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REPLY TO DISCUSSION (3) RESOURCES NEEDED.In using the mnemonic “OLDCARTS”, I would also ask the patient:to show me what part of her head hurtshow often does she get the headaches/how many times per month?are they related to her menstrual cycle?does she notice any correlation with foods?describe the painaggravating factors?related symptoms?rate her headache on a scale of 1-10does anyone else in the family have these headaches?Headaches are classified as muscle contraction (tension), vascular (migraine or cluster), mixed headaches (muscle/vascular), and inflammatory. Tension headaches occur in young adults, mostly female, and have a hereditary component. They are characterized by pressure or tightness and linked with stress, anxiety, and insomnia. Migraines consist of throbbing headache, light sensitivity, nausea/vomiting, aura. Cluster headaches are intense, long-lasting, associated with nasal congestion and alcohol use. Sudden, severe headaches suggest inflammation and can be an emergency indicative of a bleed, meningitis, or CVA (Dunphy, 2015). The practitioner can determine if it is an old or new headache by obtaining subjective data, asking about the onset and precipitating factors. This patient’s headache started after the birth of her child, possibly suggesting a hormonal link. The light sensitivity indicates that this may be a migraine. Episodic is defined as less than 14 per month and chronic is more than 15 headaches per month (Katarsarava, Buse, & Lipton, 2012). This patient has experienced an increased frequency and severity in headaches that awaken her at night, possibly indicating a brain tumor.It is not enough to use a focused history to come to a diagnosis. A physical exam inclusive of neurological and psychological components is also necessary. In addition, a headache algorithm has been shown to be more valuable than just expert opinion (Khayamnia, Yazdchi, Heidari, & Foroughipour, 2019). Although costly, diagnostic testing is necessary to rule out medical conditions and entails chemistries, radiologic scans, and eye exams (Carey, Callaghan, Kerber, Skolarus, & Burke, 2019).As stated above, asking pertinent questions as to the onset, location, severity, and duration of headaches can help determine which needs emergency attention.Carey, M. R., Callaghan, B. C., Kerber, K. A., Skolarus, L. E., & Burke, J. F. (2019). Impact of early headache neuroimaging on time to malignant brain tumor diagnosis: A retrospective cohort study. PLoS ONE, 14(2), 1–12. https://doi.org/10.1371/journal.pone.0211599Dunphy, L., Winland-Brown, J., Porter, B., Thomas, D. (2015). Primary care: The art and science of advanced practice nursing. F.A. Davis Company.Katsarava, Z., Buse, Z., & Lipton, R., (2012). Defining the differences between episodic migraine and chronic migraine.” Current Pain and Headache Reports, 16(1), 86–92. doi:10.1007/s11916-011-0233-z.Khayamnia, M., Yazdchi, M., Heidari, A., & Foroughipour, M. (2019). Diagnosis of common headaches using hybrid expert-based systems. Journal of Medical Signals & Sensors, 9(3), 174–180. https://doi.org/10.4103/jmss.JMSS_47_18
son_graduatediscussionrubric.xlsx

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Discussion Board (DB) Participation Rubric
Discussion boards (DBs) are what make an online course a course and not an independent study.
DBs are vital to demonstrating that the learner has met the expected course level outcomes.
Collaboration between peers and your instructor in the DB is an important aspect of the online learning experience and is expected in the course.
Any exceptions to the following DB rubric will be at the instructor’s discretion.
The purpose of a DB is to stimulate critical thinking in a scholarly manner.
Critical thinking consists of synthesis, creating solutions, application to real world situations, and testing, debating, and defending evidence-based solutions.
Critical thinking is not repetition of assigned reading material. Outside research of the literature is a vital part of the DB.
Posts need to be substantive. This means that responses such as “I agree” or “great post” do not meet grading rubric requirements.
Initial posts for each discussion question (DQ) is due no later than Saturday of the unit week.
The initial post must be an answer to the DQ topic, not a comment on other posts. Initial posts for each DB must also include a minimum of three peer-reviewed citations.
Citations must include outside sources and no more than one citation from assigned course readings may be used each week.
While the discussion board tool limits the ability to use APA formatting (e.g., hanging indents), posts must include the required elements of an APA in-text citation and list of references.
Initial post
timeliness
Inappropriate
Below Average
Average
Above Average
1
2
3
4
Provides an
initial post on or
after Sunday.
Score
Weight
Final
Score
N/A
N/A
Provides an initial post by
Saturday.
15%
0.00
Posts 2 comments per
Discussion topic on separate
days (resulting in total
participation on three
different days throughout the
discussion). At least two
comments include a citation.
10%
0.00
5%
0.00
Additional
comment
requirement
Does not post
responses to
others.
Posts one comment
per Discussion topic.
Posts 2 comments per
Discussion topic on
separate days. At least
one comment includes
a citation.
Engagement
N/A
Participates, but
does not post
anything that
encourages others to
respond to the
posting.
Attempts to motivate
the group discussion.
Frequently attempts to
motivate the group
discussion.
Submission does
not relate to the
topic.
Answers some
question/topics with
some clearly stated
opinions. Supports
post using text only.
Answers all questions
with opinions and ideas
that are stated clearly.
Supports post using
text and at least two
peer-reviewed sources.
Answers all questions with
opinions/ideas creatively and
clearly. Supports post using
several outside, peerreviewed sources.
35%
0.00
APA Format
Major errors or
no APA format
used.
Minor errors with
APA format.
Rare errors with APA
format.
No errors with APA format.
10%
0.00
Spelling/
Grammar/
Formatting/
Mechanics
Significant
errors in spelling
and/or
grammar. Major
flaws in writing
mechanics and
formatting.
Poor spelling and
grammar are
apparent.
Uses Standard
American English with
rare errors and
misspellings.
Consistently uses Standard
American English with no
misspellings. Appropriate
mechanics and formatting.
10%
0.00
Length
Submission does
not meet length
requirements.
N/A
N/A
The initial post is at least 200
words. This does not include
repeating the DB question or
the citations and references.
15%
0.00
100%
0.00
0
#####
Content Quality
Initial Response
Final Score
Percentage
Total available points =
4
Instructions: First enter total points
possible in cell C15, under the rubric. Next
enter scores (between 0 and 4) into yellow
cells only in column F.
Low
Rubric Score
High
3.5
4.0
2.5
3.49
1.7
2.49
0.0
1.00
Grade points
Low
0
0
0
0
Percentage
High
0
0
0
0
Low
90%
80%
70%
0
High
100%
89.99%
79.99%
69.99%

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