NURS 656, Advanced Practice Nursing: Primary Care II
Fall, 2014
Schedule Number: 22429
COURSE INFORMATION
Class Day: Tuesday
Class Time: 4 p.m. – 6:40 p.m.
Class Location: SLHS 247
Professor: L. Fitzsimmons, PhD, APRN, FNP, ANP-BC
Contact: 619-594-2761, lfitzsim@mail.sdsu.edu
Office Hrs (by appt): flexible to meet student need
Office Hr Location: HT 172
Professor: S. Livermore, PhD, APRN, FNP-BC, ACHPH
Contact: Slivermore@mail.sdsu.edu
Office Hrs (by appt): flexible to meet student need
Office Hr Location: HT 173
Course Overview
CATALOG COURSE DESCRIPTION
Primary care management of adults/elderly with acute and chronic health problems. Contemporary role and
psychosocial issues in advanced practice nursing of adults and elders.
DESCRIPTION OF PURPOSE AND COURSE CONTENT
Purpose: Prepares the adult-gerontology advanced practice student to use evidence based clinical practice
guidelines and standards to manage the complex acute and chronic health care problems in adults and elders.
Continued emphasis on NP role development and care implementation in primary care and specialized settings.
STUDENT LEARNING OUTCOMES
Upon successful completion of this course the student shall:
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Identify adult/geriatric clients at risk for select acute and chronic health problems.
Synthesize knowledge of health assessment, pathophysiology and pharmacotherapeutics in the primary
care management and evaluation of select acute and chronic health problems.
Delineate the pathophysiology, clinical presentation, and differential diagnoses associated with select
acute and chronic health problems.
Develop initial and continuing management plans including diagnostic tests and pharmacologic and nonpharmacologic therapeutics for select acute and chronic health problems.
Identify appropriate indications for referral and patient education for select acute and chronic health
problems.
Analyze current evidence-based-practice guidelines and national standards of care for select adult and
geriatric health care problems.
Analyze research relative to health promotion, health maintenance, and health restorative interventions.
Analyze community resources relative to the provision of primary care.
Analyze the multifaceted role of the adult/geriatric advanced practice nurse in health care systems.
Analyze contemporary socio-cultural, economic, ethical, and legal issues relevant to advanced practice
nursing of adults/elderly.
Analyze select concepts and theories from the behavioral and social sciences for application in advanced
practice nursing of adults/elderly.
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Course Outline & Required Readings: Schedule subject to change
Date
8/26
Content
Orientation etc., Role Issues
Management of Patients with Thyroid Dysfunction, Disease
Lorraine Fitzsimmons, PhD, APRN, FNP, ANP-BC
9/2
Advanced EKG Interpretation, 12 Lead
Della Burns, MN, APRN, FNP-BC
9/9
Mental Health Issues: Depression & Anxiety in Adults/Elders
Ruth Samad, RN, PhD
Clinical Psychologist, Private Practice & SDSU Faculty
Coding, Reimbursement, Medicare
Sarah Livermore, PhD, APRN, FNP-BC, ACHPH
Chronic Pain Management, Wound Care
Sarah. Livermore, PhD, APRN, FNP-BC, ACHPH
Buttaro, chapt 245, 246,
Poole, Chapt 40, 41
Reuben, pp. 30-32, 69-74
Buppert, chapt 9,
Management of Patients with Prostate Dysfunction, Disease
Sue Hadley, PhD, APRN, GNP, ANP-BC
Management of Patients with Chest Pain, Cardiac Diagnostics
Sue Hudson-Abbott, MS, APRN, CNS, GNP, ANP-BC
Cardiology Nurse Practitioner, VA, San Diego
EXAM #1
Management of Patients Requiring Anticoagulation, VTE
Prevention
Beth Palmer, DNP, APRN, AGPCNP, ACCNS-AG
Nurse Practitioner, VA, San Diego
Management of Patients with Common Geriatric Syndromes
Sarah Livermore, PhD, APRN, FNP-BC, ACHPH
Buttaro, chapt 147,
Reuben, pp. 240-241
Buttaro, chapt 115, 119, 120, 125
Poole, chapt 21, 22
9/16
9/23
9/30
10/7
10/14
10/21
10/28
11/4
Palliative Care
Sarah Livermore, PhD, APRN, FNP-BC, ACHPH
11/11
11/18
University Holiday, Veterans Day, No Class
Management of Patients with Hepatitis
Sue Hadley, PhD, APRN, GNP, ANP-BC
Management of Adults & Elders with Neurologic Disorders:
ON-LINE
Vicki McCalmot, MS, APRN, ANP-BC
11/25
12/2
12/9
12/16
Practice Issues. State and National Advanced Practice
Certifications
Lorraine Fitzsimmons, PhD, APRN, FNP, ANP-BC
Contemporary Issues in Health Care, Research Critiques
Lorraine Fitzsimmons, PhD, APRN, FNP, ANP-BC
EXAM #2
*EBP Guidelines and research articles will be added
Readings*
Buppert, chapt 1, 2
Buttaro, chapt 6,
DeSani, pp, 194-200
Reuben, pp. 83-84,
Poole, chapt 46
EKG Syllabus on BB
Buttaro, chapt 117
Buttaro, chapt 15
Reuben, pp. 210-222, 267-275
Poole, chapt 7
Buttaro, chapt 124
Reuben, pp. 22-29
Poole, Chapt 49
Buttaro, chapt 12, 187,
Reuben, pp. 58-61, 62-68,
Dains, chapt 8
Buttaro, chapt 13
Reuben, pp. 223-230
Buttaro, chapt 135
Buttaro, chapt 37, 187, 193, 195, 199,
200,
Reuben, pp. 195-204
Poole, chapt 38, 39, 44
Dains, chapt 12,18
TBA
TBA
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REAL LIFE RELEVANCE
Advanced practice students continue to acquire and refine knowledge and skills needed to diagnose and treat
acute and chronic health care problems in clinical practice. Content required national certification as an adultgerontology primary care nurse practitioner.
