Division Of: School of Nursing and Human Services

Division Of: School of Nursing and Human Services

SOUTHWESTERN MICHIGANCOLLEGE

DIVISION OF: SCHOOL OF NURSING AND HUMAN SERVICES

Dowagiac, Michigan

COURSE SYLLABUS

COURSE TITLE:Nursing Care of Adults IV-Theory COURSE NO.: NURS 241

SECTION NO:

CREDITS/CONTACTS:Credit Hours:2

Lecture Hours/week:2

Laboratory Hours/week:0

A-T Hours/week:0

INSTRUCTOR(s):Mrs. Cindy Bieber RN, BSN, MSN, CNL

Office hours: Variable

Cell: 574-596-9773

Phone: 269-782-1247

E-mail:

PRE-REQUISITE:NURS 240,211

Final Exam: TBA

COURSE DESCRIPTION:This course is a continuation of NURS 240 and enables the student to expand knowledge of medical/surgical conditions. This course also provides practice of management concepts and skills presented in 212. The student is expected to demonstrate increasing mastery of skills and concepts necessary to function as an effective Associate Degree Nurse.

COURSE OUTCOMES:

At the completion of the course, the learner will meet the following objectives in the areas of: respiratory, cardiovascular, hepatic, pancreatic, renal and neurologic systems: also for clients with burns injuries and tuberculosis.

  1. Uses critical thinking skills in implementing the nursing process.
  2. Identifies a nursing history based on subjective and objective data.
  3. Identifies basic health care needs/stressors according to the nursing assessment.
  4. Selects a nursing diagnosis from an established list based on identified health care needs/stressors for the individual client.
  5. Prioritizes nursing diagnoses for the individual client that reflects biopsychosocial needs.
  6. Identifies goals for the individual client according to the selected nursing diagnoses with attention to their level of growth and development.
  7. Identifies outcome criteria specific to each goal to promote adaptation.
  8. Identifies nursing interventions for an individual client’s plan of care to meet human needs.
  1. Utilizes knowledge from nursing and liberal arts and science courses when contributing to an individual plan of care.
  2. Verbalizes understanding of the medical plan of care based on scientific knowledge to promote an integrated plan of care.
  3. Recognizes the client’s response and adaptation to the plan of care based on established nursing interventions and outcome criteria.

DISTRIBUTION

REQUIREMENTS:Required for ADN curriculum.

TEXTBOOK(s):REQUIRED: Perrin, Kathleen. Understanding the Essentials of Critical Care Nursing. Upper Saddle River, New Jersey, Prentice-Hall. Latest Edition.

Ignatavicius, Donna, J. and Workman, Linda, M Medical-Surgical Nursing. St Louis: Elsevier/ Saunders Co., Latest Edition.

Ahrens, T., Prentice, D., & Kleinpell, R., 2007 Critical Care Nursing Certification. Mcgraw-Hill, 5th Edition.

REFERENCE SOURCES:Fishbach, F. A Manual of Laboratory Diagnostic Tests Philadelphia: J.B. Lippincott Co., Latest Edition.

Kempf, B. (1992). Basic Cardiac Rhythms Made Easy! Redlands, California: Dimensions Publishing. (optional).

Any NLN approved review book.

Bullock, B. and Rosendahl, P. (1992). Pathophysiology; Adaptations and Alterations in Function. Philadelphia: J.B. Lippincott Co., Latest Edition.

Taptich, B., Iyer, PJ., and Bernocchii-Losey, D. Nursing Diagnosis and Care Planning. Philadelphia: W.B. Saunders Co., Latest Edition.

Weldy, N. Body Fluid and Electrolytes: A Programmed Instruction, C. V. Mosby Co., Latest Edition.

Additional Resources: Southwestern MichiganCollege Fred. L. Mathews Library for references cited in the syllabus.

METHOD OFNursing 241 uses audio-visual materials with lecture or

INSTRUCTION:discussion, selected readings, case study, written assignments

and demonstration.

EVALUATION

METHOD:Upon completion of this course, the student will demonstrate achievement of the course objectives by obtaining a final minimum grade of seventy-eight (78%), as measured by examinations.

All assignments are mandatory. All assignments must be completed to successfully complete the course.

