National AmericanUniversity Course Syllabus

Quarter: Spring 2014 Course Title: Holistic Nursing Care in Acute Illness I Course ID: NS3360 Credit Hours: 7 Prerequisites: none Faculty: Name: Lori Bal rige! "N! BSN! #SN $%one: &'2(3'6(36&3 )mail: l*al rige+national,e u -..ice Hours: /B0 S ills !ab Faculty: Name: 1essie 0aniels! "N! #A $%one: &'2(3'6(362& )mail: 3 aniels+national,e u -..ice Hours: /B0 Class Time: /%eor4: 5e nes a4: 1000(1200! 1300(1'00, Seminar: /ues a4: 0&00(1100 La*: 6roup A: /ues a4 1200(1600 6roup B: /%urs a4 0&00(1300 Course Descri"tion: /%is course .ocuses on t%e .oun ational concepts! principles an tec%ni7ues o. *eginning an interme iate ps4c%omotor s8ills necessar4 to pro9i e %olistic an culturall4 congruent nursing care .or clients in t%e acute! su*(acute an long(term care setting in or er to promote p%4sical restoration! maintenance or in epen ence, )mp%asis is place on t%e management an a aptation o. clients :it% acute illness or e;acer*ations o. c%ronic illness, Stu ents :ill learn to pro9i e p%4sical nursing care! an to per.orm elegate me ical treatments,

Te#t $oo s:
Boo8 /itle Contemporar4 $s4c%iatric #ental Healt% Nursing >un amentals o. Nursing ( ) ition Aut%or 3r , <neisl = e , /rigo*o.. 2t% e , $otter! $err4! 0ate $u*lis%er 201 $earson 3 201 )lse9ier ISBN &720132''777 1 &7203230&120

/e;t an Clinical Companion $ac8age H)SI Case Stu 4: Complete "N Collection 2012! 2 4ear 9ersion #e ical(Surgical Nursing ( /:o(?olume /e;t an Stu 4 6ui e $ac8age: Assessment an #anagement o. Clinical $ro*lems Nursing 2014 0rug Han *oo8 :it% 5e* /ool8it @ o not purc%ase i. 4ou alrea 4 o:n a prior e itionA Nursing 0iagnosis Han *oo8: An )9i ence( Base 6ui e to $lanning Care $u*lication #anual o. t%e American $s4c%ological Association >un amentals o. Nursing ( Stu 4 6ui e,, ( to Accompan4 $otter 0a9isCs Compre%ensi9e %an oo8 o. La* an 0iagnostic /ests :it% Nursing Implications Clinical Simulations .or Nursing ) ucation: Learner ?olume Calculation o. 0rug 0osages: A :or8 te;t

Stoc8ert = Hall H)SI

3 201 )lse9ier 1

0 &7214''72706 3

Le:is! 0irs on! Heit8emper! &t% e , Buc%er! = Camera

201 )lse9ier 3

&7203232&4'7 7

34t% e ,

Lippincott

201 Lippincott 4

&7214'11263' 2

10t% e ,

Ac8le4

201 #os*4B)lse9ier 4 American 201 $s4c%ological 0 Association 201 )lse9ier 3

&72032302'4& 6 &72143320'61 ' &7203230246& 7 &72020363664 4 &72020362120 0 &720323077'3 2

American 6t% e , $s4c%ological Association -c%s = $otter! 2t% e i $err4! Stoc8ert! Hall

Leeu:n! 201 't% e i $oel%uis( Let%! = >A 0a9is 2 Bla % 12t% e , &t% e i 6asper = 0illion -g en = >lu%art4 201 >A 0a9is 2 201 )lse9ier 1

Te#tboo and Study %aterials &uidelines: $rior to eac% nursing course! it is t%e stu entDs responsi*ilit4 to purc%ase all re7uire te;t*oo8s inclu ing stu 4 gui es! :or8*oo8s! an case stu ies! etc, It is %ig%l4 recommen e t%at stu ents retain all te;t*oo8s an stu 4 materials until completion o. t%e nursing clinical core! as most o. t%e materials are use in multiple 7uarters t%roug%out t%e nursing program,

