nur 411 syllabus fall 2011 part 2

Borough of Manhattan Community College

The City of New York

Department of Nursing

Course Syllabus

NUR 411: Nursing Process IV: Medical Surgical Nursing

Revised April 2010 22

Unit I: Oxygen Needs: Alteration in Tissue Perfusion/Immune/ Sexual Reproductive Functions.

Level IV: Outcome Criteria

Communicator: Upon completion of the program, the graduate will independently and in collaboration with health team members,

clients, families, and significant others, incorporate effective therapeutic communication techniques in promoting health and preventing

illness among people from culturally, ethnically, and socially diverse backgrounds with varied health care needs.

UNIT OBJECTIVES: Upon completion of selected learning experiences, the student will be able to:

1. Describe the functions and component of the immune system

2. Describe the etiologic factors, clinical manifestations, and treatment modalities of autoimmune diseases

3. Describe the Pathophysiology of HIV infection

4. Outline HIV disease progression in the spectrum of untreated infection

5. Describe the nursing management of HIV infected patients and HIV- at-Risk patients

6. Describe the process involved in the biology of Cancer

7. Explain the use of surgery, chemotherapy, radiation therapy, and biologic and targeted therapy in the treatment of Cancer

8. Discuss the classifications of chemotherapeutic agents and their method of administration

9. Describe the nursing management of patients receiving chemotherapy, Radiation therapy, and biologic targeted therapy

10. Describe the psychologic support interventions for cancer patients, cancer survivors, and family members

11. Describe the structure and function of the hematologic system

12. Differentiate normal and common abnormal findings in a physical assessment of the hematologic system

13. Describe the etiology, clinical manifestation, nursing and collaborative management of neutropenia

14. Identify evidenced-based nursing interventions at the individual, family, local and global community levels

15. Safely implements nursing interventions based on evidence, scientific principles and standards of practice

16. Compare Hodgkin’s lymphoma and non-Hodgkin’s lymphomas in terms of clinical manifestations, staging,

Nursing and collaborative management

17. Describe the pathophysiology, clinical manifestations, nursing and collaborative management of multiple myeloma

18. Incorporate evidence-based practice using critical thinking in decision-making situations when caring for patients

Receiving blood and blood components

19. Provide client care within professional, legal, ethical and patient safety standards




Course Syllabus



Assigned Readings Classroom Media Lab Techniques/Sim Lab Clinical Lab

Chapters 13

Inflammation

and wound healing

INFLAMMATION AND IMMUNITY

I. Inflammatory Response

Clinical Manifestation

a. Local

b. Systemic

Physiologic Responses causing

Signs and Symptoms of Inflammation

a. Vascular

b. Cellular

Types of Inflammation

a. Acute

b. Sub-acute

c. Chronic

Nursing Management: Inflammation

a. Early Recognition

b. Early Intervention

Under the supervision an

Direction of the Clinical

Instructor, the student

will be able to:

Apply previously learned

Knowledge and technical skills

Perform a health assessment of

selected clients with Immune

Deficiency disorder

Develop a nursing care plan for

a selected group of clients with

Immunologic Disorder

Implement nursing intervention

and technical skill for clients with


Evaluate care outcomes for clients

with inflammatory disorders




Course Syllabus




Chapter 14:

Altered Immune Responses

IMMUNE RESPONSES

I. Normal Immune Response

A. Types of Immunity

(a) Active

(b) Passive

(c) Acquired

B. Antigens

C. Cytokines

D. Types of Leukocytes

E. Cellular Immunity

F. Humoral Immunity

G. Effects of Aging on Immunity

II. Altered Immune Response

A. Hypersensitivity Reactions

B. Allergic Disorders

(a) Assessment

(b) Diagnostic Studies

(c) Collaborative Care

D. Autoimmunity

(a) Theories

(b) Autoimmune Disorders

E. Immune Deficiency Disorders

(a) Graft vs Host Disease

F. Immunosuppressive Therapy

Under the supervision an

Direction of the Clinical

Instructor, the student

Will be able to:

Perform a health assessment of

Selected clients with altered

immunity

Develop a nursing care plan for

The selected group of clients with


And technical skill for clients with

Immunologic

Evaluate care outcomes for clients

With immunologic disorders




Course Syllabus



Chapter 15:

Human

Immunodeficiency Virus

Infection/AIDS

I. Human Immunodeficiency Virus/AIDS

a. Global Significance

b. Transmission

(a) Factors affecting Transmission

c. Pathophysiology of HIV

d. Clinical Manifestation

(a) Physiologic Progression

(b) Spectrum of Untreated Infection

e. Diagnostic Studies

(a) Antibody Screening Tests

(b) Diagnostic Criteria for AIDS

(c) Viral Load

f. Characteristics of Opportunistic

Diseases Associated with HIV

g. Nursing Management:

HIV Infection

(a) Review ANA Code of Ethics/Scope

and Standards of Practice for

Management of Clients with HIV

(a) Assessment Focus: HIV Risk

(b) Assessment Focus: HIV

Infection

(c) Nursing Diagnoses

(d) Planning Care

(e) Nursing Implementation

(a) Health Promotion

(b) Prevention of HIV

(c) Risk Reducing Activities

(f) CDC/OSHA Guidelines

II. Terminal AIDS

Video:

Aides A Nursing

Perspective

Perform health assessment for

Clients with HIV/AIDS

Plan and implement care for clients

With HIV/AIDS

Administer medications to

Selected client groups

with HIV/AIDS

Implement patient

Education and discharge

Teaching for clients with

HIV/AIDS

Conduct patient care

According to standard of

Nursing care, and ethical/

Legal scope of practice




Course Syllabus




Chapter 16:

Alteration in

Cell Growth:

Cancer

Introduction

A. Trends in Cancer Incidence

B. Status of Cancer Treatment and

Control

Biologic Basis of Cancer

a. Defect in Cellular Proliferation

b. Defect in Cellular Differentiation

c. Development of Cancer

(a) Initiation

(b) Promotion

(c) Progression

Classification System of cancers

a. Anatomic Site classification

b. Histologic Classification

c. Extrent of Disease Classification

d. Clinical Staging

Prevention and Detection

a. Education

b. Diagnosis

Collaborative Care

a. ANA Code of Ethics/Standards

of Practice for Management of

Cancer Patients

b. Goals of Cancer Treatment

Treatment Modalities

a. Goals of Treatment

b. Review of National Patient Safety

Goals and QSEN

c. Review of HIPPA

d. Goal of Cancer Treatment

Perform health assessment for

Clients with Cancer

Plan and implement care for clients

With Cancer

Administer medications to

Selected client groups

with Cancer

Implement patient

Education and discharge

Teaching for clients with

Cancer




Course Syllabus



Chapter 16:

Alteration in

Cell Growth:

Cancer

C. Surgical Therapy

a. Goals of Surgery

b. Prevention

c. Cure and Control

d. Supportive and Palliative Care

e. Rehabilitative Care

Chemotherapy

a. Effects on Cells

b. Classification of Chemotherapeutic

c. Drugs

d. Preparation and Administration of

e. Chemotherapy

f. Methods of Administration

g. Tunneled Catheters

h. Regional Chemotherapy

i. Administration

j. Effects of chemotherapy on

k. Normal Tissues

Video:

Chemotherapy and

Radiation for

Cancer treatment

2000

IV Therapy

-Changing rate

-intake/Output monitoring

-Intravascular access

-Hickman

-Broviac

Administration of

Chemo agents via

Central line

And

Infusaport

Managing

extravasations

Planning and implementing care

For clients on chemotherapy

Intervening during chemotherapy

Administration to deal with

Adverse effects of chemo

and extravasations




Course Syllabus



Chapter 16:

Alteration in

Cell Growth:

Cancer

Radiation Therapy

a. Teletherapy

b. Brachytherapy

c. Effects and Care of Patient

Nursing Management/Care a. Chemotherapy

b. Radiation Therapy

Nursing Implementation

a. Toxic vs Tolerable Side Effects

Late Effects of Radiation and Chemotherapy

Complications of Cancer

1. Nutritional Problems

2. Infection

3. Oncologic Emergencies

Management of Cancer Pain

Psychologic Support

A. Patient, Family, Cargiver

Gerontologic Considerations

Managing oncologic emergencies

Analyze lab data for client

With neuropenia

Caring for clients with

neutropenia

Provide psychological support for

Clients and family experiencing

cancer




Course Syllabus




Chapter 30:

Assessment

of Hematologic Disorders

Chapter 31:

Nursing Management of

Hematologic Problems

Assessment of Hematologic

systems

a. normal findings

b. abnormal findings

Diagnostic studies

A. lab data

b. biopsies

Neutropenia

a. Clinical Manifestation

b. Diagnostic Studies

Nursing and Collaborative

Management: Neutropenia

Gerontologic Considerations:

Thrombocytopenia and Neutropenia

Lymphomas

Hodgkin’s Lymhoma

a. Etiology and Pathophysiology

b. Clinical Manifestations

c. Diagnostic Studies and

b. Staging Studies

a. Nursing and Collaborative

c. Management

Non-Hodgkins Lymphoma

. a. Etiology and Pathophysiology


c. Diagnostic and Staging


Management

Multiple Myeloma

Review videos on:

Care of patients

With hematologic

Problems

Administration of

Blood components

Assessment of Lab

Value related to

Hematologic changes

Administer Competent

Care to Clients with

Hematologic Disorders

Develop a plan of care

For client with

neutopenia




Course Syllabus



A. Pathophysiology

B. Clinical Manifestation

C. Nursing and Collaborative

Management

Blood Component Therapy

A. Types of Blood Products

B. Indication for use

C. Administration Procedure

D. Transfusion Reactions

1. Acute

2. Delayed

E. Autotransfusion

1. Advantages

2. Contraindication

Administration of Blood/

Blood Products:

Y Tubing

Filter usage

Pre-Transfusion care

Post Transfusion Care

Sign of Transfusion reaction

Develop a plan of care for a

Patient receiving blood

transfusions




Course Syllabus



Assigned Readings Classroom Media Lab Techniques/Simulation Lab Clinical Lab

Chapter 51:

Nursing Assessment:

Reproductive System

Chapter 52:

Nursing Management

Breast Disorders

Assessment of Breast Disorders

a. Screening Guidelines for

b. Early Detection

b. Diagnostic Studies

Breast Cancer

a. Etiology and Risk Factors

b. Pathophysiology

c. Clinical Manifestations

d. Complications

e. Diagnostic Studies

f. Collaborative Care

(a) Surgical Intervention

(b) Pre-operative Care

(c) Post Operative Care

g. Reconstructive Breast

Surgery

Video: Breast Cancer

Exercise for affected

Extremity

Review post operative care

Of client post mastectomy:

Incision

Drainage tubes

Complications

Prevention

Emotional support

Patient education

Assessment of clients with

Breast disorders

Develop a plan of care for

Client with breast cancer

Provide Nursing care for a

Client pre and post

mastectomy




Course Syllabus



Chapter 54:

Nursing Management:

Female Reproductive

Problems

Chapter 55:


Male Reproductive

Problems

Cancer of Female Reproductive

System

a. Types of Cancer

(1) Cervical

(2) Endometrial

(3) Ovarian

b. Etiology and

Pathophysiology

c. Clinical Manifestations

d. Diagnostic Studies

e Collaborative Care

f. Surgical Procedures

g. Radiation Therapy

h. Nursing Management

Problems of the Prostate Gland

Benign Prostatic Hyperplasia

a. Etiology/Pathophysiology

b. Clinical Manifestation

c. Diagnostic Studies

d. Collaborative Care

Video on female

Cancers

Video: Male

Reproductive

Disorders

Insertion of a foley

catheter

Provide nursing care for a

Client with reproductive

disorders

Plan of care for a client

With reproductive cancer


Client with BPH




Course Syllabus



Assigned Readings Classroom Media Lab Techniques/Simulation Lab Clinical Lab

Chapter 55:


Male Reproductive

Problems

Nursing Management: BPH

a. Assessment

b. Nursing Diagnosis

c. Planning

d. Implementation

e. Evaluation

Prostate Cancer

a. Etiology and

Pathophysiology

b. Clinical Manifestation and

c. Diagnostic Studies

d. Collaborative Care

Culturally Competent Care:

Prostate Cancer

a. Nursing Management

Testicular Cancer

a. Etiology and

b. Pathophysiology

c. Clinical Manifestation and

d. Complications

e. Nursing and Collaborative

f. Management

g. Testicular Self

Examination

Video: BPH Assessment of male reproductive

system

Provide Nursing care for

A client with BPH and

Cancer of the prostate

Review diagnostic studies

For a client with testicular

Cancer and cancer of the

prostate




Course Syllabus



Unit II: Nutritional Needs: Alteration In Digestive Function/Metabolic Function

OUTCOME CRITERIA:

Provider: Upon completion of the program, the graduate will demonstrate critical thinking by applying the nursing process consistent with

evidence-based practice as a basis for decision-making and clinical judgments in order to develop and implement a plan of care for an individual

or group of clients with common, complex health care needs in the acute and long-term care settings and community-based settings, integrating

knowledge of legal and ethical standards of practice. S (he) will demonstrate competence with current technologies in the delivery of nursing care.


1. Differentiate normal from common abnormal findings of a physical assessment of the gastrointestinal system

2. Describe age related changes in the gastrointestinal system and differences in assessment findings

3. Define the indications, complications, and nursing management related to the use of Parenteral nutrition, Tube Feedings

4. Describe the types of feeding tubes and related nursing management

5. Explain the types, pathophysiology, clinical manifestations, complications, and collaborative care, including surgical therapy and nursing

management of Gastroesophageal reflux disease (GERD) and Hiatal Hernia

6. Differentiate between acute and chronic gastritis and duodenal ulcers, including the etiology, pathophysiology, collaborative care, and

nursing management

7. Compare and contrast gastric and duodenal ulcers, including etiology and pathophysiology, collaborative care

8. Describe the clinical manifestation, collaborative care, and nursing management of stomach Cancer

9. Describe the collaborative care and nursing management Peritonitis

10. Compare and contrast the inflammatory bowel diseases of Ulcerative Colitis, and Crohn’s Disease, including pathophysiology,

11. Differentiate among mechanical, neurogenic, and vascular bowel obstructions, including causes, and collaborative care