Examinations (4)75%

Final Examination (1)25%

Total 100%

GRADING SCALE:96-100 =A

93-95=A-

90-92=B+

87-89=B

84-86=B-

81-83=C+

78-80=C

Below 78%=F

PROGRESSION POLICY:Progression in the nursing program without interruption is

determined academically by achieving a minimal grade of

"C" (78%).

ATTENDANCE POLICY: Attendance is mandatory. See the School of Nursing Student Handbook for specific guidelines.

TESTING POLICY: Students are expected to take all examinations as they are scheduled. Make-up policy with regard to examinations is described in the School of Nursing Student Handbook.

NOTICE: Information in this syllabus was to the best knowledge of the instructor, considered correct and complete when distributed for use at the beginning of the semester. The instructor, however, reserves the rights, acting within the policies and procedures of SouthwesternMichiganCollege, to make changes in course content or instructional techniques without notice or obligation.

ACCEPTABLE USE OF PERSONAL COMMUNICATION TECHNOLOGY

All phones, iPods, Black Berries, palm pilots, pagers, laptops and other technological devices including devices capable of taking photographs must be turned off or placed on vibrate mode and may not be brought out during class. If you are expecting or receiving an urgent call, you are required to leave the classroom before answering. Violation of this policy will result in your removal from the classroom for the class period. Multiple violations of this policy will be referred to the appropriate dean for disciplinary action. Further details or ramifications of violations maybe found elsewhere in this syllabus. The instructor has the right to modify this policy to meet the needs of your course.

HONESTY POLICYCheating or plagiarizing will absolutely not be tolerated at SouthwesternMichiganCollege. Any student found cheating or plagiarizing material in any manner may be assigned a failing semester/session grade in this course. A second such incident while at SMC could result in suspension or expulsion from the institution. A student found in violation of this section of the syllabus will not be allowed to drop this course. Additional detail regarding cheating and/or plagiarism may be found elsewhere in this syllabus. For more detailed information consult the SMC Code of Student Conduct.

Culture of Civility:Students are expected to assist in maintaining a classroom environment that is conducive to learning. In order to assure that all students have the opportunity to gain from time spent in class, students are prohibited from engaging in any form of distraction. Inappropriate behavior in the classroom shall result, minimally, in a request to leave class.

NOTICE: Representative student work will be used as a part of SMC’s on-going curriculum assessment program.

OTHER COURSEThe student is expected to have read the material to be covered

EXPECTATIONS:in class PRIOR to class.

Examinations will cover material from lecture, discussion, case study, audio-visual materials and selected readings. Therefore, the student is expected to study these sources of material thoroughly.

LEVEL II

COMPETENCIES1.Provides direct care, based on the nursing process, by initiating as well as implementing all parts of the nursing process for clients with defined nursing diagnoses, within a variety of settings, and who have simple to complex health care needs.

  1. Utilizes comprehensive therapeutic communication skills when interacting with clients, families, and other health care team members.
  2. Assesses clients need for information in order to formulate a teaching plan; implements and modifies individualized teaching plans, and evaluates clients needs.
  3. Organizes comprehensive aspects of care for clients with simple to complex health needs in a variety of settings.
  4. Demonstrates responsibility and accountability to the profession of nursing as well as collecting data for nursing research and utilizing research findings.

NURSING 241

NURSING CARE OF ADULTS IV

UNIT OUTLINE

I.Nursing Care of Clients with Cardiovascular Problems

A.Physiologic Overview

B.Basic Dysrhythmia Overview

C.Congestive Pulmonary Edema

D.Myocardial Infarction

E.Pericarditis

F.Endocarditis

G.Valve Dysfunction

  1. Aneurysms
  2. Blood Products

II.Nursing Care of Clients with Hepatic, Pancreatic

A.Physiologic Overview

B.Cirrhosis

C.Pancreatitis

III.Nursing Care of Clients with Respiratory Problems

A.Physiologic Overview

B.Common Treatment Modalities

C.Acute Respiratory Failure

1.Non-cardiogenic Pulmonary Edema (ARDS)