$age ' o. ((

/%e e ition o. t%e te;t*oo8s an stu 4 materials on eac% co%ortDs te;t*oo8 list :ill *e utiliEe t%roug%out t%e nursing program, "e(entr4 nursing stu ents ma4 *e re7uire to purc%ase current te;t*oo8 e itions consistent :it% t%e re(entr4 co%ort, System Assessment: System )esearc* )equirements: +b,ectives o- t*e Course: Fpon success.ul completion o. t%is course! t%e stu ent :ill *e a*le to: 1, Demonstrate t*eoretical "rinci"les and ability to "er-orm sa-e. e--ective and e--icient "syc*omotor s ills/ <no:le ge an s8ills lea ing to master4 o. t%is competenc4 a, );plain t%e interrelations%ips among t%eor4! practice! an researc%, *, Integrate t%eories an concepts .rom li*eral e ucation into nursing practice, c, 0etermine t%e application o. ps4c%omotor s8ills .or t%e e..icient! sa.e! an compassionate eli9er4 o. client care, , #aintain optimum le9el o. pain relie.! o;4genation! patenc4 o. air:a4! a ministration o. intra9enous t%erap4! an integrit4 o. me ical supplies an e7uipment, e, $romote respirator4! circulator4! car iopulmonar4! gastrointestinal! genitourinar4! integument! an musculos8eletal .unctioning, ., $romote t%e nutrition an .lui *alance! elimination! p%4sical acti9it4! restoration or maintenance o. p%4sical in epen ence! p%4sical com.ort! rest an sleep! an personal %4giene o. t%e client, 2, Acquire no0led1e t*at "romotes t*e sa-e delivery o- "rescribed medications/ <no:le ge an s8ills lea ing to master4 o. t%is competenc4G a, )sta*lis% a .oun ational un erstan ing o. t%e me ication a ministration process, *, I enti.4 sources o. in.ormation necessar4 to a minister prescri*e me ication! inclu ing compati*ilit4 an interactions among prescri*e me ications an complementar4 su*stances, c, 0etermine t%e sa.e range o. t%e osage prescri*e , , Calculate osage necessar4 to a minister prescri*e me ications, e, 0etermine t%e appropriateness o. t%e route .or a ministration o. prescri*e me ication, ., 0emonstrate t%e a*ilit4 to prepare an a minister prescri*e me ication, g, 0etermine t%e e..ecti9eness o. t%e prescri*e me ication, %, 0emonstrate t%e a*ilit4 to .ollo: proce ure .or :or8ing :it% controlle su*stances, 3, 2#"lain t*e "ur"oses. rationales. and indications -or various nursin1 actions/ <no:le ge an s8ills lea ing to master4 o. t%is competenc4G a, Incorporate a mo el o. critical t%in8ing :%en ma8ing clinical 3u gments an ecisions, *, Cite nursing an associate literature t%at supports t%e nursing action, c, 0eli9er compassionate! client(centere ! e9i ence(*ase care t%at respects client an .amil4 pre.erences, , );plore p%enomena in nursing t%at relates to t%e %uman response to illness, 4, Acquire no0led1e -rom t*e be*avioral. biolo1ical and "*ysical sciences necessary to "rovide sim"le to intermediate level nursin1 actions/
$age 3 o. ((

<no:le ge an s8ills lea ing to master4 o. t%is competenc4G a, S4nt%esiEe t%eories an concepts .rom li*eral e ucation to *uil an un erstan ing o. t%e %uman e;perience *, I enti.4 sources o. in.ormation necessar4 to eli9er nursing actions to clients an .amilies :%o are e;periencing illness, c, Incorporate t%eories o. aging :%en pro9i ing care .or gerontologic clients, , );plore t%e $atterns o. <no:ing, ', Document "ertinent. accurate and com"lete client care in-ormation/ <no:le ge an s8ills lea ing to master4 o. t%is competenc4G a, Incorporate a stan ar iEe terminolog4 in a care en9ironment t%at re.lects nursingDs uni7ue contri*ution to patient outcomes, *, );amine in.ormation an electronic me ical recor s4stems use to ocument client in.ormation, c, );plain t%e use o. CIS s4stems to ocument inter9entions relate to ac%ie9ing nurse sensiti9e outcomes, 6, Demonstrate advancin1 no0led1e and s ill in im"lementin1 t*e nursin1 "rocess in client care and critical t*in in1 activities/ <no:le ge an s8ills lea ing to master4 o. t%is competenc44 a, Articulate t%e components o. t%e nursing process: Assessment! iagnosis! outcome i enti.ication! planning! implementation! an e9aluation, *, "elate t%e si; components o. t%e nursing process to t%e nurseDs clinical reasoning, c, 0iscuss t%e signi.icance o. nursing iagnosis .or nursing practice, , 0i..erentiate *et:een a me ical an nursing iagnosis, e, 0iscuss t%e categoriEation o. nursing iagnosis *4 .unctional %ealt% patterns, ., );plore t%e .our t4pes o. iagnostic statements: Actual! ris8! possi*le! an :ellness, g, );plain t%e purposes o. outcome i enti.ication an planning, %, );plore Nursing -utcomes Classi.ications an Nursing Inter9ention Classi.ication, i, );plain t%e purposes o. implementation an e9aluation, 3, );plain acti9ities t%e nurse carries out to e..ecti9el4 use t%e nursing process, 7, 2#"lore t*e stress. an#iety. co"in1 and ada"tation o- t*e client and -amily/ <no:le ge an s8ills lea ing to master4 o. t%is competenc4G a, In9estigate t%e concepts o. stress! an;iet4! coping an a aptation, *, )9aluate person en9ironment .actors t%at contri*ute to t%e e;perience o. stress an an;iet4, c, );amine t%e importance o. cogniti9e appraisal in e;periencing stress, , 0etermine strategies to manage stress an illness, e, 0etermine :%en pro*lem(.ocuse an emotion(.ocuse coping s%oul *e use , ., CategoriEe p%armacological t%erapies use to treat an;iet4 isor ers, g, SummariEe a aptation in terms o. %ealt%! ps4c%ological :ell(*eing! an social .unction Academic Inte1rity Policy: $lease re.er to t%e NAF un ergra uate catalog @%ttp:BB:::,national,e uBprogramsBaca emic( catalogA an t%e S-N stu ent %an *oo8 @%ttp:BB:::,national,e uBsc%ool(nursingBnursing( %an *oo8A, Attendance Policy:

$age 5 o. ((

$lease re.er to t%e NAF un ergra uate catalog @%ttp:BB:::,national,e uBprogramsBaca emic( catalogA an t%e S-N stu ent %an *oo8 @%ttp:BB:::,national,e uBsc%ool(nursingBnursing( %an *oo8A, Teac*in16!earnin1 Strate1ies: In i9i ual an group :or8 Critical t%in8ing e;ercises Au io9isuals 0emonstrationsBla* per.ormance Lecture Case Stu ies Note that effective winter 2013-2014, faculty assess student knowledge through NCLE -style !uestions for a "ini"u" of #0$ of the course grade% Assessment %et*ods: /%eor4 Fnit );ams NCL)H(st4le 7uestions 0osage Calculations S8ills );ams 5rittenBsu*mitte assignments S8ills ?ali ationB La* $er.ormance Simulation Case Stu ies I NCL)H st4le 7uestions Effective s&ring 2014, the '(N will i"&le"ent the following guidelines) -ne or more proctore A/I e;ams :ill *e a ministere at esignate times uring t%e 7uarter, $lease re.er to t%e course calen ar .or etails, Stu ents :%o ac%ie9e t%e *enc%mar8 o. Le9el 2 pro.icienc4 or *etter on t%e .irst attempt o. t%e applica*le e;am :ill recei9e points to:ar t%e course .inal e;amination score! not to e;cee a total score o. 100J, $oint 9alues :ill *e a:ar e *ase on t%e .ollo:ing criteria: Le9el 3 pro.icienc4 I ' points Le9el 2 pro.icienc4 I 3 points Le9el 1 pro.icienc4 or *elo: I 0 points >or courses in :%ic% multiple A/I e;ams are gi9en! point 9alues :ill *e a:ar e .or t%e .irst attempt o. eac% applica*le e;am an applie to t%e course .inal e;am @not to e;cee a total score o. 100JA, $oints :ill not *e a:ar e .or t%e Critical /%in8ing: )ntrance! Critical /%in8ing: );it! or "N Compre%ensi9e $re ictor e;ams, &radin1 Scale: AK &4(100J BK 26(&3J CK 72(2'J 0K 66(77J
$age 7 o. ((

>K 6'J( *elo: 888P!2AS2 N+T2: /%e course letter gra e :ill *e t%e gra e ac%ie9e in t%e t%eor4 component, /%e la*Bseminar component o. t%e course :ill *e passB.ail, T*e t*eory com"onent and laboratory com"onent must eac* be "assed at 9:;/ *ailure to achieve a &assing grade in a theory or clinical course will result in the failure of the associated theory or clinical course% *or nursing courses that contain theory and la+ &ortions, or theory, clinical, and,or &rece&torshi& &ortions) >ailure to ac%ie9e a passing gra e in t%e t%eor4 portion o. t%e course! an a L$M or LSM in t%e associate la*! clinical! an Bor preceptors%ip portions! :ill result in a .ailing gra e o. L>M .or t%e course! in :%ic% case t%e stu ent :ill *e re7uire to repeat t%e entire course, T*eory Content: /%is content outline is a gui e an is su*3ect to c%ange, <ee <ee (

