· Web viewGREAT BASIN COLLEGE ASSOCIATE OF APPLIED SICENCE NURSING PROGRAM NURS 158 Spring 2010 NURSING PROCESS THROUGHOUT THE LIFESPAN II COURSE SYLLABUS 5 CREDITS (3 theory (45

GREAT BASIN COLLEGEASSOCIATE OF APPLIED SICENCE NURSING PROGRAM

NURS 158 Spring 2010

NURSING PROCESS THROUGHOUT THE LIFESPAN IICOURSE SYLLABUS

5 CREDITS (3 theory (45 hours) credits and 2 Clinical (90 hours) credits)

I. GENERAL INFORMATIONA. Catalog Description: Emphasis is on meeting bio-psychosocial needs of

patients throughout the lifespan with common, well-defined health problems utilizing the nursing process. Three credits theory, two credits clinical. Offered Spring semester only. Prerequisites: Admission to the Nursing Program.

B. Instructors Theory and Clinical:Sharon Sutherland RN, MSN 753-2017(Office)

934-2336(Cell) [email protected]

C. Office Hours: Tuesday 8:30-11:30 AM 1:00-2:00 PM

Thursday 8:30-9:30 AM or by appointment

D. Schedule:TheoryClassroom: Thursday 9:30 AM-12:15 PM

Dates: January 24th, 2011 to May 20th, 2011

Clinical: Monday, Wednesday, Friday and Saturday as indicated on clinical schedule.

II. REQUIRED TEXTS:

v Lewis, S.L. , Heitkemper, M.M., Dirksen, S.R. , O’Brien, P.G. & Bucher, L. (2007). Medical- surgical nursing: Assessment and

management of clinical problems. (7th ed.) St. Louis, MO:Mosby.

v O’Brien, P.G., Lewis, S.L. , Heitkemper, M.M., Dirksen, S.R. , & Bucher, L. (2007). Study Guide:Medical- surgical nursing: Assessment and management of clinical problems. (7th ed.) St. Louis, MO: Mosby.

v Perry, S., Hockenberry, M., Lowdermilk, D., & Wilson, D. (2010) Maternal Child Nursing Care. (4th ed.) Maryland Heights, MO:

Mosby.

**Please plan on using the Drug book, Lab & Diagnostic book, and Nursing Diagnosis Book. You also may find it helpful to use your Fundamentals and Pharmacology books as references.

III. REQUIRED VIDEOS:

The following videos are available as a link through Web Campus

v Expert Drug Therapy Serieso Heart Failure and Pulmonary Edemao Hypertensiono Diabetes Mellituso Infection

v Pathophysiology for Nurses Serieso Heart Failure and Pulmonary Edemao Hypertensiono Diabetes Mellitus

And others within individual assignments as indicated.

IV. ATTENDANCE POLICY:Students are expected to attend all classroom, lab, and clinical hours.

(See Student Handbook)

V. METHOD OF INSTRUCTION:Lecture, discussion, demonstration, small group work, videos, selected reference readings, written assignments, computer assisted learning programs, nursing labactivities, simulations and clinical instruction will be utilized. Each module after the first module will incorporate inquiry-based learning and will be worth a total of 46 points per module.

VI. THEORY EVALUATION:Evaluation of student progress will be the successful completion of the course outcomes this will be evaluated by the completion of 14 modules. The 1st module will be evaluated by class activities and a multiple choice exam. Each module after the first module will be evaluated based on the following: 1. Initial Impressions- 2 points 2, In class participation –6 points

3. Assignment – 9 points 4. Reporting – 3 points 5. Multiple choice exam – 25 points (40 questions each exam)

The final exam will be a multiple choice exam worth 56 points

Questions will be based on utilization of critical thinking skills and application of knowledge acquired in this, as well as previous courses. Each exam will be open on Thursday after class until 11:00 PM and must be taken individually on any computer through Web Campus.See the Outcome and Assessment area at the end of the syllabus for further specific information.

VII. CLINICAL EVALUATION:Clinical evaluation is done mutually by student and instructor throughout the semester and in a summative evaluation at the end of the clinical rotation. The Daily Clinical Evaluation forms will be used. Actual clinical performance and written assignments will be used to determine clinical competency and the ability to generalize and transfer theory outcomes to the clinical settings. Safe clinical practice and demonstration of personal and associate degree nursing practice attributes at the third semester level are mandatory for progression in the program.

*See the Outcome and Assessment area at the end of the syllabus for further specific information.

VIII. GRADING POLICY AND CRITERIA FOR NURS 257:Course grade will be based on a percentage of total possible points according to the following scale:

1000 -940 = A 769-760 = C (needed to pass)939-900 = A- 759-700 = C-899-870 = B+ 699-670 =D+869-840 = B 669-640 = D839-800 = B- 639-600 = D-799-770 = C+ Below 600 = F

The classroom course work must be completed on time and with a 76% or better to pass the course. All clinical rotation paperwork must be completed on time and with either a Pass or an average of 76% or better to pass the course. Late theory and clinical assignments will be worth 50% of the actual grade. If an assignment is more than one week late, a zero will be given for the assignment but submission of the assignment is still required. Classroom exams and assignments will account for 70% of the total grade and clinical grades will account for 30% of the grade.

