading other materials from his Christian
faith. Results of this interview showed that the patient has been
firm in his faith and spiritual growth and attributed his ability
to live for that long due to his strong faith.
Rationales for each of the patterns, challenges or needs
The rationale for the addressing the physical challenge of
general body weakness is the aspect of holistic care process of
the main focus. In holistic care, the focus of nursing activities
is the patient, while in the nursing process the focus is the
condition. Holistic care should help the patient to overcome this
challenge caused by the condition so that as the condition
improves his health will also improve.
The rationale for the emotional challenge of recurring emotions
of anger and sadness is the aspect of Dimensions of focus. The
nursing approach concentrates on the quantitative concepts of
health patterns while the focus of the holistic care method is
both quantitative and qualitative issues. The recurring bad
emotions are a part of the qualitative patterns and identifying
this challenge would assist nurse to help the patient overcome
the problem.
The rationale for the mental need of stabilizing the patient’s
mental state is the aspect of basis that advocates for need
analysis. The aspect of needs analysis helps the nurse to
identify the exact needs of the patients. This is in contrast to the
nursing process that only recognizes the patient’s patterns.
After identifying the needs, the nurse offers holistic care that
needs those needs.
The identified pattern in the spiritual parameter is that the

4. patient is strong in faith and attends religious functions. The
rationale for this pattern is the aspect that holistic care process
is bio-psycho-social-spiritually oriented. Since the spiritual part
of the patient is important, the nurse can identify ways to assist
the patient to continue attending the religious events.
Comment by Kristy Carlisle: Comparison and contrast for
nursing process and holistic care process?
NSG4065 W2A2 Rubric
Unsatisfactory
1
Emerging
2
Proficient
3
Exemplary
4
Score
Assignment Components
Summarize and discuss the Case Study interview in a short 1-2
paragraph introduction.
Mentioned the Case Study interview, but did not discuss it.
Only discussed one part of the Case Study interview.
Discussed the Case Study interview, but did not include enough
details.
Thoroughly discussed all aspects of the Case Study Interview.
[Score x 5 = 20 pts]
20/20
Identified one pattern, need, or challenge for all four parameters
of the person interviewed.
Identified a pattern, need or challenge for only one parameter of
the person interviewed.
Identified a pattern, need or challenge for only two parameters

5. of the person interviewed.
Identified a pattern, need or challenge for only three parameters
of the person interviewed.
Thoroughly identified one pattern, need, or challenge for all
four parameters of the person interviewed.
[Score x 7 = 28 pts]
28/28
Compared and contrasted the Nursing Process and the Holistic
Care Process in identifying the rationales of the diagnoses.
Included five aspects of comparison.
Compared and contrasted the Nursing Process and the Holistic
Care Process in identifying the rationales, but did not include
any of the aspects of comparison.
Compared and contrasted the Nursing Process and the Holistic
Care Process in identifying the rationales, only included limited
discussion of the aspects of comparison.
Compared and contrasted the Nursing Process and the Holistic
Care Process in identifying the rationales, but did not include
enough details of the aspects of comparison.
Thoroughly compared and contrasted the Nursing Process and
the Holistic Care Process in identifying the rationales of the
diagnoses.
[Score x 8 = 32 pts]
16/32
Writing Components
Organization
Introduction
Thesis
Transitions
Conclusion
Introduction is limited or missing entirely.
The paper lacks a thesis statement.

6. Transitions are infrequent, illogical, or missing entirely.
Conclusion is limited or missing entirely.
Introduction is present but incomplete or underdeveloped.
The paper is loosely organized around a thesis that may have to
be inferred.
Transitions are sporadic.
Conclusion is present, but incomplete or underdeveloped.
Introduction has a clear opening, provides background
information, and states the topic.
The paper is organized around an arguable, clearly stated thesis
statement.
Transitions are appropriate and help the flow of ideas.
Conclusion summarizes main argument and has a clear ending.
Introduction catches the reader’s attention, provides compelling
and appropriate background info, and clearly states the topic.
The paper is well organized around an arguable, focused thesis.
Thoughtful transitions clearly show how ideas relate.
Conclusion leaves the reader with a sense of closure and
provides concluding insights.
[Score x 2 = 8 pts]
8/8

7. Usage and Mechanics
Grammar
Spelling
Sentence structure
Writing contains numerous errors in spelling, grammar, and/or
sentence structure that severely interferes with readability and
comprehension.
Errors in spelling and grammar exist that somewhat interfere
with readability and/or comprehension.
Writing follows conventions of spelling and grammar
throughout. Errors are infrequent and do not interfere with
readability or comprehension.
The paper is basically error free in terms of mechanics.
Grammar and mechanics help establish a clear idea and aid the
reader in following the writer’s logic.
[Score x 2 =8pts]
8/8
APA Elements
Attribution
Paraphrasing
Quotations
No attempt at APA format.
APA format is attempted to paraphrase, quote, and cite, but
errors are significant.
Using APA format, accurately paraphrased, quoted, and cited in
many spots throughout when appropriate or called for. Errors
present are somewhat minor.
Using APA format, accurately paraphrased, quoted, and cited
throughout the presentation when appropriate or called for.

