Date approved or revised 1/13/15
Angelina College
Health Careers Division
RNSG 1441 Common Concepts of Adult Health
General Syllabus
I.
BASIC COURSE INFORMATION
A. Course Description:
NURSING – RNSG 1441 – COMMON CONCEPTS OF ADULT HEALTH. Four hours credit.
Basic integration of the role of the professional nurse as a provider of patient-centered care,
patient safety advocate, member of health care team, and member of the profession. Study
of the common concepts of caring for adult patients and families with medical-surgical
health care needs related to body systems, emphasizing knowledge, judgment, skills, and
professional values within a legal/ethical framework. Sixty-four classroom hours.
Prerequisites: RNSG 1205, 1215, 1309 and 1462, BIOL 2420 Co-requisites: RNSG 1363.
B. Intended Audience:
First year, second semester students working toward educational requirements for Associate of Applied
Science in Nursing.
C. Instructor:
Name
Office
Telephone
Email
Sheree Barrios
108
633-3226
sbarrios@angelina.edu
Kesha Becnel
110
633-3293
kbecnel@angelina.edu
Agnes Estraza
111
633-5402
aestraza@angelina.edu
Debra Gibbs
115
633-4507
degibbs@angelina.edu
Angela Jones
114
633-5264
ajones@angelina.edu
Lisa Olford
113
J Brian Opella
109
633-3221
jopella@angelina.edu
Bobbie Williams
112
633-5423
bowilliams@angelina.edu
Susan McKee
217
633-3241
smckee@angelina.edu
Sharon Buffalo
107
633-5445
sbuffalo@angelina.edu
Winifred Adams
100C
633-5265
wadams@angelina.edu
INTENDED STUDENT OUTCOMES:
A. Core Objectives – (Basic Intellectual Competencies)
1. Critical Thinking Skills: Includes creative thinking, innovation, inquiry, and analysis, evaluation and
synthesis of information.
2. Communication Skills: Includes effective development, interpretation and expression of ideas through
written, oral, and visual communication.
3. Empirical and Quantitative Skills: Includes the manipulation and analysis of numerical data or
observable facts resulting in informed conclusions.
4. Teamwork: Includes the ability to consider different points of view and to work effectively with others to
support a shared purpose or goal.
5. Personal Responsibility: Includes the ability to connect choices, actions, and consequences to ethical
decision making.
6. Social Responsibility: Includes intercultural competence, knowledge, and civic responsibility, and the
ability to engage in regional, national, and global communities.
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B. Course Objectives for all sections
Upon completion of this course the student will have the knowledge and skills to:
1. Identify teaching needs of adults with various levels of wellness and illness. (PLO 1; DEC II)
2. Discuss planning of care for adult clients and families using a holistic and prioritized approach.
(PLO 2 & 4; DEC II)
3. Describe stressors encountered by the adult client in the promotion, maintenance, and restoration of
health. (PLO 3 & 5; DEC II)
4. Describe the decision making skills using the nursing process for the care of adults and their families
with common health problems. (PLO 3 & 5; DEC II)
C. Course Objectives as determined by the instructor
Immune System including HIV
After completing this unit the student should be able to:
1. Assess the immune system.
2. Describe the pathophysiology of problems of the immune system.
3. Plan nursing management of a patient with an immune problem.
4. Analyze lab and diagnostic data specific to the immune system.
5. Discuss teaching plans for a client with an immune problem.
Respiratory System
1. Assess the respiratory system.
2. Describe the pathophysiology of problems of the respiratory system.
3. Plan nursing management of a patient with an respiratory problem.
4. Analyze lab and diagnostic data specific to the respiratory system.
5. Discuss teaching plans for a client with an respiratory problem.
Visual and Auditory
1. Assess the visual and auditory system.
2. Describe the pathophysiology of problems of the visual and auditory system.
3. Plan nursing management of a patient with an visual and auditory problem.
4. Analyze lab and diagnostic data specific to the visual and auditory system.
5. Discuss teaching plans for a client with an visual and auditory problem.
Skin
1. Assess the integumentary system.
2. Describe the pathophysiology of problems of the integumentary system.
3. Plan nursing management of a patient with an integumentary problem.
4. Analyze lab and diagnostic data specific to the integumentary system.
5. Discuss teaching plans for a client with an integumentary problem.
Cardiovascular/ Peripheral Vascular Systems
1. Assess the cardiovascular/ peripheral vascular system.
2. Describe the pathophysiology of problems of the cardiovascular/ peripheral vascular system.
3. Plan nursing management of a patient with a cardiovascular/ peripheral vascular problem.
4. Analyze lab and diagnostic data specific to the cardiovascular/ peripheral vascular system.
5. Discuss teaching plans for a client with a cardiovascular/ peripheral vascular problem.
Urinary System
1. Assess the urinary system.
2. Describe the pathophysiology of problems of the urinary system.
3. Plan nursing management of a patient with a urinary problem.
4. Analyze lab and diagnostic data specific to the urinary system.
5. Discuss teaching plans for a client with a urinary problem.
Endocrine System
1. Assess the endocrine system.
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2. Describe the pathophysiology of problems of the endocrine system.
3. Plan nursing management of a patient with an endocrine problem.
4. Analyze lab and diagnostic data specific to the endocrine system.
5. Discuss teaching plans for a client with an endocrine problem.
Gastrointestinal System
After completing this unit the student should be able to :
1. Assess the gastrointestinal system.
2. Describe the pathophysiology of problems of the gastrointestinal system.
3. Plan nursing management of a patient with a gastrointestinal problem.
4. Analyze lab and diagnostic data specific to the gastrointestinal system.
5. Discuss teaching plans for a client with a gastrointestinal problem.
Neurological System
1. Assess the neurological system.
2. Describe the pathophysiology of problems of the neurological system.
3. Plan nursing management of a patient with a neurological problem.
4. Analyze lab and diagnostic data specific to the neurological system.
5. Discuss teaching plans for a client with a neurological problem.
Musculoskeletal System
1. Assess the musculoskeletal system.
2. Describe the pathophysiology of problems of the musculoskeletal system.
3. Plan nursing management of a patient with a musculoskeletal problem.
4. Analyze lab and diagnostic data specific to the musculoskeletal system.
5. Discuss teaching plans for a client with a musculoskeletal problem.
Reproductive System
1. Assess the reproductive system.
2. Describe the pathophysiology of problems of the reproductive system.
3. Plan nursing management of a patient with a reproductive problem.
4. Analyze lab and diagnostic data specific to the reproductive system.
5. Discuss teaching plans for a client with a reproductive problem.
Health Promotion I (Health and Wellness/Integrated Care)
1. Assess the health of individuals and develop, implement and evaluate plans for health promotion.
2. Identify factors affecting health status, beliefs, practices and factors affecting health care adherence.
3. Describe the use of conventional medicine and alternative medicine in an individual’s medical care.
Health Promotion II (Therapeutic Relationships and Communications /Psychosocial Needs of the Elderly)
1. Evaluate case scenarios for development of therapeutic relationships and communication.
2. Identify myths of ageism, risk factors for elder suicide and the nurses’ role in prevention.
3. Compare the different group interventions used with elderly clients.
Health Promotion III (Psychological Needs of Patients with Medical conditions and Care of the dying and
those who grieve)
1. Describe at least two common mental health issues and two psychological responses to serious medical
illness.
2. Perform a psychosocial nursing assessment and assess the client’s coping skills.
3. Evaluate goals of end of life care in a medical setting and a hospice setting.
III. ASSESSMENT MEASURES OF STUDENT LEARNING OUTCOMES:
A.
Assessments for the Core Intellectual Competencies –
1. Critical Thinking – Competency in critical thinking will be assessed through test questions and by
application of content in the clinical companion course, specifically, in the grading of the nursing care plan.
