LEVEL II VNSG 1409 – NURSING IN HEALTH AND ILLNESS II Credit Hours: Prerequisite: 4 Lecture Hours: 4 Lab: 1 VNSG 1122, 1136, 1500, 1402, 2413, 1160, 1231 and 1216 Palestine Program – VNSG 1230, 1234, 1461 and 2214 WECM COURSE DESCRIPTION Introduction to health problems requiring medical and surgical interventions. WECM COURSE LEARNING OUTCOMES The student will compare and contrast normal physiology of body systems to pathologic variations in the patient with medical-surgical health problems; evaluate and treat patients with medical-surgical health problems using the nursing process including nutrition and drug therapy. COURSE OUTLINE I. II. III. Introduction A. Identify aspects of professionalism, character and nursing behaviors which contribute to the well-being of the adult medical surgical patient. B. Discus care of the medical surgical patient with regards to the nursing scope of practice, legalities, confidentiality and ethical decision making. C. Discuss components of patient teaching as they apply to the adult medical surgical patient. D. Discuss the impact of cultural diversity on care of the adult medical surgical patient. Care of the patient with Gastrointestinal Disorders A. Assessment B. Diagnostic tests C. Care of the patient with ostomy D. Etiology, pathophysiology, clinical manifestations of selected gastrointestinal disorders 1. Gastroesophageal reflux disease 2. Gastritis 3. Peptic ulcer 4. Inflammatory bowel 5. Hernias 6. Colorectal cancer 7. Gallbladder disease 8. Hepatitis 9. Cirrhosis/liver failure 10. Pancreatitis 11. Splenomegaly E. Nursing care for patients with gastrointestinal disorders F. Surgeries involving gastrointestinal system Care of the patient with Genitourinary Disorders 13 IV. V. A. Assessment B. Diagnostic tests C. Etiology, pathophysiology, clinical manifestations of selected genitourinary disorders 1. Cystitis 2. Pyelonephritis 3. Obstructions 4. Hydronephrosis 5. Glomerulonephritis 6. Nephrotic syndrome 7. Renal Failure 8. Epididymitis 9. Male reproductive trauma 10. Benign prostatic hypertrophy 11. Prostate/testicular cancer 12. Cystocele/rectocele/relaxation disorders D. Nursing care for patients with genitourinary disorders E. Surgeries involving genitourinary system Care of the patient with endocrine disorders A. Assessment B. Diagnostic tests C. Etiology, pathophysiology, clinical manifestations of selected endocrine disorders 1. Thyroid disorders 2. Parathyroid disorders 3. Adrenal glands 1) Addison’s disease 2) Cushing’s disease 4. Pituitary 1) Diabetes insipidus D. Nursing care for patients with endocrine disorders E. Surgeries involving endocrine system Care of the patient with cardiovascular disorders A. Assessment B. Diagnostic tests C. Common cardiac dysrhythmias, treatments and interventions D. Etiology, pathophysiology, clinical manifestations of selected cardiovascular disorders 1. Bacterial endocarditis 2. Coronary artery disease 3. Angina pectoris 4. Myocardial infarction 5. Congestive heart failure 6. Pulmonary edema 7. Valvular disease 8. Aneurysm 9. Arterial and venous insufficiency 10. Thrombophlebitis 11. Deep vein thrombosis 12. Anemias 13. Polycythemia 14 VI. VII. VIII. 14. Thrombocytopenia 15. Purpura E. Nursing care of patients with cardiovascular disorders F. Surgeries involving cardiovascular system Care of the patient with respiratory disorders A. Assessment B. Diagnostic tests C. Etiology, pathophysiology, clinical manifestations of selected respiratory disorders 1. Upper airway 1) Infections 2) Obstructions 3) Laryngeal cancer 2. Chest and lower respiratory tract 1) Infections 2) Adult respiratory distress syndrome 3) Pulmonary embolism and infarction 4) Tumors 5) Trauma a) Fractures b) Penetrating wounds of the chest D. Nursing care for patients with respiratory disorders E. Surgeries involving respiratory system Care of the Client with Vision and Hearing Disorders A. Assessment B. Nursing management for impairment aids C. Selected disorders 1. Eye disorders 2. Ear disorders D. Implementation E. Surgeries Care of the Client with Immunological Disorders A. Assessment B. Diagnostic tests C. Selected disorders 1. Acquired Immune Deficiency Syndrome 2. Hypersensitivity reaction 3. Lupus Erythematosus 4. Tissue rejection 5. Alementation 6. Surgeries COURSE REQUIREMENTS The student will be required to take all tests over course material. See the Evaluation Policy in the handbook for grading and progression information. See the Attendance Policy in the handbook for attendance requirements. See Grade Information Policy in the handbook for information on grade information. V:/word/syllabus/vocational/level ii/vnsg 1409 Intro Revised 11/2013 15