COURSE SYLLABUS VNSG 1400.501 (4:3:3) NURSING IN HEALTH AND ILLNESS I Vocational Nursing Program Health Occupations Department Technical Education Division Plainview Campus South Plains College Fall 2013 1 Plainview COURSE SYLLABUS COURSE TITLE: VNSG 1400.501 NURSING IN HEALTH AND ILLNESS I INSTRUCTORS: Suzanne Griffin, AAS, ADN, RN Toy Long, BSN, RN, CCHP OFFICE LOCATION & PHONE / E-MAIL: PC 104 F / 806-296-9611 EXT. 4405 / sgriffin@southplainscollege.edu PC 104 E / 806-296-9611 EXT. 4408 / tlong@southplainscollege.edu OFFICE HOURS: Griffin: M 1PM – 4PM, T 10AM - 12PM and 1PM - 4PM, W TR F By Appointment Long: M 9AM – 12 PM, T 1PM – 4PM, W 9 AM – 12 PM, TR F By Appointment SOUTH PLAINS COLLEGE IMPROVES EACH STUDENT’S LIFE COURSE DESCRIPTION: This course is an introduction to the general principles of growth and development, primary health care needs of the patient across the lifespan, and therapeutic nursing intervention. STUDENT LEARNING OUTCOMES: The student will describe and discuss the uniqueness of the gerontologic patient related to physical, mental, and emotional changes associated with the aging process; describe the psychosocial, growth and development, and physiological needs of patients across the lifespan; Identify primary health care needs of the client; and identify the basic interventions to support the patient and family during life stages including death and dying. COURSE COMPETENCIES (Learning Outcomes): The student must complete this course with a 75% or above based on the following objectives: 1. 2. 3. Demonstrate a basic understanding of the physiological mechanisms that alter the function of individual body organs in the aging adult. Recognize the integrated whole being and how a change in one organ system affects other body systems. Identify implications for nursing interventions to assist the older adult to adapt to the problems associated with functional decline. 2 4. 5. 6. 7. 8. 9. 10 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. Identify means by which the nurse can assist the aging adult and his family in health/wellness promotion and maintenance. Describe the components of a systematic assessment of the geriatric client, both in terms of wellness and functional disability. Recognize the role of rehabilitation in restoring the infirmed geriatric client to as full and independent a life as possible. Demonstrate modified nursing approaches to assist to meet the physiological and psychological needs of the older adult. Identify community resources available to assist the older adult in maintaining independence to buffer effects of restrictions imposed by aging. Identify lab tests and normal values for each system and integrate into geriatric plan. Demonstrate an understanding of pharmacology using the nursing process approach. Be familiar with basic terminology in classification of medications, both by action and by body system. Identify the essential nutrients and their functions. Identify the components of the Food Pyramid and Recommended Daily Allowances. Identify the ways in which the consumer benefits from regulations governing the food industry. Discuss ways in which the nurse can contribute to nutritional wellness as a preventive against disease. Discuss nursing responsibilities and interventions integral in nutrition. Prepare a therapeutic diet plan using principles of good basic nutrition and assessment of the dietary needs: prepare therapeutic diet teaching plans and implement them in simulated clinical situations. Apply principles of nutrition essentials to food selection and preparation. State the origin and definition of pharmacology Distinguish differences in definitions, names, standards and information sources in pharmacology. Explain nursing assessments necessary to evaluate potential problems associated with the absorption of medications. Discuss nursing interventions that can enhance drug absorption. Differentiate between selective and general types of drugs. Discuss the effects of drug actions across the life span with