LORENZO WALKER INSTITUTE OF TECHNOLOGY
PRACTICAL NURSING PROGRAM
COURSE: Medical Surgical Nursing II - Gastrointestinal and Endocrine Nursing Care
PLACEMENT: SEMESTER 3
TIME ALLOTMENT: 40 HOURS
PURPOSE: The purpose of this course is to introduce the student to gastrointestinal and endocrine nursing care concepts that will enhance their ability to provide care for the patient with digestive and endocrine diseases and disorders utilizing nursing principles (34.12, 34.13)
COURSE DESCRIPTION: This course will review digestive and endocrine structure and function (28.02), identify signs and symptoms of diseases/disorders of the digestive and endocrine system (34.01), identify diagnostic tests and medications used in the treatment of digestive and endocrine diseases/disorders (34.02, 34.03), and identify nutritional needs of patients with digestive and endocrine diseases/disorders (34.04)
SUMMARY OF UNITS:
Unit 1: Gastrointestinal A & P Review; Diseases and Disorders of the Upper Digestive System
Unit 2: Diseases and Disorders of the Lower Digestive System and Accessory Organs
Unit 3: Endocrine A & P Review; Diseases and Disorders of the Endocrine System
Unit 4: Diabetes Mellitus and Hypoglycemia
METHODS OF EVALUATION: Evaluation will be based upon written objective tests and quizzes as well as instructor assigned projects/assignments, class participation and preparedness.
COURSE REQUIREMENTS: For successful completion of this course, the student must have an average grade of 80% based on the four unit exams/quizzes and other unit assignments. Additionally, the student must maintain an average score of 80% from all methods of evaluation which includes a GI/Endo Pharmacology Calculations Quiz.
METHODS OF INSTRUCTION:
Required readings Written Assignments Multimedia presentations
Lecture/Discussion Guest lecturers Laboratory Experiences
Cooperative learning
REFERENCES:
Castaldi, PA Study Guide for Christensen and Kockrow Foundations of Nursing, St. Louis: Mosby/Elsevier, 2006.
Christensen, BL and Kockrow, EO, Foundations of Nursing, 5th edition, St. Louis: Mosby/Elsevier, 2006.
Deglin, J and Vallerand, A., Davis’s Drug Guide for Nurses, 10th ed., Philadelphia: FA Davis Company, 2007.
FA Davis, Taber’s Cyclopedia Medical Dictionary, Philadelphia: FA Davis Company, 20th ed., 2005.
Linton, AD, Introduction to Medical Surgical Nursing, Philadelphia: Saunders/Elsevier, 2007.
Maebius, NK, Study Guide for Linton Introduction to Medical-Surgical Nursing, Philadelphia: Saunders/Elsevier, 2007.
Myers, E and Hopkins, T., LPN Notes, 2nd ed., Philadelphia: FA Davis Company, 20th ed., 2007.
Ogden, S, Calculation of Drug Dosages, 8th ed., St. Louis: Mosby/Elsevier, 2007.
Pagano, KD and Pagano, TJ, Mosby’s Diagnostic and Laboratory Test Reference, 8th ed. 2008.
Scanlon, Valerie and Sanders, Tina, Essentials of Anatomy and Physiology, 5th ed. Philadelphia: F.A. Davis Company, 2007.
Scanlon, Valerie and Sanders, Tina, Student Workbook for Essentials of Anatomy and Physiology, 5th ed. Philadelphia: F.A. Davis Company, 2007.
Silvestri, LA, Saunders Comprehensive Review for NCLEX-PN, 3rd ed., Philadelphia:WB Saunders Co., 2007.
Sparks, Sheila and Taylor, Cynthia, Nursing Diagnosis Reference Manual, 7th ed. Pennsylvania: Lippincott, Williams and Wilkins, 2008.
Virtual Clinical Excursions – Skilled Nursing; for Christensen and Kockrow Foundation of Nursing 5th ed., 2007
Virtual Clinical Excursions – Medical Surgical; for Linton Introduction to Medical Surgical Nursing, 4th ed., 2007.
