Heartland Community College
Division for Health & Human Services
Course Syllabus for Students
Course Prefix and Number: NURS 134
Course Title: Nursing Care of the Individual with Chronic Health Problems
Credit Hours: 5
Lecture Hours: 5
Laboratory Hours: 4
Days and times the course meets: Theory: Monday 1300-1450 and Wednesday 1300-1550
Lab:
Wednesday 0800-1150
Clinical: Tuesday 0700-1250
Thursday 0700-1250
Introduction: This course provides a foundation for basic nursing care focusing on the
individual, utilizing Orem’s self-care model. Students study concepts and principles relating to
basic care, communication, infection control, safety, growth and development, as well as, the
nursing skills required to assist the person to meet their basic physiologic and safety needs.
Laboratory simulation and clinical experiences enhance the learning process.
Catalog Description:
Prerequisites: Successful completion of NURS 116 and PSY 101; concurrent enrollment or
successful completion of NURS 130, BIOL 182, and ENGL 101. The focus of this course is on
the nursing care of clients with the most commonly experienced alterations of perfusion,
oxygenation, nutrition, elimination, regulatory processes, and integumentary problems. Orem's
self-care model will be utilized by the student to apply critical thinking pathways to the
individual with chronic health problems. Clinical skills, based on scientific principles increase in
complexity. Campus laboratory experience focuses on continued development of dexterity and
proficiency of psychomotor skills. Planned faculty-supervised experiences in the clinical area
will afford students the opportunity to implement their accrued knowledge and skill in providing
nursing care.
Instructor Information:
Instructor name: Barbara Borg
Phone number to contact instructor: 1-309-268-8748
Instructor e-mail address: barbara.borg@heartland.edu
Location of instructor’s office: ICB 2816
Instructor’s office hours: calendar will be forthcoming
NURS 134, Spring 04
1
Instructor name: Sue Koos MS,RN
Phone number to contact instructor: 268-8751
Instructor e-mail address: sue.koos@heartland.edu
Location of instructor’s office: ICB 2818
Instructor’s office hours: calendar will be forthcoming
Instructor name: Nanette Marx MS,RN
Phone number to contact instructor: 815-842-4371
Instructor e-mail address: nanette.marx@heartland.edu
Instructors Office Hours: calendar will be forthcoming
Instructor name: Cindy Malinowski MS, RN
Phone number to contact instructor: 268-8741
Instructor e-mail address: cindy.malinowski@heartland.edu
Instructor’s office hours: calendar will be forthcoming
Instructor name: Kathy Walls MS, RN
Phone number to contact instructor: 268-8753
Instructor e-mail address: Kathy.walls@heartland.edu
Instructor’s office hours: calendar will be forthcoming
Textbooks:
Required:
(2002). Mosby’s medical, nursing, and allied health dictionary. (6th ed.). St. Louis:
Mosby.
Carpenito, L.J. (2003). Handbook of nursing diagnosis. (10th ed.). Philadelphia:
Lippincott.
Deglin & Vallerand. (2003). Davis’s drug guide for nurses w/3” disk. (8th ed.). Davis.
Dudek, S.G. (2001). Nutrition essentials for nursing practice. (4th ed.). Philadelphia:
Lippincott.
Fishbach. (2004). A manual of laboratory & diagnostic tests. (7th ed.). Philadelphia:
J.B. Lippincott Co.
Kee & Hayes. (2001). Pharmacology: A nursing process approach. (3rd ed.).
Harcourt Brace/Saunders.
Potter, P. & Perry, A. (2001). Clinical nursing skills and techniques. (5th ed.). St.
Louis: C.V. Mosby Co.
NURS 134, Spring 04
2
Ogden, Sheila. (1999). Calculation of drug dosages w/CD. (6th ed. ). St. Louis: C.V.
Mosby Co.
Lewis, Sharon; Heitkemper, Margaret; and Dirksen, Shannon (2000). Medical-Surgical
Nursing: Assessment and Management of Clinical Problems. (5th ed.). St. Louis:
Mosby Co.
Recommended:
O’Brien, Patricia. (2000). Study Guide to Accompany Medical-Surgical Nursing:
Assessment and Management of Clinical Problems. (5th ed.). St. Louis: Mosby
Co.
