NUR3219C Care Management II: Course Outline
Summer 2022
Week 1: 05/10/2022
Topics:
Health Problems Older Adults, End of Life
Mobility, Nutrition, Cognition, Comfort
Elimination, Sensory Perception, tissue Integrity, Cognition, Perfusion, Ethics
Course Objectives:
Describe the aging process relating to immobility.
Explain the interrelated concepts of elimination, sensory perception, and cognition in the elderly.
Compare and contrast tissue integrity across the lifespan.
Describe end of life concept of comfort and ethical decision-making.
Activities:
Review course syllabus and course outline
Complete course pretest
Theory: Medical Surgical Nursing: Concepts for Interprofessional Collaborative Care
4 – Common Problems of Older Adults
8 – Concepts of Care for Patients at End of Live
Lab:
ATI Skills Video: Tracheostomy Care, IV Therapy
Practice/Check-off
Clinical:
NCH 08:30-12:30
Simulation:
None this week
Take Home Quiz
Electrolyte Template. Due 05/16/2022 at 11:59PM ETZ.
Week 2: 05/17/2022
Topics:
Ambulatory patient, Atelectasis, Autologous donation, Dehiscence, Evisceration, Intraoperative phases, Malignant
Hyperthermia, Morbidity and Mortality, NPO, Pulse Deficit
Fluid/electrolyte imbalance, Hyper/hypotonic, hyper/hypovolemia, obligatory urine-output
Acid-base balance, hyper/hypoventilation, Kussmaul respirations
Adverse-drug events
CRBSI/CAUTI/CLABSI, Compartment syndrome, Extravasation, Peripheral & Central IV therapy, Phlebitis
Course Objectives:
Ensure safety by protecting patients from injury, infection, and complications of surgery during the postoperative phase
Use clinical judgment to analyze diagnostic findings with the perioperative phase
Collaborate with the interprofessional team to perform a complete assessment of fluid and electrolyte balance
Apply knowledge of anatomy, physiology, and pathophysiology to perform an evidence-based assessment for the patient with
a disturbance of acid-base balance
Use evidence-based practice to prevent infusion administration errors
Prioritize nursing interventions for maintaining an infusion system
Activities:
Theory: Medical Surgical Nursing: Concepts for Interprofessional Collaborative Care
9 – Concepts of Care for Perioperative Patients
13 – Concepts of Fluid and Electrolyte Balance
Lab:
ATI Skills Video: Nasogastric Tube Insertion and Suctioning
Practice/Check-off
Clinical:
NCH TBA
Simulation:
See schedule
Take Home Quiz
ATI (Improve tab) RN Targeted Medical-Surgical Fluid, Electrolyte, and Acid-Base Online Practice 2019. Upload in BB by
05/23/2022 at 11:59PM ETZ.
Week 3: 05/24/2022
Topics:
Ambulatory patient, Atelectasis, Autologous donation, Dehiscence, Evisceration, Intraoperative phases, Malignant
Hyperthermia, Morbidity and Mortality, NPO, Pulse Deficit
Fluid/electrolyte imbalance, Hyper/hypotonic, hyper/hypovolemia, obligatory urine-output
Acid-base balance, hyper/hypoventilation, Kussmaul respirations
Adverse-drug events
CRBSI/CAUTI/CLABSI, Compartment syndrome, Extravasation, Peripheral & Central IV therapy, Phlebitis
Course Objectives:
Ensure safety by protecting patients from injury, infection, and complications of surgery during the postoperative phase
Use clinical judgment to analyze diagnostic findings with the perioperative phase
Collaborate with the interprofessional team to perform a complete assessment of fluid and electrolyte balance
Apply knowledge of anatomy, physiology, and pathophysiology to perform an evidence-based assessment for the patient with
a disturbance of acid-base balance
Use evidence-based practice to prevent infusion administration errors
Prioritize nursing interventions for maintaining an infusion system
Activities:
Theory: Medical Surgical Nursing: Concepts for Interprofessional Collaborative Care
14 – Concepts of Acid-Base Balance
15 – concepts of Infusion Therapy
Lab:
ATI Skills Video: Airway Management, Enteral Nutrition and JT/GT
Practice/Check-off
Clinical:
NCH TBA
Simulation:
See schedule
Homework
In teams of three (3), prepare to demonstrate both preoperative and postoperative patient care. See Wolters Kluwer Skills
Checklist. Will perform during Lab on 05/31/2022.
