I.NUR 202: Nursing Through the Lifespan II

Revised Spring 2014

NORTHEAST ALABAMA

COMMUNITY COLLEGE

I.NUR 202: Nursing Through the Lifespan II

Theory3 credit hours

Lab0 credit hour

Clinical3 credit hours

Total6 credit hours

CLASS MEETING DATES/TIMES/LOCATION

TBA

CLINICAL DATES/TIMES/LOCATION (None)

TBA

INSTRUCTOR, CONTACT INFORMATION, CONTACT POLICY, OFFICE HOURS/LOCATION

Mrs. Sheila Gentry, Course Coordinator

Health Education Building, Office 218

The AlabamaCollege System

Revised Spring 2014

V. COURSE DESCRIPTION:

This course builds upon previous instruction and provides additional opportunities to develop competencies necessary to meet the needs of individuals throughout the lifespan in a safe, legal, and ethical manner using the nursing process. Students manage and provide collaborative care to clients who are experiencing selected alterations in cardiovascular, hematologic, immune, and genitourinary systems in a variety of settings. Additional instruction is provided for psychiatric disorders, and high-risk obstetrics. Teaching/learning concepts, advanced dosage calculations,nutrition, pharmacology, communication, cultural, and community concepts are integrated. This course supports CIP code 51.1601.

VI. PREREQUISITE(S)/CO-REQUISITE(S)

Prerequisites:

NUR 201 – Nursing Through The Lifespan I

BIO 220 – Microbiology

PSY 200 – General Psychology

Co-requisites:

PSY 210 – Human Growth and Development

SPH 107 – Fundamentals of Speech

VII. TEXTBOOK(S) AND OTHER LEARNING RESOURCES

See Reading Assignment

VIII.COURSE OBJECTIVES

1.Utilize the nursing process in providing nursing care for clients with selected psychiatric disorders.

2.Utilize the nursing process in providing collaborative nursing care for clients throughout the lifespan with selected health alterations.

A.Cardiovascular System

B.Hematology

C.Immune System

D.Genitourinary System

E. Neurological System

3.Utilize the nursing process in providing advanced nursing care for clients experiencing a high-risk pregnancy.

IX.PROFESSIONAL COMPETENCIES

Provide nursing care for clients experiencing complications with selected system alterations or disorders.

MODULE A – PSYCHIATRIC DISORDERS

A1.0Provide care for clients with selected psychiatric disorders.

A1.1Apply the nursing process for clients with selected psychiatric alterations.

A1.1.1Define terms associated with selected psychiatric disorders. A1.1.2 Explain selected psychiatric disorders.

A1.1.3Explain therapeutic relationships and communication as applied to clients with selected psychiatric disorders.

A1.1.4Explore etiologies related to selected psychiatric disorders.

A1.1.5Explain therapies for selected psychiatric disorders.

A1.1.6Explain health promotion related to selected psychiatric disorders.

A1.1.7Describe the role of the nurse in providing care for clients

experiencing selected psychiatric disorders.

A1.1.8Interpret clinical manifestations of selected psychiatric disorders.

A1.1.9Interpret diagnostic tests for selected psychiatric disorders.

A1.1.10Describe the pharmacological agents and/or treatments for selected psychiatric disorders.

A1.1.11Evaluate nutritional considerations for clients experiencing selected psychiatric disorders.

A1.1.12Identify expected outcomes of treatment modalities for clients experiencing selected psychiatric disorders.

A1.1.13Evaluate psychosocial needs of clients, families, and/or support systems.

A1.1.14Use critical thinking to manage nursing care for culturally diverse clients experiencing selected psychiatric disorders.

A1.1.15Evaluate the outcomes of care provided for clients experiencing selected psychiatric disorders.

A1.1.16Assess the impact of selected psychiatric disorders on maternal and pediatric clients.

MODULE B - Cardiovascular SYSTEM ALTERATIONS

B1.0Provide nursing care for clients experiencing selected cardiovascular system alterations.