RELATION TO OTHER COURSES
Required course for students in the APN, NP-CNS specialization. NURS 656 taken concurrently with NURS 657.
Enrollment Information
PREREQUISITES
NURS 654, APN: Primary Care I; NURS 655, APN Practicum: Primary Care I
Concurrent: NURS657, APN Practicum: Primary Care II
ADD/DROP PROCEDURES
Per University policy in the SDSU General Catalog and class schedule
Course Materials
Course materials (lecture outlines, course documents etc.) are accessible via the course Blackboard site.
REQUIRED TEXTS
Buttaro, T. et al. (2013). Primary care. A collaborative practice. 4th edition. Elsevier: St. Louis.
Buppert, C. (2012). Nurse practitioner's business practice and legal guide. 4th edition. Jones and Bartlett, Boston.
Dains, J., et al. (2012). Advanced health assessment and clinical diagnosis in primary care. 4th ed. Mosby: St. Louis.
Desani, S. (2009). Clinician's guide to laboratory medicine. Pocket. MD2B. Houston, Texas.
Gilbert, D., et al. (2013). The Sanford guide to antimicrobial therapy. Antimicrobial Therapy. VT.
Poole, V. et al. (2013). Pharmacotherapeutics for advanced practice. A practical approach. Lippincott: Philadelphia.
Reuben, D. et al. (2012). Geriatrics at your fingertips. 14th edition, American Geriatrics Society, New York.
Seidel, H., et al. (2011). Mosby's guide to physical examination. 7the edition. Mosby: St. Louis.
Current evidence-based practice guidelines, research studies, and risk assessment tools will be required.
Course Structure and Conduct
This class builds on content presented and discussed in Pharmacology (NURS 658), Advanced Health Assessment
(NURS 501), Pathophysiology (NURS 610) and Primary Care I (NURS 654). During class, students will be expected to
discuss cases, present homework, write scripts and engage in clinical decision making exercises. Both lecture and
discussion formats will be used. Students are expected to prepare for class. Students who are not prepared maybe
be counseled and will have their course grades lowered by one interval (example B to B-)
Computer Requirements:
Students are required to have a computer with internet access, a printer and an active SDSU email account.
Students are responsible for checking their email daily and to responding promptly when requested to do so.
Course Assessment and Grading
Final Course Grades: Final course grades will be determined by achievement in:
Examination I
45%
Examination II
45%
Resume
10%
100%
To successfully complete this course, a student must earn an average test grade of C or better. A grade earned on
the resume project may not elevate a failing test average.
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Final Average
93-100%
90-92%
87-89%
83-86%
80-82%
77-79%
73-76%
70-72%
67-69%
63-66%
60-62%
60%
Final Course Grade
A
AB+
B
BC+
C (Lowest grade to pass the course)
CD+
D
DF
Please refer to the 2014-2015 SDSU Graduate Bulletin regarding graduate division policies regarding GPA etc.
Other Course Policies
Class Attendance/Absence: (from the start to the end of class) IS REQUIRED. Students should not make outside
commitments that require absence from class. An excused absence will be granted by the course professor for
serious reasons only. Students are required to contact the course professor to discuss their absence prior to class.
Medical documentation maybe required for illness.
Conflicting work schedules are not grounds for an excused absence. An unexcused absence will result in the
lowering of your course grade by on one interval (example: A to A-). Two unexcused absences will result in course
failure. Students are expected to be on time for class.
No provisions will be made for an exam that is missed because of an unexcused absence. An unexcused absence
will result in a grade of 0 for the exam. There are no makeup exams for unexcused absences. For an absence to be
excused, the student must provide appropriate timely written documentation. If a make-up exam is needed for an
excused absence, the exam may differ in format from the original exam (e.g, essay, short answer, oral exam or
other test formats maybe given). The date, time, place and composition of the makeup exam will be determined
by the course professor.
Excessive absences (even if excused) may result in course failure. Please contact the course professor if you are
having problems that affect your attendance in lecture.
Classroom Etiquette: Electronic devices (computers, iphones, ipads etc.) may only be used to access course
materials. These devices may NOT be used to send/receive/check messages or texts during class time. Cell phones
should be silenced and text messaging is not permitted during class time. Audio or videotaping of lectures is not
permitted.
Students with Disabilities: Students who need disability accommodations should provide documentation of their
disabilities to Student Disability Services (DSS) (Capulli Center, Suite 3101), and receive authorization for academic
accommodations. After accommodations have been authorized by DSS, students are responsible for notifying
faculty in advance of the need for accommodations. This can be best accomplished by making an appointment to
meet privately with the faculty member early in the semester, or as soon as possible in the event that a disability is
diagnosed during the course of the semester.
Other: "Some courses may require students to participate in field trips, research or studies that include course
work that will be performed off-campus. Participation in such activities may result in accidents or personal injury.
Students participating in off-campus are aware of these risks, and agree to hold harmless San Diego State
University, the State of California, the Trustees of the California State University and Colleges and its officers,
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employees and agents against all claims, demands, suits, judgments, expenses and costs of any kind on account of
their participation in the activities. Students using their own vehicles to transport other students to such activities
should have current automobile insurance. "