Unit
Unit
Objectives
Content
A. The immune Response (Review)
1. A&P review
B. Immune Function
1. Natural Immunity
2. Acquired Immunity
3. Humoral response
a. Immunoglobulins
4. Cellular response
a. T Lymphocytes
3. Differentiate
5. Complement system
between cellular and
C. Nursing assessment and Physical Exam
humoral immune
related to the immune system and function.
responses.
D. Diagnostic testing of the immune system
E. Immunosuppressive therapy
4. Identify assessment
F. Nursing care of the patient undergoing bone
data and physical
marrow transplant
examination data
G. Immune function and Gerontological
essential for
considerations
determining the status
of immune function.
1. Explain the normal
anatomy and
Nursing Care physiology of the
of Clients
immune system.
Experiencing
Immune
2. Compare natural
Dysfunction and acquired immune
responses.
5. Describe diagnostic
tests used to determine
alterations in function
of the immune system.
1
Learning/ Activities
Method of Instruction
Evaluation
Lecture, Discussion
Exams
Required Reading
Ignatavicius. (2006)
Medical Surgical
Nursing:
Chapter 23 & p. 902908 for Bone
Marrow Transplant
Ignatavicius. (2006)
Study Guide to
accompany Medical
Surgical nursing
Ch. 23 p. 156-160
Unit
Objectives
Content
Method of Instruction
Learning Activities
6. Discuss
immunosuppressive
treatment modalities and
nursing process guidelines.
7. Use the nursing process
as a framework for care of
patients receiving a bone
marrow transplant,
incorporating cultural,
developmental, and family
considerations.
8. Identify age related
changes that may alter
immune function.
2
Evaluation
Unit
Unit I –
Immune
System
Clients with
HIV
Objectives
Content
Learning /Activities
Method of Instruction
Evaluation
B. Nursing Care of Clients Experiencing
Acquired Immune Deficiency Syndrome (Review)
1. Epidemiology
2. HIV T4ransmission
3. Prevention
4. Pathophysiology
5. Stages of HIV Disease
6. Assessment & Diagnostic Findings.
7. Clinical Manifestations
8. Medical Treatment
9. Nursing Diagnoses
10. Nursing Care
Lecture/Discussion,
Group activities.
Exam
Case Studies
Required Reading
Nursing Care Plans
Ignatavicius. (2006)
Medical Surgical
Nursing:
Chapter 25
Ignatavicius. (2006)
Study Guide to
accompany Medical
Surgical nursing
Ch.25 p. 178-182
3
Unit
Unit I –
Immune
System
(con’t)
Objectives
5.
Describe the
management of
patients with HIV
infection and
AIDS.
6.
Discuss current
pharmacotherapy
utilized in the
treatment of
patients with HIV
infection and
AIDS
Content
Learning Activities/
Method of Instruction
B. HIV/AIDS (CON’T)
Use the nursing process
as a framework for care
of patients with HIV
infection and AIDS,
incorporating
cultural,develop-mental,
and family considerations
4
Evaluation
Unit
Objectives
Nursing care
of the client
with
infectious
disease
1. Review infectious
process
2. Identify the reasons
for Standard and
Transmission-Based
Precautions
3. Describe the concept
of emerging
infectious diseases
and factors that lead
to the development of
these diseases
Class time 1.5
hours
Content
A. Infectious Process
B. Infection Control and Prevention
1. CDC
2. Preventing Infection in the Hospital
a. C. Difficile
b. MRSA
c. VRSA
C. Emerging Infectious Diseases
1. West Nile Virus
2. Legionnaires’ Disease
3. Lyme Disease
4. Hantavirus
5. Ebola
6. SARS
7. Diarrheal Diseases
1. E. coli
2. Salmonella
3. Shigella
4. Campylobacter
5. Giardia Lamblia
6. Vibrio Cholera
D. Nursing Process
1. Assessment
a. I & O
b. Oral mucous membranes
c. Skin turgor
5
Learning Activities
Lecture/ Discussion
Evaluation
Required Reading
1.Written
exam
Ignatavicius. (2006)
Medical Surgical
Nursing:
Chapter 29 and p. 958
(West Nile) p. 418
(Lyme disease) p. 640
(SARS) p. 1343 –
1345 (Diarrheal
diseases) and handout.