Week 4: 05/31/2022
Topics:
Cachexia, Chemotherapy-induced peripheral neuropathy, Neutropenia, Vesicants
Acute phase, Emergent phase, 1-2-3 intention, Mechanical-debridement, Pediculosis, Pressure injury, Re-epithelializaiton,
Restorative phase, Tunneling
Bone-mineral-density, Bunionectomy, Dypuytren-contracture, Osteomalacia, Osteoporosis, Osteopenia, Plantar fasciitis
Compartment-syndrome, Amputation, Ankle-brachial-index, Neuroma, necrosis, Fractures, Opioid-induced-constipation
Course Objectives:
Use clinical judgment to assess laboratory data and signs and symptoms to prioritize nursing care for patients with cancer.
Collaborate with the interprofessional team to coordinate high-quality care to patients receiving cancer treatment.
Describe factors that place a patient at high risk for a skin problem and teach ways to minimize it.
Prioritize evidence-based care for patients with a skin problem affecting tissue integrity, fluid and electrolyte balance, or gas
exchange, or that induced pain.
Prioritize collaborative evidence-based care for patient with common musculoskeletal problems affecting mobility, perfusion,
and cellular regulation.
Apply knowledge of pathophysiology to assess patients with common musculoskeletal problems cause by impaired cellular
regulation and infection.
Apply knowledge of pathophysiology of fracture and amputation to identify common assessment findings, including actual or
risk for impaired sensory perception, tissue integrity, and perfusion.
Activities:
Theory: Medical Surgical Nursing: Concepts for Interprofessional Collaborative Care
20 – Concepts of Care for Patients with Cancer
23 – Concepts of Care for Patients with Skin Problems
45 – Concepts of Care for Patients with Musculoskeletal Problems
47 – Concepts of Care for Patients with Musculoskeletal Trauma
Lab:
Team presentations of preoperative and postoperative patient care
Clinical:
NCH TBA
Simulation:
See schedule
Take Home Quiz
ATI (Improve tab) RN Targeted Medical-Surgical Perioperative Online Practice 2019. Upload in BB by 06/06/2022 at
11:59PM ETZ.
Week 5: 06/07/2022
Topics:
Hypercarbia, Hypoxemia, Hypoxia
Epistaxis, Gas exchange, OSA
Asthma, Chronic bronchitis, COPD, Cor pulmonale, Cystic fibrosis Emphysema, PAH
Course Objectives:
Collaborate with the interprofessional team to coordinate high-quality, evidence-based care and promote gas exchange in
patients requiring oxygen therapy or tracheostomy
Use clinical judgment and appropriate techniques to administer prescribed oxygen therapy and provide tracheostomy care to
promote gas exchange and prevent infection
Teach patients and families about common drugs and other management strategies used for upper respiratory problems
Prioritize the nursing care needs of the patient and family experiencing head and neck cancer
Apply knowledge of anatomy, physiology, pathophysiology, and genetics to assess patients with lower respiratory problems
affecting gas exchange or perfusion
Activities:
Theory: Medical Surgical Nursing: Concepts for Interprofessional Collaborative Care
25 – Concepts of Care for Patients Requiring Oxygen Therapy or Tracheostomy
26 – Concepts of Care for Patients with Noninfectious Upper Respiratory Problems
27 – Concepts of Care for Patients with Noninfectious Lower Respiratory Problems
Lab:
ATI Skills Video: Complex Dressing Change
Practice/Check-off
Clinical:
NCH TBA
Simulation:
See schedule
Take Home Quiz
ATI (Improve tab) RN Targeted Medical-Surgical Neurosensory and Musculoskeletal Online Practice 2019. Upload in BB by
06/13/2022 at 11:59PM ETZ.