Theory 70%=700 points14 Modules - (46 points each) = 644 points Final Exam = 56 points

Clinical 30% = 300 points4 Med/Surg Packets = 220 Points (55 points X 4 packets)Post Clinical Discussions= 20 points (5 points x 4)1 Clinical Leadership Rotation = 10 Points

4 Simulations= 40 Points (10 points x 4)1 School Nurse Assignment =5 Points1 VA Telehealth Assignment= 5 Points = 1000 total points

IX. PROCALC EXAM: The Pro Calc exam must be completed with a grade of 100% by March

31, 2011 at 4 P.M. If you are not successful in achieving 100% after 3 tests, you will be

referred to the Academic Success Center for remediation After completion of remediation you are eligible to take 2 more tests If you are still not successful you may complete remediation one more

time and take a final 6th exam after this remediation. If the 6th exam in not completed at 100%you have failed the course and will meet with the instructor and program director.

X. ACADEMIC HONESTY: Great Basin College considers academic honesty one of its highest values. A student who obtains academic credit for work that is not the product of his or her own effort is being dishonest and undermining the academic integrity of the college. Students are expected to be the sole authors of their work. Use of another’s ideas must be accompanied by specific citation and reference. In addition, a learner may not submit the same work for credit in more than one course. The disciplinary consequences of plagiarism and other forms of academic dishonest include non-acceptance of work submitted, a failing grade in the course, and/or or other disciplinary action as outlined in Great Basin College’s Student Conduct Policy.

XI. ACCOMMODATIONS FOR DISABILITIES:

Great Basin College is committed to providing equal educational opportunities to qualified students with disabilities in accordance with state and federal laws and regulations, including the Americans with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973. A qualified student must furnish current verification of disability. The Director of Services for Students with Disabilities (Julie G. Byrnes) will assist qualified students with disabilities in securing the appropriate and reasonable accommodations, auxiliary aids and services. For more information or further assistance, please call 775.753.2271.

XII. ATTENDANCE POLICY

See the GBC Associate Degree Nursing Handbook

GREAT BASIN COLLEGEASSOCIATE OF APPLIED SCIENCE IN NURSING PROGRAM

The following essential skills and critical behaviors are key constructs that are derived from GBC’s conceptual framework. They provide the theoretical underpinnings for all nursing action and roles in the associate degree nursing program.

ESSENTIAL SKILLS

ES 1-COMMUNICATION ABILITIESThe ability to effectively employ therapeutic communication techniques and appro-priate interpersonal relationship skills during interactions with faculty, individuals, family members, health care team members, peers and supervisors. The use of infor-mation and technology to communicate, manage knowledge, mitigate error and sup-port decision making.

ES 2-CRITICAL THINKING A reasoned, interactive and reflective process focused on deciding what to believe or do.

The ability to identify and challenge assumptions. The ability to explore and imagine alternatives.

The ability to make judgments based on evidence (fact), rather than conjecture (guesswork).

ES 3-EVIDENCE-BASED PRATICEAn informed approach to one’s practice that uses problem-solving methods that integrate best research evidence, reflection, client preference and values, and clinical expertise.

ES-4 CULTURAL COMPETENCEThe provision of nursing care that meets the individual’s valued life patterns and set of meanings.

CRITICAL BEHAVIORS

CB 1-ACCOUNTABILITY Being answerable to self, individual, organization and/or profession for something one has done

Exercises judgment when undertaking assigned tasks Applies knowledge when undertaking assigned tasks Accepts responsibility for actions Is able to answer the following questions in relation to nursing care provided:

Why was this done? How did I come to the decision to do this? What makes this the most effective course of action?

CB 2-COLLABORATIONIntentional act of professionals working together toward a common goal.

Treats others with mutual respect Identifies potential areas where conflict might arise and works toward

reducing/eliminating its occurrence. Works cooperatively and interdependently with all members/levels

of health care team.

CB 3-SELF-LEADERSHIPThe ability to regulate, manage, direct and/or control one’s own behavior.

Continually identifies strengths and weaknesses in relation to one’s knowledge, performance, behavior and attitude.

Sets realistic goals for self. Recognizes internal/external factors which contribute to and/or reduce stress

levels.

CB 4-SAFETYA priority in the provision of nursing care for individuals and includes protecting individuals from physical and emotional injury through ongoing assessment and elimination of safety hazards.

CB 5- CARING INTERVENTIONSNursing behaviors and actions that assist individuals in meeting their health care needs. Caring behaviors are nurturing, protective, compassionate, and person centered.

PROGRAM AND LEVEL OUTCOMES NURS 158

NURSING PROCESS THROUGHOUT THE LIFESPAN II

ADN PROGRAM OUTCOMES

NURS 158 EXPECTED LEVEL OUTCOMES

As a Provider of Care:

The student will demonstrate caring and critical thinking skills by assisting the individual, family or group to identify and meet basic health needs in a wide variety of settings across the continuum of care. The student will assist in the coordination of cost-effective quality care using a culturally competent, collaborative and interdisciplinary approach.

As a Provider of Care:

1. Plan appropriate patient care utilizing data from a variety of sources. 2. Involve individuals, families and groups in selecting therapeutic nursing interventions.3. Select verbal and non-verbal means of communication that are effective and appropriate with individuals, families and groups. 4. Make appropriate choices in delivering nursing care based on knowledge of culture, growth and development, and lifespan.