Relationship to Academic Development Programs and Transfer:
NURS 134 fulfills 5 semester hours of credit in the practical and associate degree programs.
This course was designed to meet the specific needs of an Associate of Applied Science degree
or certificate program and not necessarily as a transfer course, particularly in relation to the
Illinois Articulation Initiative. This course may transfer to various institutions in a variety of
ways. Please see an academic advisor for an explanation concerning transfer options.
Beliefs: This course is designed to assist the nursing student in the practice of critical thinking
related to implementing nursing care to the individual adult and elderly client utilizing Orem’s
self-care model. Each student is legally accountable as an independent practitioner that
maintains a set of professional standards when working with clients. The nursing student is a
client advocate that works in collaboration with other health care professionals. In order to learn,
the student must plan an active role in the learning process. Learning is the responsibility of the
student. The student must read all of the assignments and come to class prepared to participate
in classroom discussions, group projects, and be technically prepared to give return
demonstrations of psychomotor skills. It is the instructor’s responsibility to organize the
classroom information in a cogent manner utilizing a variety of teaching techniques. At all times
the instructor remembers they are a facilitator of learning.
Course Objectives (Learning Outcomes):
Students who successfully complete NURS 134 should be able to:
1.
Practice the principles of therapeutic communication in provision of care to individuals
with behavior disorders.
2.
Utilize components of the nursing process according to Orem’s self-care model with
emphasis on care to individuals with behavior disorders.
NURS 134, Spring 04
3
3.
Utilize technical skills in delivery of holistic care to individuals with behavior disorders.
4.
Employ roles of the nurse within the parameters of legal practice while using current
standards of mental health nursing.
5.
Interpret the impact of cause and effect of cultural variations in delivery of care to
individuals with behavior disorders.
6.
Employ teaching/learning concepts to enhance the self-care ability of individuals with
behavior disorders.
7.
Employ professional behavior in a variety of clinical settings while caring for and
interacting with individuals with behavior disorders.
8.
Use critical thinking skills in exploring complicated situations involving individuals with
behavior disorders.
9.
Use self to maximize learning while delivering care to individuals with behavior
disorders.
Course/Lab Outline:
Unit I
Assessment and Nursing Care of the Individual with Chronic Alterations in
Oxygenation
Unit II
Assessment and Nursing Care of the Individual with Chronic Alterations in
Perfusion
Unit III
Assessment and Nursing Care of the Individual with Chronic Alterations in
Ingestion, Digestion, Absorption and Elimination
Unit IV
Assessment and Nursing Care of the Individual with Chronic Alterations in
Urinary Elimination
Unit V
Assessment and Nursing Care of the Individual with Chronic Alterations in
Regulatory Processes
Unit VI
Assessment and Nursing Care of the Individual with Chronic Integumentary
Problems
Methods of Instruction: Students will participate in a variety of instructional methods, which
include: lecture, discussion, computer lab simulations, audio-visual aids, collateral assignments,
demonstrations, return demonstrations, group projects, and clinical practice and evaluation.
NURS 134, Spring 04
4
Method of Evaluation (Tests/Exams, Grading System):
Students must achieve a “C” grade or better for satisfactory completion of a nursing
course taken at Heartland Community College. The grading system will be as follows:
A=90-100%
B=80-89%
C=75-79%
D=70-74%
F=Below 70%
3 exams @ 15% = 45
Pharm@ 15% = 15
Presentation @ 10% = 10
Worksheets@ 10% = 10
Final @ 20% = 20
Theory and lab/clinical consists of three exams, each worth 15% of the grade, a
pharmacology exam worth 15% of the grade, a group paper and presentation worth 10%
of the grade, and a comprehensive final exam worth 20% of the grade. There will be
worksheets to be completed for each unit, totaling 10% of final grade. Lab/clinical skills
will be tested on a weekly basis and the student must pass the skill satisfactorily in order
to pass the course. Clinical grades will consist of satisfactory (S) or unsatisfactory (U).
Students MUST pass both the theory and lab/clinical portion of the course. If a student
passes the theory portion with a 75% or better but performance is unsatisfactory in the
lab/clinical area, the student will receive an “F” for the course. If the student's
performance in the clinical area is satisfactory but theory average is less than 75%, the
student will receive a “D” or an “F” for the course.