B1.1Apply the nursing process for clients experiencing selected cardiovascular system alterations.

B1.1.1Define terms associated with selected cardiovascular system alterations.

B1.1.2Describe selected cardiovascular system alterations.

B1.1.3Explain complications associated with myocardial infarction (MI).

B1.1.4Describe the pathophysiology associated with selected cardiovascular system alterations.

B1.1.5Describe the role of the nurse in providing care for clients experiencing selected cardiovascular system alterations.

B1.1.6Explain health promotion related to selected cardiovascular system alterations.

B1.1.7Interpret clinical manifestations of selected cardiovascular system alterations.

B1.1.8Interpret diagnostic tests for selected cardiovascular system alterations.

B1.1.9Describe the pharmacological agents and/or treatments for selected cardiovascular system alterations.

B1.1.10Evaluate nutritional considerations for clients experiencing selected cardiovascular system alterations.

B1.1.11Identify expected outcomes of treatment modalities for clients experiencing selected cardiovascular system alterations.

B1.1.12Evaluate psychosocial needs of clients, families, and/or support systems.

B1.1.13Use critical thinking to manage nursing care for culturally diverse clients experiencing selected cardiovascular system alterations.

B1.1.14Evaluate expected outcomes of nursing care for clients experiencing selected cardiovascular system alterations.

B1.1.15Assess the impact of selected cardiovascular system alterations on pediatric clients.

MODULE C - Hematological ALTERATIONS

C1.0Provide care for clients experiencing selected hematological alterations.

C1.1Apply the nursing process for clients experiencing selected hematological alterations.

C1.1.1Define terms associated with selected hematological alterations.

C1.1.2Describe selected hematological alterations.

C1.1.3Describe the pathophysiology for selected hematological alterations.

C1.1.4Describe the role of the nurse in providing care for clients experiencing selected hematological alterations.

C1.1.5Explain health promotion related to selected hematological alterations.

C1.1.6Interpret clinical manifestations of selected hematological alterations.

C1.1.7Interpret diagnostic tests for selected hematological alterations.

C1.1.8Describe the pharmacological agents and/or treatments for selected hematological alterations.

C1.1.9Evaluate nutritional considerations for clients experiencing selected hematological alterations.

C1.1.10Identify expected outcomes of treatment modalities for clients experiencing selected hematological alterations.

C1.1.11Evaluate psychosocial needs of clients, families, and/or support systems.

C1.1.12Use critical thinking to manage nursing care for culturally diverse clients experiencing selected hematological alterations.

C1.1.13Evaluate expected outcomes of nursing care for clients experiencing selected hematological alterations.

C1.1.14Assess the impact of selected hematological alterations on maternaland pediatric clients.

MODULE D – Immune SYSTEM ALTERATIONS

D1.0Provide nursing care for clients experiencing selected immune system alterations.

D1.1Apply the nursing process for clients experiencing selected immune system alterations.

D1.1.1Define terms associated with selected immune system alterations.

D1.1.2Describe selected immune system alterations.

D1.1.3Describe the pathophysiology for selected immune system alterations.

D1.1.4Describe the role of the nurse in providing care for clients experiencing selected immune system alterations.

D1.1.5Explain health promotion related to the immune system.

D1.1.6Interpret clinical manifestations for immune system alterations.

D1.1.7Interpret diagnostic tests for selected immune system alterations.

D1.1.8Describe the pharmacological agents and/or treatments for selected immune alterations.

D1.1.9Evaluate nutritional considerations for clients experiencing selected immune alterations.

D1.1.10Identify expected outcomes of treatment modalities for clients experiencing selected immune system alterations.

D1.1.11Evaluate psychosocial needs of clients, families, and/or support systems.

D1.1.12Use critical thinking to manage care for culturally diverse clients experiencing selected immune system alterations.

D1.1.13Evaluate expected outcomes of nursing care for clients experiencing selected immune system alterations.

D1.1.14Assess the impact of selected immune system alterations on maternal and pediatric clients.