Instructor selected handouts/multimedia
LORENZO WALKER INSTITUTE OF TECHNOLOGY
PRACTICAL NURSING PROGRAM
Unit 1 - Gastrointestinal A & P Review; Diseases and Disorders of the Upper Digestive System
OBJECTIVES:
At the completion of this unit, the student will be able to:
1. Describe the structure and function of the digestive system.
2. Identify the nursing implications of age related changes in the digestive system.
3. Describe diagnostic tests and procedures for upper digestive system diseases and disorders to include: gastric analysis, endoscopy, and radiographic studies.
4. Identify nursing interventions related to upper digestive diagnostic tests and procedures.
5. Identify data to be collected in the nursing assessment of the patient with a digestive disease/disorder.
6. Describe possible abnormal findings of a digestive assessment including abdominal distention, firmness, tenderness and altered bowel sounds.
7. Describe common therapeutic measures used in digestive nursing including gastric decompression, nasogastric feeding, gastrostomy feeding and total parenteral nutrition.
8. Identify nursing interventions related to digestive therapeutic measures.
9. Describe the pathophysiology, signs and symptoms, complications, diagnostic measures and medical/surgical treatment of the following upper digestive disorders:
Anorexia/Anorexia Nervosa
Obesity
Dental Caries
Stomatitis
Vincent’s Infection
Herpes Simplex
Canker Sores
Candidiasis
Periodontal Disease
Oral Cancer
Esophageal Cancer
Esophageal Diverticulum
Hiatal Hernia
Gastroesophageal Reflux Disease
Gastritis
Peptic Ulcer
Stomach Cancer
Malabsorption
10. Describe nursing principles that relate to the care of the patient with upper digestive diseases/disorders including nutritional considerations.
11. Discuss nursing diagnoses, goals and interventions that are related to the care of the patient with upper digestive diseases/disorders.
12. Describe medical and surgical nursing care for the peptic ulcer patient.
13. Identify the major classifications and actions of digestive medications as well as appropriate nursing care in the administration of these medications.
STUDENT ACTIVITIES:
Students are expected to complete workbook activities that correspond with chapter readings to enhance learning and facilitate successful completion of this course.
Instructors may assign workbook activities to be submitted for review/grading.
It is also recommended that students complete corresponding sections in NCLEX-PN Comprehensive Review Text.
LORENZO WALKER INSTITUTE OF TECHNOLOGY
PRACTICAL NURSING PROGRAM
Unit 2: Diseases and Disorders of the Lower Digestive System and Accessory Organs
OBJECTIVES:
At the completion of this unit, the student will be able to:
1. Describe diagnostic tests and procedures for lower digestive system diseases and disorders to include: stool specimens, tests for occult blood, radiographic studies and colonoscopy.
2. Identify nursing interventions related to lower digestive diagnostic tests and procedures.
3. Describe the pathophysiology, signs and symptoms, complications, diagnostic measures and medical/surgical treatment of the following lower digestive disorders:
Diverticulosis and Diverticulitis
Hernias
Intestinal Obstruction
Irritable Bowel Syndrome
Constipation
Diarrhea
Inflammatory Bowel Disease
Appendicitis
Peritonitis
Colorectal Cancer
Hemorrhoids
Anal Abcess
Anal Fistula
Anal Fissure
Pilonidal Cyst
4. Describe nursing principles that relate to the care of the patient with lower digestive diseases/disorders including nutritional considerations.
5. Discuss nursing diagnoses, goals and interventions that are related to the care of the patient with lower digestive diseases/disorders.
6. Describe medical and surgical nursing care of the patient with a colostomy and ileostomy.
7. Identify commonly used medications and their action in the treatment of lower digestive diseases and disorders.
8. Describe diagnostic tests and procedures for diseases and disorders of the liver, pancreas and gallbladder.
9. Identify nursing interventions related to diseases and disorders of the liver, pancreas and gallbladder.
10. Identify data to be collected in the nursing assessment of the patient with an diseases and disorders of the liver, pancreas and gallbladder and describe possible abnormal findings.