Ignatavicius. (2006)
Study Guide to
accompany Medical
Surgical nursing
Ch. 29 p. 210-21
d. Frequency and consistency of
stools
E. Diagnosis
1.Deficit Volume
F. Interventions
1. Correcting volume deficit
2. Preventing spread of infection
Monitoring for potential
complications
6
Unit
Unit I –
Immune
System
(Con’t)
Objectives
Content
D. Oncology
1. Cancer incidence and trends
2. Causes of cancer
3. Preventive measures
4. Risk factors
5. Screening
6. Benign versus malignant growth
7. Classification
2. Differentiate
8. Metastasis
between
9. Staging
benign and
10. Grading
malignant
11. Treatment
tumors.
a. Surgery
3. Identify agents
b. Radiation
and factors
c. Chemotherapy
that have been
d. Immunotherapy/Biologic
found to be
Response modifier
carcinogenic.
e. Unproven methods of treatment
f. Bone Marrow Transplantation
4. Describe the
12. Pain in cancer
significance of
13. Cancer nursing
health
14. Psychosocial aspects of client care
education and
preventive
care in
decreasing the
incidence of
cancer.
1. Compare the
structure and
function of the
normal cell
and the cancer
cell.
7
Learning Activities/
Method of Instruction
Evaluation
Lecture, Discussion,
Group Activities
Exam
Case Studies
Required Reading
Ignatavicius. (2006)
Medical Surgical
Nursing:
Chapter 27 and 28
Ignatavicius. (2006)
Study Guide to
accompany Medical
Surgical nursing
Ch. 28 p. 200-205
Unit
Unit I –
Immune
System
(Con’t)
Objectives
5. Differentiate
among the
purposes of
surgical
procedures used
in cancer
treatment,
diagnosis,
prophylaxis,
palliation, and
reconstruction
Content
Learning Activities/
Method of Instruction
D. Oncology (Con’t)
6. Describe the
roles of surgery,
radiation
therapy,
chemotherapy
hyperthermia,
biologic
response
modifiers, and
gene therapy in
treating cancer.
8
Evaluation
Unit
Unit I –
Immune
System
(Con’t)
Objectives
Content
Learning Activities/
Method of Instruction
D. Oncology (Con’t)
7. Describe the
special nursing
needs of patients
receiving
chemotherapy
8. Describe
common nursing
diagnoses and
collaborative
problems of
patients with
cancer.
9. Use the nursing
process as a
framework for
care of patients
with cancer.
9
Evaluation
Unit
Unit I –
Immune
System
(Con’t)
Objectives
Content
Learning Activities/
Method of Instruction
D. Oncology (Con’t)
10. Describe the
special nursing
needs of patients
receiving
chemotherapy
11. Describe
common nursing
diagnoses and
collaborative
problems of
patients with
cancer.
12. Use the nursing
process as a
framework for
care of patients
with cancer.
10
Evaluation
Unit
Unit II.
Nursing Care
of Clients
Experiencing
Cardiac
Dysfunction
Objectives
Content
A. Knowledge Basic to the Nursing Care of Adults
With Cardiac Dysfunction.
1. Review of cardiac anatomy and physiology
2. Conduction system of the heart
3. Assessment of cardiac status
B. Nursing Care of Clients Experiencing Cardiac
Disorders.
1. Coronary Artery Disease
2. Angina
2. Identify
3. Myocardial Infarction
essential
components of a C. Nursing Care of Clients Experiencing
Complications of Myocardial Infarction
health history
1. CHF/Pulmonary Edema (Review)
for a client
2. Thromboembolism
experiencing
3. Pericardial Effusion/Pericarditis
cardiac
4. Extension of MI
dysfunction.
5. Myocardial Rupture
3. Identify
6. Cardiac Arrest
appropriate
D.
Nursing Care of Clients Experiencing
assessment
Invasive Cardiac Interventions
parameters for
1. Cardiac Catheterization
determining the
2. Angioplasty
status of
3. Stent Placement
cardiovascular
4. Coronary Artery Bypass Surgery (CABG)
function.
1. Explain cardiac
physiology as it
relates to the
cardiac
conduction
system and the
cardiac cycle.
11
Learning
Activities/ Method
of Instruction
Evaluation
Lecture, Discussion,
Group Activities.
Exam
Case Studies
Ignatavicius: pp.
678-702; 839-867
Chapter. 36,41
Study Guide: pp.
