RNSG 1341 COMMON CONCEPTS OF ADULT HEALTH

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HOUSTON COMMUNITY COLLEGE SYSTEM Associate Degree Nursing Program

RNSG 1341 COMMON CONCEPTS OF ADULT HEALTH

3 Hour Lecture Course

Tuesdays 12pm – 3 pm

5pm - 8pm

CRN 96453

CRN 96452

Instructor: Kathleen Wilson Suite #359 Office #351 Office Hours: Monday 9:30 - 12 noon Tuesday 3:00 - 5:00pm Friday 1:00 - 3:00pm 713. 718. 7481 [email protected]

mailto:[email protected]

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TABLE OF CONTENTS

Page

I. Course Description .3 II. Prerequisites ........................................................................................................... 3 III. Co-Requisites ......................................................................................................... 3 IV. Course Learning Outcomes .................................................................................... 3

Differentiated Essential Competencies (DECS) Secretary’s Commission on Achieving Necessary Skills

V. Methods of Accomplishing Learning Outcomes ..................................................... 3 VI. SCANS – Areas of Competency ............................................................................. 4 VII. Evaluation and Clinical Math Test Taking Policy and Procedure........................... 5 VIII. Attendance and Tardiness ........................................................................................ 6 IX. Exam Procedures ..................................................................................................... 6 X. Grade Sheet.............................................................................................................. 6 XI. Testing Protocol ....................................................................................................... 6 XII. Remediation ............................................................................................................. 6 XIII. Policies .................................................................................................................... 7 XIV. Special Needs .......................................................................................................... 8 XV. Academic Information ............................................................................................. 7 XVI. ADN Handbook .................................................................................................... ..7 XVII. Course Expectations Contractual Agreement ......................................................... 9 XVIII. Required Textbooks ............................................................................................... 10 XIX. Employment of ADN Students ............................................................................. 11 XX. Professional Behavior ........................................................................................... 11 XXI. Course Outline ....................................................................................................... 12 XXII. Course Content (Units 1-11)............................................................................. 13-30 XXIII. Learning activities ................................................................................................. 31 XXIV. Web CT Moodle RNSG1341 Evaluation Form .................................................... 31 XXV Early Alert Syllabus Statement.............................................................................. 32

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I. COURSE DESCRIPTION - RNSG 1341

Study of the general principles of caring for selected adult clients and families and families in structured settings with common medical-surgical health care needs related to each body system. Emphasis on knowledge, judgment, skills, and professional values within a legal/ethical framework. (3 credits - 3 lecture hours)

II. PRE-REQUISITES RNSG 1413 Foundation for Nursing Practice RNSG 1360 Clinical Nursing Foundations RNSG 1115 Health Assessment

III. CO-REQUISITES RNSG 2360 Clinical Nursing-Adult 1 RNSG 1105 Nursing Skills I

IV. COURSE LEARNING OUTCOMES

Utilize critical thinking skills and a systematic problem-solving process as a framework for providing care for adults and families with common health care needs related to each body system in health and illness; and explain the roles of the professional nurse in caring for adult clients (DECs: I. A, B, C; II. A, C, D, E, F, G; III. A, B, C, D; IV. B, C, D, E).

DECs Four Roles (See the BON website www.bne.state.tx.us for a list of the DECs)

DIFFERENTIATED ESSENTIAL COMPETENCIES (DECs)

The competencies ae written to guide nursing programs to meet the approval criteria established by the Texas Board of Nursing (BON) and to ensure that programs prepare graduates to provide safe, competent care to the people of Texas. A competency is described as “An expected level of performance that integrates knowledge, skills, abilities, and judgment” (American Nurses Association, 2008, p.3).

1. Member of the Profession: listed as primary role to focus on the profession 2. Provider of Patient-Centered Care: Emphasizing patient-centered care 3. Patient Safety Advocate: New concerns about patient safety 4. Member of the Health Care Team: Relates to the nurse’ participation in the

health care team

V. METHODS OF ACCOMPLISHING LEARNING OUTCOMES 1. Classroom lecture/discussion 2. Multimedia - Computer Aided Instruction and Video use 3. Case studies, quizzes, in class simulated activities

http://www.bne.state.tx.us/

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VI. SCANS – AREAS OF COMPETENCY

The U.S. Department of Labor Secretary’s Commission on Achieving Necessary Skills (SCANS) to enter the workplace has determined that a total of 43 competencies must be Addressed and method(s) of determining competency listed: Three competencies are assigned to RNSG 1341:

Basic Skills:

Reads, writes, performs arithmetic and mathematical operations, listens and speaks

• A. Reading--locates, understands, and interprets written information in prose and in documents such as manuals, graphs, and schedules

• B. Writing--communicates thoughts, ideas, information, and messages in writing; and creates documents such as letters, directions, manuals, reports, graphs, and flow charts

• C. Arithmetic/Mathematics--performs basic computations and approaches practical problems by choosing appropriately from a variety of mathematical techniques

• D. Listening--receives, attends to, interprets, and responds to verbal messages and other cues • E. Speaking--organizes ideas and communicates orally

Thinking Skills:

Thinks creatively, makes decisions, solves problems, visualizes, knows how to learn, and reasons

