RNSG 2535 – INTEGRATED PATIENT CARE MANAGEMENT
Credit Hours: 5
Lecture Hours: 5
Prerequisite: RNSG 2504 and RNSG 2561 or RNSG1327 and RNSG 1161 or RNSG 1417 and
RNSG 1161
Corequisite: RNSG 2660 and RNSG 2161
WECM COURSE DESCRIPTION
Application of independent nursing intervention to care for diverse patients and families
throughout the life span whose health care needs may be difficult to predict. Emphasis on
collaborative clinical reasoning, nursing leadership skills, and patient management. Content
includes the significance of professional development, trends in nursing and health care, and
applicable knowledge, judgment, skills, and professional values within a legal/ethical
framework. This course lends itself to an integrated approach.
WECM COURSE LEARNING OUTCOMES
Demonstrate the ability to make safe and ethical collaborative clinical decisions for diverse
patients/groups of patients; use a systematic problem-solving process and critical-thinking skills;
develop, implement, and evaluate a plan of care for diverse patients/families across the life span
whose health needs may be difficult to predict; analyze the implications of the Nursing Practice
Act; demonstrate leadership and management skills in caring for small groups of diverse patients
across the life span; evaluate the effectiveness of communication skills in collaboration with
members of the multidisciplinary health care team; analyze the effectiveness of patient and
family teaching in relation to health maintenance/health restoration; relate the importance of
individual professional development to the advancement of nursing; and use current technology
and literature to enhance patient care and the profession of nursing.
KEY CONCEPTS AND GENERAL COURSE PLAN
This course builds on the concepts and principles learned in RNSG 2504 – Integrated Care of the
Patient with Common Health Care Needs and RNSG 1327 Transition from Vocational to
Professional Nursing and RNSG 1417 Concepts of Nursing Practice I for Articulating Students.
It focuses on integration of nursing care of patients with complex health care needs such as
maladaptive psychiatric disorders, cancer, and disorders of the cardiovascular, respiratory and
gastrointestinal systems. Management concepts such as team leading issues, conflict resolutions,
and working with groups of patients/peers are addressed. Emphasis is placed on the roles of the
nurse and the application of critical thinking tools, including the nursing process and integrated
patient care management.
COURSE OBJECTIVES
By the end of the course, the student will be able to:
1. Discuss multidisciplinary collaboration in planning care for patients/families with health care
needs that may be difficult to predict.
2. Demonstrate a working knowledge of legal and ethical parameters of nursing, including the
implications of the Nursing Practice Act, in relation to patients experiencing health care
needs that may be difficult to predict.
3. Describe principles of health promotion utilized in preventing health care problems that may
be difficult to predict.
4. Utilize the nursing process to develop a plan of care for diverse simulated patients/families
with health care needs that may be difficult to predict.
5. Develop a teaching plan for a simulated patient/family to promote health maintenance/health
restoration based on assessment data.
6. Apply therapeutic communication skills with diverse simulated patients and families.
7. Recognize opportunities for patient advocacy.
8. Demonstrate the ability to utilize critical thinking skills to make ethical decisions and provide
safe care addressing the National Patient Safety Goals in accordance with the Joint
Commission (www.jointcommission.org/patient safety).
9. Demonstrate a basic knowledge of the Texas Nursing Practice Act.
10. Discuss beginning leadership and management principles in caring for small groups of
patients with health care problems that may be difficult to predict across the lifespan.
COURSE OUTLINE
I.