As a Teacher, the student will provide individual, family, or group-based education in a variety of settings to promote, maintain, and restore health from birth through death. The student will promote a caring environment in which culturally appropriate learning activities and effective use of resources and current technology exist.

.As a Teacher

5. Modifies the environment to utilize all teaching opportunities for the benefit of the patient.6. Identifies teaching needs. 7. Measures learning of individuals, families and groups and self in all teaching interactions.

As a Manager of Care, the student will work collaboratively with all members of the health care team to achieve a cost-effective, quality care that is customer focused and in keeping with the organizational goals and mission of the settings in which that care is provided.

As a Manager of Care

8. Determines the role of the nurse in the delivery of care in a variety of health care settings.9. Formulates collaborative plans of care that are patient focused and reflect the organizations goals and mission.

As a Future Member of the Profession, the student will be accountable for the ethical, legal, and professional responsibilities related to nursing practice.

As a Future Member of the Profession

10. Explains the ethical, legal and professional role and the responsibilities of the Associate Degree Nurse within a variety of health care settings. 11. Demonstrates accountability for self as a student and future member of the profession.

As an Advocate for Others, the student will promote a climate in which individuals, families, or groups may act in their own interest, including accessing available resources, and intervenes when they are unable to act in their own interest.

As an Advocate

12. Serves as an advocate to promote active participation by individuals, families and groups and intervenes when they are unable to act in their own interest.

Course Outline

Dates Modules Reading in Lewis Test Dates

01/27/11 Module 1 Chapter 3- Culturally Competent CareChapter 6 -Older AdultIntroduction to Inquiry Based LearningClinical Forms- bring a copy of all assignments for clinical to class

01/27/11by 11:00 PM

02/03/11 Module 2 Chapter- 17-Fluids,Electrolytes, and Acid-Base Imbalances

02/03/11by 11:00 PM

02/10/11 Module 3 Chapter 40- Nutritional ProblemsChapter 42- ObesityMaternal Child Nursing Care Chapter 40 pages: 1118-1119

02/10/11by 11:00 PM

02/17/11 Module 4 Chapter 62-Musculoskeletal SystemChapter 63- Musculoskeletal Trauma and Orthopedic SurgeryMaternal Child Nursing Care Chapter 54 pages: 1676-1691

02/17/11by 11:00 PM

02/24/11 Module 5 Chapter 26- Respiratory SystemChapter 27- Upper Respiratory ProblemsMaternal Child Nursing Care Chapter 46 pages: 1303-1318

02/24/11by 11:00 PM

03/03/11 Module 6 Chapter 28- Lower Respiratory ProblemsMaternal Child Nursing Care Chapter 46 pages: 1321-1326

03/03/11by 11:00 PM

03/10/11 Module 7 Chapter 32- Cardiovascular SystemChapter 33- HypertensionMaternal Child Nursing Care Chapter 48 pages: 1479-1481

03/10/11by 11:00 PM

03/17/11 Module 8 Chapter 35- Heart FailureMaternal Child Nursing Care Chapter 48 pages: 1453-

03/17/11by 11:00 PM

1464

03/24/11 Spring Break

03/31/11 Module 9 Chapter 38- Vascular Disorders 03/31/11by 11:00 PM

04/07/11 Module 10 Chapter 48- Endocrine System 04/07/11by 11:00 PM

04/14/11 Module 11 Chapter 49- Diabetes MellitusMaternal Child Nursing Care Chapter 52 pages: 1616-1630

04/14/11by 11:00 PM

04/21/11 Module 12 Chapter 39- Gastrointestinal SystemChapter 42- Upper Gastrointestinal SystemMaternal Child Nursing Care Chapter 47 pages: 1616-1630

0 by 11:00 PM 4/21/11

04/28/11 Module 13 Chapter 45- Urinary SystemChapter 46- Renal and Urological ProblemsMaternal Child Nursing Care Chapter 50 pages: 1530-1540

04/28/11by 11:00 PM

05/05/11 Module 14 Chapter 56- Nervous SystemChapter 59- Chronic Neurological ProblemsMaternal Child Nursing Care Chapter 55 pages: 1733-1735

05/05/11by 11:00 PM

05/12/11 Review

05/16/11 Final Exam- Web Campus 8:00AM-11:30 PM

LEARNER OUTCOMES AND MEASUREMENT

Module 1: Culture and Older Adult

Theory Readings & Study Guide Assignments: Medical-Surgical Content ● Lewis, et al.: Chapter 3- Culturally Competent Care ● O’Brien, et al: (Lewis Study Guide) Chapter 3- Culturally Competent Care ●Lewis, et al.: Chapter- 6 “Older Adult” ●O’Brien, et al: (Lewis Study Guide) Chapter- 6 “Older Adult”

Assessment, Measurement, & Evaluation of Learner Outcomes:Test Module I

Learning Outcomes:

Medical-Surgical Content:

1. Define the terms culture, values, subculture, acculturation, assimilation, ethnicity, race, stereotyping, ethnocentrism, cultural imposition, transcultural nursing, cultural competency, folk healer, and culture-bound syndrome.