• A. Creative Thinking--generates new ideas • B. Decision Making--specifies goals and constraints, generates alternatives, considers

risks, and evaluates and chooses best alternative • C. Problem Solving--recognizes problems and devises and implements plan of action • D. Seeing Things in the Mind's Eye--organizes, and processes symbols, pictures, graphs,

objects, and other information • E. Knowing How to Learn--uses efficient learning techniques to acquire and apply new

knowledge and skills • F. Reasoning--discovers a rule or principle underlying the relationship between two or objects

and applies it when solving a problem

Personal Qualities:

Displays responsibility, self-esteem, sociability, self-management, and integrity and honesty

• A. Responsibility--exerts a high level of effort and perseveres towards goal attainment • B. Self-Esteem--believes in own self-worth and maintains a positive view of self • C. Sociability-demonstrates understanding, friendliness, adaptability, empathy, and • D. Self-Management--assesses self accurately, sets personal goals, monitors progress, and

exhibits self-control

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VII. EVALUATION

1. Four (4) unit examinations consisting of a maximum of seventy five (75) items per exam will be administered during specified, scheduled dates. One hundred and five (105) minutes will be provided for each 75 item exam. Student will have twenty five minutes to review exam on computer. Review will consist of review answers, rationale and page numbers for each question on the exam.

2. There will be one comprehensive examination given at the end of the course consisting of 50 to a maximum of one-hundred (100) items. Two hours will be provided for this exam. There is no review on final examinations.

3. Alternate assignment(s) may be administered at specified, scheduled dates Clinical Math Testing : Policy and Procedure

Policy: Safe administration of medications is a cornerstone of safe patient care. In an effort to assure students are prepared to calculate medication dosages, there will be a math test prior to each clinical rotation Procedure: Each student will be given a math packet to review prior to the new semester Foundation students will be given the packet during orientation. On the first day of theory for the designated term (Foundations, Transition, Medical/Surgical Nursing, Pediatrics, and Obstetrics), the instructor for the theory class will present an overview of the math for the upcoming clinical. With the exception of the foundation course, the math test will be given the second week of classes by the theory instructor. Students will be required to pass the exam with 90% or better. The student who is not able to successfully pass the math test with 90% or better on the first will have the weekly formative grade reduced by 30 points. Students who do not pass the exam will be given a second test the following week after remediation with a peer tutor or faculty tutor. A third and final test will be given the following week. All students will take the initial math exam the 2nd week of the semester. Any student unable to pass the exam by the third attempt will not be allowed to continue in the clinical rotation and therefore will be counted as failing the clinical course.

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5. Theory Grading: a) Unit Exam 1 = 20% b) Unit Exam 2 = 20% c) Unit Exam 3 = 20% d) Unit Exam 4 = 20% e) Assignment = 5% f) Comprehensive Final Exam = 15%

Grading Scale: A = 90 - 100 B = 80 - 89 C = 75 - 79 D = 60 - 74 F = below 60

*In order to pass the theory component of a course with a RNSG prefix, a minimum grade of “C” must be achieved.

VIII. ATTENDANCE/TARDINESS

Students are expected to attend all scheduled classes. Absences exceeding 1 day may result in the administrative withdrawal of the student from the course. Daily classroom attendance records will be maintained. It is the responsibility of the student to sign the attendance record on a daily basis. Students will not sign for other students. Failure to sign the roster will constitute an absence for that day. Use black or blue ink only.

IX. EXAM PROCEDURES

1. A period of 105 minutes will be given for each unit exam.

2. Tentative grade is available upon completion of each exam. If adjustments are required after item analysis review, the final grade will be available prior to the next test.

3. Students may review the exam by appointment with the instructor. Exams will be available for review until the next exam.

4. Students who make less than 75 on an exam must make an appointment to review the exam with the faculty within one week of taking the exam, and must make an appointment with the Student Center advisor.

5. All Houston Community College System ADN program exams will be computer based to prepare the student for and meet the NCLEX testing requirements. Paper-pencil versions of exams would constitute a security risk and is not available for standardized exams. This is an intentional design of the exams so that our computerized exams more closely emulate the NCLEX exams. Keep in mind that the NCLEX is a CAT (Computer Adaptive Test) and is not delivered in paper form.

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X. GRADING SHEET

RNSG 1341 – Common Concepts of Adult Health

Student Name: Print Last Name

Print First Name

Student Signature: ________________________________________

Grading Scale: A = 90 - 100 B = 80 - 89 C = 75 – 79 D = 60 – 74 F = below 60

Exam 1 X .20

Exam 2 X .20 ________

Exam 3 x .20 ________

Exam 4 x .20 ________

Assignment x .05 ________

Comprehensive Exam x .15 ________

Total: ________

COURSE FINAL GRADE: _______

Faculty Signature: _______________________

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XI. TESTING PROTOCOL

To insure quality education and equality to all students in the Associate Degree Nursing Program, the following special conditions will apply during testing situations.

1. The instructor controls the options of seating arrangement, movement, leaving the room, and stopping an exam for violation of scholastic honesty.

2. All books, papers, notebooks, and personal belongings will be placed against the wall before testing begins. No palm pilots or cell phones allowed in testing area. Student cellular device making noises, e.g. ringing, vibrating during test, will not allow the sutdent to continue testing and will not have a make up opportunity.

3. Any verbal or nonverbal communication between students during a testing situation will be grounds for the termination of the testing. A grade of zero will be recorded and averaged into the final grade.

4. Should a student need to communicate with the instructor, remain seated and raise hand.

5. Any infractions of scholastic honesty will be grounds for dismissal from the program.

6. Students must notify the instructor of not being able to take an exam due to extenuating circumstances prior to the examination. Any illness preventing taking the test on the scheduled day/time will require a physician visit slip.