12. Describe the clinical manifestations and collaborative management of colorectal Cancer

13. Explain the anatomic and physiologic changes and nursing management of the patient with an Iliostomy and a Colostomy

14. Differentiate between Diverticulosis and Diverticulitis, including clinical manifestations, collaborative care

15. Describe safe patient centered management for patients with Viral Hepatitis, Fatty Liver Disease, and Cirrhosis of the Liver

16. Discuss the concept of evidence-based practice and its application to Best Practices in the care clients with alteration in

digestive/metabolic function

17. Describe the nursing management of the patient with Acute and Chronic Pancreatitis, and Pancreatic Cancer

18. Identify available services and educational programs and materials offered by the health care agency and local/global community

19. Utilize quality improvement practices to guide safe practice when caring for clients with complex health care problems

20. Utilize electronic data and recording to monitor, evaluate, and document progress and care of clients with complex health care problems




Course Syllabus



Assigned Readings Classroom Media Lab Techniques/Sim. Lab Clinical Lab Chapter 39:

Assessment of the

Gastrointestinal System

Chapter 42:


Upper Gastrointestinal

Disorders

Assessment of the Gastrointestinal

Disorders

Diagnostic Studies of GI System

a. Radiologic studies

b. Endoscopy

Types of Specialized Nutritional

Support

a. Tube feeding

b. NG/PEG/Salem Sump

c. Parenteral nutrition:

d. PPN

e. TPN

Disorders of stomach and upper small

intestine

a. GERD

b. Hiatal Hernia

c. Peptic Ulcer

Surgical management

a. Billroth I

b. Billroth II

c. vagotomy

Stomach Cancer

a. Total Gastrectomy

b. Pre/Post op Care

c. Diet Therapy

Video:

GI diagnostic tests

Video: NG tube

and nutritional

management

Video: Management

Of TPN part I & II

Practice skills related

To abdominal

Assessment

Review administration

Of the following:

PPN

TPN

Set up feeding via:

Nasogastric tube

Gastrostomy tube

Continuous feeding

Bolus

Check placement

Check residual

Post-Conference:

Students will analyze,

synthesize and evaluate

nursing care provided to

selected patients.

-Perform Abdominal

Assessment.

-Nutritional Assessment.

- Diet

- Lab Values

- Fluid Volume

Assessment.

- Calculate serum

osmolarity

- Weights


Plan and Implement

Nursing care for clients with

GE reflux disease

Hiatal hernia




Course Syllabus



Chapter 43

Nursing Management

Lower GI Problems

Disorders of the Lower GI Tract

1. Colorectal Cancer

a. Etiology and

b. Pathophysiology

c. Clinical Manifestation


2. Other Lower GI Problems

Ulcerative colitis

Crohns

Diverticulitis/Diverticulosis 3. Collaborative Care, and Nursing

Management: Colorectal Cancer

Ostomy Surgery

a. Types

4. Nursing Management

a. Pre/post operative Care

b. Colostomy Care

c. Ileostomy Care

d. Adaptation to Ostomy

5. Intestinal Obstruction

a. Types of obstruction

b. Etiology

c. Clinical manifestation


e. Nursing Management

TPN Therapy:

Nursing Standards:

- Changing TPN

Solutions/Tubing/Dressing

- Lab values

- Temperature

Ostomy Care

- Position of Tube

- Check Tube

Placement

- Nasogastric suction

- Set up suction

Types of Drainage

Drains

- Penrose

- Hemovac

- Jackson Pratt

- T Tube

Check drainage

Check PH

Emptying

Irrigation

Review lab data on

clients with lower GI

problems:

In the clinical setting, develop

a plan of care for clients with

lower intestinal tract disorders

Implement a post op plan of

care for clients with colostomy,

ileostomy

Provide care for clients with:

TPN

Ostomy

NG tubes

Drains

irrigations




Course Syllabus



Chapter 44


Liver, Pancreas, and

Biliary Problems

Interventions for clients with liver

disorders

a. Hepatitis A, B, C, D, E

b. Liver cirrhosis and hepatic

coma

c. Fatty liver

d. Cancer of the liver

e. Liver transplant

Interventions for clients with

disorders of Biliary system and

Pancreas

Gallbladder disorders

a. cholecystitis

b. cholecystectomy

c. cholelithiasis

d. cholecyslithotomy

Pancreatic Disorders

A. acute pancreatitis

b. chronic pancreatitis

c. pancreatic Pseudocyst

d. pancreatic cancer

e. Whipple procedure

Pressure Ulcer

Stages

Treatment

Wound care

Incision care

Packing

T-Tube care

Dehiscence

Evisceration

extravasation

Review lab data

Liver function tests

Lab abnormality of

Pancreatic and

Biliary systems

In the clinical setting

Develop a plan of care for a

clients with liver, pancreas and

biliary tract disorders




Course Syllabus



Unit III: Alteration in Urinary Elimination

UNIT OBJECTIVES:

MANAGER: Upon completion of this unit, the graduate will use sound judgment and safe decision-making to manage the care of a group

of clients. (S) he will delegate assignments based upon the experience and/or education of health team members, being accountable

for care given. The graduate will understand the impact of effective team functioning on safety and quality of care.