focus on geriatrics. Differentiate among cognitive, affective and psychomotor learning domains with the emphasis on patient education and health promotion. Define and demonstrate competency of the six rights of drug administration and knowledge of equipment and basic administration procedure techniques. Demonstrate a workable knowledge of conversion tables and calculation of dosages. Describe safe practices for care and storage of medications. Demonstrate knowledge of standard abbreviations used in medication therapy. Demonstrate appropriate documentation of a drug order and medication administration. 3 ACADEMIC INTEGRITY: Refer to the SPC catalog (page 21) and the VNP Student Hand Book (page 25). SCANS AND FOUNDATION SKILLS: C – 1, 2, 3, 4, 5, 6, 7, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19 F – 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17 VERIFICATION OF WORKPLACE COMPETENCIES: NCLEX – PN Licensure Examination eligibility following successful completion of the one-year vocational nursing program. TEXTBOOKS: Dudek, S. (2010). Nutrition Essentials for Nursing Practice, 6th Ed. Philadelphia, PA. Lippincott Anderson, MA. (2011). Caring for Older Adults Holistically, 5th Ed. Philadelphia, PA. FA Davis Clayton, B., Willihnganz, M. (2013) Basic Pharmacology for Nurses, 16th Ed. St. Louis, MO. Mosby/Elsevier Study Guide to accompany text Curren, A. (2009). Math for Meds, 10th Ed. Clifton Park, NY. Delmar Cengage Learning Occasionally, the student will be required to utilize outside references. ATI Support Materials ATTENDANCE POLICY: Refer to the SPC catalog (page 19) and the VNP Student Handbook (page 15). This course is a 4 credit hour course with 8 hours allowable absence. Three tardies count as one hour absence. COURSE REQUIREMENTS: 1. 2. 3. 4. 5. 6. 7. 8. Completion of assigned reading. Participation in class discussion. Following provided rubrics for all assignments. Completion of all assignments, quizzes, and exams administered. Seek instructor guidance and follow student handbook when absences occur. Completion of scheduled ATI assessments and CAI programs assigned. Completion of drug summaries and diagnosis summaries as assigned. Completion of ATI support materials as assigned. Written assignments are to be neat and legible. Follow specific rubrics provided by instructors. Basic guidelines for computer generated work includes using black as font color and 12 as font size or the assignment may be hand written using black ink, and each must be double spaced and on one side of the paper only. Paper edges must be without frayed edges. Points will be deducted accordingly as per instructor discretion. 4 GRADING: Unit Exams / Final Exam 75% Drug and Diagnosis Summaries, and Nutrition Groupwork 20% Class Participation 5% Grading Scale: A ………. 90 – 100 B ………. 80 – 89 C ………. 75 – 79 D ………. 70 – 74 F ……….. 69 or below SCHEDULE OF CLASSES: Aug. 27 Geriatrics Book Chapter 1 Nutrition Book Chapter 1 EMA Pharmacology Book Chapter 1 Aug. 29 Geriatrics Book Chapter 2 Nutrition Book Chapter 2/ Group Demonstration EMA Pharm Work book Chapter 1 Sept. 3 Geriatrics Book Chapter 3 Nutrition Book Chapter 3/Group Demonstration EMA Pharm Book Start Chapter 2 Sept. 5 Geriatrics Book Chapter 4 Nutrition Book Chapter 4/Group Demonstration EMA Pharm Work book Chapter 2 Sept. 10 Geriatrics Book Chapter 6 Nutrition Book Chapter 5/Group Demonstration EMA Pharm Book Start Chapter 3 Sept. 12 Unit Interactive Discussion Nutrition book Chapter 6/Group Demonstration EMA Pharm Book Finish Chapter 3 Sept. 17 Exam 1 Nutrition Book Chapter 7 EMA Pharm. Work book Chapter 3 Sept.19 Geriatric Book Chapter 7 Nutrition Book Chapter 8 EMA Pharm Book Chapter Start Chapter 4 5 Sept. 24 Geriatric Book Chapter 9 Nutrition Book Dietary Analysis Discussion EMA Pharm book Finish Chapter 4 Sept. 26 Geriatric Book Chapter 10 Nutrition Book Dietary Group Discussion Analysis EMA Pharm Work book Chapter 4 Oct. 1 Unit Interactive Review Nutrition Book Chapter 9 EMA Pharm Book Start Chapter 5 Oct. 3 Exam 2 