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NATIONAL AMERICAN UNIVERSITY BLOOMINGTON CAMPUS BSN PROGRAM Nursing 3360: Holistic Nursing Care in Acute Illness I Spring 2014 Learning Plan 1 Syllabus Review Periopera ive Care Ob ecti!e o" t#e Course$Co%petenc&: 1' (e%onstrate t#eoretical principles an) abilit& to per"or% sa"e* e""ecti!e an) e""icient ps&c#o%otor s+ills' !"owle#$e a"# s%ills lea#i"$ o &as ery o' (is )o&pe e")y a* E+plai" (e i" errela io"s(ips a&o"$ (eory, pra) i)e, a"# resear)(* b* I" e$ra e (eories a"# )o")ep s 'ro& liberal e#u)a io" i" o "ursi"$ pra) i)e* )* -e er&i"e (e appli)a io" o' psy)(o&o or s%ills 'or (e e''i)ie" , sa'e, a"# )o&passio"a e #elivery o' )lie" )are* e* Pro&o e respira ory, )ir)ula ory, )ar#iopul&o"ary, $as roi" es i"al, $e"i ouri"ary, i" e$u&e" , a"# &us)ulos%ele al 'u") io"i"$* '* Pro&o e (e "u ri io" a"# 'lui# bala")e, eli&i"a io", p(ysi)al a) ivi y, res ora io" or &ai" e"a")e o' p(ysi)al i"#epe"#e")e, p(ysi)al )o&'or , res a"# sleep, a"# perso"al (y$ie"e o' (e )lie" * 2' Ac,uire +no-le)ge t#at pro%otes t#e sa"e )eli!er& o" prescribe) %e)ications' !"owle#$e a"# s%ills lea#i"$ o &as ery o' (is )o&pe e")y a* Es ablis( a 'ou"#a io"al u"#ers a"#i"$ o' (e &e#i)a io" a#&i"is ra io" pro)ess* b* I#e" i'y sour)es o' i"'or&a io" "e)essary o a#&i"is er pres)ribe# &e#i)a io", i")lu#i"$ )o&pa ibili y a"# i" era) io"s a&o"$ pres)ribe# &e#i)a io"s a"# )o&ple&e" ary subs a")es* )* -e er&i"e (e sa'e ra"$e o' (e #osa$e pres)ribe#* #* Cal)ula e #osa$e "e)essary o a#&i"is er pres)ribe# &e#i)a io"s* e* -e er&i"e (e appropria e"ess o' (e rou e 'or a#&i"is ra io" o' pres)ribe# &e#i)a io"* '* -e&o"s ra e (e abili y o prepare a"# a#&i"is er pres)ribe# &e#i)a io"* $* -e er&i"e (e e''e) ive"ess o' (e pres)ribe# &e#i)a io"* (* -e&o"s ra e (e abili y o 'ollow pro)e#ure 'or wor%i"$ wi ( )o" rolle# subs a")es* 3' ./plain t#e purposes* rationales* an) in)ications "or !arious nursing actions' !"owle#$e a"# s%ills lea#i"$ o &as ery o' (is )o&pe e")y a* I")orpora e a &o#el o' )ri i)al (i"%i"$ w(e" &a%i"$ )li"i)al .u#$&e" s a"# #e)isio"s*

Ci e "ursi"$ a"# asso)ia e# li era ure (a suppor s (e "ursi"$ a) io"* -eliver )o&passio"a e, )lie" /)e" ere#, evi#e")e/base# )are (a respe) s )lie" a"# 'a&ily pre'ere")es* #* E+plore p(e"o&e"a i" "ursi"$ (a rela es o (e (u&a" respo"se o ill"ess* 4' Ac,uire +no-le)ge "ro% t#e be#a!ioral* biological an) p#&sical sciences necessar& to pro!i)e si%ple to inter%e)iate le!el nursing actions' !"owle#$e a"# s%ills lea#i"$ o &as ery o' (is )o&pe e")y a* Sy" (esi0e (eories a"# )o")ep s 'ro& liberal e#u)a io" o buil# a" u"#ers a"#i"$ o' (e (u&a" e+perie")e b* I#e" i'y sour)es o' i"'or&a io" "e)essary o #eliver "ursi"$ a) io"s o )lie" s a"# 'a&ilies w(o are e+perie")i"$ ill"ess* )* I")orpora e (eories o' a$i"$ w(e" provi#i"$ )are 'or $ero" olo$i)al )lie" s* #* E+plore (e Pa er"s o' !"owi"$* 0' (ocu%ent pertinent* accurate an) co%plete client care in"or%ation' !"owle#$e a"# s%ills lea#i"$ o &as ery o' (is )o&pe e")y a* I")orpora e a s a"#ar#i0e# er&i"olo$y i" a )are e"viro"&e" (a re'le) s "ursi"$1s u"i2ue )o" ribu io" o pa ie" ou )o&es* b* E+a&i"e i"'or&a io" a"# ele) ro"i) &e#i)al re)or# sys e&s use# o #o)u&e" )lie" i"'or&a io"* )* E+plai" (e use o' CIS sys e&s o #o)u&e" i" erve" io"s rela e# o a)(ievi"$ "urse se"si