SCHOLASTIC DISHONESTY POLICY - SEE HCCS STUDENT HANDBOOK CURRENT EDITION.

Honesty in the Classroom: See Associate Degree Nursing Program Student Handbook, Current Edition.

XII. REMEDIATION: Policy and Procedure Policy: All students who fail an exam with less than 75% shall be required to remediate before taking another exam. Procedure: To remediate is to remedy the deficiencies. Remediation procedure is as follows

1. Upon the initial failure the instructor shall submit an early alert notification 2. Student will meet with the instructor to review the test (or this can be done by the retention

specialist if desired by the instructor 3. The student will schedule and attend a meeting with the advisor if recommended by the instructor 4. The student will meet with the retention remediation coach to review the test 5. Student will attend a remediation session for study skills, time management, and test taking skills

for nursing students 6. No student shall be allowed to sit for a subsequent exam until remediation has been completed. 7. Student shall be required to repeat the above steps for each exam failure 8. Faculty/peer tutoring will be provided if requested by the student or if deemed necessary by the

retention remediation coach.

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XIII. POLICIES

All students will adhere to HCCS policies as delineated in the current HCCS catalog and ADN Handbook.

“Notice: Students who repeat a course three or more times may soon face significant tuition/fee increases at HCC and other Texas public colleges and universities. Please ask your instructor/counselor about opportunities for tutoring/other assistance prior to considering course withdrawal, or if you are not receiving passing grades.

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XIV. SPECIAL NEEDS – COMPLIANCE WITH AMERICAN WITH DISABILITIES ACT (ADA)

Any student with a documented disability (e.g. physical, learning, psychiatric, visual, hearing, etc.) who needs to arrange reasonable accommodations must contact the Disability Services Office at their respective college at the beginning of each semester. Faculty are authorized to provide only the accommodations requested by the Disability Support Services Office.

If a student has a disability or needs instructional accommodation due to a disability, please meet with the instructor at the beginning of the course. Documentation must be provided at this time with an official letter of accommodation. The information in this publication will be made available in large print, taped or computer –based format upon request.

Students with special needs should refer to the procedure identified in the HCCS Student Handbook. The procedure may be started with a phone call to the J.B. Coleman College of Health Sciences Disabilities counselor.

XV. ACADEMIC INFORMATION

Students are responsible for reading the Houston Community College System Student Handbook to be certain that they understand HCCS policies/procedures which also includes Refunds and withdrawals from a course.

XVI. ADN HANDBOOK

All students are responsible for reading the Associate Degree Nursing Program Student Handbook located on the website. The students will then fill out the acknowledgment form and give to the lead instructor within 7 Days.

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XVII. COURSE EXPECTATIONS CONTRACTUAL AGREEMENT

RNSG 1341 – Common Concepts of Adult Health

Student Name: Print Last Name: ________________________________________

Print First Name: ______________________________________

I have read the syllabus and fully understand the expectations of me as a student in this course.

My signature below signifies my willingness to comply with the course requirements.

In addition to the course expectations, I agree to neither give nor receive any information about

test content in this course.

(Syllabus subject to change as needed)

Student Signature: _______________________________________________

Date:

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XVIII. R E Q U I R E D TEXTBOOKS

A. Required: Be sure you purchase the latest edition.

AUTHOR TEXTBOOK PUBLISHER

1. Hinkle, Janice L. Cheever, Kerry H.

2. Lynn, Pamela

Brunner and Suddarth’s Medical Surgical Nursing 13th edition, 2014

Taylor’s Clinical Nursing

Lippincott Williams & Wilkins

Lippincott

3.

4.

5. Doenges, M. & Moorhouse, M.

Stedman‟s Medical Dictionary

Nursing Practice Act (Current via web page)

Application of Nursing Process and Nursing Diagnosis: An Interactive Text for Diagnostic Reasoning, 6th Ed.

F.A. Davis Company

6. Laboratory Book Laboratory Tests and Diagnostic Procedures

7. Math Book Calculate with Confidence 6th Edition

Recommended Reading: As Above

Any supplemental reading materials or learning tools that are listed in each syllabus or will be announced by the instructor of the course.

a. A drug calculations book. b. A Med deck or nursing medication handbook. c. A manual of diagnostic tests.

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XIX. EMPLOYMENT OF ASSOCIATE DEGREE NURSING STUDENTS IN HOSPITALS OR AGENCIES

The Houston Community College Associate Degree Nursing Program supports the Nursing Practice Act of the State of Texas and is committed to excellence in nursing by nurses appropriately prepared for the service they are rendering. Therefore, the position of the Associate Degree Nursing Program regarding nursing students accepting employment in hospitals or health agencies is as follows:

1. Houston Community College nursing students who accept positions for which they receive compensation for client care do so as unlicensed individuals and will not wear the school uniform, laboratory coat with insignia or other indications of their student status, inasmuch as they are not functioning as nursing students but as paid employees.

2. Students are advised to familiarize themselves with the State of Texas Nursing Practice Act so they will recognize the full scope and responsibility of nursing as being more than just a collection of skills. Nursing students who accept positions for pay as Nurses‟ Aides or Professional Student Nurses must recognize that they may be held legally liable for their actions; they should not accept responsibilities nor perform nursing actions beyond their knowledge and skills, or those within the responsibilities of the professional nurse as defined in the Nursing Practice Act.

