Appendix C – Mrs. Thomas
Ticket to class:
· Place in appropriate folder the day before class by 1159 pm.
· No single word responses (at least 100+ words for each response)
· Give at least 1 example
· Cite resources, APA formatting (7th ed)
· Give the questions some thought and answer honestly
· Number your answers to correspond with the question
Mrs. Thomas is a 54, year old African American widow, mother and grandmother, who lives with her daughter and four grandchildren (ages 12, 10, 7 and 5) in a 4 story walk up apartment. She is an active member of her church community and friends, comments that she had so much energy that she exhausted all of them just being around her. At age 51, she was diagnosed with non-Hodgkin’s lymphoma. Busy with raising her grandchildren, a little more than 3 years went by before she sought attention for her symptoms and was diagnosed. Despite aggressive treatments with chemotherapy and radiation, her diseased progressed and she was considering undergoing a bone marrow transplant. Climbing the stairs to the apartment one afternoon she became very short of breath and collapsed. Her twelve, year old granddaughter called 911. At the hospital she was minimally responsive and in severe respiratory distress. She was intubated and transferred to the ICU. A family meeting with the oncology and ICU team was called to discuss Mrs. Thomas’s advanced condition, the fact that she would probably not survive further treatment of the lymphoma and to decide on goals of care. Fifteen family members arrived, including her daughter, pre-teen granddaughters and grandson, three nieces, four nephews, several friends from her church and the minister. On being asked that only the immediate family participate in the meeting, the family and friends became angry and insisted that all of them be involved in this discussion.
1. What is your impression regarding this scenario? What are some concerns you have with this case and what do you anticipate would happen? Support your answer.
2. Have you thought about what kind of care you would want if you could no longer speak for yourself at the End of Life? Give examples.
3. How would you handle all the family members and friends wanting to be included in the discussion?
Rubric Name: Appendix Grading Rubric
This table lists criteria and criteria group names in the first column. The first row lists level names and includes scores if the rubric uses a numeric scoring method. You can give feedback on each criterion by tabbing to the add feedback buttons in the table.Criteria
Thoroughness: 1) All components of questions answered 2) Answers relevant to topic 3) Clear logic and smooth transitions
No/insignificant errors noted for all 3 components in all questions
Partially meets thoroughness requirement (for more than 50% of questions)
Partially meets thoroughness requirement (for 50% or less of questions)
Lacking all 3 listed components for all questions
Score of Thoroughness: 1) All components of questions answered 2) Answers relevant to topic 3) Clear logic and smooth transitions,/ 3
Support for Answer(s): 1) References* included AND/OR 2) Examples provided *References REQUIRED for non-opinion-based questions
Meets support requirement for all questions
Mostly meets support requirement (references/ examples provided in more than 50% of questions)
Partially meets support requirement (references/ examples provided in 50% or less of questions)
Void of references or examples
Score of Support for Answer(s): 1) References* included AND/OR 2) Examples provided *References REQUIRED for non-opinion-based questions,/ 3
Mandates: 1) Meets minimum length requirements
Meets minimum length requirements for all questions
Mostly meets minimum length requirement (for more than 50% of questions)
Partially meets minimum length requirement (for 50% or less of questions)
Does not meet minimum length requirement for any questions
Score of Mandates: 1) Meets minimum length requirements,/ 3
Mechanics of Writing: 1) Correct spelling 2) Correct grammar/punctuation 3) Accurate APA format for citations and references
No/insignificant errors noted for all 3 components
Errors in 1 of 3 listed components
Errors in 2 of 3 listed components
Lacking all 3 listed components
Score of Mechanics of Writing: 1) Correct spelling 2) Correct grammar/punctuation 3) Accurate APA format for citations and references,/ 3
Rubric Total ScoreTotal
Score of Appendix Grading Rubrics