2. Communication Skills – Competency in communication skills will be observed in class discussion, oral
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contribution in group activities, and interpersonal communication with instructors and peers, but will be
assessed in the clinical companion course.
3. Empirical and Quantitative Skills – Competency in empirical and quantitative skills will be assessed
through unit exams and by application of content in the clinical companion course.
4. Teamwork – Competency in teamwork will be observed in class discussion and small group
assignments and assessed in the clinical companion course.
5. Personal Responsibility– Competency in personal responsibility will be assessed through student’s
ability to complete assignments and required readings.
6. Social Responsibility – Competency in social responsibility will be assessed in the clinical companion
course.
B. Assessments for Course Objectives for all sections –
SCANS Skills
Assessments
Foundation Skills
Written Assignments
Oral Presentations
Required Reading
Critical Thinking Case Studies
Demonstrated Competency in Clinical
Workplace Competencies
Computer Assisted Instruction
Written Care Plans
Demonstrated Competency in Clinical
C. Assessments for the Course Objectives as determined by the instructor –
Same as stated above
IV. INSTRUCTIONAL PROCEDURES:
A. Methodologies common to all sections
Audio-visual aids
Computer Assisted Instruction
Educational games
Group discussion
Role playing
Independent study
Lecture
Blackboard instruction
Case Studies
V.
COURSE REQUIREMENTS AND POLICIES:
A.
Required Textbooks, Materials, and Equipment –
Adams, M. & Urban, C. (2013). Pharmacology Connections to Nursing Practice. (2 nd ed.). New Jersey:
Pearson.
Angelina College Nursing Program Student Handbook. (2014-2015).
Carpenito, L. (2013). Handbook of nursing diagnosis. (14th ed.). Philadelphia: Lippincott.
Fortinash, K. and Holoday Worret, P. (2011). Psychiatric Mental Health Nursing. (5th ed.). St. Louis
Missouri: Mosby Elsevier
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Gahart, B. and Nazareno, A. (2014). Intraveneous Medications. (30th ed.). St. Louis, Missouri: Mosby
Elsevier.
Jarvis, C. (2012). Physical examination and health assessment. (6th ed.). St. Louis: Saunders.
Lewis, S., Heitkemper, M., Dirksen, S., Bucher, L. (2014). Medical surgical nursing: Assessment and
management of clinical problems (9th ed.). St. Louis: Mosby.
Lewis, S., Heitkemper, M., Dirksen, S., Bucher, L. (2014). Study guide for medical surgical nursing:
assessment and management of clinical problems (9th ed.). St. Louis: Mosby.
Pagana, K. & Pagana, T. (2013). Diagnostic and Laboratory Test Reference. (11th ed.) St. Louis: Mosby.
Potter, P. & Perry, A., (2013). Fundamentals of nursing. (8th ed.). St. Louis, Missouri: Mosby.
Silvestri, L. (2014). Saunders Comprehensive Review for the NCLEX-RN Examination, (6th ed.). St. Louis,
Missouri: Elsevier Saunders
Wilson, B. & Shannon, M. Shields, K. (2014). Nurse’s drug guide. New Jersey: Prentice Hall.
B. Assignments –
This is a Blackboard enhanced course. Students will be expected to log on to Blackboard to receive
assignments, calendars, course information and other materials. Please sign the Blackboard
agreement and return it to the instructor by the end of the first class week.
C. Course Policies – (This course conforms to the policies of Angelina College as stated in the
Angelina College Handbook.)
Academic Assistance – If you have a disability (as cited in Section 504 of the Rehabilitation Act of 1973
or Title II of the Americans with Disabilities Act of 1990) that may affect your participation in this class, you
should see Karen Bowser, Room 208 of the Student Center. At a post-secondary institution, you must selfidentify as a person with a disability; Ms. Bowser will assist you with the necessary information to do so.