3. The student is responsible for maintaining the required grade point average and should consider the demands of employment upon the student's time and energy.

XX. PROFESSIONAL BEHAVIOR

1. Students are to remain quiet during class time. Should a student need to ask a question or communicate with the instructor, the student is to raise their hand.

2. Students should refrain from interrupting when someone is speaking.

3. Any student disrupting the class may be asked to leave the classroom at the discretion of the instructor.

4. In consideration of others and of safety, no children are to be brought to the lab skills area or to the classroom. Frequently, the content presented in the classroom is inappropriate for children. Please be aware that children are distracting to other students trying to take notes or exams.

5. Students must abide by the appropriate standards of conduct identified in the student handbook including language and professional behavior.

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RNSG 1341 Common Concepts of Adult Health

XXI. COURSE OUTLINE

Unit:

1. Nursing role in management of patients with selected alterations of Endocrine function; specifically Diabetes Mellitus.

2. Nursing role in management of patients with selected alterations of Gastrointestinal function; specifically, Upper and Lower.

3. Nursing role in management of patients with selected alterations of Immune/Infection function.

4. Nursing role in management of patients with selected alterations of Oxygenation function, specifically, Upper and Lower Respiratory.

5. Nursing role in management of patients with selected alterations of Reproductive (Female/Male) function.

6. Nursing role in management of patients with selected alterations of Integumentary function.

7. Nursing role in management of patients with selected alterations of Cardiovascular function.

8. Nursing role in management of patients with selected alterations of Sensorineural function.

9. Nursing role in management of patients with selected alterations of Renal and Urological function.

10. Nursing role in management of patients with selected alterations of Musculoskeletal function.

11. Nursing role in management of patients with selected alterations of Neurological function.

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XXII. UNIT LEARNING OUTCOMES AND RELATED CONTENT

Unit 1-A: Nursing role in management of clients with selected Alterations in Endocrine Function – Diabetes Mellitus

Learning Outcomes

At the completion of the unit the student will have been provided with the learning activities to

1.1 Incorporate knowledge of anatomy and physiology as it relates to clients with diabetes mellitus.

1.2 Describe the pathophysiology and clinical manifestations of diabetes mellitus. 1.3 Discuss the various areas of assessment used in clients with diabetes mellitus. 1.4 Identify therapeutic interventions used regarding health promotion, maintenance, and

restoration/ rehabilitation related to diabetes mellitus. 1.5 Develop a plan of care using critical thinking for clients and families with diabetes mellitus

in collaboration with other health care professionals. 1.6 Apply principles of teaching/learning to clients and families with diabetes mellitus. 1.7 Describe safe nursing practice within legal/ethical parameters when caring for clients with

diabetes mellitus. 1.8 Apply age-related concepts in the management of clients with diabetes mellitus. 1.9 Discuss components of effective community based nursing care of clients with diabetes

mellitus. 1.10 Evaluate the clients' and their families‟ responses and outcomes to therapeutic interventions.

Content

Classifications of Diabetes Mellitus Assessment and Diagnostic Findings Nursing role in the Management of Clients with Diabetes Acute and Chronic Complications Cultural practices and strategies for health promotion/maintenance

Reading Assignments: Brunner & Suddarth’s Textbook of Medical – Surgical Nursing,

Chapter 51 Diabetes Mellitus

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Unit 2-A: Nursing role in management of clients with selected Alterations in Gastrointestinal Function

Learning Outcomes

At the completion of the unit the student will have been provided with the learning activities to:

2.1 Incorporate knowledge of anatomy and physiology as it relates to clients with selected upper and lower gastrointestinal problems.

2.2 Describe the pathophysiology and clinical manifestations of selected upper and lower gastrointestinal problems.

2.3 Discuss the various areas of assessment used in clients with selected upper and lower gastrointestinal problems.

2.4 Identify therapeutic interventions used regarding health promotion, maintenance, and restoration/ rehabilitation related to selected upper and lower gastrointestinal problems.

2.5 Develop a plan of care using critical thinking for clients and families with selected upper and lower gastrointestinal problems in collaboration with other health care professionals.

2.6 Apply principles of teaching/learning to clients and families with selected upper and lower gastrointestinal problems.

2.7 Describe safe nursing practice within legal/ethical parameters when caring for clients with selected upper and lower gastrointestinal problems.

2.8 Apply age-related concepts in the management of clients with selected upper and lower gastrointestinal problems.

2.9 Discuss components of effective community based nursing care of clients with selected upper and lower gastrointestinal problems.

2.10 Evaluate the clients' and their families‟ responses and outcomes to therapeutic interventions.

Content

Nursing role in management of selected gastrointestinal problems Esophageal diverticula Gastroesophageal reflux disease (GERD) Hiatal Hernia Esophageal diverticula Gastritis Peptic Ulcer Disease Intestinal disorders/ obstruction Appendicitis Diverticulosis & Diverticulitis

Reading Assignment: Brunner & Suddarth’s Textbook of Medical – Surgical Nursing

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Unit 2-A: Nursing role in management of clients with selected Alterations in Gastrointestinal Function – Upper and Lower

Chapter Content

44 Anatomy and Physiology; Assessment Diagnostic Evaluation

46 Disorders of the Esophagus 47 Gastric and Duodenal Disorders Morbid Obesity Gastric Surgery 48 Intestinal and Rectal Disorders Appendicitis Peritonitis Inflammatory Bowel Disease Diverticulosis and Diverticulitis

*Note: Liver, Biliary Tract, and Pancreas Information will be covered in Medical-Surgical II.