11. Describe the pathophysiology, signs and symptoms, complications, diagnostic measures and medical/surgical treatment of the following diseases and disorders of the liver, pancreas and gallbladder:
Cirrhosis of the Liver
Esophageal Varices
Hepatitis
Liver Cancer
Cholecystitis
Cholelithiasis
Common Bile Duct Obstruction
Pancreatitis
Pancreatic Cancer
12. Describe nursing principles that relate to the care of the patient with diseases and disorders of the liver, pancreas and gallbladder including nutritional considerations.
13. Discuss nursing diagnoses, goals and interventions that are related to the care of the patient with diseases and disorders of the liver, pancreas and gallbladder.
14. Describe medical and surgical nursing care for the patient with diseases and disorders of the liver, pancreas and gallbladder.
STUDENT ACTIVITIES:
Students are expected to complete workbook activities that correspond with chapter readings to enhance learning and facilitate successful completion of this course.
Instructors may assign workbook activities to be submitted for review/grading.
It is also recommended that students complete corresponding sections in NCLEX-PN Comprehensive Review Text.
LORENZO WALKER INSTITUTE OF TECHNOLOGY
PRACTICAL NURSING PROGRAM
Unit 3 – Endocrine A & P Review; Diseases and Disorders of the Endocrine System
OBJECTIVES:
At the completion of this unit, the student will be able to:
1. Describe the structure and function of the endocrine system.
2. Identify the nursing implications of age related changes in the endocrine system.
3. Describe diagnostic tests and procedures for endocrine system diseases and disorders.
4. Identify nursing interventions related to endocrine system diagnostic tests and procedures.
5. Identify data to be collected in the nursing assessment of the patient with an endocrine disease/disorder and describe possible abnormal findings.
6. Describe the pathophysiology, signs and symptoms, complications, diagnostic measures and medical/surgical treatment of the following endocrine disorders:
Hyperthyroidism
Hypothyroidism
Thyroid Cancer
Hyperparathyroidism
Hypoparathyroidism
Hyperpituitarism
Hypopituitarism
Diabetes Insipidus
Syndrome of Inappropriate Antidiuretic Hormone
Addison’s Disease
Cushing’s Syndrome
7. Discuss nursing diagnoses, goals and interventions that are related to the care of the patient with endocrine diseases and disorders.
8. Identify commonly used medications and their action in the treatment of endocrine diseases and disorders.
9. Describe medical and surgical nursing care for the patient with diseases and disorders of the endocrine system.
STUDENT ACTIVITIES:
Students are expected to complete workbook activities that correspond with chapter readings to enhance learning and facilitate successful completion of this course.
Instructors may assign workbook activities to be submitted for review/grading.
It is also recommended that students complete corresponding sections in NCLEX-PN Comprehensive Review Text.
LORENZO WALKER INSTITUTE OF TECHNOLOGY
PRACTICAL NURSING PROGRAM
Unit 4: Diabetes Mellitus and Hypoglycemia
OBJECTIVES:
At the completion of this unit, the student will be able to:
1. Describe the role of insulin in the body.
2. Explain the pathophysiology of diabetes mellitus and hypoglycemia.
3. Identify the signs and symptoms of diabetes mellitus and hypoglycemia.
4. Describe diagnostic tests and procedures for diabetes mellitus and hypoglycemia.
5. Identify nursing interventions related to diagnostic tests and procedures for diabetes mellitus and hypoglycemia.
6. Explain the difference between insulin-dependent diabetes mellitus and non-insulin-dependent diabetes mellitus.
7. Describe the treatment of diabetes mellitus including nutritional considerations.
8. Identify commonly used medications and their action in the treatment of diabetes mellitus and hypoglycemia.
9. Differentiate between insulin shock and diabetic ketoacidosis.
10. Describe the complications of diabetes mellitus.
11. Discuss nursing diagnoses, goals and interventions that are related to the care of the patient with diabetes mellitus and hypoglycemia.
STUDENT ACTIVITIES:
Students are expected to complete workbook activities that correspond with chapter readings to enhance learning and facilitate successful completion of this course.
Instructors may assign workbook activities to be submitted for review/grading.
It is also recommended that students complete corresponding sections in NCLEX-PN Comprehensive Review Text.
GI/Endo Scope
Rev. 6/08 JP/FA/MC/ML Section H, Page 7 of 9