Week 6: 06/14/2022
Topics:
Arterial occlusion, Aneurysm, Arterial ulcer, Arteriosclerosis, Atherosclerosis, DVT, Embolus, HIT, Hyperlipidemia, PVD, Stasis
ulcers, Thrombus, Varicose veins, VTE
ACS, Angina, Cardiogenic-shock, CABG, CAD, IABP, Ischemia, MI, NSTEMI, STEMI
Course Objectives:
Prioritize evidence-based care for patients with vascular problems affecting perfusion and clotting
Use clinical judgment to assess laboratory data and signs and symptoms to prioritize care for patients with vascular problems
Apply knowledge of anatomy ad physiology to provide evidence-based nursing care for patients with stable angina unstable
angina and MI
Teach patients about lifestyle modifications to reduce modifiable and non-modifiable risk factors for acute coronary
syndromes
Activities:
Exam #1: Chapters: 4, 8, 9, 13, 14, 15, 20, 23, 25, 26, 27, 45, and 47.
Theory: Medical Surgical Nursing: Concepts for Interprofessional Collaborative Care
33 - Concepts of Care for Patients with Vascular Problems
35 - Critical Care of Patients with Acute Coronary Syndromes
Lab:
ATI Skills Video: Nasogastric Tube Insertion and Suctioning
Practice/Check-off
Clinical:
NCH TBA
Simulation:
See schedule
Take Home Quiz
ATI (Improve tab) RN Targeted Medical-Surgical Cardiovascular Online Practice 2019. Upload in BB by 06/20/2022 at
11:59PM ETZ.
Week 7: 06/21/2022
Topics:
Stomatitis, Barrett Esophagus, Candidiasis, Dysphagia, EGD, GERD, Hiatal hernia, Esophagitis, Regurgitation, Volvulus,
Xerostomai
Syspepsia, Gastritis, Hematemesis, Melena, PUD
Borborygmi, Colostomy
FOBT, Hemorrhoids, Hernia, Intussusceptions, IBS, Constipation
Abscess, appendectomy, Celiac disease, Crone’s disease, Diverticulitis, Peritonitis, Ulcerative colitis
Course Objectives:
Apply knowledge of anatomy, physiology, and pathophysiology to access patients with on oral cavity or esophageal problem
Prioritize evidence-based care for patient with an oral cavity or esophageal problem affecting tissue integrity, nutrition, or gas
exchange or that induces pain
Prioritize evidence-based nursing interventions for patients with stomach disorders to promote nutrition and manage
infection
Prioritize evidence-based nursing interventions for patients with non-inflammatory bowel disorders to promote nutrition,
maintain fluid and electrolyte balance, and manage pain
Collaborate with the interprofessional team to manage quality care for patient with impaired elimination caused by noninflammatory bowel disorders
Prioritize evidence-based nursing interventions of patients with inflammatory bowel disorders to promote nutrition, maintain
fluid and electrolyte balance, as well as manage pain, infection and or inflammation
Use clinical judgment to analyze assessment findings and diagnostic data in the care of patients with malnutrition
Activities:
Theory: Medical Surgical Nursing: Concepts for Interprofessional Collaborative Care
49 – Concepts of Care for Patients with Oral Cavity ad Esophageal Problems
55 – Concepts of Care for Patients with Malnutrition: Under-nutrition and Obesity
Lab:
ATI Skills Video: Enema, Changing Ostomy Bag
Practice/Check-off
Clinical:
NCH TBA
Simulation:
See schedule
Take Home Quiz
ATI (Improve tab) RN Targeted Medical-Surgical Cardiovascular Online Practice 2019. Upload in BB by 06/20/2022 at
11:59PM ETZ.