ive ou )o&es* 6' (e%onstrate a)!ancing +no-le)ge an) s+ill in i%ple%enting t#e nursing process in client care an) critical t#in+ing acti!ities' !"owle#$e a"# s%ills lea#i"$ o &as ery o' (is )o&pe e")y a* Ar i)ula e (e )o&po"e" s o' (e "ursi"$ pro)ess3 Assess&e" , #ia$"osis, ou )o&e i#e" i'i)a io", pla""i"$, i&ple&e" a io", a"# evalua io"* b* Rela e (e si+ )o&po"e" s o' (e "ursi"$ pro)ess o (e "urse1s )li"i)al reaso"i"$* )* -is)uss (e si$"i'i)a")e o' "ursi"$ #ia$"osis 'or "ursi"$ pra) i)e* #* -i''ere" ia e be wee" a &e#i)al a"# "ursi"$ #ia$"osis* e* -is)uss (e )a e$ori0a io" o' "ursi"$ #ia$"osis by 'u") io"al (eal ( pa er"s* '* E+plore (e 'our ypes o' #ia$"os i) s a e&e" s3 A) ual, ris%, possible, a"# well"ess* $* E+plai" (e purposes o' ou )o&e i#e" i'i)a io" a"# pla""i"$* (* E+plore Nursi"$ Ou )o&es Classi'i)a io"s a"# Nursi"$ I" erve" io" Classi'i)a io"* i* E+plai" (e purposes o' i&ple&e" a io" a"# evalua io"* j. E+plai" a) ivi ies (e "urse )arries ou o e''e) ively use (e "ursi"$ pro)ess*. O!er!ie-: To preve" i"'e) io"s i" (e opera i"$ roo&, asep i) e)("i2ue &us be pra) i)es* T(is is i&ple&e" e# (rou$( (e )rea io" a"# &ai" e"a")e o' a s erile 'ile#* T(e basi) pri")iples o' asep i) e)("i2ue &us be pra) i)e# or pa ie" sa'e y be)o&es )o&pro&ise# a"# (e po e" ial 'or pos opera ive i"'e) io" i")reases* Sur$ery )a" be ele) ive or e&er$e" a"# )a" be per'or&e# i" a varie y o' se i"$s* Nursi"$ )are o' (e sur$i)al pa ie" re2uires a" u"#ers a"#i"$ o' sur$ery a"# sur$i)al i" erve" io"s i" or#er 'or (e "urse o &o"i or (e pa ie" 1s respo"se o (e s ressors rela e# o (e sur$i)al e+perie")e* I" (e pos opera ive perio# (e "ursi"$ )are i"volves

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pro e) i"$ (e pa ie" a"# preve" i"$ )o&pli)a io"s w(ile (e bo#y repairs i sel' #uri"$ (e re)overy pro)ess* Learning Acti!ities: Le-is: C(ap er 45 Preopera ive Care C(ap er 46 I" raopera ive Care C(ap er 78 Pos opera ive Care A1I A)ult 2e)ical3Surgical Nursing: C(ap er 489 A"es (esia a"# Mo#era e :Co"s)ious; Se#a io" C(ap er 485 Preopera ive Nursi"$ Care C(ap er 486 Pos opera ive Nursi"$ Care Co%e to class prepare) to )iscuss: Periopera ive Care o Pre/op o I" ra/op o Pos /op 1#eor& Post3Class <ESI )ase s u#y Periopera ive Care Learning Ob ecti!es 4* -es)ribe (e purpose a"# )o&po"e" s o' a preopera ive "ursi"$ assess&e" 7* I" erpre (e si$"i'i)a")e o' #a a rela e# o (e preopera ive pa ie" 1s (eal ( s a us a"# opera ive ris% =* E+plai" (e )o&po"e" s a"# purpose o' i"'or&e# )o"se" 'or sur$ery >* -es)ribe (e "ursi"$ role i" (e p(ysi)al, psy)(olo$i)al, a"# e#u)a io"al prepara io" 'or (e sur$i)al pa ie" ?* I#e" i'y (e purposes a"# ypes o' preopera ive &e#i)a io"s @* -es)ribe (e (ree #i''ere" areas o' (e sur$ery #epar &e" a"# (e proper a ire 'or ea)( area 9* -es)ribe (e 'u") io"s o' (e &e&bers o' (e sur$i)al ea& 5* -is)uss (e role o' (e "urse w(e" &a"a$i"$ (e )are o' (e pa ie" u"#er$oi"$ sur$ery 6* -es)ribe basi) pri")iples o' asep i) e)("i2ue use# i" (e opera i"$ roo& 48* -i''ere" ia e be wee" $e"eral a"# re$io"al or lo)al a"es (esia, i")lu#i"$ a#va" a$es, #isa#va" a$es, a"# ra io"ale 'or )(oi)e o' (e a"es (e i) e)("i2ue 44* -is)uss (e )o&po"e" s o' a" i"i ial pos /a"es (esia assess&e" 47* I#e" i'y (e "ursi"$ respo"sibili ies i" a#&i i"$ pa ie" s o (e pos /a"es (esia )are u"i :PACU;