Participation (or Attendance):
Attendance will be taken every theory, seminar, lab, and clinical.
The student must attend scheduled lab and clinical times. Prior arrangements need to be
made with the instructor for make-up lab if the student is unable to attend.
Punctual and regular attendance is expected at all class sessions. Absences from class
will interfere with the student’s ability to meet course objectives. In the event a student
misses class, it is the student’s responsibility to obtain handouts, and the student will be
held accountable for material presented.
Punctual and regular attendance at clinical is mandatory. An absence MUST be properly
reported to the clinical site by the student. Make-up of ALL clinical days is required. It
is the student’s responsibility to arrange a make-up experience within one (1) week of the
absence. Make-up clinical may be done at another facility and time with another faculty
member in the course. Make-up availability will be at the discretion of the faculty.
Students who are ill and unable to attend a clinical experience must notify the clinical
area at least one (1) hour before the beginning of the clinical experience. Students are
expected to exercise sound judgment regarding attending clinical experiences when ill for
the protection of clients, peers, and personnel in the clinical environment.
NURS 134, Spring 04
5
Habitual tardiness to clinical will interfere with the student’s ability to meet clinical
objectives related to accountability and responsibility.
The faculty reserves the right to request that a student leave the clinical site if it is felt
that the condition of the student can endanger the health and welfare of the student,
clients, and/or others in the environment. Heartland Community College reserves the
right to request a medical release from a physician in any situation in which there is a
possible threat to the health and welfare of others. The medical release must be given to
the instructor before the student is allowed to resume attendance at a clinical experience.
A student’s progression in the program may be affected as a result of acute or chronic
physical or emotional problems. The faculty will consider the status of each student on
an individual basis.
Students who are pregnant should tell the instructor of such as soon as pregnancy is
suspected and/or verified. Though the student’s right to privacy is recognized and
respected, it is important that the faculty be aware of the situation, so as to inform the
student of best possible protection against environmental dangers in the clinical area. A
student who is pregnant and chooses to remain in the course will do so at her own risk.
Incompletes:
An incomplete grade may be given to a student who, by the withdrawal date, can
reasonably be expected to pass the course. Incompletes may be granted only when
justified by extreme circumstances (e.g., serious illness, accident, death, or serious illness
in the family). Incomplete grades are not given for such reasons as unjustified failure to
appear for the final examination. A written agreement, outlining the requirements to be
met, must be signed by the instructor and the student. The agreed upon requirements
must be completed no later than the end of the following semester (spring semester for
incompletes granted during fall, and the following fall for incompletes given during the
spring and summer semesters). By the agreed upon date, the instructor will assign a
grade or the incomplete will be changed to and “F” if the requirements are not completed.
Make-up of tests and assignments:
All assignments are due at the date and time specified by the instructor. Worksheets are
due at the beginning class on the date scheduled, therefore if you are ill or not at class
you will receive a zero. Late assignments will receive a zero.
Any late work related to clinical assignments will receive a “U” (0) unless the student has
received an extension granted PRIOR to the time the assignment is due. Any late work
related to theory assignments that contribute a percentage to the course grade will have
10 points deducted from the graded paper for each 24 hours that the assignment is late.
All late work must still be submitted to the instructor making the assignment in order to
meet the course objectives. The student will receive an incomplete for the course until all
assignments have been submitted.
NURS 134, Spring 04
6
All written work must be neat and legible or it will be returned to the student to be rewritten. Instructors will provide students with specific guidelines in relation to how
particular assignments are to be written.
Any unsatisfactory written work returned to a student must be handed in to the instructor
by the instructor’s specified date or that work will receive a “U” (0).
If a student receives two “U’s” on written clinical work the student will be unable to
receive a passing grade for the clinical portion of a course, resulting in a failing grade for
the course.
Students are responsible for notifying the instructor PRIOR to an examination if they
expect to be absent. A make-up time will be scheduled at the discretion of the faculty.
Quizzes or examinations will be placed in the Academic Support Center (ASC). Students
will need to present a photo ID before the exam can be taken. For each day of delay after
the scheduled day of make-up for the quiz or examination, 5% of the points of the test
will be deducted.