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Unit 3-A: Nursing role in management of clients with common problems/alterations in Immunologic/Infection Function

Learning Outcomes


3.1 Incorporate knowledge of anatomy and physiology as it relates to clients with immunologic/Infection problems.

3.2 Describe the pathophysiology and clinical manifestations of immunologic/infection problems. 3.3 Discuss the various areas of assessment used in clients with immunologic/Infection problems. 3.4 Describe therapeutic interventions used regarding health promotion, maintenance, and

restoration/ rehabilitation related to immunologic/Infection problems. 3.5 Formulate a plan of care using critical thinking for clients and families with

immunologic/Infection problems in collaboration with other health care professionals. 3.6 Apply principles of teaching/learning to clients and families with immunologic/Infection

problems. 3.7 Describe safe nursing practice within legal/ethical parameters when caring for clients with

Immunologic/infection problems. 3.8 Apply age-related concepts in the management of clients with immunologic/infection

Problems. 3.9 Discuss components of effective community based nursing care of clients with

immunologic/infection problems. 3.10 Evaluate the clients' and their families’ responses and outcomes to

therapeutic interventions.

Content

Normal and Abnormal Immune Responses Nursing role in management of clients with altered immune function

Normal Immune Response Abnormal Immune Response Allergic Disorders Autoimmune Phenomena:

Chronic Fatigue Syndrome Rheumatoid Arthritis Systemic Lupus Erythematous

Nursing role in management of clients with Human Immunodeficiency Virus Infection

Reading Assignments: Brunner & Suddarth’s Textbook of Medical-Surgical Nursing 13 ed..

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Chapters Content

35 Normal and Altered Immune Response Types of Immunity

Diagnostic Evaluation 38 Allergic Rhinitis Allergic contact Dermatitis 39 Rheumatoid Arthritis Systemic Lupus Erythematosus

Chronic Fatigue Syndrome 37 Human Immunodeficiency Virus Infection

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*Unit 4-A: Nursing role in Management of clients with selected Alterations in Oxygenation Function

Learning Outcomes


4.1 Incorporate knowledge of anatomy and physiology as it relates to clients with selected oxygenation problems.

4.2 Describe the pathophysiology and clinical manifestations of selected oxygenation problems. 4.3 Discuss the various areas of assessment used in clients with selected oxygenation problems. 4.4 Identify therapeutic interventions used regarding health promotion, maintenance, and

restoration/ rehabilitation related to selected oxygenation problems. 4.5 Develop a plan of care using critical thinking for clients and families with selected

oxygenation problems in collaboration with other health care professionals. 4.6 Apply principles of teaching/learning to clients and families with selected oxygenation


selected oxygenation problems. 4.8 Apply age-related concepts in the management of clients with selected oxygenation

problems. 4.9 Discuss components of effective community based nursing care of clients with selected

oxygenation problems. 4.10 Evaluate the clients' and their families’ responses and outcomes to therapeutic interventions.

Content Respiratory Care Modalities Nursing role in management of selected upper respiratory tract problems

Epistaxis Allergic Rhinitis Viral Bacterial Obstructive and minor trauma

Nursing role in management of lower respiratory tract problems Atelectasis Tracheobronchitis Pneumonia Pulmonary Tuberculosis

Restrictive respiratory disorders Pleural Effusion Pleurisy Atelectasis

Reading Assignment: Brunner & Suddarth’s Textbook of Medical-Surgical Nursing 13 ed..

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Unit 4-A: Nursing role in Management of clients with selected Alterations in Oxygenation Function

Chapter Content

20 Anatomic and Physiologic Overview Assessments Diagnostic evaluation

22 Upper Respiratory Problems Deviated Septum Rhinoplasty Epistaxis

Allergic Rhinitis Acute Viral Rhinitis Sinusitis Influenza Airway Obstruction/Tracheostomy

*Note: Head and Neck Cancer will be covered in Medical-Surgical II.

23 Acute Bronchitis Pneumonia /Aspiration Pneumonia

Tuberculosis Lung Absess Pleural Effusion Pleurisy Atelectasis

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Unit 5-A Nursing role in management of clients with common problems/alterations in Reproductive Function

Learning Outcomes


5.1 Integrate knowledge of the anatomy and physiology as it relates to clients with common reproductive problems.

5.2 Describe the pathophysiology and clinical manifestations of common reproductive problems.

5.3 Discuss the various areas of assessment used in clients with common reproductive problems.

5.4 Describe therapeutic interventions used regarding health promotion, maintenance, and restoration/ rehabilitation related to common reproductive problems.

5.5 Formulate a plan of care using critical thinking for clients and families with common reproductive problems in collaboration with other health care professionals.

5.6 Apply principles of teaching/learning to clients and families with common reproductive problems.

5.7 Describe safe nursing practice within legal/ethical parameters when caring for clients with common reproductive problems.

5.8 Apply age-related concepts in the management of clients with common reproductive problems.

5.9 Discuss components of effective community based nursing care of clients with common problems.

5.10 Evaluate clients' and their families' responses and outcomes to therapeutic interventions

Content Anatomy and physiology of reproductive function History and physical assessment of reproductive function Diagnostic studies Nursing role in management of selected reproductive problems Breast disorders Sexually transmitted diseases

Female reproductive problems Male reproductive problems

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Unit 5-A Nursing role in management of clients with common problems/alterations in Reproductive Function

Reading Assignment: Brunner & Suddarth’s Textbook of Medical-Surgical Nursing 13 ed.