Clients with altered urinary elimination

UNIT OBJECTIVES:

1. Describe the structure, function of the kidneys, ureters, bladder and urethra

2. Discuss subjective and objective data related to assessment of the urinary system

3. Describe age related changes in the urinary system an differences in assessment finding

4. Differentiate normal from common abnormal findings of a physical assessment of the urinary system

5. Describe the purpose, significant result and nursing responsibilities related to diagnostic studies of the urinary system

6. Describe the pathophysiology, clinical manifestation, collaborative care, and drug therapy for cystitis, urethritis, and pyelonephritis

7. Describe the immunologic mechanisms involved in glomerulonephritis

8. Explain the nursing management of acute post streptococcal glomerulonephritis, and chronic glomerulonephritis

9. Describe common causes, clinical manifestations, collaborative care, and nursing management of nephrotic syndrome

10. Compare and contrast the etiology, clinical manifestations, collaborative care, and nursing management of various types of urinary calculi

11. Describe the clinical manifestation and collaborative care of kidney cancer, and bladder cancer

12. Differentiate among ureteral, suprapubic, nephrostomy, urethral, and external cathethers with regard to indications for use

And nursing responsibilities

13. Prioritize and coordinate the care of clients undergoing nephrectomy and urinary diversion surgery

14. Utilize quality improvement practices to guide safe practice when caring for clients with altered urinary elimination




Course Syllabus



Assigned Readings Classroom Media Lab Techniques/Simulator Lab Clinical Lab

Chapter 45:

Assessment of Renal/

Urinary System.

Chapter 46: Nursing Management of

Renal and Urologic

Problems

Assessment of Renal Disorders

a. Subjective Data

b. Objective Data

Diagnostic Studies of

Urinary system

Laboratory Tests

a. Radiographic Examination

Infectious and

Inflammatory Disorders

Clinical Manifestations

Diagnostic Studies

Collaborative Management

And Drug Therapy

a. Urinary Tract Infections

Obstructive Uropathies

a. Renal Calculi

Etiology and Clinical

Manifestation

Practice assessment

Of the Renal System

Insertion of Foley Catheter:

-Male

-Female

-Intake/Output

-Urine Specific Gravity

-Urine Electrolytes

-Continuous Bladder

Irrigation.

-Urine Specimen

-Urinary Tubes:

-Foley Catheter

-Surpra-pubic Tube

-Nephrostomy Tube

-Ureter Tube

Urinary Diversion

- Koch

-Indiana

Pre-Conference:

Students will be assigned

to clients with selected

renal problems;

Post-Conference:

Student will analyze,



selected patients.

Nursing Care of Client

requiring insertion of

foley catheter.

Managememt of I& O




Course Syllabus




Renal and Urologic

Problems

Collaborative Care/Nursing

Management

Urinary Tract Tumors

a. Kidney Cancer

b. Bladder Cancer


Management

a. Surgical Therapy

b. Radiation Therapy

c. Chemotherapy

d. Intravesical Therapy

Diagnostic Studies


Management

a. Uretheral Catheterization

b. Suprapubic Catheters

Renal and Ureteral Surgery

Laparoscopic Nephrectomy

Pre/Post op Care

Urinary Diversions

a. Continent Diversion

Koch Pouch

b. Ileoconduit Vs colon conduit

c. Nephrostomy tube

d. Suprapubic tube

Pre/Post op Management

View video on

Care of client with

Urologic problems

Urinary Tubes:

Foley Catheter

Surpra-pubic Tube

Nephrostomy Tube

Ureter Tube

Urinary Diversion

Koch pouch

Indiana

Bladder Irrigation


For a client with urinary

Diversion catheters




Course Syllabus




Renal and Urologic

Problems

Chapter 47:


Acute and Chronic

Kidney Disease

Acute Renal Failure

Etiology and Pathology

Diagnostic Studies

Gerontologic Consideration

Chronic Kidney Disease


Collaborative Management

a. Medications

b. Diet

c. Patient Education/ Support

Dialysis

a. Peritoneal Dialysis

b. Hemodialysis

Complications

Kidney Transplantation

DVD: ARF

Video: ESRD

Urinary Tubes:

-Foley Catheter

-Surpra-pubic Tube

-Nephrostomy Tube

-Ureter Tube

Urinary Diversion

- Koch

-Indiana

Peritoneal Dialysis

AV Shunt

Analyze labs for clients

In acute and chronic renal

failure

Nursing Care of

patient before and after

dialysis.

Rotate to:

Peritoneal Dialysis.