Nutrition Book Chapter 10 EMA Pharm Book Finish Chapter 5 Oct. 8 Geriatric Book Chapter 11 Nutrition Dietary Analysis Paper Due by 1000 EMA Pharm Work book Chapter 5 Oct. 10 Geriatric Book Chapter 18 Nutrition Book Chapter 13 **Clayton/Willihnganz Begin Unit II – Illustrated Atlas of Medication Administration and Math Review Ch. 6 (**text) A Review of Arithmetic and Appendix A – Medical Abbreviations Ch. 4 & 5 (Math for Meds) Electronic Study Guide Abbreviation Tables (Fundamentals) – Think: “Pharmacology Abbreviations and Equivalents” CAI Programs (Abbreviations and Equivalents) are available in computer lab. Use in practice as many times as you wish. When ready to test, please inform Mrs. Brake or Nathan Cowart in order for score to be recorded. Due date: Monday, 10 – 21 - 13 Handout Activity # 1, # 2, & # 3 Oct. 15 Activities TBA Oct. 17 Activities TBA Oct. 22 Geriatric Book Chapter 16 Nutrition Book Chapter 16 **Handout Review / Workbook / CAI Program work Oct. 29 Geriatric Book Chapter 13 & 14 Nutrition Book Chapter 20 **Exam 3 - Abbreviations and Equivalents COMPETENCY OF 90% OR ABOVE MUST BE ACHIEVED ON ABBREVIATIONS AND EQUIVALENTS. YOUR INITIAL SCORE IS THE SCORE RECORDED FOR UNIT EXAM # 3 GRADE. YOU WILL HAVE THREE OPPORTUNITIES TO ACHIEVE THIS LEVEL OF 6 COMPETENCY BY FRIDAY, DECEMBER 6, 2013. IF 90% IS NOT ACHIEVED ON THIS EXAM (FIRST ATTEMPT), ARRANGEMENTS MUST BE MADE WITH MRS. GRIFFIN FOR RETAKES. THE RETAKES MAY NOT BE COMPLETED DURING CLASSTIME. SHOULD AFTER THE THIRD ATTEMPT TO MEET COMPETENCY 90% IS NOT ACHIEVED, OBJECTIVES FOR THIS COURSE CAN NOT BE MET AND A FAILING GRADE WILL BE ISSUED. Nov. 5 Geriatric Book Chapter 17 & 18 Nutrition Book Chapter 17 & 18 Ch. 7 (text) Principles of Medication Administration Ch. 6 (Math for Meds) ** Begin working on CAI Programs CAI PROGRAMS (Drugs and Solutions) ON DOSAGE CALCULATIONS AVAILABLE IN COMPUTER LAB. PLEASE MAKE APPOINTMENTS WITH MRS. BRAKE. YOU WILL HAVE SOME CLASSTIME TO DO THESE, AND/OR YOU MAY COMPLETE THESE ON YOUR OWN TIME. ALL STUDENTS TO TURN IN COMPLETION OF THESE PROGRAMS BY MONDAY, 11 – 11 – 13. Dosage Category: Adult, Pediatric, Geriatric Drug Types: General Question Types: Conversions, Calculations, Dosage Based on Weight/BSA, Solutions Nov. 12 Nutrition Book Chapter 19 ** Exam 4 - (TEXT: CHAPTERS 6 AND 7 and MATH FOR MEDS: CHAPTERS 4, 5, AND 6) Nov. 19 Nutrition Book Chapter 20 ** Ch. 7, 8, 9, 10, 11 (Math for Meds) Nov. 26 Geriatric Book Chapter 19 Nutrition Book Chapter 21 **Ch. 14 – Formula Method Review Ch. 15, 16, 22 (Math for Meds) Pediatric Dosages Continue with Workbook and Computer Lab (Adult, Pedi, & Geriatric Calculations) Dec. 3 Geriatric Book Chapter 21 with unit interactive discussion Nutrition Book Chapter 22 **Ch. 9 (text) Enteral Administration – PO, NG, Rectal Ch. 10, 11, 12 (text) Parenteral Administration Ch. 8 (text) Percutaneous Administration Review of Text Chapters, Video Presentations, Order Transcriptions, Lab Practice ** Exam 5 - Dosage Calculations Competency (Due to Mrs. Griffin on Friday, Dec.6th by 1600) Dec. 10 Final Exam 7 COURSE OUTLINE: Caring for Older Adults Holistically Unit I Foundations of Care for the Older Adult I. II. III. IV. V. VI. VII. VIII. IX. Holistic Caring The Aging Experience Supporting Life transitions The Use of the Nursing Process and Nursing Diagnosis in the Care of Older Adults Promoting Wellness Focus on Nutrition for Older Adults Activity, Rest and Sleep as a Criteria for Health End of Life issues in older Adults Environments of Care Unit II Clinical Practice in Geriatric Nursing X. XI. XII. XIII. XIV. Common Infectious Diseases Common Medical Diagnosis Common Clinical Problems: Psychological Rehabilitation and Restorative Care Laboratory Values and Older Adults Nutrition Essentials for Nursing Practice Unit I Principles of Nutrition I. II. III. IV. V. VI. VII. VIII. IX. X. Nutrition in Nursing Carbohydrates Protein Lipids Vitamins Water and Minerals Guidelines for Healthy Eating Consumer issues Cultural and Religious Influences on Food