Chapter Content

56 Assessment of Male and Female Reproductive Systems Assessment Abnormalities

58 Benign Breast Disorders: Mastalgia, Breast Infections, Fibrocystic Changes, Gynecomastia in Men

71 Sexually Transmitted Infections

Gonorrhea Syphilis Chlamydial HPV Vaccines Genital Herpes Genital Warts

57 Female Reproductive Problems

Dysmenorrhea Abnormal Vaginal Bleeding Perimenopausal and Postmenopausal Pelvic Inflammatory Disease (PID) Endomentriosis Leiomyomas (Fibroids) Fistala

59 Male Reproductive Problems

Benign Prostatic Hyperplasia (BPH) Prostate Surgery Prostatitis Epididymitis Hydrocele Orchitis Vasectomy Erectile Dysfunction (ED)

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Unit 6-A Nursing role in management of clients with common problems/alterations in Integumentary/Inflammation/Wound Function

Learning Outcomes


6.1 Integrate knowledge of the anatomy and physiology as it relates to clients with common skin problems.

6.2 Describe the pathophysiology and clinical manifestations of common skin problems.

6.3 Discuss the various areas of assessment used in clients with skin problems. 6.4 Describe therapeutic interventions used regarding health promotion, maintenance, and

restoration/ rehabilitation related to common skin problems. 6.5 Formulate a plan of care using critical thinking for clients and families with common

skin problems in collaboration with other health care professionals. 6.6 Apply principles of teaching/learning to clients and families with common reproductive


common skin problems. 6.8 Apply age-related concepts in the management of clients with common skin

problems. 6.9 Discuss components of effective community based nursing care of clients with common

skin problems. 6.10 Evaluate clients' and their families' responses and outcomes to therapeutic interventions

Content

Anatomy and physiology of integumentary system History and physical assessment of integumentary function Nursing role in management of clients with common skin problems


Chapter Content

10 Skin Inflammation and Wound Healing

Types of Inflammation Healing Process Complications of Healing Pressure Ulcers Gerontologic Considerations

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60 Assessment of Integumentary System

61 Integumentary Problems Common Bacterial Infections of the Skin Impetigo Folliculitis Furuncle Common Viral Infections of the Skin Herpes Simplex Virus 1 and 2 Herpes Zoster (Shingles) Plantar Warts Common Fungal Infections of the Skin Candidiasis Tinea Corporis Tinea Cruris Tinea Pedis Tinea Unguium (Onychomycosis) Common Infestations and Insect Bites Bees and Wasps Bedbugs Pediculosis (Head, Body, Pubic Lice) Scabies Ticks Common Allergic Condition of the Skin Allergic Contact Dermatitis Urticaria Drug Reaction Common Benign Conditions of the Skin Acne Vulgaris Nevi (Moles) Psoriasis Seborrheic Keratoses Acrochordons (Skin Tags) Lipoma Lentigo Collaborative Care of Dermatologic Problems Nursing Management of Dermatologic Problems

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Unit 7-A: Nursing role in management of clients with selected Alterations of Cardiovascular Function

Learning Outcomes


7.1 Incorporate knowledge of anatomy and physiology as it relates to clients with selected cardiovascular problems.

7.2 Describe the pathophysiology and clinical manifestations of selected cardiovascular problems.

7.3 Discuss the various areas of assessment used in clients with selected cardiovascular problems.

7.4 Identify therapeutic interventions used regarding health promotion, maintenance, and restoration/ rehabilitation related to selected cardiovascular problems.

7.5 Develop a plan of care using critical thinking for clients and families with selected cardiovascular problems in collaboration with other health care professionals.

7.6 Apply principles of teaching/ learning to clients and families with selected cardiovascular problems.

7.7 Describe safe nursing practice within legal/ethical parameters when caring for clients with selected cardiovascular problems.

7.8 Apply age-related concepts in the management of clients with selected cardiovascular problems.

7.9 Discuss components of effective community based nursing care of clients with selected cardiovascular problems.

7.10 Evaluate the clients' and their families’ responses and outcomes to therapeutic interventions.

Content

Anatomy and Physiology of the Cardiovascular System

History and Physical Assessment of the Cardiovascular Function

Diagnostic Studies

Nursing role in management of selected cardiovascular problems Hypertension

Coronary Artery Disease Congestive Heart Failure

Inflammatory Cardiac disorders Valvular Heart Disease - medical aspects Vascular disorders: arterial and venous

Reading Assignments: Brunner & Suddarth’s Textbook of Medical-Surgical Nursing

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Chapter Content

25 Cardiovascular System Anatomy and Physiology of the Cardiac System Assessment of the Cardiovascular System Diagnostic Studies

31 Hypertension and Gerontologic Considerations

27 Coronary Artery Disease Chronic Stable and Unstable Angina

Gerontologic Considerations Nursing Management of Angina

28 Heart Failure 28 Inflammatory Disorders of the Heart

Infective Endocarditis Pericarditis Rheumatic Fever and Rheumatic Heart Disease

Valvular Heart Disease Mitral Valve Prolapse Mitral Stenosis Mitral Insufficiency Aortic Stenosis Aortic Insufficiency