Hemodialysis unit

AV Shunt Assessment.

Implement plan of care

For client with chronic

Renal failure




Course Syllabus



Unit IV: UNIT OBJECTIVES: Neuro/Sensory Needs: Alteration in Thought Processes/Sensory Perceptual Function




knowledge of legal and ethical standards of practice. S (he) will demonstrate competence with current technologies in the delivery of nursing care

Learning Objectives

Upon completion of selected learning experiences, the student will be able to:

1. Describe the technique used in the physical assessment of the nervous system 2. Differentiate normal from common abnormal findings of a physical assessment of the nervous system

3. Identify the physiologic mechanisms that maintain normal intracranial pressure

4. Identify the common etiologies, clinical manifestations, and collaborative care of the patient with increased intracranial pressure

5. Differentiate types of head injury by mechanism of injury and clinical manifestations

6. Describe the collaborative care and nursing management of the patient with head injury

7. Compare the types, clinical manifestations and collaborative care of patients with brain tumors

8. Compare the primary causes, collaborative care, and nursing management of meningitis, encephalitis, and brain abscess

9. Compare and contrast the etiology and pathophysiology of ischemic and hemorrhagic strokes

10. Identify diagnostic studies performed for patient with stokes

11. Describe the collaborative care, drug therapy, and nutritional therapy for a patient with a stroke

12. Describe the etiology, clinical manifestations, diagnostic studies, collaborative care, and nursing management

of multiple sclerosis, Parkinson’s Disease and Myasthenia Gravis

13. Explain the potential impact of chronic Neurologic disease on physical and physiologic well-being

14. Outline the major goals of treatment for the patient with a chronic, progressive Neurologic disease

15. Explain the etiology, clinical manifestation, collaborative care and nursing management of trigeminal neuralgia, Bell’s Palsy,

16. Describe the classification of spinal cord injuries and associated clinical manifestations

17. Describe the nursing management of the major physical and psychological problems of the patient with a spinal cord injury

18. Identify evidence-based nursing interventions for families with neuro/sensory needs

at the individual, family, local and global community

19. Safely implement nursing interventions based on evidence, scientific principles and standards of practice for neurologic disorders




Course Syllabus




Chapter 56:

Assessment of the Nervous

System

Chapter 57:

Nursing Management:

Acute Intracranial

Problems

Neurologic disorders

Subjective/Objective

Intracranial Pressure

a. Regulation and Maintenance of

Intracranial Pressure

b. Cerebral blood Flow

Increased Intracranial Pressure

a. Cerebral edema


c. Complications


e. Measurement of ICP

f. Nursing Management and

Collaborative Car

Cranial Surgery

a. Types

b. Nursing Management

Inflammatory Brain Conditions

a. Bacterial Meningitis

b. Viral Meningitis

(1) Etiology and

Pathophysiology

(2) Clinical manifestations

(3) Complications

(4) Diagnostic Studies

Physical Assessment:

Bates Series

Motor System &

Reflexes;

Cranial Nerves

& Sensory System

Pre-Conference:


To clients with selected

neurological problems;




selected patients.

-Perform Neurological

Assessment.

-Glasgow Coma Scale.

Assigned to client with

selected neurological

disorders.

Pre-Conference:



neurological problems;

Post-Conference:




selected patients.

-Perform Neurological

Assessment.

-Glasgow Coma Scale.

Assigned to client with

selected neurological

disorders.


For a client with

Meningitis


With Stroke/Brain Attack




Course Syllabus



Chapter 57:

Nursing Management:

Acute Intracranial

Problems

Chapter 58:

Nursing Management:

Strokes

(5) Collaborative Care

Head Injuries

a. Types

b. Pathophysiology

c. Complications

d. Diagnostic Studies and

e. Collaborative Care

f. Nursing Management

Brain Tumors

a. Types


c. Complications

d. Nursing Management

Cranial Surgery

1. craniotomies

2. Nursing implication

Neurologic disorders

Subjective/objective data:

Etiology and Pathophysiology

Stokes

Types of strokes

a. Ischemic

b. Embolic

c. Hemorrhagic

Collaborative Preventative Care

a. Acute Care

b. Rehabilitative Care

c. Nursing Management

Hemorrhagic Stroke:

Treatment & Approaches

Ischemic Stroke:

Acute Care &

Rehabilitation

Head, eyes and Ears:

Ischemic stroke: acute

Care and rehabilitation

Perform Neurological

Assessment.

Assessment of Client

With Stroke/Brain Attack

.

.


With Increased Intra-

Cranial Pressure.




