zu.edu.jozu.edu.jo/UploadFile/Courses/CoursePlan/CoursePlan_22_42.doc · Web viewUtilize community recourses available to assist client and families in dealing with acute or chronic

Zarqa UniversityFaculty of Nursing

Department: NursingCourse title: Adult Health Nursing II-Theory (0801223) Prerequisite: Adult Health Nursing I (0801221)

Instructor: Dr. Raya Y. Alhusban Lecture’s time: Monday& Wednesday (2 pm-3:30pm) Semester: 2nd /2018-2019Office Hours: Please see office hours stamped on office door

Course description: This course focuses on the theoretical and conceptual basis for nursing management of adult clients experiencing acute and chronic illnesses. The impact of social, cultural, psychological, physical and spiritual factors will be explored. It enables the students to develop assessment, critical thinking and decision making skills required for planning and implementing the appropriate nursing care to clients suffering a wide variety of commonly presenting acute and chronic illnesses related to the following system: skin, musculoskeletal, renal, oncology, immunology, Gastrointestinal, and neurological System.

Aims of the course:1. Identify the acute and chronic health problems that affect the adult clients in the Jordanian

community.2. Implement strategies related to assessment and prevention of chronic illnesses.3. Determine methods of prevention and early detection used to obtain and maintain health in client

at risk for development of acute or chronic health care problems.4. Recognize client and family teaching needs to provide optimal safe care 5. Use different therapeutic approaches for symptom management in clients experiencing chronic

illness.6. Apply health-related resources potentially useful in managing the long-term effects of illness for

client with acute or chronic health care problems.7. Demonstrate methods to evaluate nursing interventions designed to maintain or promote a client

safety8. Utilize community recourses available to assist client and families in dealing with acute or

chronic health care problems after discharge from hospital

: اإلصدار : 2015حزيران 24تاريخ ZU/QP10F003 01اإلصدار

Intended Learning Outcomes (ILOs):At the end of this course, the student will be able to:A. Knowledge and Understanding

1. Identify the developmental, psychological, physiological/pathophysiological, sociocultural, and behavioral variables that influence adults and their families’ health status in acute and chronic medical-surgical conditions.

2. Identify the commonalities/differences between various types of pathophysiology in patients/clients with medical-surgical conditions.

3. Describe the pharmacotherapeutic interventions in relation to the nurse’s role and responsibility.4. Identify current technical advances in the treatment of the ill adult.5. Describe nurse’s role in the care of patients with specific medical-surgical conditions.

B. Intellectual Skills1. Realize the impact of illness on the patient and family members. 2. Analyze data obtained through specialized assessment equipment and laboratory tests to evaluate

the patient’s condition. 3. Demonstrate the ability to set priorities according to the health care needs of the adult patient

with medical-surgical conditions. 4. Formulate goals and outcome criteria for evaluating the effectiveness of nursing interventions.

C. Professional Skills1. Identify one’s own personal strengths and areas for improvement2. Identify specific legal, ethical, and economic concerns related to adults and health care.3. Assume responsibility and accountability for actions in accordance with the accepted standards

of nursing practice.4. Use the findings from various nursing researches to update own knowledge regarding nursing

care.5. Demonstrate ability to collaborate effectively with health team members.6. Demonstrate effective oral and written communication skills as a professional nurse. 7. Develop awareness of current issues in research and legislation relative to adult patients in

medical-surgical conditions.

D. Transferable Skills1. Demonstrate an understanding of the fundamental concepts related to nursing care.2. Provide comprehensive patient care utilizing nursing process as a frame work according to the

hospital criteria. 3. Demonstrate ability to integrate the principles of nursing care in selecting the appropriate

nursing interventions.4. Demonstrate ability to understand the nurse’s role in communicating with patients, family,

and health team members in the clinical setting.5. Formulate goals and outcome criteria for evaluating the effectiveness of nursing

interventions.


6. Develop teaching plans for clients and families to provide optimum care for clients with acute and chronic health problems

Course structures:

Week C. Hrs ILOs Topics Teaching Procedure Assessment

methods

1 3 hrs

A: 1-5B: 1-4C: 1- 7D: 1- 6

BurnsPrevention of burnClassification Of BurnsBurn DepthCharacteristics of Burns According to DepthExtent of Body Surface Area InjuredRule of NinesCriteria for Classifying the Extent of Burn Injury (American Burn Association)Pathophysiology of burnLocal And Systemic Responses To BurnsGuidelines and Formulas for Fluid Replacement in Burn PatientsEvans FormulaBrooke Army FormulaParkland/Baxter FormulaPhases of Burn CareEmergent or resuscitativeAcuteRehabilitationBurn Wound CareOpen and Closed Methods of Burn CareAntimicrobial TherapySurgical ManagementNursing management for Client With Burns

Lecturing with active participation.Problem solving, take home case studies and gaming.Discussion.