303-315; 373-384
Nursing Care Plan
Unit
Unit II –
Cardiac
Dysfunction
(Con’t)
Objectives
Content
Learning Activities/
Method of Instruction
4. Identify the clinical
significance and
related nursing
implications of
tests used for
diagnostic
assessment of
cardiac function,
5. Describe the
pathophysiology
and clinical
manifestations of
angina pectoris,
myocardial
infarction, valvular
disorders
cardiomyopathies
infections of the
heart and trauma
related cardiac
dysfunction.
12
Evaluation
Unit
Unit II –
Cardiac
Dysfunction
(Con’t)
Objectives
Content
Learning Activities
Method of Instruction
6. Discuss surgical and
non-surgical
management of the
client experiencing
cardiac dysfunction.
7. Discuss
pharmacologic
therapy for the client
experiencing cardiac
dysfunction.
8. Use the nursing
process as a
framework for care of
clients with cardiac
dysfunction,
incorporating cultural,
developmental, and
family considerations.
9. Identify the teaching
needs of the client
with cardiac
dysfunction.
13
Evaluation
Unit
Unit II –
Cardiac
Dysfunction
(Con’t)
Objectives
1. Describe the
normal
cardiac
conduction
pathway and
correlate the
components
of the ECG
with
physiologic
events in the
heart.
Content
Learning Activities/
Method of Instruction
E. Experiencing Care of Clients Experiencing
Cardiac Dysrhythmias
1. Normal Sinus Rhythm
2. Sinus Bradycardia
3. Sinus Tachycardia
4. Ventricular Tachycardia
5. Ventricular Fibrillation
6. Asystole
2. Identify the
normal
waveforms of
an ECG
tracing.
3. Demonstrate
the five basic
steps for
analyzing a
cardiac
rhythm strip.
14
Lecture, Discussion,
Group Activities.
Ignatavicius: Chpt. 37
pp. 708-748 (Ventricular
Dysrhythmias)
Study Guide: pp. 317-334
Evaluation
Unit
Unit II –
Cardiac
Dysfunction
(Con’t)
Objectives
Content
Learning Activities/
Method of Instruction
4. Identify the
ECG criteria,
etiologies, and
management of
selected
dysrhythmias.
5. Describe the key
points of using a
defibrillator.
6. Differentiate
between
cardioversion
and
defibrillation
and the
appropriate use
of each.
7. Discuss
appropriate
training and use
of an automated
external
defibrillator
(AED).
15
Evaluation
Unit
Unit II –
Cardiac
Dysfunction
(Con’t)
Objectives
Content
Learning Activities/
Method of Instruction
8. Describe the
purpose of an
implantable
cardioverter
defibrillator
(ICD) and the
nursing
implications.
9. Compare the
different
types of
pacemakers,
their uses,
possible
complications
, and nursing
implications.
16
Evaluation
Unit
Objectives
Unite IV –
1. Describe the
Nursing Care of
functions of the
Clients
pituitary and adrenal
Experiencing
glands and their
Endocrine
hormones.
Dysfunction
2. Identify the
diagnostic tests used
to determine
alterations in
function of each of
these endocrine
glands.
3.
Content
Learning Activities/
Method of Instruction
A. Overview of Endocrine Function
1. Pituitary Gland
a. Hyperfunction
b. Hypofunction
c. Panhypopituitarism
2. Adrenal gland
a. Pheochromocytoma
b. Addison’s disease
c. Cushing’s disease
Lecture, discussion,
group activities
Ignatavicius: Chpt. 65, 66
(do not include Diabetes
Insipidus)
pp. 1444-1456; 14581466; 1470-1477; 14781479
Study Guide: 565-586
Utilize
assessment skills to
identify pituitary and
adrenal gland
dysfunction.
17
Evaluation
Unit
Unit IV –
Nursing Care
of Clients
Experiencing
Endocrine
Dysfunction
(Con’t)
Objectives
Content
Learning Activities
Method of Instruction
4. Compare
Addison’s
disease with
Cushing’s
syndrome:
Their causes,
clinical
manifestations,
management,
and nursing
interventions.
5. Use the nursing
process as a
framework for
care of patients
with adrenal
insufficiency,
incorporating
cultural,
developmental
and family
considerations.
18
Evaluation
Unit
Unit IV –
Nursing Care
of Clients
Experiencing
Endocrine
Dysfunction
(Con’t)
Objectives
Content
Learning Activities/
Method of Instruction
6. Use the nursing
process as a
framework for
care of patients
with Cushing’s
syndrome,
incorporating
cultural,
developmental,
and family
considerations
7. Compare and
contrast
gerontological
variances.
8. Identify the
teaching needs
of patients
requiring
corticosterioid
therapy.