Angelina College (AC) admits students without regard to race, color, religion, natural origin, sex, disability,
or age. Inquiries regarding the non-discrimination policies of AC should be directed to: Dr. Patricia
McKenzie, Vice President and Dean of Instruction, 3500 South First , Lufkin, TX 75904, telephone is 936633-5201.
Attendance – See ACNP Student Handbook 2014-2015.
HESI – See HESI policy in Student Handbook 2014-2015.
Additional Policies Established by the Individual Instructor
All pagers and cell phones must be on silent mode or turned off during class time.
Progression Policy:
A student must earn a minimum grade of "C" or "P" in all required courses in order to progress within the
nursing program. All nursing courses must be taken in appropriate sequence.
Withdrawal and Dismissal:
Students who wish to withdraw from the nursing program must do so with both the Nursing Program
Coordinator and the Office of Admissions. If the student does not officially withdraw in the Ofice of
Admission, an "F" will appear on the transcript for the course in progress at that time.
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Examinations:
Students must be present and on time for all examinations which will be administered paper and pencil or
on-line in the computer lab.
See ACNP Student Handbook 2014-2015 for make-up exam policy.
Attendance at the final examination is required and may be rescheduled ONLY with the approval of the
Vice President of Instruction.
All exams (and written assignments) become the property of the Nursing Program.
VI. COURSE CONTENT:
A. Required Content/ Topics – (common to all sections)
Content
Problems Related to Altered Sensory Input
Reading Assignment
Review Chapter 21 Visual and Auditory Systems
Visual and Auditory Problems
Extraocular Disorders
Intraocular Disorders
Hearing Problems
Integumentary Problems
Malignant Skin Neoplasms
Skin Infections and Infestations
General Measures to Treat Acute Dermatologic
Problems
Chapter 22
Health Promotion
Health and Wellness / Integrated Care
Therapeutic Relationships and Communications /
Psychosocial Needs of the Elderly
Psychological Needs of Patients with Medical
Conditions and Care of the Dying and Those who
Grieve
Problems of Oxygenation: Ventilation
Upper Respiratory Problems
Problems of Nose and Paranasal Sinuses
Problems of Pharynx, trachea and larynx
Problems of Trachea and Larynx
Lower Respiratory Problems
Acute bronchitis
Pertussis
Pneumonia
Tuberculosis
Atypical Mycobacteria
Fungal Infections
Lung Abscess
Environmental Lung Diseases
Obstructive Pulmonary Diseases
Asthma
COPD intro
Review Chapter 23 Integumentary System
Chapter 24
Chapter 6 of Potter, P. & Perry, A., (2013). Fundamentals of
nursing. (8th ed.). St. Louis, Missouri: Mosby.
Chapter 29 of Varcarolis, E.M., & Halter, M.J. (2010).
Foundations of Psychiatric Mental Health Nursing: A Clinical
Approach. (6th ED). St. Louis: Saunders Elsevier.