2. Describe the potential effects of immigration on an individual’s health.3. Explain aspects of culture and ethnicity that may affect a person’s physical and psy-

chologic health.4. Describe strategies for successfully communicating with a person who speaks a lan-

guage that the nurse does not understand.5. Identify physiologic and psychologic aspects of culture and ethnicity to consider

when providing nursing care.6. Identify ways that the nurse’s own cultural background may influence nursing care

when working with patients from different cultural and ethnic groups.7. Identify strategies for incorporating cultural information in the nursing process when

providing care for patients from different cultural and ethnic groups.8. List the major biologic theories of aging. 9. Describe the needs of special populations of older adults.

10. Describe nursing interventions to assist chronically ill older adults. 11. Describe common problems of older adults related to hospitalization and acute illness

and the role of the nurse in assisting them with selected care problems.12. Describe challenges and concerns related to the caregiving role.13. Identify care alternatives to meet patient-specific needs of older adults.14. Identify the legal and ethical issues related to older adults.15. Identify the role of the nurse in health screening and promotion and disease prevention for

older adults.

Lab/Clinical Outcomes: Successful completion and check-off of required skills lab. This includes:

o NG Tubeso Care of Ortho Patiento Chest Tubeso CCPo IV Therapy

Appropriately care for the older adult patient or a patient from a different culture in the acute care setting or simulation.

Provide education in the outpatient setting or simulation to older adults or a patient from a different culture.

Provide education to the pediatric patient in the school setting or simulation.

Module 2: Fluids, Electrolytes, and Acid-Base Imbalances

Theory Readings & Study Guide Assignments: Medical-Surgical Content Lewis, et al.: Chapter- 17-Fluids,Electrolytes, and Acid-Base Imbalances O’Brien, et al: (Lewis Study Guide) Chapter- 17-Fluids,Electrolytes, and Acid-

Base Imbalances

Assessment, Measurement, & Evaluation of Learner Outcomes: Test Module II

Learning Outcomes:

Medical-Surgical Content: 1. Describe the composition of the major body fluid compartments.

2. Define the following processes involved in the regulation of movement of water and electrolytes between the body fluid compartments: diffusion, osmosis, filtration, hydrostatic pressure, oncotic pressure, and osmotic pressure.

3. Describe the etiology, laboratory diagnostic findings, clinical manifestations, and nursing and collaborative management of the following disorders: a. Extracellular fluid volume imbalances: fluid volume deficit and fluid

volume excess b. Sodium imbalances: hypernatremia and hyponatremia c. Potassium imbalances: hyperkalemia and hypokalemia d. Magnesium imbalances: hypermagnesemia and hypomagnesemia e. Calcium imbalances: hypercalcemia and hypocalcemia f. Phosphate imbalances: hyperphosphatemia and hypophosphatemia g. Zinc imbalances

4. Identify the processes to maintain acid-base balance. 5. Discuss the etiology, laboratory diagnostic findings, clinical manifestations,

and nursing and collaborative management of the following acid-base imbalances: metabolic acidosis, metabolic alkalosis, respiratory acidosis, and respiratory alkalosis.

6. Describe the composition and indications of common intravenous fluid solutions.

Lab/Clinical Outcomes:1. Appropriately care for medical-surgical and pediatric patients with fluid,

electrolyte, or acid-base imbalances in the acute care setting or simulation.

Module 3: Nutritional Problems and Obesity

Theory Readings & Study Guide Assignments: Medical-Surgical Content

● Lewis, et al.: Chapter 40- Nutritional Problems and Chapter 42- Obesity O’Brien, et al: (Lewis Study Guide) Chapter 40- Nutritional Problems and

Chapter 42- Obesity Maternal Child Nursing Care Chapter 40 pages: 1118-1119

Assessment, Measurement, & Evaluation of Learner Outcomes: Test Module 3

Learning Outcomes:


1. Describe the essential components of a nutritionally good diet and their importance to health.

2. Describe possible adverse interactions between drugs and various foods. 3. Describe the common etiologic factors, clinical manifestations, and management of

malnutrition. 4. Explain the indications for use, complications, and nursing management of tube

feedings. 5. Describe the types of feeding tubes and related nursing management. 6. Define the indications, complications, and nursing management related to the use of

parenteral nutrition. 7. Compare the etiologic factors, clinical manifestations, and nursing management of

eating disorders

8. Discuss the etiologies and collaborative care of obesity.

9. Describe the classification systems for determining a person’s body size. 10. Explain the health risks associated with obesity. 11. Discuss nutritional therapy and exercise plans for the obese patient. 12. Describe the different bariatric surgical procedures used to treat obesity. 13. Describe the nursing management related to conservative and surgical therapies for

obesity. 14. Describe the etiology, clinical manifestations, and nursing and collaborative management

of metabolic syndrome. Lab/Clinical Outcomes:

1. Appropriately care for medical-surgical patients with nutritional and obesity problems in the acute care setting or simulation.

2. Appropriately care for pediatric patient with nutritional and obesity problems in the school, the acute care setting or simulation.