MODULE E – Genitourinary/RENAL SYSTEM ALTERATIONS

E1.0Provide nursing care for clients experiencing selected genitourinary/renal system alterations.

E1.1Apply the nursing process for clients experiencing selected genitourinary/renal system alterations.

E1.1.1Define terms associated with selected genitourinary/renal system alterations.

E1.1.2Describe selected genitourinary/renal system alterations.

E1.1.3Describe the pathophysiology for selected genitourinary/renal system alterations.

E1.1.4Describe the role of the nurse in providing care for clients experiencing selected genitourinary/renal system alterations.

E1.1.5Explain health promotion related to the genitourinary/renal system.

E1.1.6Interpret clinical manifestations of selected genitourinary/renal system alterations.

E1.1.7Interpret diagnostic tests for selected genitourinary/renal system alterations.

E1.1.8Describe the pharmacological agents and/or treatments for selected genitourinary/renal alterations.

E1.1.9Evaluate nutritional considerations for clients experiencing selected genitourinary/renal alterations.

E1.1.10Identify expected outcomes of treatment modalities for clients experiencing selected genitourinary/renal system alterations.

E1.1.11Evaluate psychosocial needs of clients, families, and/or support systems.

E1.1.12Use critical thinking to manage nursing care of culturally diverse clients experiencing selected genitourinary/renal system alterations.

E1.1.13Evaluate expected outcomes of nursing care for clients experiencing selected genitourinary/renal system alterations.

E1.1.14Assess the impact of selected genitourinary/renal system alterations on maternal and pediatric clients.

MODULE f – HIGH RISK PREGNANCY

F1.0Provide nursing care for clients experiencing high risk pregnancy.

F1.1Apply the nursing process when caring for clients experiencing high risk pregnancy.

F1.1.1Define terms associated with high risk pregnancy.

F1.1.2Describe complications associated with high risk pregnancy.

F1.1.3Describe the pathophysiology associated with high risk pregnancy.

F1.1.4Describe the role of the nurse in providing care for a client experiencing high risk pregnancy.

F1.1.5Explain health promotion related to high risk pregnancy.

F1.1.6Interpret clinical manifestations associated with high risk pregnancy.

F1.1.7Interpret diagnostic tests for high risk pregnancy.

F1.1.8Describe the pharmacological agents and/or treatments for high risk pregnancy.

F1.1.9Evaluate nutritional considerations for a client experiencing high risk pregnancy.

F1.1.10Identify expected outcomes of treatment modalities for aclient experiencing high risk pregnancy.

F1.1.11Evaluate psychosocial needs of clients, families, and/or support systems.

F1.1.12Use critical thinking to manage nursing care for a culturally diverse client experiencing high risk pregnancy.

F1.1.13Evaluate expected outcomes of nursing care for high risk pregnancy.

F1.1.14Differentiate between the impact of pregnancy on the adolescent and the adult client.

MODULE G – SELECTED NEUROMUSCULAR ALTERATIONS

G1.0Provide and manage nursing care for clients experiencing selected neuromuscular system alterations.

G1.1Utilize the nursing process to provide care for multiple clients with selected neuromuscular alterations.

G1.1.1Define terms associated with selected neuromuscular system alterations.

G1.1.2Describe selected neuromuscular system alterations.

G1.1.3Describe legal and ethical considerations related to providing nursing care for selected neuromuscular system alterations.

G1.1.4Describe the impact of selected neuromuscular system alterations on clients throughout the lifespan.

G1.1.5Relate the pathophysiology associated with selected neuromuscular system alterations to clinical manifestations.

G1.1.6Describe the role of the nurse in providing care for clients experiencing selected neuromuscular system alterations.

G1.1.7Explain health promotion related to selected neuromuscular system alterations.

G1.1.8Interpret selected diagnostic test for neuromuscular system alterations.

G1.1.9Explain complications associated with selected neuromuscular system alterations.

G1.1.10Describe the pharmacological agents and/or treatments for selected neuromuscular system alterations.

