DUKE UNIVERSITY SCHOOL OF NURSING
MASTER OF SCIENCE IN NURSING PROGRAM
N 553 – SYNTHESIS: IMPLEMENTING THE NURSE EDUCATOR ROLE
FALL 2014
Purpose: To teach first semester nursing students in the Adult Health course (N364) about the
management of vascular disorders.
Goal: Students will be correctly answer questions in a quiz/game and on the course exam related to the
pathophysiology, risk factors, clinical manifestations, treatment and nursing management of various
vascular disorders.
TEACHING PLAN
LEARNING
OBJECTIVE
1. Discuss
pathophysiological
changes to the
vascular system and
lifestyle risk factors
that predispose
patients to vascular
disorders.
2. Discuss the
clinical
manifestations,
complications,
diagnostic studies
and collaborative
care for abdominal
aortic aneurysms
3. Discuss the
lifestyle changes
needed to avoid or
minimize lower
extremity peripheral
vascular disease.
4. Distinguish
between the signs
and symptoms of
peripheral arterial
and peripheral
venous disease.
5. Describe the
assessment and
nursing management
of a patient
DETAILED
CONTENT
TEACHING
STRATEGIES
TIME
ALLOCATION
EVALUATION
METHODS
See outline
document
Lecture/PowerPoint
3 minutes
Quiz at end of
lecture
See outline
document
Lecture/PowerPoint
10
Quiz at end of
lecture
See outline
document
Lecture/PowerPoint
5
Quiz at end of
lecture
See outline
document
Lecture/PowerPoint
5
Quiz at end of
lecture
See outline
document
Lecture/PowerPoint
5
Quiz at end of
lecture
following peripheral
artery bypass graft
surgery.
6. Describe signs of
acute arterial
ischemia (the six
P’s).
See outline
document
Lecture/PowerPoint
5
Quiz at end of
lecture
7. Discuss
management of
venous
thromboembolism,
chronic venous
insufficiency and
venous leg ulcers.
See outline
document
Lecture/PowerPoint
5
Quiz at end of
lecture
8. Recognize the
clinical
manifestations of
aortic dissection as a
medical emergency
and when to seek
appropriate
assistance.
Questions from
students
Cardiac Review
Quiz/Game
See outline
document
Lecture/PowerPoint
5
Quiz at end of
lecture

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
5-10
30
The previous two lectures focused on hypertension, coronary artery disease and congestive heart
failure. My presentation on managing vascular disorders will be the wrap up of the cardiovascular
material for the course.
I will spend an hour on the lecture/PowerPoint. Then students will get into groups to complete the
quiz/game.
The quiz/game consists of 20 questions to address all the cardiac material (10 from me and 10
from Ms. Leonard).
15 minutes will be made available to answer questions students may have on the 20 questions
from the quiz/game.
The rest of the time for the course, including two 10 minute breaks will consist of Ms. Leonard
going over a cardiac case study with students. Students will stay in their groups to work on the
case study.
Organization of Teaching Session:

Each student will be handed a note card with a number from 1 through 10 on it as they enter the
classroom
o This is how I will group students into groups for the end of lecture group activity.
o Cards will be given out by Ms. Leonard and her teacher assistant Ms. Best.






Lecture on the Management of Vascular Disorders using PowerPoint presentation (1 hour;
maximum of 1 hour 15 minutes)
o There are some questions I ask students doing the lecture:
Students will be allowed to take a 10 minute break after the lecture.
After the break, students will be told to get into groups based on the numbers that were passed
out.
o Directions for the Group Activity will be listed at the end of the PowerPoint (see last
slide of PowerPoint)
o There will be 10 groups (8 groups of 10 and 2 groups of 12 to equal 104 students)
o There will be numbers 1-10 placed at various locations around the room where I want
the groups to gather
Once in their respective group students will be required to use a device to log onto the Socrative
website (This could be a labtop, kindle, Ipad, cell phone or any other device that allows them to
get to a web browser.
o So this means there must be at least 10 students who bring their laptops to the class.
 Ms. Leonard assured me that having taught this class for multiple semesters, over
85-90% of her students bring a laptop or device that will allow them to have
access to a web browser.
 I will also have available a laptop, an Ipad, kindle and a cellphone just in case.
o Each group of students (groups 1-10) will be asked to go to the Socrative website:
http://m.socrative.com/
o Once at this website, they will put in my Room Name: 4a042f38 as displayed on the last
PowerPoint slide.
o Students will complete a competitive multiple choice test/game in their respective groups
and as they answer the questions correctly, their space ship will move forward.
o The group who answers all the questions correctly first win a prize (individual prizes of a
bag with candy and miniature hand sanitizers).
Ms. Leonard and I will ask students if they have questions about specific questions.
I will answer questions related to the content I covered and she will answer questions related to
the content she has covered.
Camille N. Scronce Teaching Session Content Outline
Topic: The Management of Vascular Disorders
I.
II.
Introduction to Peripheral Vascular Disease and Factors that Contribute Peripheral
Vascular Disorders
Peripheral Arterial Disease
a. Definition
b. Risk Factors
c. Signs/Symptoms
III.
Aneurysms
a. Definition
b. Abdominal Aortic Aneurysms
c. Risk Factors
d. Signs/ Symptom
e. Treatment
f. Post-Op Management
IV.
Aortic Dissection
a. Definition
b. Signs/Symptoms
c. Diagnosis
d. Treatment
e. Complications
V.
Acute Arterial Ischemia
a. Definition
b. Signs/Symptoms
c. Treatment
VI.
VII.
VIII.
IX.
Chronic Peripheral Artery Disease of the Lower Extremities
a. Signs/Symptoms
b. Treatment & Management
Venous Disorders
a. Definition and Characteristics
b. Virchow’s Triad
Venous Stasis
a. Definition
b. Signs/Symptoms
c. Treatment & Management
Venous Thrombosis
a. Superficial Thrombophlebitis
b. Deep Vein Thrombosis
c.
d.
e.
f.
X.
Signs/Symptoms
Prevention
Diagnosis
Treatment (Anticoagulation Therapy)
Comparison of Arterial Disease vs. Venous Disease (Review)
Bibliography
Ignatavicius, D.D. & Workman, M.L. (2013). Medical-Surgical Nursing: Patient-Centered Collaborative
Care (7th ed.). St. Louis: Mosby
Kaufman, J. (2011). Vascular Disorders [PowerPoint slides]
Leonard, C. (2013). Vascular Disorders [PowerPoint slides]
Lewis, S.M., Dirksen, S.R., Heitkemper, M.M. & Bucher, L. (2013). Medical-Surgical Nursing:
Assessment and Management of Clinical Problems (9th ed.). St, Louis: Mosby
National Guideline Clearinghouse. (2012). Diagnosis and management of peripheral arterial disease. A
national clinical guide. Retrieved from http://www.guideline.gov/content.aspx?id=9924
Neschis, D.G. & Golden, M.A. (). Clinical features and diagnosis of lower extremity peripheral artery
disease. In K.A. Collins (Ed.), UpToDate. Retrieved from
http://www.uptodate.com/contents/clinical-features-and-diagnosis-of-lower-extremity-peripheralartery-disease?source=search_result&search=peripheral+vascular+disease&selectedTitle=1~150
Link to Classroom Teaching Session on the Management of Vascular Disorders:
http://sonecho.ad.unc.edu:8080/ess/echo/presentation/0183f2bc-bea3-4968-9b34-9d33e0861ee2