!earnin1 Plans Course Introduction Perio"erative Care

<ee '

U""er and !o0er )es"iratory Problems %usculos eletal Disorders

!earnin1 Activities !e0is C*a"ters: 12: $reoperati9e Care 1& Intraoperati9e Care 20 $ostoperati9e Care ATI Adult %edical=Sur1ical C*a"ters: 107:Anest%esia an #o erate @ConsciousA Se ation 102: $reoperati9e Nursing Care 10&: $ostoperati9e Nursing Care !e0is C*a"ters 26: @re9ie:A "espirator4 S4stem 27: Fpper "espirator4 $ro*lems 22: Lo:er "espirator4 $ro*lems 62: @re9ie:A #usculos8eletal S4stem 63: #usculos8eletal /rauma an -rt%ope ic Surger4 ATI Adult %edical=Sur1ical C*a"ters: 20: Air:a4 #anagement 21: -;4gen /%erap4 an #ec%anical ?entilation 24: $neumonia 2': /u*erculosis 22: $ulmonar4 )m*olism 72: #usculos8eletal 0iagnostic
$age > o. ((

<ee

!earnin1 Plans

<ee 3

Pain %ana1ement Stress and Stress %ana1ement

2#am ?( Introduction to Hematolo1y and !ab Inter"retation $lood Trans-usions Fluid and 2lectrolytes Acid=$ase $alance

<ee 5

<ee 7

2#am ?' Nutritional Problems In-lammation and S in Healin1 Inte1umentary Disorders

<ee >

!earnin1 Activities $roce ures 7&: #usculos8eletal Surgical $roce ures 20: Amputations 21: -steoporosis 22: >ractures !e0is C*a"ters: 10: $ain 2: Stress an Stress #anagement Perry and Potter C*a"ters: 43: $ain #anagement ATI Adult %edical=Sur1ical C*a"ters: 4: $ain #anagement 10': $ain #anagement .or Clients :it% Cancer ATI Fundamentals C*a"ters: 33: Coping ATI Practice Assessment: /argete #e BSurg: "espirator4 !e0is C*a"ters: 30: Hematological S4stem ATI Adult %edical=Sur1ical C*a"ters: 43: Hematologic 0iagnostic $roce ures !e0is C*a"ters: 17: >lui ! )lectrol4te! an Aci (Base Im*alances Perry and Potter C*a"ters: 41: >lui ! )lectrol4te! an Aci (Base Balance ATI Adult %edical=Sur1ical C*a"ters: 42: >lui Im*alance 4&: )lectrol4te Im*alance '0: Aci (Base Im*alance ATI Fundamentals C*a"ters: '6 >lui an )lectrol4te Im*alances ATI Practice Assessment: Fundamentals !e0is C*a"ters: 13: In.lammation an 5oun Healing 23: @re9ie:A Integumentar4 s4stem 24: Integumentar4 $ro*lems 40: Nutritional $ro*lems Perry and Potter C*a"ters:

$age 9 o. ((

<ee

!earnin1 Plans

<ee 9

U""er and !o0er &astrointestinal Problems

2#am ?3 In-ection Control In-ectious Disease

<ee :

<ee A

)enal and Urolo1ical Problems !iver. Pancreas. and

!earnin1 Activities 42: S8in Integrit4 an 5oun Care ATI Adult %edical=Sur1ical C*a"ters: 26: $ressure Flcers! 5oun s! an 5oun #anagement ATI Nutrition -or Nurses C*a"ters: 11: Barriers to A e7uate Nutrition 13: 6astrointestinal 0isor er ATI Fundamentals C*a"ters: 3&: Nutrition an -ral H4 ration '': $ressure Flcers! 5oun s! an 5oun #anagement !e0is C*a"ters: 3&: @re9ie:A 6astrointestinal S4stem 42: Fpper 6astrointestinal $ro*lems 43: Lo:er 6astrointestinal $ro*lems Perry and Potter C*a"ters: 46: Bo:el )limination ATI Adult %edical=Sur1ical C*a"ters: '1: 6astrointestinal 0iagnostic $roce ures '2: 6astrointestinal /%erapeutic $roce ures '3: )sop%ageal 0isor ers '4: $eptic Flcer 0isease '': Acute an C%ronic 6astritis '6: Appen icitis '7: Intestinal -*struction '2: In.lammator4 Bo:el 0isease '&: Colorectal Cancer ATI Practice Assessment: Tar1eted %ed6Sur1:Fluid @ 2lectrolytes !e0is C*a"ters: 1': In.ection an HI? in.ection Perry and Potter C*a"ters: 22: In.ection $re9ention an Control ATI Adult %edical=Sur1ical C*a"ters: 106: Bacterial! ?iral! >ungal! an $arasitic In.ections !e0is C*a"ters: 4': @re9ie:A Frinar4 S4stem 46: "enal an Frologic $ro*lems
$age : o. ((