G1.1.11Evaluate nutritional considerations for clients experiencing selected neuromuscular system alterations.

G1.1.12Identify client response to treatment modalities for clients experiencing selected neuromuscular system alterations.

G1.1.13Evaluate psychosocial needs of clients, families, and/or support systems.

G1.1.14Use critical thinking to prioritize nursing care for culturally diverse clients experiencing selected neuromuscular system alterations.

G1.1.15Describe the delegation process used to provide nursing care for clients experiencing selected neuromuscular system alterations.

G1.1.16Evaluate outcomes of nursing care for clients experiencing selected neuromuscular system alterations.

X.OUTLINE OF MODULES

MODULE A – PSYCHIATRIC DISORDERS

Terms
Selected disorders

Schizophrenia
Mood/affective disorders
Psychophysiological disorders
Substance abuse

Characteristics

Types

Therapeutic relationships and communication

Etiologies
Therapies
Health promotion
Role of the nurse
Clinical manifestations
Diagnostic tests
Pharmacological agents and treatments
Nutritional considerations
Nursing process
Impact on maternal and pediatric clients

MODULE B - Cardiovascular SYSTEM ALTERATIONS

Terms
Conduction system
Selected disorders

Coronary artery diseases
Angina
Myocardial Infarction (MI) and complications
Diagnostic tests

Cardiac catheterization
Trans Esophageal Echocardiogram (TEE)
Pathophysiology
Role of the nurse
Health promotion
Clinical manifestations
Pharmacological agents and treatments
Nutritional considerations
Nursing process
Impact on pediatric clients

MODULE C - Hematological ALTERATIONS

Terms
Hematological alterations

Leukemia
Hodgkin’s/non-Hodgkin’s lymphoma
Multiple myeloma
Neutropenia
Hemochromatosis
Splenectomy
Pathophysiology
Role of the nurse
Health promotion
Clinical manifestations
Diagnostic tests
Pharmacological agents and treatments
Nutritional considerations
Nursing process
Impact on maternal and pediatric clients

MODULE D – Immune SYSTEM ALTERATIONS

Terms
Immune system alterations

Infectious diseases
HIV/AIDS (management/pharmacology)
Systemic Lupus Erythematosus (SLE)
Hypersensitivity reaction
Pathophysiology
Role of the nurse
Health promotion
Clinical manifestations
Diagnostic tests
Pharmacological agents and treatments
Nutritional considerations
Nursing process
Impact on maternal and pediatric clients

MODULE E - Genitourinary/Renal alterations

Terms
Genitourinary/renal alterations
Disorders of the male reproductive system (prostate, testicular, scrotal,

penile)

Inflammatory/infection disorders (cystitis and pyelonephritis)
Obstructive disorders
Renal failure
Tumors
Polycystic kidney disease

Pathophysiology
Role of the nurse
Health promotion
Clinical manifestations
Diagnostic tests
Pharmacological agents and treatments
Nutritional considerations
Nursing process
Impact on maternal and pediatric clients

MODULE F – HIGH RISK PREGNANCY

Terms
Electronic fetal monitoring
Induction/augmentation
Pregnancy induced hypertension (PIH)
Hemolysis, Elevated Liver Enzymes, Low Platelets (HELLP)
Cardiovascular disease
Pre-term labor
Disseminated Intravascular Coagulation (DIC)
Pathophysiology
Role of the nurse
Health promotion
Clinical manifestations
Diagnostic tests
Pharmacological agents and treatments
Nutritional considerations
Nursing process
Adolescent pregnancy

MODULE G– SELECTED NEUROMUSCULAR ALTERATIONS

Terms
Headaches

Tension
Migraine
Cluster

Neuromuscular Alterations

Multiple Sclerosis
Parkinson’s
Guillian Barre
Amyotropic Lateral Sclerosis
Myasthenia Gravis
Trigeminal Neuralgia
Bell’s Palsy
Muscular Dystrophy
Cerebral Palsy
Neural tube defects

XI. EVALUATION AND ASSESSMENT

A.Theory

1.Tests announced or unannounced may be given throughout the course and

may incorporate various teaching/learning methods (for example: situational, multiple choice, discussion, performances, etc).