Chapter 9,10, and 29 of Varcarolis
Chapter 31 and 32 of Varcarolis
Review Chapter 26 Respiratory System
Chapter 27 pp.497- 512 (stop after Laryngeal Polyps)
Chapter 28 p. 521- 535
Chapter 29 pp. 560- 585 (stop with classification of COPD)
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Problems
Related
to
Reproductive
Mechanisms
Sexually Transmitted Diseases
Female Reproductive Problems
Male Reproductive Problems
Review Chapter 51
Problems Related to Regulatory Functions
Endocrine Problems
Growth hormone excess & deficit
ADH excess and deficit
Thyroid hormone excess and deficit
Parathyroid excess and deficit
Adrenal hormone excess and deficit
Diabetes Mellitus
Type I – Type II Pathophysiology
Drug therapy - insulin, oral agents
Nutrition
Exercise
Blood glucose monitoring
Acute complications
Chronic complications
Review Chapter 48
Chapter 50
Problems of Oxygenation: Perfusion
Review Chapter 32 (Lewis)
Review Chapter 40 (Potter and Perry)
Chapter 33
Hypertension
Normal Regulation of Blood Pressure
Hypertensive Crisis
Coronary Artery Disease
Chronic stable angina
Unstable angina
Myocardial infarction
Heart Failure
Basic cardiac rhythm
Vascular Disorders
Peripheral artery disease lower extremities
Acute arterial ischemic disorders
Venous disorders
Problems of Ingestion, Digestion, Absorption,
and Elimination
Obesity
Upper Gastrointestinal Problems
Nausea and Vomiting
Oral Inflammations and Infections
Gastroesophageal Reflux Disease
Hiatal Hernia
Gastritis
Peptic Ulcer Disease
Upper GI Bleed
Foodborne Illness
Lower Gastrointestinal Problems
Diarrhea
Fecal Incontinence
Constipation
Abdominal Pain – acute and chronic
Irritable Bowel Syndrome
Appendicitis
Chapter 53
Chapter 54
Chapter 55
Chapter 49
Chapter 34
Chapter 35
Chapter 36 pp. 787-797
Chapter 38
Review Chapter 39
Chapter 41
Chapter 42 (skip sections on Oral Cancer, Esophageal Cancer,
Other Esophageal Disorders, Stomach Cancer)
Chapter 43 pp. 961-982; 994-1005
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Peritonitis
Gastroenteritis
Inflammatory Bowel Disease
Diverticulosis and Diverticulitis
Hernia
Malabsorption Syndromes
Anorectal Problems
Liver, Pancreas, and Biliary Tract Problems
Hepatitis
Cholelithiasis and Cholecystitis
Chapter 44
pp. 1006-1015, 1036-1040
Altered Immune Responses and
Transplantation
Normal Immune Response
Altered Immune Response
Immunodeficiency Disorders
Diagnostic Studies
Nursing Management
Immunosuppressive Therapy
Infection and Human Immunodeficiency Virus
Infection
Human Immunodeficiency Virus Infection
Nursing Management
Chapter 14
Problems of Urinary Function
Renal and Urologic Problems
Review Chapter 45
Chapter 46
Problems
Related
to
Movement
and
Coordination
Chronic Neurologic Problems
Headaches
Seizure Disorders and Epilepsy
Multiple Sclerosis
Parkinson’s Disease
Myasthenia Gravis
Amyotrophic Lateral Sclerosis
Stroke
Assessment and Risk Factors
Pathophysiology
Types of Strokes (Ischemic, Hemorrhagic)
Diagnostic studies
Nursing management (Acute and Ambulatory)
Review Chapter 56
Musculoskeletal System
Musculoskeletal Trauma and Orthopedic Surgery
Musculoskeletal Problems
Review Chapter 62
Chapter 63
Chapter 15 Focus on pp. 231-246
Chapter 59 pp. 1413-1441
Note: Restless Legs Syndrome and Huntington’s Disease are
not covered. Read these FYI.
Chapter 58 pp. 1389-1412
Chapter 64
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VII. EVALUATION AND GRADING:
A. Grading Criteria (percent, extra credit, etc.)
4 unit exams = 20% each (total 80%)
Final exam = 20%
There will be NO rounding of test grades. After averaging, the final grade is the only rounded grade.
Please note. For all testing experiences, no head coverings (caps, hats, hoodies, toboggans, etc.) will be allowed.
In addition, please be reminded that the use of cell phones and other electronic devices are prohibited. Students
may use earplugs for noise reduction; however, no headphones or “earbuds” with electronic capability are
acceptable.
B. Determination of Grade (assignment of letter grades)
Grading Scale
A= 90-100
B= 80-89
C= 74.5-79
F= <74.5
VIII. SYLLABUS MODIFICATION:
The instructor may modify the provisions of the syllabus to meet individual class needs by informing the class in
advance as to the changes being made.
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