Week 8: 06/28/2022
Topics:
Stomatitis, Barrett Esophagus, Candidiasis, Dysphagia, EGD, GERD, Hiatal hernia, Esophagitis, Regurgitation, Volvulus,
Xerostomai
Syspepsia, Gastritis, Hematemesis, Melena, PUD
Borborygmi, Colostomy
FOBT, Hemorrhoids, Hernia, Intussusceptions, IBS, Constipation
Abscess, appendectomy, Celiac disease, Crone’s disease, Diverticulitis, Peritonitis, Ulcerative colitis
Course Objectives:
Apply knowledge of anatomy, physiology, and pathophysiology to access patients with on oral cavity or esophageal problem
Prioritize evidence-based care for patient with an oral cavity or esophageal problem affecting tissue integrity, nutrition, or gas
exchange or that induces pain
Prioritize evidence-based nursing interventions for patients with stomach disorders to promote nutrition and manage
infection
Prioritize evidence-based nursing interventions for patients with non-inflammatory bowel disorders to promote nutrition,
maintain fluid and electrolyte balance, and manage pain
Collaborate with the interprofessional team to manage quality care for patient with impaired elimination caused by noninflammatory bowel disorders
Prioritize evidence-based nursing interventions of patients with inflammatory bowel disorders to promote nutrition, maintain
fluid and electrolyte balance, as well as manage pain, infection and or inflammation
Use clinical judgment to analyze assessment findings and diagnostic data in the care of patients with malnutrition
Activities:
Theory: Medical Surgical Nursing: Concepts for Interprofessional Collaborative Care
50 – Concepts of Care of Patients with Stomach Disorders
51 – Concepts of Care of Patients with Non-inflammatory Intestinal Disorders
52 – Concepts of Care of Patients with Inflammatory Intestinal Disorders
Lab:
All/any Lab Make-up/check-off
Clinical:
NCH TBA
Simulation:
See schedule
Week 9: 07/05/2022
Topics:
Adrenal insufficiency, Gynecomastia, Cushing Disease, Hypopituitarism, SAIDH
Exopthalmos, Goiter, Grave’s disease, hasimoto, Thyroiditis, Hyothyroidism, Hyperparathyroidism
Diabetes Mellitus, DKA, Gastroparesis, Glucsoe-regulation, A1C, HHS, Metabolic-syndrome Diabetic peripheral neuropathy
Course Objectives:
Interpret clinical changes and laboratory data to determine the effectiveness of therapy for diabetes insipidus and for
syndrome of in appropriate antidiuretic hormone (SIADH)
Activities:
Theory: Medical Surgical Nursing: Concepts for Interprofessional Collaborative Care
57 – Concepts of Care for Patients with Pituitary and Adrenal Gland Problems
58 – Concepts of Care for patients with Problems of the Thyroid and Parathyroid Glands
59 – Concepts of Care for Patients with Diabetes Mellitus
Lab:
Concept Maps: DI, SIADH
Clinical:
NCH TBA
Simulation:
See schedule
Homework:
Study for exam #2
Week 10: 07/12/2022
Topics:
Course Objectives:
Activities:
Exam #2: 33, 35, 49, 50, 51, 52, 55, 57, and 58
Lab:
Team Assignments for creating tri-fold educational material. To be presented on 07/18/2022 during Lab.
Clinical:
NCH TBA
Simulation:
See schedule
Take Home Quiz
ATI (Improve tab) RN Targeted Medical-Surgical Gastrointestinal Online Practice 2019. Upload in BB by 07/18/2022 at
11:59PM ETZ.
Start working through ATI Fundamentals Practice Assessment in preparation for proctored assessment in Week 13.