Module 4: Musculoskeletal System, Trauma and Orthopedic Surgery

Theory Readings & Study Guide Assignments: Medical-Surgical Content Lewis, et al.: Chapter: 62 “Musculoskeletal System” O’Brien, et al: (Lewis Study Guide) Chapter: 62 “Musculoskeletal System” Lewis, et al.: Chapter: 63 “Musculoskeletal Trauma and Orthopedic Surgery” O’Brien, et al: (Lewis Study Guide) Chapter: 63 “Musculoskeletal Trauma and

Orthopedic Surgery” Maternal Child Nursing Care Chapter 54 pages: 1676-1691


Learning Outcomes:


1. Describe the gross anatomic and microscopic composition of bone.2. Explain the classification system of joints and movements at synovial joints.3. Describe the types and structure of muscle tissue.4. Describe the functions of cartilage, muscles, ligaments, tendons, fascia, and bursae.

5. Describe age-related changes in the musculoskeletal system and differences in assessment findings.

6. Identify the significant subjective and objective data related to the musculoskeletal system that should be obtained from a patient.

7. Describe the appropriate techniques used in the physical assessment of the musculoskeletal system.

8. Differentiate normal from abnormal findings of a physical assessment of the musculoskeletal system.

9. Describe the purpose, significance of results, and nursing responsibilities related to diagnostic studies of the musculoskeletal system.

10. Explain the etiology, pathophysiology, clinical manifestations, and collaborative care of soft tissue injuries, including strains, sprains, dislocations, subluxations, bursitis, repetitive strain injury, carpal tunnel syndrome, rotator cuff injury, meniscus injury, and muscle spasms.

11. Describe the sequential events involved in fracture healing.12. Differentiate among closed reduction, cast immobilization, open reduction, and traction

regarding purpose, complications, and nursing management.13. Describe the neurovascular assessment of an injured extremity.14. Explain common complications associated with a fracture and fracture healing.15. Describe the collaborative care and nursing management of patients with specific

fractures.16. Describe the indications for and collaborative care and nursing management of the

patient with an amputation.17. Describe the types of joint replacement surgery associated with arthritis and connective

tissue diseases.18. Identify the preoperative and postoperative management of the patient having joint

replacement surgery

Lab/Clinical Outcomes:1. Appropriately care for medical-surgical and pediatric patients in the inpatient

acute care setting or simulation with musculoskeletal problems. 2. Appropriately care for pediatric patients with musculoskeletal problems in the

school setting and the acute care setting.

Module 5: Respiratory System, and Upper Respiratory Problems

Theory Readings & Study Guide Assignments:Medical-Surgical Content Lewis, et al.: Chapter: 26 “Respiratory System” O’Brien, et al: (Lewis Study Guide) Chapter: 26 “Respiratory System” Lewis, et al.: Chapter: 27 “Upper Respiratory Problems” O’Brien, et al: (Lewis Study Guide) Chapter: 27 “Upper Respiratory Problems” Maternal Child Nursing Care Chapter 46 pages: 1303-1318

Assessment, Measurement, & Evaluation of Learner Outcomes:

Test Module 5

Learning Outcomes:

Medical-Surgical Content:1. Describe the structures and functions of the upper respiratory tract, the lower respiratory

tract, and the chest wall.2. Describe the process that initiates and controls inspiration and expiration.

3. Describe the process of gas diffusion within the lungs.4. Identify the respiratory defense mechanisms.5. Describe the significance of arterial blood gas values and the oxyhemoglobin dissociation

curve in relation to respiratory function.6. Identify the signs and symptoms of inadequate oxygenation and the implications of these

findings.7. Describe age-related changes in the respiratory system and differences in assessment

findings.8. Identify the significant subjective and objective assessment data related to the respiratory

system that should be obtained from a patient.9. Describe the techniques used in physical assessment of the respiratory system.10. Differentiate normal from common abnormal findings in a physical assessment of the

respiratory system.11. Describe the purpose, significance of results, and nursing responsibilities related to

diagnostic studies of the respiratory system.12. Describe the clinical manifestations and nursing management of problems of the nose.13. Describe the clinical manifestations and nursing management of problems of the

paranasal sinuses.14. Describe the clinical manifestations and nursing management of problems of the pharynx

and larynx and ears.15. Discuss the nursing management of the patient who requires a tracheostomy.16. Identify the steps involved in performing tracheostomy care and suctioning an airway.17. Describe the risk factors and warning symptoms associated with head and neck cancer.18. Discuss the nursing management of the patient with a laryngectomy.19. Describe the methods used in voice restoration for the patient with temporary or

permanent loss of speech

Lab/Clinical Outcomes:Appropriately care for medical-surgical and pediatric patients in the acute care setting or simulation with upper respiratory problems. Appropriately care for the pediatric patient with upper respiratory problems in the school setting or the acute care setting.

Module 6: Lower Respiratory Problems

Theory Readings & Study Guide Assignments: Medical-Surgical Content Lewis, et al.: Chapter: 28 “Lower Respiratory Problems”

● O’Brien, et al: (Lewis Study Guide) Chapter: 28 “Lower Respiratory Problems Maternal Child Nursing Care Chapter 46 pages: 1321-1326


Learning Outcomes:

1. Describe the pathophysiology, types, clinical manifestations, and collaborative care of pneumonia and bronchiolitis.

2. Explain the nursing management of the patient with pneumonia. 3. Describe the pathogenesis, classification, clinical manifestations, complications, diagnos-

tic abnormalities, and nursing and collaborative management of tuberculosis. 4. Identify the causes, clinical manifestations, and nursing and collaborative management

of pulmonary fungal infections.

