UNIVERSITY OF FLORIDA
COLLEGE OF NURSING
COURSE SYLLABUS
Fall 2012
COURSE NUMBER
NGR 6247 Section 1187
COURSE TITLE
Complex High Prevalence Illnesses of Adults
CREDITS
04
PLACEMENT
DNP Program: Adult Nurse Practitioner Track
PREREQUISITES
NGR 6244:
NGR 6244L:
Complex Adult Health Problems
Adult Nurse Practitioner 2
CO-REQUISITES
NGR 6247L:
Adult Nurse Practitioner 3
FACULTY
Cynthia Figueroa-Haas, PhD, ANP-BC
Clinical Assistant Professor
cindiarn@ufl.edu
HPNP 3239
Gainesville
(352) 273-6424
Tuesday 1300-1500 &
By Appointment
HPNP 3230
Gainesville
(352) 273-6394
By Appointment
3rd Floor
LRC-HSC
Jacksonville
244-5172
By Appointment
DEPARTMENT CHAIR
Joyce Stechmiller, PhD, ACNP-C,FAAN
Stechjk@ufl.edu
JACKSONVILLE CAMPUS DIRECTOR
Andrea Gregg, DSN, RN
gregga@ufl.edu
COURSE DESCRIPTION: This course provides the students with in depth knowledge of the advanced
nursing practice management of complex high prevalence illnesses in the United States. The emphasis is
on use of evidence based practice guidelines and comprehensive treatment programs for aggregates of
adults with congestive heart failure, stroke, cancer, chronic pulmonary disorders, diabetes, chronic
wounds and infectious diseases. This course prepares the student to optimize client outcomes in both
acute care and out-patient settings.
COURSE OBJECTIVES
Upon completion of this course, the student will be able to:
1. Analyze current knowledge from health, physiological, psychological, social, and nursing
sciences as a basis for comprehensive treatment programs to care for adult populations from
diverse backgrounds with the most prevalent complex illnesses.
NGR6247-Section# 1187-Fall2012HaasFINAL8/8/12
2. Critique and translate research findings to guide development and evaluation of comprehensive
treatment programs for adults with high prevalence complex illnesses.
3. Formulate plans for development and evaluation of treatment program models to enhance
outcomes for clients with selected high prevalence complex illnesses.
4. Critique current technologies to advance the quality and accessibility of care with emphasis on
safety, cost, invasiveness, simplicity, and efficacy in the care of adults with complex illnesses.
5. Analyze ethical, legal, fiscal, quality improvement, and other intervening variables that affect
desired client outcomes.
6. Analyze leadership and inter-professional collaboration to enhance desired client outcomes.
7. Evaluate accessibility and quality of care for diverse, underserved and vulnerable client
populations with high prevalence chronic and complex illnesses.
COURSE SCHEDULE
This is a web-based course. Course material and schedule are posted on the related course
website.
E-learning in Sakai is the course management system that you will use for this course. ELearning is accessed by using your Gatorlink account name and password at http://lss.at.ufl.edu.
There are several tutorials and student help links on the Sakai login site. If you have technical
questions call the UF Computer Help Desk at 352-392-HELP or send email to helpdesk@ufl.edu.
This course will use one of UF’s web hosted collaborative software applications (Adobe Connect
and or Voice Thread) for lecture presentation and or assignments. These collaborative
applications have the functionality of recording your text, audio and or video comments. If you
do not want to be recorded please notify assigned faculty member prior to the first class. You do
not need to provide a photo or use the video comment option, this is your choice. The recordings
are accessed through web links provided by your faculty member and should not be share with
anyone not enrolled in the course. The recordings are available to the class during the semester.
The recordings will not be used in another course.
It is important that you regularly check your Gatorlink account email for College and University
wide information and the course E-Learning site for announcements and notifications.
Course websites are generally made available on the Friday before the first day of classes.
ATTENDANCE
Students are expected to participate in the activities and presentations as listed in the course
syllabus and on the course web-site. Timeframes for the posting and receiving of materials are
listed in the course materials on the course web-site.
ACCOMMODATIONS DUE TO DISABILITY
Each semester, students are responsible for requesting a memorandum from the Office for
Students with Disabilities to notify faculty of their requested individual accommodations. This
should be done at the start of the semester.
NGR6247Fall2012HaasFINAL8/8/12
STUDENT HANDBOOK
Students are to refer to the College of Nursing Student Handbook for information about College
of Nursing policies, honor code, and professional behavior.