Take home case studies &

QuizzesEXAMS

2 3 hrs

A: 1-5B: 1-4C: 1- 7D: 1- 6

Strains, Contusions, and SprainsPathophysiology and EtiologyClinical manifestationsMedical and Surgical Management



QuizzesEXAMS


DislocationsPathophysiology EtiologyClinical manifestationsMedical and Surgical ManagementNursing ManagementPreventing Sports and/or Work-Related Injuries

FracturesSigns and SymptomsTypes of FracturesPathophysiology and EtiologyProcess of bone healingComplications of FracturesMedical and Surgical ManagementNursing ManagementThe Client Undergoing Orthopedic Surgery

AmputationEtiologyMedical and Surgical ManagementAmputation MethodsComplicationsPhantom Limb and Phantom PainRehabilitationNursing Management

3 3 hrs

A: 1-5B: 1-4C: 1- 7D: 1- 6

OsteomyelitisEtiologyPathophysiologyComplications of OsteomyelitisAssessment FindingsDiagnostic studiesMedical and Surgical ManagementNursing Management

OsteoporosisCauses



QuizzesEXAMS


PathophysiologyAssessment FindingsMedical ManagementNursing Management

OsteomalaciaEtiologyPathophysiology Risk Factors for OsteomalaciaAssessment FindingsMedical and Surgical TreatmentNursing Management

4 3 hrs

A: 1-5B: 1-4C: 1- 7D: 1- 6

Inflammatory bone disordersRheumatoid ArthritisPathophysiology and EtiologyArticular and Extra-articular Manifestations of Rheumatoid ArthritisDiagnostic FindingsMedical and Surgical ManagementNursing Management

Degenerative Joint DiseasePathophysiology and EtiologyAssessment FindingsMedical and Surgical ManagementNursing Management



QuizzesEXAMS

5 3 hrs

A: 1-5B: 1-4C: 1- 7D: 1- 6

Infectious and Inflammatory Disorders of urinary systemCystitisPathophysiology and EtiologyAssessment FindingsSigns and SymptomsDiagnostic FindingsMedical Management



QuizzesEXAMS


Preventing Cystitis

UrethritisPathophysiology and EtiologyAssessment FindingsMedical ManagementNursing management to Client With an Infection of the Bladder or Urethra

6 3 hrs

A: 1-5B: 1-4C: 1- 7D: 1- 6

Infectious and Inflammatory Disorders of the KidneyPyelonephritisRisk Factors for Pyelonephritis Acute PyelonephritisPathophysiology and EtiologyAssessment FindingsSigns and SymptomsDiagnostic FindingsUrinalysis Results With Pyelonephritis Medical and Surgical ManagementDrug Therapy Agents to Treat PyelonephritisNursing Management

Acute GlomerulonephritisPathophysiology and EtiologyAssessment FindingsSigns and SymptomsDiagnostic FindingsMedical ManagementNursing Management



QuizzesEXAMS

7 3 hrs

A: 1-5B: 1-4C: 1- 7D: 1- 6

Kidney and Ureteral StonesComposition, Contributing Factors, and Treatment of Kidney Stones Pathophysiology and Etiology



QuizzesEXAMS


Assessment FindingsSigns and SymptomsDiagnostic FindingsMedical ManagementNursing management of the Client With Renal Calculi

8 3 hrs

A: 1-5B: 1-4C: 1- 7D: 1- 6

Nephrotic SyndromePhysiology/PathophysiologyClinical ManifestationsAssessment and Diagnostic FindingsComplicationsMedical ManagementNursing Management

Renal FailureCauses of Renal FailurePrerenalIntrarenalPostrenalPathophysiology of Acute Renal FailurePhases of ARF Initiation phaseOliguric phaseDiuretic phaseRecovery phase

Chronic Renal FailureStages of CRFAssessment FindingsSigns and SymptomsSystemic Complications of Chronic Renal Failure Diagnostic FindingsMedical ManagementSurgical ManagementSigns and Symptoms of Kidney Transplant RejectionNursing Management