D.Chronic Obstructive Pulmonary Disease

E.Pneumonia

1.Sepsis

F.Pleural disorders

G.Pulmonary Embolism

H. Tuberculosis

IV.Nursing Care of Clients with Burn Injuries

A.Physiologic overview of the integumentary system

B.Pathophysiology of burns

C.Treatment Modalities

D. Rehabilitation

V.Nursing Care of Clients with Renal Problems

A.Physiologic Overview

B.Renal Failure (acute and chronic)

1.Hemodialysis

2.Peritoneal Dialysis

  1. Glomerulo Nephritis
  2. Transplant

VI.Nursing Care of Clients with Neurologic Problems

A.Physiologic Overview

B.ICU psychosis

  1. Increased Intracranial Pressure
  2. Cerebral Vascular Disorders

E.Guillain-Barre' Syndrome

F.Spinal Cord Injuries/Laminectomy

  1. Neurogenic Shock

Nursing 241 Care of Adults Theory Lecture Cindy Bieber

1st Rotation:

Rm: 1611 Rm: 1611

Week / Date: / Wed:
8:00-1000AM / Date: / Thurs
8:00-1000am / Test:
1 / 9/7 / Cardiac:
Perin: Ch: 4,5,6,7,11,12
IGGY
Unit: 36, 37 / 9/8 / Cardiac:
Perin: ch: 4,5,6,7,11,12
IGGY
Unit: 38, 39
2 / 9/14 / Cardiac:
Perin: ch: 4,5,6,7,11,12
IGGY:
Unit 40, 41 / 9/15 / Resp:
Perin: ch: 3,17,16,8
IGGY:
Unit: 30, 31, 18
3 / 9/21 / Resp:
Perin: Ch: 3,17,16,8
IGGY:
Unit: 32, 33 / 9/22 / Resp:
Perin: : ch: 3,17,16,8
IGGY:
Unit: 34, 35 / Test#1
Wed:_
4 / 9/28 / Renal:
Perin: ch: 14,15
IGGY:
Unit: 72, 14 / 9/29 / Renal:
Perin:ch: 14,15
IGGY:
Unit: 73, 74 / Test#2
Wed:_
5 / 10/5 / Renal:
Perin: ch: 14,15
IGGY:
Unit: 75, 15 / 10/6 / Neuro:
Perin:ch: 10,9,18
IGGY:
Unit: 44,45
6 / 10/12 / Neuro:
Perin:ch 10,9,18
IGGY:
Unit: 48 / 10/13 / Neuro:
Perin:ch 10,9,18
IGGY:
Unit: 46, 47 / Test#3
Wed:_
7 / 10/19 / Review Final / 10/20 / Final:
Week of 10/20 / Test#4
Wed:

Nursing 241 Care of Adults Theory Lecture Cindy Bieber

2nd Rotation:

Rm: 1611 Rm: 1611

Week / Date: / Wed:
8:00-1000AM / Date: / Thurs
8:00-1000am / Test:
1 / 10/26 / Cardiac:
Perin: ch 4,5,6,7,11,12
IGGY
Unit: 36, 37 / 10/27 / Cardiac:
Perin:ch: 4,5,6,7,11,12
IGGY
Unit: 38, 39
2 / 11/2 / Cardiac:
Perin:ch: 4,5,6,7,11,12
IGGY:
Unit 40, 41 / 11/3 / Resp:
Perin:ch: 3,17,16,8
IGGY:
Unit: 30, 31, 18
3 / 11/9 / Resp:
Perin:ch: 3,17,16,8
IGGY:
Unit: 32, 33 / 11/10 / Resp:
Perin:ch: 3,17,16,8
IGGY:
Unit: 34, 35 / Test#1
Wed:_
4 / 11/16 / Renal:
Perin:ch: 14,15
IGGY:
Unit: 72, 14 / 11/17 / Renal:
Perin:ch: 14,15
IGGY:Unit: 73, 74 / Test#2
Wed:_
5 / 11/23 / Renal:
Perin:ch: 14,15
IGGY:
Unit: 75, 15 / 11/24 / THANKSGIVING

6 / 11/30 / Neuro:
Perin:ch 10,9,18
IGGY:
Unit: 44,45,48 / 12/1 / Neuro:
Perin:ch 10,9,18
IGGY:
Unit: 44,45,46,47,48 / Test#3
Wed:_
7 / 12/7 / 12/8 / Review Final / Test#4
Wed:
Week of 12/12 / Finals Week / TBA