A student arriving late for a quiz or an examination will not be given additional time to
complete the examination. If the student does not show up for an exam or notify an
instructor the student will receive a zero (0) for the exam.
If a student is unable to take the second test or quiz at the scheduled date and time, the
student will receive a “0" for the test or quiz and this will be compiled into the student’s
grade.
If a student is unable to take the final examination, special arrangements will need to be
made. This will need to be done within 48 hours of missing the final exam and
completed during finals week. The student is responsible for contacting the instructor to
make these arrangements.
Required Writing and Reading:
Physical assessment of the assigned client.
Self-evaluation of the clinical experience (journal).
Process recording with assigned client
Concept Maps every clinical
Group paper and presentation of selected case studies.
Textbook assignments and handouts in class
Weekly worksheets/exercises
All papers must be legible. If writing, the student needs to write in black ink (worksheets
only). Typing papers is the preferred method. The papers must doubled spaced and
adhere to APA format. All citations must appear in the reference list. References
should be cited accurately, completely and be pertinent to the topic. Please follow the
rubric for the presentation/paper grading guidelines.
NURS 134, Spring 04
7
Academic Integrity and Plagiarism
The Nursing Department adheres to the academic integrity policies of Heartland Community
College.
Academic Integrity
Academic integrity is a fundamental principle of collegial life at Heartland Community College
and is essential to the credibility of the College’s educational programs. Moreover, because
grading may be competitive, students who misrepresent their academic work violate the right of
their fellow students. The College, therefore, views any act of academic dishonest as a serious
offense requiring disciplinary measures, including course failure, suspension, and even expulsion
from the College. In addition, an act of academic dishonesty may have unforeseen effects far
beyond any officially imposed penalties.
Violations of academic integrity include, but are not limited to cheating, aiding or suborning
cheating or other acts of academic dishonesty, plagiarism, misrepresentation of data, falsification
of academic records or documents and unauthorized access to computerized academic or
administrative records or systems. Definitions of these violations may be found in the college
catalog.
Plagiarism
Plagiarism is the presenting of others’ ideas as if they were your own. When you write a paper,
create a project, do a presentation or create anything original, it is assumed that all the work,
except for that which is attributed to another author or creator, is your own. Plagiarism is
considered a serious academic offense and may take the following forms:
1
Copying word-for-word from another source and not giving that source credit.
2
Paraphrasing the work of another and not giving that source credit.
3
Adopting a particularly apt phrase as your own.
4
Using an image or a copy of an image without crediting its source.
5
Paraphrasing someone else’s line of thinking in the development of a topic as if it
were your own.
6
Receiving excessive help from a friend or elsewhere, or using another project as
if it were your own.
Note that word-for-word copying is not the only form of plagiarism.
The penalties for plagiarism may be severe, ranging from failure -on the particular piece of work,
failure in the course or expulsion from school in extreme cases.
[Adapted from the Modem Language Association’s MLA Handbook for Writers of
Research Papers. New York: MLA, 1995: 26]
NURS 134, Spring 04
8
Heartland Library Information
The Library, located in the Students Commons Buildings at the Raab Road campus, provides
Heartland students with a full range of resources including books, online journal databases,
videos, newspapers, periodicals, reserves, and interlibrary loan. Librarians are available to assist
in locating information.
For more information please call the Library (309) 268-8200 or (309) 268-8292
Tutoring Center
Heartland Community College offers tutoring in various forms at no cost to Heartland students at
the Academic Support Center (ASC) in Normal and at the Pontiac and Lincoln Centers. Tutors
are available at convenient times throughout the week. Study groups and group tutoring
facilitated by a specially-trained tutor are also available by request. For more information about
services available at each location, please call the ASC in Normal (309) 268-8231; the Pontiac
Center (815) 842-6777; the Lincoln Center (217) 735-1731.
Testing Center
The Testing Center provides a quiet environment for students to complete make-up exams,
online exams, and exams for students with special accommodations. Students may be able to
complete exams in the Testing Center if arrangements are made with their instructor. For more
information, contact the Testing Center at (309) 268-8231.
Course Calendar: Attachment
NURS 134, Spring 04
9