Introduction to Nursing Management
A. Management vs. leadership
B. Types of management
C. Leadership styles/effective leaders
D. Collaboration with multidisciplinary healthcare team.
E. Conflict resolution
F. Patient advocate
G. Change process
H. Delegation
I. Team Leading Requirements
II. Care of the patient experiencing complex health care needs
A. Care of the patient experiencing cardiovascular problems
1. Anatomy and physiology
2. Assessment
3. Complex cardiovascular problems
a. Angina/myocardial infarction
b. Valvular heart disease
c. Abdominal aortic aneurysm
d. Peripheral vascular disease
e. Dysrhythmias
f. Hemodynamic monitoring
g. Sickle cell disease
h. Anemias
4. Selected nursing diagnoses/nursing interventions/evaluation of outcomes
B. Care of the patient experiencing respiratory problems
1. Anatomy and physiology
2. Assessment
3. Complex respiratory problems
a. Arterial Blood Gases
b. Croup syndrome/respiratory syncytial virus
c. Mechanical ventilator
d. Chronic Obstructive Pulmonary Disease
e. Pneumo/hemothorax
f. Pleural effusion
g. Cystic fibrosis
h. Scoliosis
i. Myasthenia gravis
j. Pulmonary embolus/deep vein thrombosis
k. Adult respiratory distress syndrome
l. Tuberculosis
m. Guillain-Barre’
n. Tracheostomy Care
4. Selected nursing diagnoses/nursing interventions/evaluation of outcomes
C. Care of the patient experiencing problems with the gastrointestinal system and its
accessory organs
1. Anatomy and physiology
2. Assessment
3. Problems of the gastrointestinal system and its accessory organs
a. Peptic ulcer disease
b. Gall bladder disease
c. Inflammatory bowel disease
d. Diverticulosis/itis
e. Diabetes Mellitus
f. Hepatitis
g. Liver failure
h. Pancreatitis
i. Morbid obesity
4. Selected nursing diagnoses/implementation/evaluation of outcomes
D. Care of the patient experiencing cancer
1. Pathophysiology
2. Assessment
3. Cancers
a. Hematopoeitic system
1) Leukemia
b. Lymphoma
1) Hodgkins
2) Non-Hodgkins
c. Skin
d. Gastrointestinal system
1) Liver
2) Pancreas
3) Colorectal
e. Lung
f. Brain
g. Bladder
h. Larynx
i. Female reproductive
j. Male reproductive
4. Selected nursing diagnoses/nursing interventions/evaluation of outcomes
E. Care of the patient experiencing complex maladaptive problems
1. Anatomy and physiology
2. Assessment
3. Maladaptive disorders
a. Anxiety disorders
b. Somatoform disorders
c. Eating disorders
d. Substance abuse
e. Intimate Partner Violence, Child Abuse, Elderly Abuse
f. Rape trauma syndrome
g. Suicide
4. Selected nursing diagnoses/nursing interventions/evaluation of outcomes
Course Requirements RNSG 2535
The student is required to take:
1. 5 unit exams
2. 1 comprehensive final exam
3. 1 pharmacology exam
4. 10 Blackboard quizzes each worth 10 points; total points scored will be added as an
exam grade
BONUS POINTS
Bonus points will be added to RNSG 2535 course grade only after an average of 75.0 has been
achieved by the student. Bonus points may be offered during the semester. These may include
attending the Nursing Student Association Bowling Tournament or other activities as announced
on Blackboard.
No more than 20 bonus points may be added to the final cumulative point value. The student is
responsible for stapling documentation for the activity to the final evaluation. Failure to attach
the points notification will result in the student forfeiting the points.
The student is required to:
1. Demonstrate competency in performing a mock code according to the American Heart
Association.
2. Utilize Blackboard enhancement. Use includes checking the postings on e-course prior to
class and clinical (at least twice per week) for announcements, interactive assignments, and
e- mail communication. The student must successfully complete the assigned quizzes on
Blackboard. The student must successfully thread on the Blackboard within the discussion
groups.
3. The student is required to complete a portfolio as assigned,
The student must take the Customized HESI-Level III examination and complete remediation.
See the Evaluation Policy in the student handbook for grading and progression information.
See the Attendance Policy in the student handbook for attendance requirements.
See the Policy for Test Taking/Grade Information
N: ADN Sophomore/RNSG 2535 Integrated patient Care Management
Revised 7/2013