Course Syllabus



Chapter 59:

Nursing Management:

Chronic Neurologic

Problems

Chapter 61:

Nursing Management:

Peripheral Nerve and

Spinal cord problem

d. Gerontologic Consideration

Chronic Neurologic Disorders

a. Seizure Disorders and Epilepsy

b. Multiple Sclerosis

c. Parkinson’s Disease

d. Myasthenia Gravis



Complications

Diagnostic Studies

Collaborative Care

Nursing Management

Cranial Nerve Disorders

a. Trigeminal Neuralgia

b. Bell’s Palsy



Diagnostic Studies

Collaborative Care

Nursing Management

Assessment of the

Patient with cranial nerve

disorder

Review Nursing Care

With Seizure Disorder


Spinal Cord Injury.


For a patient with

Chronic neurologic

problem




Course Syllabus



Chapter 61:

Nursing Management:

Peripheral Nerve and

Spinal cord problem

Spinal Cord Problems

a. Spinal Cord Injury

b. Spinal Cord tumors



Diagnostic Studies

Collaborative Care

Neuroscience Nursing

Assessment.

Spinal Cord Injury.

.




Course Syllabus



Unit IV: UNIT OBJECTIVES: Neuro/Sensory Needs: Alteration In Thought Processes/Sensory Perceptual Function




knowledge of legal and ethical standards of practice. S(he) will demonstrate competence with current technologies in the delivery of nursing care


1. Identify subjective and objective assessment data related to the visual and auditory disorders

2. Differentiate normal from common abnormal findings of a physical assessment of the visual and auditory systems

3. Describe age related changes in the visual and auditory system and differences in assessment findings

4. Explain the pathophysiology, clinical manifestation and nursing management and collaborative care of the patient with

selected intraocular disorder

5. Explain the pathophysiology, clinical manifestations, and nursing management and collaborative care of common auditory problems

6. Explain the use, care, and patient teaching related to assistive measures for uncorrectable visual impairment and auditory disorders

7. Describe nursing interventions based on evidence, scientific principles and standards of practice for clients with

visual and auditory disorders




Course Syllabus




Chapter 21:

Nursing Assessment:

Visual and Auditory

Systems

Assessment of the Visual

And Auditory disorders

Diagnostic studies of the

Visual and Auditory Systems

Effects of Aging on the Visual

And Auditory disorder

Visual Disorders

a. Cataract

b. Detached Retina

c. Glaucoma

d. Macular Degeneration

Pre/Post-operative Eye Surgery

Nursing Care: Visual Impaired

Treatment Options

Medications

a. Miotics

b. Mydriatics

c. Surgical interventions

Interventions For Client

With Ear and Hearing

Dysfunction

a. Otosclerosis

b. Meniere’s Disease

Physical Assessment:

Bates Series:

Head, Eyes

And Ear

Assessment of

Client with visual

And hearing

problem

Conduct Eye Exam.

Snellen Eye Chart

Administer of Ophthalmic

Solution

Application of eye shield

Insertion of

Hearing Devices.

Pre/post Conference:



EENT problems

Nursing Care For the

Client With Eye/Ear

Disorder.

Administration of

Ophthalmic and

Otic medications.


For a client with visual

And auditory problems




Course Syllabus



Unit V: Mobility Needs: Alteration in Musculoskeletal Function

Manager: upon completion of this unit, the graduate will use sound judgment and safe decision-making to manage the care of

a group of clients. (S)he will delegate assignments based upon the experience and/or education of health team members, being

accountable for care given. The graduate will understand the impact of effective team functioning on safety and quality of care.


1. Differentiate normal from abnormal findings of a physical assessment of the musculoskeletal system

2. Describe the purpose, significance of results, and nursing responsibilities related to diagnostic studies of the musculoskeletal system

3. Describe the neurovascular assessment of an injured extremity

4. Explain the etiology, pathophysiology, clinical manifestations and collaborative care of soft tissue injuries

5. Explain common complications associated with a fracture and fracture healing

6. Describe the collaborative care a and nursing management of the patients with specific fractures

7. Describe the pathophysiology, clinical manifestation, collaborative care and nursing management of osteomyelitis

8. Describe the etiology, pathophysiology, clinical manifestations, and collaborative and nursing management of osteomalacia,

Osteoporosis and Paget’s disease

9. Describe the clinical manifestations, collaborative care, and nursing management of osteoarthritis and rheumatoid arthritis

10. Describe the pathophysiology, clinical manifestations, collaborative care and nursing management of systemic lupus

Erythematosus

11. Describe the drug therapy and related nursing management associated with arthritis and connective tissue diseases

12. Safely implement nursing interventions based on evidence, scientific principles and standards of practice

13. Identify evidence-based interventions at the individual, family and global community levels




Course Syllabus




Chapter 62:

Assessment:

Musculoskeletal System.

Chapter 64:

Nursing Management:

Musculoskeletal

Problems.

