department of nursing erbil medical technical institute ... adult...his research interests are...

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Ministry of Higher Education and Scientific research Directorate of Quality Assurance and Accreditation به ڕێوه به رایهتم جۆری و میای دڵنی تی انه به خشینDepartment of Nursing Erbil Medical Technical Institute Erbil Polytechnic University Subject: Adult Nursing Course Book – (Year 2) Lecturer's name: MSc. Hemn Kareem Qadir Academic Year: 2019/2020

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Page 1: Department of Nursing Erbil Medical Technical Institute ... Adult...His research interests are Medical Nursing, Surgical Nursing, Nursing Assessment, Clinical Nursing, HIV, Cancer,

Ministry of Higher Education and Scientific research

Directorate of Quality Assurance and Accreditation خشینبهانهتی دڵنیایی جۆری و متمرایهبهڕێوهبه

Department of Nursing

Erbil Medical Technical Institute

Erbil Polytechnic University

Subject: Adult Nursing

Course Book – (Year 2)

Lecturer's name: MSc. Hemn Kareem Qadir

Academic Year: 2019/2020

Page 2: Department of Nursing Erbil Medical Technical Institute ... Adult...His research interests are Medical Nursing, Surgical Nursing, Nursing Assessment, Clinical Nursing, HIV, Cancer,

Ministry of Higher Education and Scientific research

Directorate of Quality Assurance and Accreditation خشینبهانهتی دڵنیایی جۆری و متمرایهبهڕێوهبه

Course Book

1. Course name Adult Nursing

2. Lecturer in charge Hemn Kareem Qadir

3. Department/ College Nursing Department

4. Contact e-mail: [email protected] Tel: 00964 750 494 4771

5. Time (in hours) per week Theory: 2 Practical: 3

6. Office hours 35

7. Course code

8. Teacher's academic profile Hemn K. Qadir is researcher and lecturer at the Department of Nursing, Faculty of Erbil Medical Technical Institute, Erbil Polytechnic University, Iraq. He has master degree since 2011. His research interests are Medical Nursing, Surgical Nursing, Nursing Assessment, Clinical Nursing, HIV, Cancer, and Nursing education

9. Keywords

10. Course overview: This course is designed to provide nursing students with the knowledge of medical and surgical nursing principles and theory, and nursing skills needed for practising nursing. The course emphasises the unique nature of client’s needs and importance of holistic nursing care. It uses the nursing process framework combined with application of knowledge gained from other subjects of the programme. The course focuses on Medical and Surgical Nursing. 11. Course objective:

On completion of this course the student will be able to: • Understand development and basic principles of medical surgical nursing. • Recognize the basic nursing concepts underlying all nursing interventions in adult nursing care. • Understand and use the nursing process as a framework for providing medical surgical nursing care for a patient

with selected alterations in health status. • Use critical thinking and systematic approach to planning, implementation and evaluation of nursing

interventions for common medical surgical diseases in medical and surgical wards/units. • Demonstrate knowledge and skills of patient assessment and measurement regarding medical surgical nursing. • Understand discharge plan and patient teaching for common medical surgical diseases.

12. Student's obligation The role of students and their obligations throughout the academic year will conclude the attendance and completion of all tests, exams, assignments, reports, in both theoretical and practical sessions.

13. Forms of teaching The teaching methods strategies will include power point presentation and data show, white board, hard copies of lectures and figures, short videos, and practical sessions in the teaching hospitals. Theory: lecture, group discussion, group work, role play, case-based learning

Clinical practice: skill demonstration, case-based learning, group work, group discussion, clinical facilitation and

debriefing, clinical mentorship.

