T.J., a 30-year-old African American client, is in his last year of law school and is clerking for a prestigious law firm. He and his fiancé plan to marry as soon as he graduates. During the last week he has had four dizzy spells and a headache at the base of his skull upon awakening for the last 2 days. His father has a history of hypertension, so T.J. is aware that his symptoms may indicate high blood pressure. On his way home from work, T.J. stops by the clinic and asks the nurse to check his blood pressure. The nursing assessment yields the following data.

Subjective data: States he has had four dizzy spells and has awakened with a headache in the occipital lobe the last two mornings. T.J. has 1 glass of wine at lunch and 2-3 beers in the evening to relax from the tension of school and work. Most of his meals are at fast-food establishments and have a high fat content. T.J. does not smoke. He used to jog 4 mornings a week but quit when he started clerking. He has had nocturia for the last 3 weeks. He is not taking any medication. T.J. states he is concerned about having hypertension because he does not want to take medication.

Assignment Guide: The Personal Narrative

Assignment Prompt

For this assignment, you will be writing a personal narrative–a story–illustrating an event or experience exemplifying gratitude. In other words, share a colorful story about an experience or event for which–either during or after the event– you feel or felt thankful.  

An example might be writing about your experience as a senior in high school and the teacher who  helped you to achieve your goal of graduating and attending college.  Another example might be writing a story about your experience growing up in a rural community, acknowledging that it was this small, but mighty, community that made you who you are today, and for this, you are thankful.  Sharing a story about a loved one whose influence has been meaningful to you in some way, and thus, you feel so very thankful for their role in your life, or in that particular experience, would also be an example. FInally, 
drafting a story about any experience in your life for which you are thankful it occured would be a great topic to explore for this narrative assignment. 

Assignment-Specific Requirements:

Length: This assignment should be at least 550 words. 

Thesis

: Underline your descriptive 
thesis statement or the point of your story.

Sources/

Evidence

 Needed:  No outside/
secondary sources are needed.

Page Formatting: See 
Appendix C – Formatting and Submitting Your Work

MLA

 Requirements: See 
Formatting your Essay: MLA 8th Edition

Rhetorical Mode

A personal narrative is a story about you. Narrative, from the Latin 
narrare, means to narrate a tale or a story. The narrative you will write will be a “personal” narrative.  Thus, the story will be written by you, about you, and in a lot of ways, for you. What makes a personal narrative so interesting is that it’s a story with a point or purpose.   In other words, a personal narrative is detailed, descriptive, 
dialogue-driven, and determined to make a point. 

Rhetorical Considerations

Purpose:

There needs to be a reason, not only for writing the narrative, but also for why the 
reader should read it. The purpose of the personal narrative is to share a meaningful experience and the lesson learned from the experience. Specifically, the purpose of this essay is to share a story about a time you experienced gratitude.

Audience:

In many ways, we write a personal narrative for ourselves to reflect upon an experience, to grow from an event. However, we want you to imagine that your 
audience is not only you but someone else. The writer needs to know who their 
audience is and how their needs will affect the way the narrative is composed and presented. For example, in addition to writing this story as an opportunity for personal reflection, you may also choose a family member or friend group as your real or imagined 
audience.  Selecting a real or imagined 
audience will help you develop your essay with the right 
tone. The 
tone for a personal narrative can be formal or informal; it really depends on your chosen 
audience. 

Form:

This piece of writing will be presented using a story format.  It will have a beginning, middle, and end.  The story will be written with a clear 
introduction paragraph, a body of 
story-development paragraphs, and a concluding paragraph. While a personal narrative is less “formal” than traditional academic writing, your story should have a 
thesis statement. Thus allowing the 
reader to truly understand the point of your story.

Six Features of a Personal Narrative

1.
Essay 

Organization

: The Personal Narrative is organized with a clear beginning, middle, and end. It should read like a story–with an 
exposition, a 
rise action, a 
climax, a 
falling action and a 
resolution or denouement.  While the Personal Narrative is certainly less formal than other academic essays, the point or moral of the story (i.e. the 
thesis) should be very clear to the 
reader.

2.

Transition

s: The Personal Narrative utilizes 
paragraph breaks and 
transitional words and phrases that help the 
audience (or 
reader) flow in and around the story. Read more about paragraph 
transitions in Appendix A. 