and Nutrition in Geriatric Patients Nutrition for Older Adults 8 Unit II Nutrition in Health Promotion I. II. III. IV. V. VI. VII. Obesity and Eating Disorders Nutrition for patients with Metabolic or Respiratory Distress Nutrition for Patients with Upper gastrointestinal Disorders Nutrition for patients with Disorders of the Lower GI Tract and Accessory Organs Nutrition for Patients with Diabetes Mellitus Nutrition for Patients with Cardiovascular Disorders Nutrition for Patients with Cancer or HIV/AIDS Basic Pharmacology for Nurses Unit I Foundations of Pharmacology I. II. III. IV. V. Drug Definitions, Standards, and Information Sources Basic Principles of Drug Action and Drug Interaction Drug Action Across the Life Span The Nursing Process and Pharmacology Patient Education to Promote Health Unit II Illustrated Atlas of Medication Administration and Math Review VI. VII. VIII. IX. X. XI. XII. A Review of Arithmetic Principles of Medication Administration and Medication Safety Percutaneous Administration Enteral Administration Parenteral Administration: Safe Preparation of Parenteral Medications Parenteral Administration: Intradermal, Subcutaneous, and Intramuscular Routes Parenteral Administration: Intravenous Route 9 SCANS COMPETENCIES RESOURCES – Identifies, Organizes, Plans, and Allocates Resources C-1 C-2 C-3 C-4 TIME – Selects goal – relevant activities, ranks them, allocates time and prepares and follows schedules. MONEY - Uses or prepares budgets, makes forecasts, keeps records, and makes adjustments to meet objectives. MATERIALS & FACILITIES – Acquires, stores, allocates and uses materials or space efficiently. HUMAN RESOURCES – Assesses skills and distributes work accordingly, evaluates performance and provides feedback. INTERPERSONAL – Works With Others C-5 C-6 C-7 C-8 C-9 C-10 Participates as a member of a team - contributes to group effort. Teaches others new skills. Serves Clients/Customers – works to satisfy customer’s expectations. Exercise Leadership – Communicates ideas to justify position, persuades and convinces others responsibility challenges existing procedures and policies. Negotiates – works toward agreements involving exchanges of resources; resolves divergent interests. Works With Diversity – Works well with men and women from diverse backgrounds. INFORMATION – Acquires and Uses Information C-11 C-12 C-13 C-14 Acquires and evaluates information. Organizes and maintains information. Interprets and communicates information. Uses computers to process information. SYSTEMS – Understands Complex Interrelationships C-15 C-16 C-17 Understands Systems – Knows how social, organizational, and technological systems work and operate effectively with them. Monitors and Corrects Performance – Distinguishes trends, predicts impacts on system operations, diagnoses deviations in systems’ performance, and corrects malfunctions. Improves Or Designs Systems – Suggests modifications to existing systems and develops new or alternative systems to improve performance. TECHNOLOGY – Works With a Variety of Technologies C-18 C-19 C-20 Selects Technology – Chooses procedures, tools, or equipment, including computers and related technologies. Applies Technology to Task – Understands overall intent and proper procedures for setup and operation of equipment. Maintains and Troubleshoots Equipment – Prevents, identifies, or solves problems with equipment, including computers and other technologies 10 FOUNDATION SKILLS BASIC SKILLS – Reads, Writes, Performs Arithmetic and Mathematical Operations, Listens and Speaks F-1 F-2 F-3 F-4 F-5 Reading – Locates, understands and interprets written information in prose and in documents such as manuals, graphs and schedules. Writing – Communicates thoughts, ideas, information and messages in writing and creates documents such as letters, directions, manuals, reports, graphs and flow charts. Arithmetic/Mathematics – Performs basic computations; approaches practical problems by choosing appropriately from a variety of mathematical techniques. Listening – Receives, attends to, interprets, and responds to verbal messages and other cues. Speaking – Organizes ideas and communicates orally. THINKING SKILLS – Thinks Creatively, Makes Decisions, Solves Problems, Visualizes, Knows How to Learn, and Reasons F-6 F-7 F-8 F-9 F-10 F-11 Creative Thinking – Generates new ideas. Decision Making – Specifies goals and constraints, generates alternatives, considers risks, evaluates and chooses best alternative. Problem Solving – Recognizes problems, devises and implements plan of action. Seeing Things in the Mind’s Eye – Organizes and processes symbols, pictures, graphs, objects and other information. Knowing How to Learn – Uses efficient learning techniques to acquire and apply new knowledge and skills. Reasoning – Discovers a rule or principle underlying the relationship between two or more objects and applies it when solving a problem. PERSONAL QUALITIES – Displays Responsibility, Self-Esteem, Sociability, Self-Management, and Integrity and Honesty F-12 F-13 F-14 F-15 F-16 Responsibility – Exerts a high level of effort and perseveres toward goal attainment. Self-Esteem – Believes in own self-worth and maintains a positive view of self. Sociability – Demonstrates understanding, friendliness, adaptability, empathy and politeness in group settings. Self-Management – Assesses self accuracy, sets personal goals, monitors progress and exhibits self control. Integrity / Honesty – Chooses ethical courses of action. SCANS FOUNDATION AND COMPETENCY SKILLS (by course) Foundations; (F) ECON 230: 1, 2, 3, 4, 5, 8, 9, 10, 11, 12, 17 Competencies: (C) 2, 15 ENGL 5, 6, 7, 8 5, 6, 7 1301 1302 1, 2, 5, 7, 8, 9, 11, 12, 13, 15, 16, 17 1, 2, 5, 7, 8, 9, 11, 12, 13, 15, 16, 17 11 GOVT 2301 1, 2, 10, 11, 12, 17 15 HIST 1, 2, 5, 10, 11, 12, 17 15 MATH 1314 3, 4, 9, 10, 11, 12 – PSYC 2301 1, 2, 10, 11, 12, 15, 16, 17 4, 14 READ 1314 1, 2, 5, 7, 8, 9, 10, 11, 12, 15, 17 1, 5, 6, 7, 8, 9, 10, 12, 13, 14, 15 SPCH 1321 2, 4, 5, 6, 7, 8, 9, 10, 13, 14 1, 5, 6, 7, 14 SOC 1301 1, 2, 5, 8, 9, 10, 11, 12, 15, 16, 17 4, 14 PHYS 1315 1,2,4,10,11,12 – 1302 Example for PSYC: Scans: Foundation Skills: Competencies: 1, 2, 10, 11 4, 13 12 4.1.1 Syllabus Statements: Each syllabus should include the following Diversity Statement and the Disabilities Statement appropriate to the location of the course. 4.1.1.1 Diversity Statement: In this class, the teacher will establish and support an environment that values and nurtures individual and group differences and encourages engagement and interaction. Understanding and respecting multiple experiences and perspectives will serve to challenge and stimulate all of us to learn about others, about the large world and about ourselves. By promoting diversity and intellectual exchange, we will not only mirror society as it is, but also model society as it can be. 4.1.1.2. Disabilities Statement: Levelland Campus Students with disabilities, including physical, psychiatric, or learning disabilities, who wish to request accommodations in this class should notify the Special Services Office early in the semester so that the appropriate arrangements may be made. In accordance with federal law, a student requesting accommodations must provide acceptable documentation of his/her disability to the Special Services Coordinator. For more information, call or visit the Special Services Office in the Student Services building. 894-9611 ext 2529. Reese Center and Byron Martin Advanced Technology Center (ATC) Students with disabilities, including physical, psychiatric, or learning disabilities, who wish to request accommodations in this class should notify the Special Services Office early in the semester so that the appropriate arrangements may be made. In accordance with federal law, a student requesting accommodations must provide acceptable documentation of his/her disability to the Special Services Coordinator. For more information, call or visit the Special Services Office in room 809 and 811, Reese Center, Building 8, 885-3048 ext 4654 13