5. Explain the pathophysiology, clinical manifestations, and nursing and collaborative man-agement of lung abscesses.

6. Identify the causative factors, clinical features, and management of environmental lung diseases.

7. Describe the causes, risk factors, pathogenesis, clinical manifestations, and nursing and collaborative management of lung cancer.

8. Identify the mechanisms involved and the clinical manifestations of pneumothorax, frac-tured ribs, and flail chest.

9. Describe the purpose, methods, and nursing responsibilities related to chest tubes. 10. Explain the types of chest surgery and appropriate preoperative and postoperative care. 11. Compare and contrast extrapulmonary and intrapulmonary restrictive lung disorders in

terms of causes, clinical manifestations, and collaborative management. 12. Describe the pathophysiology, clinical manifestations, and management of pulmonary

embolism, pulmonary hypertension, and cor pulmonale. 13. Discuss the use of lung transplantation as a treatment for pulmonary disorders.

Lab/Clinical Outcomes:Appropriately care for medical-surgical and pediatric patients in the acute care setting or simulation with lower respiratory problems. Appropriately care for the pediatric patient with lower respiratory problems in the school setting.

Module 7: Cardiovascular System and Hypertension

Theory Readings & Study Guide Assignments:Medical-Surgical Content

Lewis, et al.: Chapter: 32 “Cardiovascular System” O’Brien, et al: (Lewis Study Guide) Chapter: 32 “Cardiovascular System” Lewis, et al.: Chapter: 33 “Hypertension” O’Brien, et al: (Lewis Study Guide) Chapter: 33 “Hypertension” ● Maternal Child Nursing Care Chapter 48 pages: 1479-1481


Learning Outcomes:


1. Describe the anatomic location and function of the following cardiac structures: pericardial layers, atria, ventricles, semilunar valves, and atrioventricular valves.

2. Describe coronary circulation and the areas of heart muscle supplied by the major coronary arteries.

3. Explain the normal sequence of events involved in the conduction pathway of the heart.4. Describe the structure and function of arteries, veins, capillaries, and endothelium. 5. Define blood pressure and the mechanisms involved in its regulation.6. Identify the waveforms and the associated cardiac events represented on a normal

electrocardiogram. 7. Identify the significant subjective and objective assessment data related to the

cardiovascular system that should be obtained from a patient.

8. Describe the appropriate techniques used in the physical assessment of the cardiovascular system.

9. Differentiate normal from common abnormal findings of a physical assessment of the cardiovascular system.

10. Describe the age-related changes of the cardiovascular system and differences in assessment findings.

11. Describe the purpose, significance of results, and nursing responsibilities of diagnostic studies of the cardiovascular system.

12. Describe the mechanisms involved in the regulation of blood pressure.13. Identify the pathophysiologic mechanisms associated with primary hypertension.14. Describe the clinical manifestations and complications of hypertension.15. Describe strategies for the prevention of primary hypertension.16. Describe the collaborative care for hypertension, including drug therapy and lifestyle

modifications. 17. Discuss the collaborative care of the older adult patient with hypertension.18. Describe the nursing management of the patient with hypertension, emphasizing patient

education.19. Describe the clinical manifestations and collaborative care of hypertensive crisis.

Lab/Clinical Outcomes:Appropriately care for medical-surgical patients in the acute care setting or simulation with cardiovascular problems.

Module 8: Heart Failure


Lewis, et al.: Chapter: 35 “Heart Failure” O’Brien, et al: (Lewis Study Guide) Chapter: 35 “Heart Failure” Maternal Child Nursing Care Chapter 48 pages: 1453-1464


Learning Outcomes:


1. Compare the pathophysiology of systolic and diastolic ventricular failure.2. Discuss the compensatory mechanisms involved in heart failure.3. Describe the nursing and collaborative management of the patient with acute

decompensated heart failure and pulmonary edema.4. Describe the collaborative care and nursing management, including drug and nutritional

therapy, of the patient with chronic heart failure.5. Describe the indications for cardiac transplantation and the nursing management of

cardiac transplant recipients.

Lab/Clinical Outcomes:Appropriately care for medical-surgical patients in the inpatient acute care setting or simulation with cardiovascular problems.

Module 9: Vascular Disorders

Theory Readings & Study Guide Assignments: Medical-Surgical Content Lewis, et al.: Chapter: 38 “Vascular Disorders” O’Brien, et al: (Lewis Study Guide) Chapter: 38 “Vascular Disorders”


Learning Outcomes:

1. Describe the etiology and pathophysiology of peripheral arterial disease.2. Identify the major risk factors associated with peripheral arterial disease.3. Describe the pathophysiology, clinical manifestations, and collaborative care of aortic

aneurysms.4. Discuss the perioperative nursing care of a patient having an aortic aneurysm repair.5. Describe the pathophysiology, clinical manifestations, and collaborative care of aortic

dissection.6. Discuss the clinical manifestations, collaborative care, and surgical management of

peripheral arterial disease of the lower extremities.7. Discuss the nursing management of the patient with acute arterial insufficiency affecting

the lower extremities.8. Differentiate the pathophysiology, clinical manifestations, and collaborative care of

thromboangiitis obliterans (Buerger’s disease) and Raynaud’s phenomenon.9. Identify the risk factors predisposing to the development of superficial thrombophlebitis

and deep vein thrombosis.10. Differentiate between the clinical characteristics of superficial thrombophlebitis and deep

vein thrombosis.11. Describe the collaborative care and nursing management of the patient with venous

thrombosis, including superficial thrombophlebitis and deep vein thrombosis.12. Describe the nursing management of the patient receiving anticoagulation therapy.13. Discuss the pathophysiology, clinical manifestations, and collaborative and nursing man-

agement of patients with varicose veins, venous insufficiency, or venous leg ulcersLab/Clinical Outcomes:Appropriately care for medical-surgical patients in with peripheral arterial disease in the acute care setting or simulation