DialysisHemodialysisArteriovenous Fistula



QuizzesEXAMS


Nursing Management Complication of Hemodialysis: Disequilibrium syndromePeritoneal DialysisTypes of peritoneal dialysisNursing ManagementInstillationDrainageComparison of Hemodialysis and Peritoneal DialysisNursing Care to the Client With Chronic Renal FailureGeneral Nutritional Considerations

9 3 hrs

A: 1-5B: 1-4C: 1- 7D: 1- 6

Gastrointestinal DisordersPeptic Ulcer DiseasePathophysiology and EtiologySigns and SymptomsDiagnostic FindingsMedical and Surgical ManagementDumping syndrome/ complication after surgeryNursing Process/ The Client With a Gastric Disorder

CholecystitisPathophysiology and EtiologySigns and SymptomsDiagnostic FindingsMedical and Surgical ManagementNursing Process/ The Client With a Cholecystitis



QuizzesEXAMS

10 3 hrs

A: 1-5B: 1-4

HepatitisPathophysiology and

Lecturing with active participation.



C: 1- 7D: 1- 6

EtiologyTypes of hepatitis Assessment FindingsForms of Viral HepatitisRisk Factors for Acquiring Hepatitis Diagnostic FindingsMedical and Surgical ManagementNursing Management

Jaundice & Liver CirrhosisTypes of cirrhosisClinical Manifestations of CirrhosisCommon Blood Test Findings in CirrhosisComplications of CirrhosisNursing Process/ The Client With a Liver cirrhosis

Problem solving, take home case studies and gaming.Discussion.

QuizzesEXAMS

11 3 hrs

A: 1-5B: 1-4C: 1- 7D: 1- 6

Infectious and Inflammatory Disorders of the Nervous SystemMeningitisPathophysiology and EtiologySigns and SymptomsDiagnostic FindingsMedical ManagementCare of the Client With a Neurologic Infectious or Inflammatory Disorder

EncephalitisPathophysiology and EtiologyAssessment FindingsMedical ManagementTransient Ischemic AttacksPathophysiology and EtiologyAssessment Findings



QuizzesEXAMS


Medical and Surgical ManagementNursing Management

12 3 hrs

A: 1-5B: 1-4C: 1- 7D: 1- 6

Cerebrovascular Accident (Stroke)Pathophysiology and EtiologyRisk Factors for Cerebrovascular AccidentAssessment FindingsSigns and SymptomsDiagnostic FindingsMedical and Surgical ManagementInclusion and Exclusion Criteria for Therapy With Tissue Plasminogen ActivatorNursing Care: The Client With a Cerebrovascular Accident



QuizzesEXAMS

13& 14

3 hrs

A: 1-5B: 1-4C: 1- 7D: 1- 6

CancerDefinitionCancer PathophysiologyCharacteristics of Benign and Malignant TumorsCharacteristics of Malignant CellsClassification of Tumor CellsSigns and SymptomsSeven warning signals of cancer. Diagnostic FindingsStaging of TumorsTNM Staging System and Classification Medical and Surgical ManagementSurgery

Radiation TherapyExternal Radiation TherapyInternal Radiation Therapy



QuizzesEXAMS


Safety Measures for Protecting Healthcare Personnel and Visitors From Excessive Exposure to RadiationManaging Clients Receiving Radiation Therapy

ChemotherapyCell Cycle–Specific DrugsCell Cycle–Nonspecific DrugsRoutes and Devices for Administration of ChemotherapyTreatment of Extravasation Safety Measures When Administering ChemotherapyManaging Clients Receiving Chemotherapy

ImmunotherapyHyperthermiaGene TherapyNursing management to the Client With CancerGeneral Nutritional Considerations

References: Required Textbook:Hinkle, J. L., Cheever, K. H. (2016). Brunner & Suddarth’s Textbook of Medical-Surgical Nursing (14th

edition). Wolters Kluwer: Lippincott Williams & Wilkins.

Lewis L. SH,. RN, Bucher, L,. Heitkemper, M.M., , Harding, M.,, Kwong, AND Roberts,D . (2017). Medical-Surgical Nursing, 10th Edition, Mosby company Additional references:

Hopkins, T.& Myers, E. (2016). Med-Surg Notes: Nurse's Clinical Pocket (2nded.,) Davis Company..