TOPICAL OUTLINE
A. General Approach
Complex health problems in each general area listed below are addressed using the following
approach:
1. Therapeutic Plans for advanced nursing practice
a.
Evidence-based Practice guidelines
b.
Comprehensive Model Treatment Programs
c.
Safety, invasiveness, simplicity, efficacy
2. Cost /benefit
3. Evaluation of Treatment Results (accessibility; quality improvement, outcomes)
4. Use of Interdisciplinary Collaboration and Referral
5. Ethical principles
6. Legal requirements
7. Special considerations for older adults
8. Health disparities
9. Genomics
B. Complex Health Problems
1. Complex Cardiovascular disorders (heart failure)
2. Cancers
3. Complex pulmonary disorders
4. Diabetes
5. Chronic wounds
6. High Prevalence Infectious Diseases (e.g. MRSA)
7. Depression
TEACHING METHODS
Lecture, instructional media presentations, case studies, assigned readings, case discussions and
student projects.
LEARNING ACTIVITIES
Focused group discussions and case analyses, completion of online offerings, writing scholarly
papers, reviewing and analyzing scholarly works congruent with class topics and assignments.
EVALUATION METHODS
ASSIGNMENT
Midterm Exam
Final Exam
Treatment Program-EB Presentation (Voiceover PPT)
Written Assignment (Treatment Program Analysis)
Case Study (Gerontology Focused)
Participation (discussion board responses to presentations)
Total
NGR6247Fall2012HaasFINAL8/8/12
PERCENTAGE
20%
20%
30%
20%
5%
5%
100%
*Students are required to submit all written documents through the “turn-it-in” website site prior to
posting them on E-learning.
Deductions of 5 points a day (beginning the day following the deadline) will occur for ALL late
assignments.
*An approximate turnaround grading/feedback time is 2-14 days from the time the assignment is due.
*Refer to the Sakai website for specific instructions on presentations & written assignments.
Exams:
The objective exams will be offered through the Elearning Sakai Course Website under the Tab of “Test
& Quizzes”. Midterm & final exams are non-cumulative. Material tested for each will include assigned
readings, lectures & presentations offered prior to the exam day.
Students may come on campus and take exams in the Nursing Resource Center, 1st floor, HPNP building
in Gainesville or in the Borland Library, 2nd floor, HSB, LRC in Jacksonville on the scheduled dates and
at scheduled times (See Course Schedule).
Students who would rather not take exams on campus may elect to take exams off campus at any
commercial learning center with prior approval from Dr Haas. Off campus proctored exams are available
& usually charge a fee. If you elect this type of off-campus testing, please discuss with Dr Haas at the
beginning of the semester. Once site is approved, students are responsible to arrange testing dates & times
for EACH exam. Follow up/confirmation with Dr Haas is mandated PRIOR to each exam.
Off-campus testing must occur on the same date & time as the scheduled exam.
*Failure to take an exam on the scheduled day and/or time will result in a re-weighting of the final exam
to include the percentage from the exam that was not taken.
GRADING SCALE/QUALITY POINTS
A
AB+
B
BC+
95-100 (4.0)
93-94 (3.67)
91- 92 (3.33)
84-90 (3.0)
82-83 (2.67)
80-81 (2.33)
C
CD+
D
DE
74-79* (2.0)
72-73 (1.67)
70-71 (1.33)
64-69 (1.0)
62-63 (0.67)
61 or below (0.0)
* 74 is the minimal passing grade
REQUIRED TEXTS
Institute of Medicine, (2001). Crossing the quality chasm: A new health system for the 21st century.
Committee of Quality of Health Care in America, Institute of Medicine National Academics Press.