Module 10: Endocrine System


Lewis, et al.: Chapter: 48 “Endocrine System” O’Brien, et al: (Lewis Study Guide) Chapter: 48 “Endocrine System”


Learning Outcomes:

1. Identify the common characteristics and functions of hormones. 2. Identify the locations of the endocrine glands. 3. Describe the functions of hormones secreted by the pituitary, thyroid, parathyroid, and

adrenal glands and the pancreas.

4. Describe the locations and roles of hormone receptors. 5. Identify the significant subjective and objective assessment data related to the

endocrine system that should be obtained from a patient. 6. Describe the appropriate technique used in the physical assessment of the thyroid

gland. 7. Describe age-related changes in the endocrine system and differences in assessment

findings. 8. Differentiate normal from common abnormal findings in the assessment of the

endocrine system. 9. Describe the purpose, significance of results, and nursing responsibilities related to

diagnostic studies of the endocrine system. Lab/Clinical Outcomes:Appropriately care for medical-surgical and pediatric patients with endocrine problems in the acute care setting or simulation.

Appropriately care for the pediatric patient with endocrine problems in the school setting.

Module 11: Diabetes Mellitus


Lewis, et al.: Chapter: 49 “Diabetes Mellitus” O’Brien, et al: (Lewis Study Guide) Chapter: 49 “Diabetes Mellitus” Maternal Child Nursing Care Chapter 52 pages: 1616-1630


Learning Outcomes:

1. Describe the pathophysiology and clinical manifestations of diabetes mellitus. 2. Describe the differences between type 1 and type 2 diabetes mellitus. 3. Describe the collaborative care of the patient with diabetes mellitus. 4. Describe the role of nutrition and exercise in the management of diabetes mellitus. 5. Describe the nursing management of a patient with newly diagnosed diabetes mellitus. 6. Describe the nursing management of the patient with diabetes mellitus in the ambula-

tory and home care settings. 7. Identify the pathophysiology and clinical manifestations of acute and chronic complica-

tions of diabetes mellitus. 8. Explain the collaborative care and nursing management of the patient with acute and

chronic complications of diabetes mellitus. Lab/Clinical Outcomes:Appropriately care for medical-surgical and pediatric patients in the acute care setting or simulation with Type 1 and Type 2 diabetes mellitus.

Appropriately care for the pediatric patient with Type 1 and Type 2 diabetes mellitus in the school setting or simulation.

Module 12: Gastrointestinal System


Lewis, et al.: Chapter: 39 “Gastrointestinal System” O’Brien, et al: (Lewis Study Guide) Chapter: 39 “Gastrointestinal System” Lewis, et al.: Chapter: 42 “Upper Gastrointestinal System” O’Brien, et al: (Lewis Study Guide) Chapter: 42 “Upper Gastrointestinal System” Maternal Child Nursing Care Chapter 47 pages: 1616-1630

Assessment, Measurement, & Evaluation of Learner Outcomes: Test Module 9: Available on Webcampus from Thursday April 22nd at 0930 AM

thru Sunday April 25th at 11:30 PM

Learning Outcomes:


1. Describe the structures and functions of the organs of the gastrointestinal tract.2. Describe the structures and functions of the liver, gallbladder, biliary tract, and pancreas.3. Explain the processes of ingestion, digestion, absorption, and elimination.4. Explain the processes of biliary metabolism, bile production, and bile excretion.5. Describe age-related changes in the gastrointestinal system and differences in

assessment findings.6. Identify the significant subjective and objective data related to the gastrointestinal system

that should be obtained from a patient.7. Describe the appropriate techniques used in the physical assessment of the

gastrointestinal system.8. Differentiate normal from common abnormal findings of a physical assessment of the

gastrointestinal system.9. Describe the purpose, significance of results, and nursing responsibilities related to

diagnostic studies of the gastrointestinal system. Describe the etiology, complications, collaborative care, and nursing management of nausea and vomiting.

10. Describe the common etiology, clinical manifestations, collaborative care, and nursing management of upper gastrointestinal bleeding.

11. Describe the etiology, clinical manifestations, and treatment of common oral inflammations and infections.

12. Describe the etiology, clinical manifestations, complications, collaborative care, and nursing management of oral cancer.

13. Explain the types, pathophysiology, clinical manifestations, complications, and collaborative care, including surgical therapy and nursing management, of gastroesophageal reflux disease (GERD) and hiatal hernia.

14. Describe the pathophysiology, clinical manifestations, complications, and collaborative care of esophageal cancer, diverticula, achalasia, and esophageal strictures.

15. Differentiate between acute and chronic gastritis, including the etiology, pathophysiology, collaborative care, and nursing management.