19
Evaluation
Unit
Objectives
Content
Unit V Nursing Care
of Clients
experiencing
Pancreatic
and Hepatic
Dysfunction
1. Identify the normal
A. Cirrhosis
metabolic functions of
1. Causes
the liver.
2. Types
2. Describe metabolic
3. Clinical Manifestations
alterations, patho4. Assessment & diagnostic findings
physiology, and clinical
5. Pathophysiology
alterations in the liver
6. Medical Treatment, including drugs
with the following
7. Nursing Diagnosis
conditions:
8. Nursing Care
a. Jaundice/
9. Prevention
Hyper10. Client teaching
bilirubinemia.
b. Hypertension
B. Hepatitis
c. Ascites
1. Causes
d. Esophageal
2. Types
Varices
3. Clinical Manifestations
e. Heptic
4. Assessment & diagnostic findings
Encephalopathy
5. Pathophysiology
f. Cirrhosis
6. Medical Treatment, including drugs
3. Explain liver function
7. Nursing Diagnosis
tests and their
8. Nursing Care
indicative values.
9. Prevention
10. Client teaching
20
Learning
Activities/Method
of Instruction
Evaluation
Lecture/
Discussion/Group
Activities
Exam
Case studies
Required Reading
Ignatavicius. (2006)
Medical Surgical
Nursing:
Ch. 62 p. 1368-1390
(Liver disease)
Ch. 63 p. 1402-1412
(Pancreatitis)
p. 1233-1235
functions of the liver
and pancreas
Ignatavicius. (2006)
Study Guide to
accompany Medical
Surgical nursing
Case study p. 546547 & p. 553-554
Unit
Objectives
Content
Unit V 4. Compare the various C. Pancreatitis
Pancreatic
types of hepatitis,
1. Causes
and Hepatic
including their
2. Types
Dysfunction
causes, prevention,
3. Clinical Manifestations
(Con't)
clinical
4. Assessment & diagnostic findings
manifestations,
5. Pathophysiology
management,
6. Medical treatment, including drugs
prognosis
7. Nursing Diagnosis
and patient teaching.
8. Nursing care
5. Utilize the nursing
9. Prevention
process as a
10. Client teaching
framework for care
for each of the liver
conditions.
6. Describe pre and
post-operative
nursing care of the
patient undergoing
liver transplantation.
21
Learning Activities/ Evaluation
Methods of
instruction
Exam
Case studies
Nursing care in the
clinical setting
Unit
Objectives
Content
Unit VI 1. Analyze the anatomy
A. Chronic Renal Failure
Nursing
and physiology of the
1. Causes
Care of
kidneys.
2. Manifestations
Clients
2. Relate the function of
3. Assessment & Diagnostic findings
experiencin
the kidney to the
4.. Pathophysiology
g End Stage
regulation of fluid,
5. Medical Treatment including drugs
Renal
electrolyte, and acid6. Nursing Diagnosis
Disease
base balance, and other
7. Nursing Care
multisystem processes.
8. Prevention
3. Determine assessment
9. Client teaching
parameters necessary
to ascertain the status
B. Dialysis
of renal/urinary
1. Hemodialysis
function.
2. Peritoneal Dialysis
4. Compare and contrast
diagnostic tests used to
determine renal
function.
5. Integrate the nursing
process as a framework
for clients with altered
renal/urinary function
from complications of
diabetes,hypertension,
heart failure, and
obstruction.
22
Learning Activities/
Methods of Instruction
Evaluation
Lecture, discussion, group
activities.
Exam
Case studies
Nursing Care in
Clinical Area
Ignatavicius: Chpt. 75
pp. 1739-1759 (no renal
transplant)
Study Guide: pp. 657668
Unit
Objectives
Unit VI ESRD
(Con't(
6. Compare and contrast
hemodialysis and peritoneal
dialysis: the underlying
principles, procedure,
complications, and nursing
considerations.
7. Evaluate the nursing
management of an outpatient
and a hospitalized dialysis
client.
8. Integrate the nursing process
as a framework for clients
undergoing kidney surgery
or biopsy.
9. Discuss chronic renal failure,
its causes, treatment,
outcome goals.
10. Evaluate the diet of a client
with renal failure.
11. Evaluate pharmacology as it
relates to alterations in renal
function.
12. Interpret social and cultural
influences as related to renal
dysfunction.
Evaluation
Learning Activities/
Methods of Instruction
Content
23