*Can purchase hard copy or view full-text online at:
http://www.nap.edu/openbook.php?record_id=10027&page=1
ONLINE RESOURCES
NGR6247Fall2012HaasFINAL8/8/12
Infectious Diseases Society of America: http://www.idsociety.org/
Heart Failure Society of America: http://www.heartfailureguideline.org/?gclid=CI_K17KkZACFQiaPAodxEKOBg
Oncology Clinical Practice Guidelines: http://www.nccn.org/
American Lung Association: http://www.lungusa.org/site/pp.asp?c=dvLUK9O0E&b=22542
American Diabetes Association: http://www.diabetes.org/support-the-cause/make-adonation.jsp?WTLPromo=googleGR_association%20diabetes
Strokes: http://www.strokecenter.org/prof/guidelines.htm
and
All texts from previous and current required courses in current graduate program
Approved:
Academic Affairs Committee: 12/07
Faculty:
01/08
UF Curriculum:
10/08
NGR6247Fall2012HaasFINAL8/8/12
WEEKLY CLASS SCHEDULE
DATE
Week 1
August
22-24
Week 2
Aug.2731
Week 3
Sept. 3-7
TOPIC/EVALUATION
Orientation &
Complex Health
Problems:
Evidence-Based
Practice Guidelines,
Comprehensive Model
Treatment Programs:
General Approach
Oncology Part 1
ASSIGNMENTS/READINGS
CMDT Related Topics
IOM Text
IOM Text
Oncology Part 2
CMDT Related Topics
Cardiac (CHF)
Part 1
CMDT Related Topics
IOM Text
Case, R, Haynes, D., Holaday, B., & Parker,V.
(2010). Evidence-Based Nursing:
The Role of the Advanced Practice Registered
Nurse in the Management of Heart Failure
Patients in the Outpatient Setting. Dimensions of
Critical Care Nursing. 29(2), 57-62.
Week 5
Sept. 1721
Cardiac (HTN/Strokes)
Part 2
Week 6
Sept.2428
Pulmonary (COPD)
Part 1
CMDT Related Topics
IOM Text
CMDT Related Topics
IOM Text
http://www.nhlbi.nih.gov/health/public/lung/copd/
campaign-materials/pub/provider-card.pdf
Week 7
Oct. 1-5
Refer to the Sakai
course website for
due dates related to
weekly PowerPoint
presentations &
associated written
assignments.
CMDT Related Topics
IOM Text
Week 4
Sept. 1014
Assignments/
Examination Dates/
Due Dates
Pulmonary (Asthma)
Part 2
CMDT Related Topics
IOM Text
National Heart, Lung, and Blood Institute National
Asthma Education and Prevention Program.
NGR6247Fall2012HaasFINAL8/8/12
9/3 Holiday
DATE
TOPIC/EVALUATION
ASSIGNMENTS/READINGS
Assignments/
Examination Dates/
Due Dates
Expert Panel Report 3: Guidelines for the
Diagnosis and Management of Asthma Full Report
2007.
http://www.nhlbi.nih.gov/guidelines/asthma/asthg
dln.pdf
http://www.nhlbi.nih.gov/health/public/lung/copd/
campaign-materials/pub/provider-card.pdf
Week 8
Oct. 8-12
Diabetes Part 1
CMDT Related Topics
IOM Text
Midterm Exam
October 8th
10:00AM-11:00AM
National Diabetes Education Program: Diabetes
TeamCare Comprehensive Lifetime Management
for Diabetes
http://ndep.nih.gov/media/TeamCare.pdf
Week 9
Oct. 1519
Diabetes Part 2
CMDT Related Topics
IOM Text
ADA (2009). Executive Summary: Standards of
Medical Care in Diabetes-2009.Diabetes Care, 32,
1, S6-12.
Week 10
Oct. 2226
Chronic Wounds
Part 1
CMDT Related Topics
IOM Text
Week 11
Oct. 29Nov.2
Chronic Wounds
Part 2
CMDT Related Topics
IOM Text
Week 12
Nov.5-9
Infectious Disease
Part 1 TB
CMDT Related Topics
IOM Text
Week 13
Nov. 1216
Infectious Disease
Part 2 MERSA
CMDT Related Topics
IOM Text
12th Holiday
Week 14
Nov. 1923
Depression Part 1
CMDT Related Topics
IOM Text
22nd & 23rd Holiday
NGR6247Fall2012HaasFINAL8/8/12
Case Study
(Gerontology
Focused) Due 22nd by
12 Noon
Homecoming 9th -10th
DATE
TOPIC/EVALUATION
Week 15
Nov. 2630
Depression Part 2
Week 16
Dec. 3-5
Comprehensive
Treatment Programs:
Cardiopulmonary,
Cancers, Diabetes,
Chronic Wounds,
Infectious Diseases &
Depression
ASSIGNMENTS/READINGS
Assignments/
Examination Dates/
Due Dates
CMDT Related Topics
IOM Text
FINAL EXAM
NGR6247Fall2012HaasFINAL8/8/12
CMDT Related Topics
IOM Text
December 10, 2012 @ 10:00 AM – 11:00 AM
Classes End Dec. 5,
2012