King Saud University College of Nursing st 2 Semester SY 2015 – 2016 Course title and code: Application of Adult Health Nursing Skills ( NUR 317 ) Credit hours : 1 hour Lecture; 4 hours clinical Pre Requisite: NURS 224/ 225 Co Requisite: NURS 316 Objectives At the end of this course, the students will be able to: Utilize techniques to promote health management and maintenance and prevention of illnesses related to the cardiovascular, respiratory, endocrine, urinary, neurologic , gastrointestinal and musculoskeletal systems. Utilize the holistic approach in caring for the individual. Utilize the nursing process with emphasis on assessment and client education related to the cardiovascular, respiratory, endocrine, urinary, and gastrointestinal systems. Utilized standard precautions as they related to the cardiovascular, respiratory, endocrine, urinary, and gastrointestinal systems. Work positively and effectively in a group or team based project with an emphasis on professionalism and communication skills. Course Outline Topic Registration week Orientation / Introduction / Overview Review Health assessment of patients Clinical Package Care for patients with pain Pain Rating Scale Patient Controlled Anesthesia Medications: Morphine, Paracetamol, Tramadol Date January 27, 2015 No. of Wee ks 1 February 3, 2015 2 Faculty Responsible for the Lecture Ms.AlwahAlKathi ri Miss. GhadaAlbothi 2 February 4, 2015 Ms.AlwahAlKathi ri 1 Care for patients undergoing surgical intervention - Pre Operative Instructions - Preoperative Checklist - Skin Preparation - Early Ambulation - Wound Care - Home Care Medications: Co Amoxiclav, Cefazolin, Ceftriaxone Return Demonstration: Deep Breathing Exercises/ Leg exercises Care for patients with fluid and electrolytes imbalance Assessment of Edema, Dehydration IVF Care for patients with Respiratory system disorders Nebulization Suctioning Incentive Spirometry Medications: Aminophylline, Salbutamol Care for patients with Cardiovascular system disorders Cardiac Catheterization Electrocardiogram (ECG) Medications: Captopril, Digoxin. Heparin Return Demonstration: Nebulization Suctioning Application of ECG Leads Quiz 1 (Health Assessment, Care of patients with Pain,) February 4, 2015 2 February 10, 2015 3 Miss.GhadaAlbot hi Ms.AlwahAlKathi ri Miss.GhadaAlbot hi February 11, 2015 3 Ms.AlwahAlKathi ri February 17, 2015 4 2 Midterm Exam (Care for patients with Fluid and Electrolyte Imbalance ,undergoing surgical intervention , with Respiratory, Cardiovascular System Disorders) Care of Patients with Neurological Disorders Electroencephalogram (EEG) Medications: Dilantin, Mannitol Care of patients with Gastrointestinal system disorders Endoscopy, Proctoscopy NGT Feeding Medications: Ranitidine, Metoclopramide,Dolcolax Care of patients with Urinary system disorders Intravenous Pyelogram (IVP) KUB Ultrasound, Lithotripsy Catheterization Arteriovenous (AV)Shunt Medications: Lasix, Aldactone Spring Break Quiz 2 (Care of Patients with Neurological, Gastrointestinal System Disorders) Care of patients with Endocrine system disorders Blood Glucose Monitoring Insulin Administration Radioactive Iodine Uptake Medications: Insulin, Glucophage, Thyroxine Care of Patients with Musculoskelatal Disorders Orthopedic Bed Traction Assistive Devices (Crutch, Canes. Braces) Medications: Baclofen, Diazepam, Ampicillin Sulbactam February 24, 2015 March 3,2015 March 10,2015 5 6 7 March 17, 2015 8 March 31, 2015 9 April 7, 2015 Miss.GhadaAlbot hi Ms.AlwahAlKathi ri Miss.GhadaAlbot hi Ms.AlwahAlKathi ri 10 April 14, 2015 Miss.GhadaAlbot hi 11 3 CASE PRESENTATION April 21,2015 April 28 ,2015 May 5,2015 12 13 14 FINAL EXAMINATION (Care of patients with Urinary, Endocrine , Musculoskeletal System Disorders) May 14,2015 15 By students Required Text(s) Smelter S, Bare , L. Brunner and Suddarth. “Textbook of Medical-Surgical Nursing”. Lippincott. CO. 12th Ed (March 1, 2012) Essential References Lippincott's Nursing Procedures. “Springhouse, Nursing Procedures” Lippincott Williams & Wilkins; Fifth edition (May 1, 2008) ISBN-13: 978-0781786898 Christensen, B.Kockrow, E. Cooper, K. “Study Guide for Adult Health Nursing” Mosby; 5 edition (December 16, 2005) ISBN-13: 978-0323042369 Electronic Materials, Web Sites etc www.lww.com www.delmarelearning.com www.pubmed.com www.discovernursing.com/ www.amazon.com/Medical-Surgical-Nursing http://allnurses.com/forums/f31/ -www.med-surg.org/ -www.emedicine.com -www.nursing.duq.edu -www.nursingplanet.com -www.currentnursing.com/ -www.nursingcenter.com/journals. -www.free-ed.net -www.currentnursing.com www.consultanurse.net 4 EVALUATION Proportion of Final Assessment Lecture Clinica Total l 5 5 5 5 15 15 20 20 15 15 40 40 100 Marks Assessment task Quizzes (2) Attendance / Attitude Assignments /Weekly Written Report * Midterm Exam Case Study /Case Presentation *** Final exams TOTAL MARKS FORMAT FOR WEEKLY WRITTEN REPORT* To be submitted after one week I - Introduction Patient’s Profile Client’s Personal and Family History Past Health History History of Present Illness Laboratory and Diagnostic Test 1 II – Assessment Head to Toe Assessment III - Implementation Nursing Process (Nursing Care Plan) 2 Treatment Modalities (Medical/ Surgical)3 Drug Study / Pharmacology4 Total marks Points / Marks (4) 1 1 1 1 (1) 1 (10) 6 2 2 15 5 FORMAT FOR Laboratory and Diagnostic Test 1 I – Laboratory Test Normal Value Result Significance ( Normal / Abnormal) II – Diagnostic Test FORMAT for Nursing Process (Nursing Care Plan) 2 Cues (Objective/ Subjective) Nursing Diagnosis Goal / Planning Intervention Evaluation FORMAT FOR Drug Study / Pharmacology4 Name of Drug Classification/ Indication Mechanism of Action Contraindication Side Effect Nursing Responsibility FORMAT FOR CASE STUDY ( 15 marks)*** To be submitted one (1) week before the scheduled Case Presentation I - Introduction Patient’s Profile Brief Statement of Your Client’s Case Rationale for Choosing the case II – Assessment Head to Toe Assessment Client’s Personal and Family History Past Health History Points / Marks (1) 8 3 1 .5 6 History of Present Illness Laboratory and Diagnostic Test Anatomy and Physiology Pathophysiology III - Implementation Nursing Process Treatment Modalities (Medical/ Surgical) Drug Study / Pharmacology Total marks .5 1 1 1 6 3 1 2 15 Prepared by: Dr. Irene Roco Ms. Alwah Al Kathiri Miss. Ghada Albothi Noted by: Dr. Essmat Abd-Al – Hady Mansour Head, Medical Surgical Department 7