LeMone, P., and Burke, K. (2008). Medical-Surgical Nursing: Critical Thinking in Client Care + Nursing (4rd edition). Prentice Hall, Inc.


https://www.amazon.com/Karen-M.-Burke/e/B001IQZNZM/ref=sr_ntt_srch_lnk_1?qid=1518960714&sr=1-1

Useful Websites:1. https://www.medscape.com/ 2. https://lifeinthefastlane.com/

Assessment Methods:Methods Grade Date1st Exam 20% //20182nd Exam 20% //2018

Take home case studies & Quizzes 20%

Students should be notified about their marks

Final Exam 40% Will be announced by the admission Dep.

Regulations to maintain the teaching-Learning Process:

Student has the following responsibilities:

1. Take home case studies: All required work must be in on time in order that the student may benefit from the corrections. Assigned take home work is due on the dates specified by the instructor. Assignments turned in later than the due date will not be accepted unless the instructor clears the circumstances with the student. Regardless of the circumstances, late work will be assessed penalty points by the instructor. 1 point will be deducted per day for each late day from the total mark of the assignment. Students should keep a copy of all assignments turned in, to avoid having to redo an assignment if it should be lost. Make--‐up work for extra credit or in place Of missed assignments will not be provided.

2. Quizzes: Brief quizzes and in-class assignments will occur regularly at any time during class period, without advance notice. Quizzes may occur at the end of class, covering material that was just discussed during the class period. Quizzes may also occur at the beginning of class, covering material from the assigned readings for the day or previous content. Students are advised to arrive on time and prepared for class, and stay for the entire class period. No make-ups are available for quizzes. Poor attendance or participation can substantially affect students’ grades in this evaluation area.

3. Exams: Each exam may contain questions in the following formats: multiple choice, true/false, matching, fill-in-the-blank, and short answer. Exam items will be taken from the textbooks, lectures, chapter critical thinking exercises, chapter review items, and class discussions of case studies. At the end of the scheduled testing period, students must submit their exam booklets promptly. Answers left blank will be marked as incorrect. Exams will not be retained by the student. After all students have taken an exam, feedback will be provided at a scheduled time. Exams may be reviewed by students upon requested and under direct supervision. Students must take all tests and the final exam on scheduled dates and times unless special pre-arrangement is made with instructor. A student who misses a test without pre-arrangement must have evidence of a documented emergency. It is the responsibility of the student to promptly notify the instructor and produce the required documentation. If there is no notification by 2 business days from the date of the exam, a “0” will be given. A student who experiences a documented emergency will be scheduled to take the test at the convenience of the instructor. The student will receive an alternative test, covering the same material but with different questions.


https://lifeinthefastlane.com/

https://www.medscape.com/

4. Classes start on time. Class attendance is mandatory. Should a student be unable to attend, it is his/her responsibility to notify instructor and to obtain information given in class. The maximum allowed absence percentages is 15%. The instructor will initiate a student’s withdrawal if a student misses a total of 4 lectures. Reinstatement is handled on an individual basis by the classroom instructor. Do not be late for lecture. If lecture has began before you enter the classroom, you must wait until the break period to enter the classroom.

5. Cell phones and pagers must be off during class time. Recording devices may be used only with permission of instructor, during designated times. Absolutely no recording devices may be used during quizzes or exams—violation of this rule would constitute cheating

6. Professional behavior is expected. It is the responsibility of each student to support a productive learning environment, students should avoid the following behaviors:

• Annoyances, minor disruptions: talking on cell phone or texting, surfing internet, reading newspaper, side conversations, arriving late or leaving early, packing up noisily before end of class.• Dominating discussion: The student should pay attention to “cues” from the instructor to move on with the discussion and give his/her classmates the chance to talk too. Remember that office hours are available to answer lingering questions.• Aggressive challenges of teacher: Do not take up class time questioning the instructor’s authority, or expressing anger about your grade. State your questions and concerns in a clear, courteous manner through effective word choice and professional tone. If you become frustrated, use a private meeting during office hours to fully explore your concerns.• Disputes between students; demeaning comments: Recognize that controversial subjects and viewpoints will be explored, and that divergent opinions may be expressed. Do not use slurs or engage in personal attacks.

7. High sense of trust and sincerity when referring to any piece of information and to mention the source. For more information please refer to: htt://www.plagiarism.org/

8. University relevant regulations should be applied in case the student’s behavior is not accepted.


Documents

zu.edu.jozu.edu.jo/UploadFile/Courses/CoursePlan/CoursePlan_22_42.doc · Web viewUtilize community recourses available to assist client and families in dealing with acute or chronic