3.
Character 

Description

:  Develop the 
characters in the story so that the 
reader has a clear understanding of the people in the story–even if the one person in the story is YOU. Help your 
reader learn about the 
characters both by what they say and by what they do.

4.
Sensory Details: Develop a sense of 
imagery within the story using sensory-driven details. In other words, create a vivid story by helping the 
reader to see, hear, taste and touch just as the 
characters in your story do. Sensory details bring your readers into the story–into the experience you are sharing with them.

5.

Dialogue

: Use internal and/or external 
dialogue to connect the 
characters and help propel the story forward. 
Dialogue helps the writer to “show” rather than “tell” the story to the 
reader.  Tips for formatting 
dialogue can be found in Appendix C. 

6.
The 

Thesis
 (the message driving your story): Your story’s point or purpose should be structured as a 
thesis statement. And this statement should be underlined.  As the direction of your story must be made clear to the 
reader, it would naturally make sense that the point of your story or 
thesis appear somewhere within the first paragraph.   

Last modified: Friday, February 25, 2022, 1:58 PM

Introduction

This assessment provides an opportunity to research the literature and apply evidence to support what communication, teaching, and learning best practices are needed for a hypothetical patient with a selected health care problem.

NOTE: You are required to complete this assessment after Assessment 1 is successfully completed.

Preparation

You are encouraged to complete the Vila Health: Cultural Competence activity prior to completing this assessment. Completing course activities before submitting your first attempt has been shown to make the difference between basic and proficient assessment.

In this assessment, you will evaluate the preliminary care coordination plan you developed in Assessment 1 using best practices found in the literature.

To prepare for your assessment, you will research the literature on your selected health care problem. You will describe the priorities that a care coordinator would establish when discussing the plan with a patient and family members. You will identify changes to the plan based upon EBP and discuss how the plan includes elements of 

Healthy People 2030
.

Instructions

Note: You are required to complete Assessment 1 before this assessment.

For this assessment:

· Build on the preliminary plan, developed in Assessment 1, to complete a comprehensive care coordination plan.

Document Format and Length

Build on the preliminary plan document you created in Assessment 1. Your final plan should be a scholarly APA-formatted paper, 5–7 pages in length, not including title page and reference list.

Supporting Evidence

Support your care coordination plan with peer-reviewed articles, course study resources, and Healthy People 2030 resources. Cite at least three credible sources.

Grading Requirements

The requirements, outlined below, correspond to the grading criteria in the Final Care Coordination Plan Scoring Guide, so be sure to address each point. Read the performance-level descriptions for each criterion to see how your work will be assessed.

· Design patient-centered health interventions and timelines for a selected health care problem.

· Address three health care issues.

· Design an intervention for each health issue.

· Identify three community resources for each health intervention.

· Consider ethical decisions in designing patient-centered health interventions.

· Consider the practical effects of specific decisions.

· Include the ethical questions that generate uncertainty about the decisions you have made.

· Identify relevant health policy implications for the coordination and continuum of care.

· Cite specific health policy provisions.

· Describe priorities that a care coordinator would establish when discussing the plan with a patient and family member, making changes based upon evidence-based practice.

· Clearly explain the need for changes to the plan.

· Use the literature on evaluation as a guide to compare learning session content with best practices, including how to align teaching sessions to the Healthy People 2030 document.

· Use the literature on evaluation as guide to compare learning session content with best practices.

· Align teaching sessions to the Healthy People 2030 document.

· Apply APA formatting to in-text citations and references, exhibiting nearly flawless adherence to APA format.

· Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.

Additional Requirements

Before submitting your assessment, proofread your final care coordination plan to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your plan.

Portfolio Prompt: Save your presentation to your 
ePortfolio. Submissions to the ePortfolio will be part of your final Capstone course.

Context

Care coordination is the process of providing a smooth and seamless transition of care as part of the health continuum. Nurses must be aware of community resources, ethical considerations, policy issues, cultural norms, safety, and the physiological needs of patients. Nurses play a key role in providing the necessary knowledge and communication to ensure seamless transitions of care. They draw upon evidence-based practices to promote health and disease prevention to create a safe environment conducive to improving and maintaining the health of individuals, families, or aggregates within a community. When provided with a plan and the resources to achieve and maintain optimal health, patients benefit from a safe environment conducive to healing and a better quality of life.

What is an impact of health literacy on health outcome?