RNSG 1443 Complex Concepts of Adult Health

Course Description

This course focuses on the integration of previous knowledge and skills related to common adult health needs into the continued development of the professional nurse as a provider of care, patient safety advocate, member of health care team, and member of the profession in the care of adult patients/families in structured health care settings with complex medical-surgical health care needs associated with body systems. Emphasis is on complex knowledge, judgments, skills, and professional values within a legal/ethical framework.

Prerequisites: RNSG 1341, RNSG 1161, PSYC 2301.

Corequisite: RNSG 1360.

Course Objectives

Upon completion of this course the student should be able to:

Upon completion of the course the student will be able to:

1.  Utilize clinical reasoning and the nursing process guided by evidence based practice as a framework for nursing decisions in meeting the health care needs of adult patients /families with complex health care needs.

2.  Integrate the etiology, pathophysiology, risk factors, signs and symptoms, complications, therapeutic interventions for patients /families with complex health needs.

3.  Interpret the four roles of the professional nurse when providing patient-centered care for adult patients and families with complex health needs.

4.  Develop teaching plans that assist adult patients and their families to meet their needs for health maintenance, promotion, and /or restoration.

5.  Integrate legal principles from governing and accrediting agencies and ethical guidelines when

planning patient- centered nursing care.

6.  Formulate goals and outcomes that promote quality and a risk free, safe environment for all

individuals.

7.  Demonstrate competence and safety in the performance of selected nursing skills.

8.  Analyze the role of a health care advocate when collaborating with members of the interdisciplinary health team determining resources that facilitate continuity of care; health promotion, maintenance, and restoration.

9.  Analyze the principles of therapeutic communication that facilitate interactions with patients and health care members.

10.  Analyze use of technology when communicating and managing information to support decision

making to improve care for individuals and their families.

11.  Analyze the guidelines and responsibilities associated with delegation of nursing care.

12.  Analyze measures that promote the development and practice of professional nursing.

Course Content

Module – Providing Patient Centered Care for the Individual with Fluid and Electrolyte Imbalances

§  Fluid Volume Deficit/Fluid Volume Excess

§  Hypo/Hypercalcemia

§  Hypo/Hyperkalemia

§  Hypo/Hypermagnesemia

§  Hypo/Hypernatremia

§  Hypo/Hyperphosphatemia

Module — Providing Patient Centered Care for the Individual with Acid Base Imbalances

§  Metabolic acidosis/alkalosis

§  Respiratory acidosis/alkalosis

§  ABGs

§  Mixed problems

Module - Providing Patient Centered Care for the Individual with Cancer

1. Epidemiology: prevalence, incidence, survival, and mortality rates

2. “Pathophysiology of cancer”

a.  Defect in cellular proliferation; Defect in cellular differentiation

b.  3 phases of cancer development

c.  Role of the immune system

3.  Classification of cancer

a.  Staging and grading

4.  Role of the nurse in prevention and detection

5.  Treatment and Nursing Care: control, cure, palliative care

a.  Surgery

b.  Radiation therapy

c.  Chemotherapy

d.  Targeted and biologic therapies; Gene therapy

Module - Providing Patient Centered Care for the Individual during the Intraoperative period

1.  OR environment and attire

2.  Functions of surgical team members

3.  Needs of patient in OR

4.  Role of perioperative nurse

5.  Principles of aseptic technique and safety for operating room

6.  Types of anesthesia: local, regional, general

7.  Induction and maintenance of anesthesia

  1. Adjuncts to general anesthesia
  2. Conscious sedation
  3. Post surgical complications

Module - Providing Patient Centered Care for the Individual with a Respiratory Disorder

Head and neck cancer

·  Laryngectomy

·  Radical Neck Surgery

Lung Cancer

Chronic Obstructive Pulmonary Disease

· Chronic Bronchitis

· Emphysema

· Asthma

Module - Providing Patient Centered Care for the Individual with a Neurological Disorder

Chronic Problems:

· Multiple sclerosis

· Parkinson’s disease

· Myasthenia gravis

Peripheral Nerve Problems: (Define only)

· Trigeminal neuralgia

· ALS

· Bell’s palsy

· Cranial never disorders

· Huntington’s Disease

Module Providing Patient Centered Care for the Individual with an Endocrine Disorder

Acute Complications

·  DKA

·  HHS

·  Hypoglycemia

·  Metabolic Syndrome

Chronic Complications

1.  Chronic Complications

a.  Angiopathy

b.  Diabetic retinopathy

c.  Nephropathy

d.  Neuropathy

e.  Complications of foot and lower extremity

f.  Integumentary complications

g.  Infection

Module – Providing Patient Centered Care for the Individual with Male reproductive or Urinary Disorder

Problems with Prostate:

· BPH

· Prostate cancer

· Prostatitis

Other cancers: Testicular Cancer, Bladder, Kidney – urinary diversions

Erectile disjunction

Module – Providing Patient Centered Care for the Individual with a Musculoskeletal Disorder

Soft Tissue Injuries:

· Sprains / Strains

· Carpal Tunnel Syndrome

· Rotator cuff Injury

· Miniscus Injury

Fractures / Hip Fracture

· Cast care; Traction

· Internal / External fixation

· Compartment syndrome

Amputation

Joint Surgical procedures

Module 10 - Incorporating Cultural Sensitivity into the Nursing Care of the Individual

1.  Culture

2.  Cultural competence

3.  Components of cultural assessment

a.  Values

b.  Socioeconomic

c.  Communication

d.  Nutrition

e.  Religion and religious practices

f.  Health beliefs and practices

4.  Cultural diversity in the health care workplace

5.  Cultural factors affecting health and health care

Module – Providing Patient Centered Care for the Individual with a Cardiovascular Disorder

Coronary artery disease

Angina

Myocardial Infarction

Module - Providing Patient Centered Care for the Individual with an Arterial Venous Disorder

Peripheral Artery Disease

· Disease of lower extremities

· Reynaud’s

· Thromnboangiitis obliterans

Venous Disorders

· DVT

· Thrombophlebitis

Module - Providing Patient Centered Care for the Individual with a Hematologic Disorder

Anemia’s

Lymphoma

·  Hodgkin’s /Non-Hodkin’s

Module - Providing Patient Centered Care for the Individual with a Gastrointestinal Disorder

Upper GI

Oral cancer

Esophageal cancer

Lower GI

Inflammatory Bowel Disease

· Crohn’s disease

· Ulcerative colitis

Polyps & Colorectal cancer

Colostomy

Skills Labs

1.  IV fluids, changing bags, piggybacks

2.  Medication administration through central lines and PICC lines

3.  Venipuncture/ IV starts, setting up IV fluids

4.  Central lines: all types, including PICC (excluding CVL dressing changes)

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