Cardiomyopathy Dilated Cardiomyopathy Hypertropic Cardiomyopathy Restrictive Cardiomyopathy

30 Vascular Disorders Peripheral Artery Disease Thromboangiitis Obliterans Raymaud’s Phenomenon Phebitis Superficial Venous Thrombosis Deep Vein thrombosis

*

Spring 2016

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Unit 8-A Nursing role in management of clients with selected Alterations of Sensorineural Function

Learning Outcomes

At the completion of the unit the student will have been provided wit h the learning activit ies to:

8.1 Incorporate knowledge o f anatomy and physiology as it relates to clients with selected Sensioneural problems.

8.2 Describe the pathophysiology and clinical manifestations of selected Sensorineural problems.

8.3 Discuss the various areas of assessment used in clients with selected sensioneural problems. 8.4 Identify therapeutic interventions used regarding health promotion, maintenance, and restoration/ rehabilitation related to selected Sensorineural problems.

8.5 Develop a plan of care using critical thinking for clients and families with selected Sensorineural problems in collaboration with other health care professionals.

8.6 Apply principles of teaching/ learning to clients and families with selected Sensorineural problems.

8.7 Describe safe nursing practice within legal/ethical parameters when caring for clients with selected Sensorineural problems.

8.8 Apply age-related concepts in the management of clients with selected Sensorineural problems.

8.9 Discuss components of effect ive community based nursing care of clients with selected Sensorineural problems.

8.10 Evaluate the clients' and their families’ responses and outcomes to therapeutic interventions.

Content

Nursing role in the management of the selected eye problems Errors of refraction Cataracts Glaucoma Retinal detachment Ocular trauma Low vision/blindness Conditions of the cornea, conjunctiva and surrounding structures

Nursing role in the management of selected ear problems Conditions of the external ear Conditions of the middle ear Conditions of the inner ear Clients undergoing mastoid surgery Hearing loss/deafness Aural rehabilitation

Spring 2016

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Unit 8-A Nursing role in management of clients with selected Alterations of Sensorineural Function

Reading Assignments: Brunner & Suddarth’s Textbook of Medical - Surgical Nursing 13 ed.

Chapter Content

63 Anatomy and Physiology of the Eye Gerontological Considerations

Assessment of Visual System Diagnostic Studies

Inflammation and Infection Hordeolum

Conjunctivitis Keratitis

Dry Eye Disorders Strabismus Corneal Disorders Intraocular Disorders

Cataracts Retinal Detachment

Age-Related Macular Degeneration Glaucoma

64 Anatomy and Physiology of the Ear Gerontological Considerations

Assessment of Auditory System Diagnostic Studies

64 External Ear Problems: External Otitis

Middle Ear Problems: Otitis Media Otosclerosis

Inner Ear Problems: Meniere’s Disease Hearing Loss & Deafness GerontologicConditions Presbycusis

Spring 2016

25

Unit 9-A: Nursing role in management of clients with selected Alterations in Renal and Urological Function

Learning Outcomes


9.1 Incorporate knowledge of anatomy and physiology as it relates to clients with selected renal and urological problems.

9.2 Describe the pathophysiology and clinical manifestations of selected renal and urological problems.

9.3 Discuss the various areas of assessment used in clients with selected renal and urological problems.

9.4 Identify therapeutic interventions used regarding health promotion, maintenance, and restoration/ rehabilitation related to selected renal and urological problems.

9.5 Develop a plan of care using critical thinking for clients and families with selected renal and urological problems in collaboration with other health care professionals.

9.6 Apply principles of teaching/learning to clients and families with selected renal and urological problems.

9.7 Describe safe nursing practice within legal/ethical parameters when caring for clients with selected renal and urological problems.

9.8 Apply age-related concepts in the management of clients with selected renal and urological problems.

9.9 Discuss components of effective community-based nursing care of clients with selected renal and urological problems.

9.10 Evaluate the clients' and their families‟ responses and outcomes to therapeutic interventions.

Content

Anatomy and physiology of the renal and urinary tract: Common Electrolyte Imbalances

History and physical assessment of the renal and urinary tract Diagnostic studies Nursing role in management of selected urological problems

Urinary Tract Infections Urinary Tract Calculi Urinary Incontinence and Retention Urinary Catheterization

Spring 2016

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Unit 9-A: Nursing role in management of clients with selected Alterations in Renal and Urological Function

Reading Assignments: Brunner & Suddarth’s Textbook of Medical-Surgical Nursing 13 ed..

Chapter Content

53 Anatomy and Physiology of the Urinary System Gerontological Considerations

Assessment of the Urinary System Diagnostic Studies

55 Urinary Tract Infection Pyelonephritis Urethritis Cystitis Goodpasture Urinary Calculi Strictures Urinary Incontinence Urinary Retention Catheterization

13 Fluid Movement in Capillaries

Fluid Spacing Fluid and Electrolytes Gerontologic Considerations Fluid and Electrolyte Imbalances

Spring 2016

27

Unit 10-A Nursing role in management of clients with common problems/alterations in Musculoskeletal Function