16. Compare and contrast gastric and duodenal ulcers, including etiology and pathophysiology, clinical manifestations, complications, collaborative care, and nursing management.

17. Describe the clinical manifestations, collaborative care, and nursing management of stomach cancer.

18. Identify the common types of food poisoning and nursing responsibilities related to food poisoning

Lab/Clinical Outcomes:

Appropriately care for medical-surgical and pediatric patients in the acute care setting or simulation with gastrointestinal problems.

Appropriately care for pediatric patients in the school settingwith gastrointestinal problems.

Module 13: Urinary System and Renal and Urological Problems


Lewis, et al.: Chapter: 45 “Urinary System” O’Brien, et al: (Lewis Study Guide) Chapter: 45 “Urinary System” Lewis, et al.: Chapter: 46 “Renal and Urological Problems” O’Brien, et al: (Lewis Study Guide) Chapter: 46 “Renal and Urological

Problems” Maternal Child Nursing Care Chapter 50 pages: 1530-1540


Learning Outcomes:


1. Describe the anatomic location and functions of the kidneys, ureters, bladder, and urethra.

2. Explain the physiologic events involved in the formation and passage of urine from glomerular filtration to voiding.

3. Identify the significant subjective and objective data related to the urinary system that should be obtained from a patient.

4. Describe age-related changes in the urinary system and differences in assessment findings.

5. Describe the appropriate techniques used in the physical assessment of the urinary system.

6. Differentiate normal from common abnormal findings of a physical assessment of the urinary system.

7. Describe the purpose, significance of results, and nursing responsibilities related to diagnostic studies of the urinary system.

8. Describe the normal physical and chemical characteristics of urine.9. Describe the pathophysiology, clinical manifestations, collaborative care, and drug

therapy of cystitis, urethritis, and pyelonephritis.10. Explain the nursing management of urinary tract infections.11. Describe the immunologic mechanisms involved in glomerulonephritis.12. Explain the clinical manifestations and nursing and collaborative management of acute

poststreptococcal glomerulonephritis, Goodpasture syndrome, and chronic glomerulonephritis.

13. Describe the common causes, clinical manifestations, collaborative care, and nursing management of nephrotic syndrome.

14. Compare and contrast the etiology, clinical manifestations, collaborative care, and nursing management of various types of urinary calculi.

15. Explain the common causes and management of renal trauma, renal vascular problems, and hereditary renal problems.

16. Describe the mechanisms of renal involvement in metabolic and connective tissue disorders.

17. Describe the clinical manifestations and collaborative care of kidney cancer and bladder cancer.

18. Describe the common causes and management of bladder dysfunctions, particularly urinary incontinence and urinary retention.

19. Differentiate among ureteral, suprapubic, nephrostomy, urethral, and external catheters with regard to indications for use and nursing responsibilities.

20. Explain the nursing management of the patient undergoing nephrectomy or urinary diversion surgery.

Lab/Clinical Outcomes:Appropriately care for medical-surgical patients in the inpatient acute care setting

Module 14: Nervous System


Lewis, et al.: Chapter: 56 “Nervous System” O’Brien, et al: (Lewis Study Guide) Chapter: 56 “Nervous System” Lewis, et al.: Chapter: 59 “Chronic Neurological Problems” O’Brien, et al: (Lewis Study Guide) Chapter: 59 “Chronic Neurological

Problems” Maternal Child Nursing Care Chapter 55 pages: 1733-1735


Learning Outcomes:

Medical-Surgical Content:1. Describe the functions of neurons and neuroglia.2. Explain the electrochemical aspects of nerve impulse transmission.3. Explain the anatomic location and functions of the cerebrum, brainstem, cerebellum,

spinal cord, peripheral nerves, and cerebrospinal fluid.4. Identify the major arteries supplying the brain.5. Describe the functions of the 12 cranial nerves.6. Compare the functions of the two divisions of the autonomic nervous system.7. Describe age-related changes in the neurologic system and differences in assessment

findings.8. Identify the significant subjective and objective data related to the nervous system that

should be obtained from a patient.9. Describe the techniques used in the physical assessment of the nervous system.10. Differentiate normal from common abnormal findings of a physical assessment of the

nervous system.

11. Describe the purpose, significance of results, and nursing responsibilities related to diagnostic studies of the nervous system.

12. Compare and contrast tension-type, migraine, and cluster headaches in terms of etiology, clinical manifestations, collaborative care, and nursing management.

13. Describe the etiology, clinical manifestations, diagnostic studies, collaborative care, and nursing management of seizure disorders, multiple sclerosis, Parkinson's disease, and myasthenia gravis.

14. Describe the clinical manifestations and nursing and collaborative management of restless legs syndrome, amyotrophic lateral sclerosis, and Huntington's disease.

15. Explain the potential impact of chronic neurologic disease on physical and psychologic well-being.

16. Outline the major goals of treatment for the patient with a chronic, progressive neurologic disease.

Lab/Clinical Outcomes:Appropriately care for medical-surgical patients in the inpatient acute care setting

Documents

· Web viewGREAT BASIN COLLEGE ASSOCIATE OF APPLIED SICENCE NURSING PROGRAM NURS 158 Spring 2010 NURSING PROCESS THROUGHOUT THE LIFESPAN II COURSE SYLLABUS 5 CREDITS (3 theory (45