<ee

!earnin1 Plans $iliary Tract Problems

2#am ?5

+besity Final

<ee (B

!earnin1 Activities 44: Li9er! $ancreas! an Biliar4 /ract $ro*lems ATI Adult %edical=Sur1ical C*a"ters: 60: C%olec4stitis an C%olelit%iasis 61: $ancreatitis an $ancreatic Cancer 62: Hepatitis an Cirr%osis 64: "enal 0iagnostic $roce ures 67: Acute 6lomerulonep%ritis 6&: In.ections o. t%e "enal S4stem 70: "enal Calculi 71: ?oi ing 0isor ers ATI Practice Assessment: Tar1eted %ed6Sur1: &astrointestinal !e0is C*a"ters: 41: -*esit4 ATI Practice Assessment: Tar1eted %ed6Sur1: )enal @ Urinary

<ee ((

Course S"eci-ic &uidelines: <)ITT2N <+)C P+!ICD F+) TH2+)D: See t%e calen ar .or ue ates o. :ritten :or8 5% of total points will be deducted each day) for any late assignments. -ssign"ents are due +y 23./ on the scheduled due date% All assignments are to *e one in A$A .ormat, No %an :ritten :or8 :ill *e accepte ! no e;ceptions, Student )es"onsibilities: Stu ents must a %ere to t%e policies liste in t%e NAF un ergra uate catalog @%ttp:BB:::,national,e uBprogramsBaca emic(catalogA! t%e NAF stu ent %an *oo8 @%ttp:BB:e*apps,national,e uBSmartNCatalogBstu entN%an *oo8BA! an t%e S-N stu ent %an *oo8 @%ttp:BB:::,national,e uBsc%ool(nursingBnursing(%an *oo8A, Stu ent must also remain compliant :it% t%e policies o. t%e nursing program an t%e uni9ersit4,

$age A o. ((

&raded Assi1nments and 2#ams

Assi1nments 40J o. total gra e
Lesson 0lan 1 Class $oints H)SI Case Stu 4 Perio"erative Care Lesson 0lan 2 Class $oints H)SI Case Stu 4 )*eumatoid Art*ritis 0it* Eoint Art*ro"lasty Lesson 0lan 3 Class $oints Lesson 0lan 4 Class points Bloo /rans.usion 5or8s%eet H)SI Case Stu 4 Pain Lesson 0lan . Class $oints >lui = )lectrol4te 5or8s%eet H)SI Case Stu 4 Fluid $alance Lesson 0lan 1 Class $oints Lesson 0lan 2 Class $oints H)SI Case Stu 4 S in Inte1rity Lesson 0lan # Class $oints Lesson 0lan / Class $oints H)SI Case Stu 4 Pe"tic Ulcer Disease Lesson 0lan 10 Class $oints H)SI Case Stu 4 HIF and T$ 'i"ulation $neumonia Hip .racture Assi1nments 2GA%S 60J o. total gra e );am 1 ATI Practice Assessment: )es"iratory );am 2 ATI Practice Assessment: Fundamentals );am 3 ATI Practice Assessment: Fluid @ 2lectrolytes );am 4 ATI Practice Assessment: &astrointestinal Final ATI Practice Assessment: )enal @ Urinary
2#ams 8ATI bonus "oints: Practice tests ta en until (BB; 0ill earn 3 e#tra e#am $age (B o. ((

Points Possible

Due Date

Points 2arned

' points 2' points ' points 2' points

3B12 3B14 3B1& 3B21

' points ' points 30 points 2' points ' points 60 points 2' points ' points ' points 2' points ' points ' points 2' points ' points 2' points

3B26 4B2 4B11 4B4 4B& 4B12 4B11 4B16 4B23 4B2' 4B30 'B7 'B& 'B14 'B16

30 points 3B27! 3B22 30 points 'B1! 'B2 397 "oints 30 points 30 points 30 points 30 points 60 points (:B "oints 3B26 4B& 4B23 'B7 'B21

"oints i- com"leted be-ore e#am. > e#tra "oints -or -inal/

$age (( o. ((