Learning Outcomes


10.1 Integrate knowledge of the anatomy and physiology as it relates to clients with common musculoskeletal problems.

10.2 Describe the pathophysiology and clinical manifestations of musculoskeletal problems. 10.3 Discuss the various areas of assessment used in clients with musculoskeletal problems. 10.4 Describe therapeutic interventions used regarding health promotion, maintenance, and

restoration/ rehabilitation related to musculoskeletal problems. 10.5 Formulate a plan of care using critical thinking for clients and families with common

musculoskeletal problems in collaboration with other health care professionals. 10.6 Apply principles of teaching learning to clients and families with common musculoskeletal

problems. 10.7 Describe safe nursing practice within legal/ethical parameters when caring for clients with common

musculoskeletal problems. 10.8 Apply age-related concepts in the management of clients with common musculoskeletal

problems. 10.9 Discuss components of effective community based nursing care of clients with common

problems. 10.10 Evaluate clients' and their families' responses and outcomes to therapeutic interventions

Content

Anatomy and physiology of the musculoskeletal system History and physical assessment of the musculoskeletal function Diagnostic studies

Nursing role in the management of clients with selected common musculoskeletal problems Soft Tissue Injuries Musculoskeletal Trauma Musculoskeletal Care Modalities Metabolic bone disorders

Community resources and referrals

Spring 2016

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Unit 10-A Nursing role in management of clients with common problems/alterations in Musculoskeletal Function


Chapter Content

40 Anatomic and Physiologic Overview Diagnostic Studies

43 Sprains/Strains Dislocation/Subluxation Carpal Tunnel Syndrome Rotator Cuff Injury Meniscus Injury Bursitis Fractures:

Types of Fractures (Fx) (Humerus/Pelvis/Hip/Tiabia/Vertebral)

Traction Casts Internal/External Fixation Neurovascular Assessment Complications of Fractures

Amputation Types of Joint Surgeries Gerontologic Considerations

42 Osteomyelitis

Muscular Dystrophy Low Back Pain Osteomalacia Osteoporosis Paget’s Disease

Spring 2016

29

Unit 11-A: Nursing role in management of clients with selected Alterations of Neurological Function

Learning Outcomes At the completion of the unit the student will have been provided with the learning activities to:

11.1 Incorporate knowledge of anatomy and physiology as it relates to clients with selected neurological problems.

11.2 Describe the pathophysiology and clinical manifestations of selected neurological problems. 11.3 Discuss the various areas of assessment used in clients with selected neurological problems. 11.4 Identify therapeutic interventions used regarding health promotion, maintenance, and

restoration/ rehabilitation related to selected neurological problems. 11.5 Develop a plan of care using critical thinking for clients and families with selected

neurological problems in collaboration with other health care professionals. 11.6 Apply principles of teaching /learning to clients and families with selected neurological


selected neurological problems. 11.8 Apply age-related concepts in the management of clients with selected neurological

problems. 11.9 Discuss components of effective community-based nursing care of clients with selected

neurological problems. 11.10 Evaluate the clients' and their families‟ responses and outcomes to therapeutic interventions.

Content

Nursing role in management of selected neurological problems

Inflammatory Conditions of the Brain: Meningitis Encephalitis

Cerebrovascular Accident (CVA) Chronic Neurologic Problems

Spring 2016

30

Unit 11-A: Nursing role in management of clients with selected Alterations of Neurological Function

Reading Assignments: Brunner & Suddarth’s Textbook of Medical-Surgical Nursing 13 ed.

Chapter Content

65 Anatomy & Pathophysiolog of Nervous System Assessment of the Nervous System Diagnostic Studies

69 Inflammatory Conditions of the Brain: Meningitis Encephalitis

67 Stroke / Cerebral Vascular Accident Types of Strokes

Ischemic Stroke Embolic Stroke Hemorrhagic Stroke Subarachnoid Hemorrhage

Diagnostic Studies Gerontologic Considerations Nursing Management of Stroke

Chronic Neurologic Problems: 66 Headaches:

Types of Headaches Seizure Epilepsy

69 - 70 Multiple Sclerosis Myasthenia Gravis Parkinson’s Disease Amyotrophic Lateral Sclerosis Huntington’s Disease

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XXIII. LEARNING ACTIVITIES

A. Contemporary Technology

1. Computer Assisted Instruction (explanatory and interactive) 2. Classroom Instructional Software 3. Internet Access 4. Medline Access

B. Concept Reinforcement

1. Critical thinking scenarios 2. Seminar activities 3. Study Guide exercises 4. Current research findings and literature discussion 5. Individual faculty-student conferences 6. In class simulation activities

C. Clinical Laboratory Teaching

1. Learning through simulation 2. Psychomotor skill development

METHODS OF EVALUATION

1. Primarily multiple choice questions on unit exams 2. Satisfactory completion of clinical requirements 3. Quizzes and alternate assignments

REFERENCES

1. Required textbooks 2. Current nursing professional journals/periodicals (within the last five years)

XXIV. Moodle Evaluation Form

1. Each student should fill out a course evaluation of RNSG 1341 form at the end of the semester and then submit results.

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XXV. Early Alert Syllabus Statement

The Houston Community College Early Alert program has been established to assist in the overall effort to retain students who are at risk of failing, withdrawing, or dropping a course. This process requires instructional faculty and student staff to identify students who are performing poorly as early as possible and provide relevant support services to help students overcome their deficiencies. A student is identified when an instructor notices academic or personal difficulties that affect student’s academic performance. The possible problem (s) could be tardiness, missed/failed test scores, excessive absences, or a number of other circumstances. Once a referral is made counselors will then contact students to discuss the issues and possible solutions to their academic difficulty

Spring 2016

RNSG 1341 COMMON CONCEPTS OF ADULT HEALTH

Documents