14. Assessment scheme Breakdown of overall assessment and examination

Page 3: Department of Nursing Erbil Medical Technical Institute ... Adult...His research interests are Medical Nursing, Surgical Nursing, Nursing Assessment, Clinical Nursing, HIV, Cancer,

Ministry of Higher Education and Scientific research

Directorate of Quality Assurance and Accreditation خشینبهانهتی دڵنیایی جۆری و متمرایهبهڕێوهبه

Student performance First

semester

Second

semester

Final

exam

Total annual

marks

Written theoretical test 10% 10% 20% 40%

Daily activities and quizzes 3% 3% 6%

Written practical test 6% 6% 15% 27%

Clinical skill 6% 6% 15% 27%

Total marks 25% 25% 50% 100%

15. Student learning outcome: After the completion of this course the student will be able to:

• Understand development and basic principles of medical surgical nursing. • Recognize the basic nursing concepts underlying all nursing interventions in adult nursing care. • Understand and use the nursing process as a framework for providing medical surgical nursing care for a patient

with selected alterations in health status. • Use critical thinking and systematic approach to planning, implementation and evaluation of nursing interventions

for common medical surgical diseases in medical and surgical wards/units. • Demonstrate knowledge and skills of patient assessment and measurement regarding medical surgical nursing. • Understand discharge plan and patient teaching for common medical surgical diseases.

16. Course Reading List and References: Brunner and Suddarth's Textbook of Medical-Surgical Nursing, 2003, S. Suzanne, Bare B., Lippincott Co. 10th edition.

Link address:

1. http://www.amazon.com/Suzanne-C.-OConnell-Smeltzer/e/B001IGQ K54 /ref=ntt_athr_dp_pel_1

http://www.rnpedia.com/home/notes/medical-surgical-nursing-notes

2- American Nurses Association; https://www.nursingworld.org/ana/

17. The Topics:

Week Outline No. of

Hours

1-2-3 Perioperative (pre, intra, and post) operative nursing care 6

4-5-6

Assessment and nursing management of diseases of

respiratory system:

Acute bronchitis, Chronic bronchitis, Asthma.

6

7-8 Peptic ulcer 4

9-10-11-

12

Assessment and nursing management of diseases of

cardiovascular system: Congestive heart failure, Myocardial

Infarction, Angina Pectoris, Hypertension.

8

Page 4: Department of Nursing Erbil Medical Technical Institute ... Adult...His research interests are Medical Nursing, Surgical Nursing, Nursing Assessment, Clinical Nursing, HIV, Cancer,

Ministry of Higher Education and Scientific research

Directorate of Quality Assurance and Accreditation خشینبهانهتی دڵنیایی جۆری و متمرایهبهڕێوهبه

13 Appendicitis 2

14-15-16 Assessment and nursing management of metabolic and

endocrine diseases: Diabetes mellitus, Hyperthyroidism,

Hypothyroidism.

6

17 Peritonitis 2

18-19-20

Assessment and nursing management of renal diseases:

Cystitis, Acute renal failure, Acute pyelonephritis, Renal

dialysis.

6

21 Intestinal obstruction 2

22 Cerebrovascular accident 2

23 Haemorrhoids 2

24-25-26 Hepatic disorders: Viral hepatitis, Jaundice, Liver cirrhosis 6

27 Rheumatic disorders 2

28-29 Infectious diseases 4

30 Nursing Care of the Client with Cancer 2

Total 60

18. Practical Topics (If there is any) In this section The lecturer shall write titles of all practical topics he/she is going to give during the

term. This also includes a brief description of the objectives of each topic, date and time of the

lecture

Week Outline

No. Of

clinical

hours

1-2-3 Perioperative (pre, intra, and post) operative nursing care 9

4-5-6 Assessment and nursing management of diseases of respiratory system:

Acute bronchitis, Chronic bronchitis, Asthma. 9

7-8 Peptic ulcer 6

9-10-11-

12

Assessment and nursing management of diseases of cardiovascular

system: Congestive heart failure, Myocardial Infarction, Angina

Pectoris, Hypertension.

12

13 Appendicitis 3

Page 5: Department of Nursing Erbil Medical Technical Institute ... Adult...His research interests are Medical Nursing, Surgical Nursing, Nursing Assessment, Clinical Nursing, HIV, Cancer,

Ministry of Higher Education and Scientific research

Directorate of Quality Assurance and Accreditation خشینبهانهتی دڵنیایی جۆری و متمرایهبهڕێوهبه