Week 11: 07/19/2022
Topics:
Anuria, Bacteremia, Cycstitis, Dysuria, Hematuria, Hydronephrosis, Nephrolithiasis, Oliguria, Renal coli, Ureteroleithiasis,
Urospesis
Abscess, Glomerulonephritis, Hydronephrosis, Nephrotic Syndrome, PKD, Pyelonephritis
Course Objectives:
Use clinical judgment to analyze information form laboratory data and assessment finding in the care of patients with urinary
problems
Plan evidence-based nursing care to promote elimination and prevent complications in patients with urinary problems
Prioritize evidence-based care for patients with kidney disorders that impair urinary elimination
Apply knowledge of pathophysiology to assess patients with kidney disorders affecting elimination, fluid and electrolyte
imbalance, or acid-base balance
Activities:
Theory: Medical Surgical Nursing: Concepts for Interprofessional Collaborative Care
61 – Concepts of Care for Patients with Urinary Problems
62 – Concepts of Care for patients with Kidney Disorders
Lab:
Concept Maps: Nephrotic Syndrome, Glomerulonephritis
Clinical:
NCH TBA
Simulation:
See schedule
Homework:
ATI: RN Targeted Medical Surgical Endocrine Online Practice 2019. Upload results to BB by 07/25/2022 at 11:59PM ETZ.
Week 12: 07/26/2022
Topics:
Autonomic Nervous System, Babinski reflex, Bells Palsy, Myoclonus, Decortication, EEG, GCS, GBS, LOC, Myasthenia Gravis
Course Objectives:
Apply knowledge of anatomy and physiology to perform a rapid/focused neurologic assessment based on the patient’s history
ad presenting signs and symptoms
Document finding from the neurologic nursing assessment to identify changes in cognition, mobility and sensory perception
Collaborate with the interprofessional team to coordinate high-quality care for patients with Alzheimer’s disease or
Parkinsonism
Teach patients about health promotion strategies to prevent and manage migraine HA and meningitis
Activities:
Theory: Medical Surgical Nursing: Concepts for Interprofessional Collaborative Care
38 – Assessment of the Nervous System
39 – Concepts of Care for Patients with Problems of the Central Nervous System: The Brain
Lab:
Assessing the Neurologic, Musculoskeletal, and Peripheral Vascular Systems
Glascow Coma Scale
Clinical:
NCH TBA
Simulation:
See schedule
Homework:
Study for proctored ATI Fundamentals Assessment
Week 13: 08/02/2022
Topics:
Course Objectives:
Activities:
ATI Fundamentals Proctored Assessment
Lab:
Clinical:
NCH TBA
Simulation:
See schedule
Homework:
ATI: RN Targeted Medical Surgical Renal and Urinary Online Practice 2019. Upload results to BB by 08/08/2022 at 11:59PM
ETZ.
Week 14: 08/09/2022
Topics:
Cataract, Glaucoma, Hyperopria, Myopia, Keratitis, Photophobia, PACG, POACG, Retinal Detachment, Retinal tear
Cerumen, Conductive/Sensorineural hearing loss, Mastoiitis, Ototoxic, otitis
Course Objectives:
Use clinical judgment to analyze assessment findings and diagnostic data in the care of patients with an eye or vision problem
Plan care coordination and transition management for patients with an eye or vision problem
Apply knowledge or anatomy and physiology, genetic risk, and principles of aging to perform a focused assessment of the ears
and hearing
Activities:
Theory: Medical Surgical Nursing: Concepts for Interprofessional Collaborative Care
42 – Assessment and Concepts of Care for Patients with Eye and Vision Problems
43 – Assessments and Concepts of Care for patients with Ear and Hearing Problems
Lab:
ATI Videos: Instillation of eye drops, Care of Patient with Reduced Vision, Self-Irrigation for Cerumen Removal, Instillation of
ear drops
Check-off
Clinical:
NCH TBA
Simulation:
See schedule
Homework:
Study for comprehensive final exam
Week 15: 08/16/2022
Topics:
Review Course Outcomes
Course Objectives:
Activities:
Student to make arrangements with instructor to ‘retake’ ATI Fundamentals Proctored Assessment – if did not achieve at least
Level 2
Lab:
Any make-up labs
Clinical:
NCH TBA
Simulation:
See schedule
Homework:
Study for comprehensive final exam
Week 16: 08/23/2022
Topics:
Course Objectives:
Activities:
Final comprehensive exam
Course Post Test
Clinical:
NCH TBA – Make-up only
Simulation:
See schedule