Chapter 63:

Nursing Management:

Musculoskeletal

Trauma. And Orthopedic

Surgery

Assessment of musculoskeletal

Disorders

Diagnostic Assessment

a. Arthroscopy

b. Arthrocenthesis

c. Bone scans

Interventions With Clients

With Musculoskeletal

Dysfunction

a. Osteoporosis

b. Osteomalacia

c. Osteomyelitis


With Musculoskeletal Trauma

I. Hip Fractures

II. Soft Tissue Injuries

a. Sprains

b. Strains

III. Complication of

Orthopedic Injury

Total Hip Replacement

ORIF

-Physical Assessment

Series:

Bates:

-Musculoskeletal

System.

-Peripheral

Vascular System

PCA: A nursing

Perspective

Client Management:

Conscious Sedation

and Analgesia

Types of Crutch walking

-Isotonic Exercises

-Isometric Exercises

Traction

Skeletal

Pin Care.

Nursing Care of the client

with Muscular Skeletal Disorder

Review crutch walking;

use of assistive devices.

Nursing Care of

Client in Traction.

Nursing Care plan for Client

With Fracture.


With ORIF

[Open Reduction and

Internal Fixation] of Hip.

Pin Care

Nursing Care of the Client

After Total Hip

Replacement.


After Arthroscopic

Procedures.




Course Syllabus



Chapter 63:

Nursing Management:

Musculoskeletal

Trauma. And Orthopedic

Surgery

Chapter 65:

Nursing Management:

Arthritis and Connective

Tissue Diseases

IV. Pain Management

Types of Analgesia

a. NSAID

b. Opiates

PCA Therapy

Types of Analgesia

Types of PCA

Epidural

IV

Program Infusion Pump

a. Dosage

b. Calculation

c. Nursing Management

d. Complications of

Orthopedic Injury/Treatments


With Connective Tissue

Disease

a. Osteoarthritis

b. Rheumatoid Arthritis

c. Lupus Erythematosus

d. Gout

Review video on:

Rheumatoid and

osteoarthritis

Video: SLE

Administration of

Controlled Drug Substances

-Types

-Narcotic Cabinet

-RN License Responsibility.

-Counting

-Location of Keys

-Reporting Discrepancies.

Assessment of a patient

With connective tissue

disease

Nursing Care of Patient

Receiving Analgesia.

Review Narcotic Count

Supplies.

Review Patient

Controlled Analgesia

Analgesia Therapy

[PCA-Therapy]


Client with connective

Tissue disease

Analyze lab data for client

With connective tissue

Disorder

Conduct patient teaching

For client with

Connective tissue disorder




Course Syllabus



Unit VI: Protection Needs: Physiological Stress/Crisis

OUTCOME CRITERIA:

Member Within the Discipline of Nursing: Upon completion of the program, the graduate will be knowledgeable and actively participate in

endeavors that promote critical thinking, support evidence-based practices, and foster personal and professional growth.


1. Differentiate normal from common abnormal findings in a physical assessment of the Integumentary system

2. Identify the parameters used to determine the severity of burns

3. Explain the fluid and electrolyte shifts during the emergent and acute burn phases

4. Describe the intervention used in the management of pain in the burn patient

5. Apply the sequential steps in triage, the primary and secondary survey to a patient in an emergency situation

6. Describe the pathophysiology and clinical manifestations of the different types of shock

7. Describe the nursing management of a patient experiencing multiple organ dysfunction syndrome

8. Values the concept of evidence-based practice as integral to determine best clinical practices

9. Explain the importance of continuing educational and professional development to improve the quality and safety of patient care

10. Utilize technology as a means of monitoring, data retrieval and recording of care provided to clients in physiologic stress crisis




Course Syllabus




Chapter 23:

Nursing Assessment

Integumentary System

Chapter 25:

Nursing Management:

Burns

I. skin Assessment

Types of burn injury

a. Thermal burns

Degree of burns

a. Superficial partial Thickness

c. Deep partial thickness

c. Full Thickness

Burn Management

a. Pre-hospital

b. Emergent phase

c. Rehab phase

Collaborative management

a. Airway

b. Fluid therapy

c. Wound care

d. Drug therapy

e. Nutritional therapy

f. psychosocial

Video: skin assessment

Video: airway

Management

Assess patient with

Burns

Develop a care plan for

A burn patient

Manage fluids of a

Burn patient

Provide counseling for

A burn patient

Make referrals for a

Burn patient




Course Syllabus



Chapter 67:


Shock, Systemic

Inflammatory response

And multiple organ

System dysfunction

syndrome

Chapter 69:

Nursing Management

Emergency Disaster

Nursing

Types of shock

a. Hypovolemic

b. Anaphylactic

c. Cardiogenic

d. Septic

Collaborative Care and

Nursing management

Care of the emergency

Patient

a. Triage

b. Prioritizing care

Article: disaster

preparedness

Perform bag/valve mask

Perform chest compression

Medications

IV access

Emergency cart drugs

Observe the role of the

Emergency room nurse

Check crash cart on unit

Review emergency

Preparedness protocol

For institution of

Practice




Course Syllabus



nur 411 syllabus fall 2011 part 2

Documents