14-15-16 Assessment and nursing management of metabolic and endocrine

diseases: Diabetes mellitus, Hyperthyroidism, Hypothyroidism. 9

17 Peritonitis 3

18-19-20 Assessment and nursing management of renal diseases: Cystitis, Acute

renal failure, Acute pyelonephritis, Renal dialysis. 9

21 Intestinal obstruction 3

22 Cerebrovascular accident 3

23 Haemorrhoids 3

24-25-26 Hepatic disorders: Viral hepatitis, Jaundice, Liver cirrhosis 9

27 Rheumatic disorders 3

28-29 Infectious diseases 6

30 Nursing Care of the Client with Cancer 3

Total 90

19. Examinations:

Type of

question

Example

Multiple

choice

1. A 68-year old man with mild COPD refuses to exercise because he tires easily.

He spends most of every day sitting in a chair watching television. What is the

most appropriate nursing diagnosis?

A. Ineffective health maintenance

B. Impaired physical mobility

C. Risk for disuse syndrome

D. Activity intolerance

2. A client with a forceful, pounding heartbeat is diagnosed with mitral valve

prolapse. This client should avoid which of the following?

A. High volumes of fluid intake

B. Aerobic exercise programs

C. Caffeine-containing products

D. Foods rich in protein

Short

answer

1. The diagnostic evaluation for chronic bronchitis include:

a. b. c. d.

2. Write three types of acute renal failure: a. b. c.

Page 6: Department of Nursing Erbil Medical Technical Institute ... Adult...His research interests are Medical Nursing, Surgical Nursing, Nursing Assessment, Clinical Nursing, HIV, Cancer,

Ministry of Higher Education and Scientific research

Directorate of Quality Assurance and Accreditation خشینبهانهتی دڵنیایی جۆری و متمرایهبهڕێوهبه

Matching

pairs

Match the following statements in the column A with the definitions in the column B:

A B

1. Chronic bronchitis A. Caused by viruses. Established risk factors include a

history of smoking, occupational exposures, air

pollution, reduced lung function, and heredity

2. Asthma B. Infection of the pulmonary tissue, including the

interstitial spaces, the alveoli, and the bronchioles.

3. Acute bronchitis C. Inflammation of the lower airways characterized by

excessive secretion of mucus, hypertrophy of mucous

glands

4. Pneumonia D. Chronic inflammatory disease of the airways

characterized by hyper-responsiveness, mucosal

edema, and mucus production.

Answer for matching pairs:

Definition Define the following terms:

1. Liver cirrhosis

2. Angina pectoris

3. Diabetes mellitus

Problem

situation

A patient suffers from Asthma, what are the treatment and the nursing interventions for

this patient?

Quiz What is a medical term for chronic disease, which occurs when the pancreas does not

produce enough insulin?

Practical:

1. Problem Solving:

Problem solving is a process that includes the components of critical thinking and decision-

making.

Models of the Problem Solving Process

The nursing process is a clinically orientated tool for decision-making that can be used to

make management decisions. The following is a simplified version of the nursing process:

Assess-Diagnose-Plan-Implement-Evaluate

2. Nursing Case Study:

Present the condition called Systematic Lupus Erythematosus in relation to the patient's

clinical manifestations, treatment and general health status. Identify the causes of

Systematic Lupus Erythematosus that can be traced in relation to the case/condition of the

Page 7: Department of Nursing Erbil Medical Technical Institute ... Adult...His research interests are Medical Nursing, Surgical Nursing, Nursing Assessment, Clinical Nursing, HIV, Cancer,

Ministry of Higher Education and Scientific research

Directorate of Quality Assurance and Accreditation خشینبهانهتی دڵنیایی جۆری و متمرایهبهڕێوهبه

patient. Explain the nursing care performed to the patient with Systematic Lupus

Erythematosus.

20. Extra notes: It is very important for the students to have visits to some other hospitals inside and outside the country to identify some new techniques and advanced facilities that makes the nursing procedures more effective and getting better outcomes.

21. Peer review ڵ ی هاوهوهونهپێداچو

This course syllabus is very well organized and it`s components are the most scientific subjects which the

Students needs to be learned and taught by the lecturers for this subject as Adult Nursing, I strongly agree

With the contents of this course book, and highly appreciate the efforts of the lecturer who prepared this

paper.

Dler Tahir Mahmood M.Sc. Adult Nursing Assistant Lecturer