Describes the presenting symptoms. No symptoms describes
Or
Disease process described Symptoms notated but not described fully Symptoms described adequately Symptoms described as they relate to the patient Symptoms well described as they relate to the patient
Discusses the relationship of the presenting symptoms to each other Not attempted
Or
Symptoms not clustered Some symptoms related to the cluster Most of symptoms related within the cluster Relationship between all symptoms clearly articulated
0 – 5 5.5 – 10 10.5 – 14 714.5 – 18 18.5 -20
Discusses how each symptom will be managed. Not attempted
Or
Focus on medical care Discusses a mix of nursing and medical care where the nursing implications of the medical care is not included The management of the symptoms is accurate and little evidence provided The management of the symptoms is accurate and some evidence provided The management of the symptoms is accurate and well documented in the literature
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management: A theory-based approach for nurse practitioners. Journal of the American Academy of Nurse
Practitioners, 19(5), 221-227.
Brant, J. M., Beck, S., & Miaskowski, C. (2010). Building dynamic models and theories to advance the science
of symptom management research. Journal of Advanced Nursing, 66(1), 228-240.
Haworth, S. K., & Dluhy, N. M. (2001). Holistic symptom management: modelling the interaction phase.
Journal of Advanced Nursing, 36(2), 302-310.
Bower P, & Gilbody S. (2005). Stepped care in psychological therapies: access, effectiveness and efficiency.
Narrative literature review. British Journal of Psychiatry, 186, Review.
Burzotta, L., & Noble, H. (2011). The dimensions of interprofessional practice. British Journal of Nursing
(BJN), 20(5), 310-315.
Richards D, Bower P, Pagel C, Weaver A, Utley M, Cape J, . . . Vasilakis C. (2012). Delivering stepped care: an
analysis of implementation in routine practice. Implementation Science, 7(1), 3

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