8. Only a few minor errors present.
[Score x 1 = 4 pts]
3/4
Subtotal
Timeliness
Late Work penalty:
Total Score
83 / 100
Unsatisfactory
1
Emerging
2
Proficient

9. 3
Exemplary
4
Score
Assignment Components
Provided a desired outcome (SMART goal) for each need,
challenge or problem identified, and included a supporting
rationale for each desired outcome.
Provided a desired outcome (SMART goal) for some, but not all
needs, challenges or problems identified, and did not include a
supporting rationale for each desired outcome.
Provided a desired outcome (SMART goal) for each need,
challenge or problem identified, but did not include a
supporting rationale for each desired outcome.
Provided a desired outcome (SMART goal) for each need,
challenge or problem identified, and included a supporting
rationale for each desired outcome but needs more detail.
Provided a desired outcome (SMART goal) for each need,
challenge or problem identified, and included a supporting
rationale for each desired outcome.
[Score x 6 = 24 pts]
Listed at least one holistic nursing intervention for each of
need, challenge, or problem identified, and provided supporting
rationale for each intervention.
Listed at least one holistic nursing intervention for each of
need, challenge, or problem identified, but did not provide
supporting rationales for the interventions.
Listed at least one holistic nursing intervention for some of
needs, challenges, or problems identified, and provided
supporting rationale for each intervention listed.
Listed at least one holistic nursing intervention for each of
need, challenge, or problem identified, and provided supporting
rationale for each intervention, but needs to be clearer.
Listed at least one holistic nursing intervention for each of
need, challenge, or problem identified, and provided supporting

10. rationale for each intervention.
[Score x 7 = 28 pts]
Defined the evaluation criteria to track the effect of each of the
interventions on the patient’s health and healing process.
Defined the evaluation criteria to track the effect of some, but
not all, of the interventions on the patient’s health and healing
process.
Defined the evaluation criteria to track the effect of each of the
interventions on the patient’s health and healing process, but
offered little detail.
Defined the evaluation criteria to track the effect of each of the
interventions on the patient’s health and healing process but
needs to be clearer.
Thoroughly defined the evaluation criteria to track the effect of
each of the interventions on the patient’s health and healing
process.
[Score x 7 = 28 pts]
Writing Components
Organization
Introduction
Thesis
Transitions
Conclusion
Introduction is limited or missing entirely.
The paper lacks a thesis statement.
Transitions are infrequent, illogical, or missing entirely.
Conclusion is limited or missing entirely.
Introduction is present but incomplete or underdeveloped.

11. The paper is loosely organized around a thesis that may have to
be inferred.
Transitions are sporadic.
Conclusion is present, but incomplete or underdeveloped.
Introduction has a clear opening, provides background
information, and states the topic.
The paper is organized around an arguable, clearly stated thesis
statement.
Transitions are appropriate and help the flow of ideas.
Conclusion summarizes main argument and has a clear ending.
Introduction catches the reader’s attention, provides compelling
and appropriate background info, and clearly states the topic.
The paper is well organized around an arguable, focused thesis.
Thoughtful transitions clearly show how ideas relate.
Conclusion leaves the reader with a sense of closure and
provides concluding insights.
[Score x 2 = 8 pts]
Usage and Mechanics
Grammar
Spelling
Sentence structure
Writing contains numerous errors in spelling, grammar, and/or
sentence structure that severely interferes with readability and
comprehension.

12. Errors in spelling and grammar exist that somewhat interfere
with readability and/or comprehension.
Writing follows conventions of spelling and grammar
throughout. Errors are infrequent and do not interfere with
readability or comprehension.
The paper is basically error free in terms of mechanics.
Grammar and mechanics help establish a clear idea and aid the
reader in following the writer’s logic.
[Score x 2 = 8 pts]
APA Elements
Attribution
Paraphrasing
Quotations
No attempt at APA format.
APA format is attempted to paraphrase, quote, and cite, but
errors are significant.
Using APA format, accurately paraphrased, quoted, and cited in
many spots throughout when appropriate or called for. Errors
present are somewhat minor.
Using APA format, accurately paraphrased, quoted, and cited
throughout the presentation when appropriate or called for.
Only a few minor errors present.
[Score x 1 = 4 pts]

13. Subtotal
Timeliness
Late Work penalty:
Total Score
/ 100