2.All nursing exams should be taken on the day they are scheduled. In the event of illness, bereavement, or court attendance, the studentis required to notify the course coordinator or clinical instructor PRIOR to the test. Immediately upon return to campus, the student is required to submit documentation which supports the absence. A make-up exam will be given at the end of the semester IF appropriate documentation has been provided at the time of the absence.

3.Prior to each unit exam, the student will complete PrepU Pre-tests on the topic areas being tested. A minimum grade of 80% or mastery level must be achieved for admission to the unit exam. If the student does not complete the assignments according to posted deadlines, the student will not be allowed to take the exam and a make-up exam will be taken at the end of the semester.

4.All students are required to attend test reviews following exams. Students who score less than 75% on unit exams are required to complete a remediation assignment in the computer lab on a designated day. Students must score a minimum of 80% on the remediation assignment. Remediation assignments must be submitted to the instructor on the day of remediation.

STUDENTS WHO DO NOT COMPLETE REQUIRED REMEDIATION ASSIGNMENTS WILL NOT BE ALLOWED TO TAKE THE NEXT UNIT EXAM AND WILL TAKE A MAKE-UP EXAM AT THE END OF THE SEMESTER.

5.If a make-up exam is to be taken for any reason, the student must complete a PrepU Pre-test assignment on the modules being tested before the exam can be taken. A minimum grade of 80% or mastery level must be achieved for admission to the make-up exam. Failure to complete the assignment with a minimum score of 80% or mastery level will result in a zero (0) for that make-up exam.

6.Required written assignments are due by the end of the scheduled class period.

B. Clinical

1.Performance in the clinical setting is evaluated according to the form, Evaluation of Clinical Performance. A final evaluation of satisfactory in clinical performance is required to progress in nursing. A rating of unsatisfactory in clinical performance will result in a grade of “F”for the nursing course regardless of any other grading component in the course.

2.Students may not attend clinical lab until they have successfully completed all required assignments in order to provide safe client care.

C.Computerized Tests

Students will be required to pay a testing fee to cover the expense of the Health Education Systems (HESI) tests. The HESI tests are scheduled throughout the nursing curriculum.

D.Course Grade

1.The course grade is a composite grade based on the following:

a.Unit tests

b.Comprehensive final examination (HESI)

c.Clinical performance evaluation

Student must achieve a grade of 75% or above in each course to continue in the nursing program. A grade below 75% will result in a “D” or an “F” depending on the numerical score.

2.Course and instructor evaluation by each student is required.

3.Conference with the clinical instructor is required each semester.

4.In the event of a failing grade, students are urged to see their instructor for a conference.

XII. ATTENDANCE

A.Students are expected to attend all classes for which they are registered. The student must be present 80% of the scheduled class dates in order to demonstrate the expected course outcomes and successfully apply theoretical concepts to the clinical practicum. Students who are unable to attend class regularly, regardless of the reason or circumstance, should withdraw from that class before poor attendance interferes with the student’s ability to achieve the objectives required in the course. Withdrawal from class can affect eligibility for federal financial aid. Withdrawal from class can prohibit progression in nursing and allied health programs.

B.Students are expected to attend all clinical rotations required for each course. Only excused absences (a maximum of two) will be considered for make up. However, due to limited clinical space and time, clinical make up days cannot be guaranteed. Failure to complete clinical rotations will prohibit progression in nursing and allied health programs.

XIII.STATEMENT ON DISCRIMINATION/HARASSMENT

The College and the Alabama Board of Education are committed to providing both employment and educational environments free of harassment or discrimination related to an individual’s race, color, gender, religion, national origin, age, or disability. Such harassment is a violation of State Board of Education policy. Any practice or behavior that constitutes harassment is a violation of State Board of Education policy. Any practice or behavior that constitutes harassment or discrimination will not be tolerated.