Revised Spring 2014 Alabama Department of Postsecondary Education Representing Alabama’s Public Two-Year College System NORTHEAST ALABAMA COMMUNITY COLLEGE NUR 201: Nursing Through the Lifespan I Theory 3 credit hours Lab 0 credit hour Clinical 2 credit hours Total 5 credit hours I. CLASS MEETING DATES/TIMES/LOCATION TBA II. CLINICAL DATES/TIMES/LOCATION TBA III. INSTRUCTOR, CONTACT INFORMATION, CONTACT POLICY, OFFICE HOURS/LOCATION Mrs. Sheila Gentry, Course Coordinator Health Education Building, Office 218 The Alabama College System Copyright 2004 All Rights Reserved Nursing Through the Lifespan I NUR 201 IV. COURSE DESCRIPTION: This course provides opportunities to develop competencies necessary to meet the needs of individuals throughout the lifespan in a safe, legal, and ethical manner using the nursing process. Students manage and provide collaborative care to clients who are experiencing selected alterations in gastrointestinal, reproductive, sensory, and endocrine systems in a variety of settings. Additional instruction is provided for oncology, mental health, teaching/learning concepts, and advanced dosage calculations. Nutrition, pharmacology, communication, cultural, and community concepts are integrated. V. PREREQUISITE(S)/CO-REQUISITE(S) PREREQUISITES: NUR 105 – Adult Nursing NUR 106 – Maternal and Child Nursing BIO 202 – Human Anatomy and Physiology II ENG 101 – English Composition I CO-REQUISITES: BIO 220 – Microbiology PSY 200 – General Psychology VI. TEXTBOOK(S) AND OTHER LEARNING RESOURCES See Reading Assignment VII. COURSE OBJECTIVES 1. Design a teaching/learning plan for client/support system. 2. Calculate advanced dosage calculations for clients through the lifespan. 3. Utilize the nursing process in providing advanced nursing care for clients throughout the lifespan with selected alterations. A. Mental Health B. Cancer C. Digestive/Lower Gastrointestinal System D. Reproductive System E. Sensory System F. Endocrine System VIII. PROFESSIONAL COMPETENCIES Develop a teaching/learning plan for client/support system. Calculate dosages. Provide nursing care for clients with selected system alterations. Provide nursing care for clients with cancer. The Alabama College System Copyright 2004 All Rights Reserved 2 Nursing Through the Lifespan I NUR 201 MODULE A – INTRODUCTION TO TEACHING AND LEARNING CONCEPTS A1.0 Develop a teaching/learning plan for client/support system. A1.1 Develop a teaching/learning plan for a specified situation. A1.1.1 A1.1.2 A1.1.3 A1.2 Define terms associated with teaching/learning. Describe elements of a comprehensive teaching/learning plan. Describe the role of the registered nurse in teaching and learning activities. Use a teaching/learning plan to provide instruction to a client and/or support system. MODULE B – ADVANCED DOSAGE CALCULATIONS B1.0 Calculate dosages. B1.1 This competency is measured cognitively. B1.1.1 B1.1.2 B1.1.3 Identify information required for calculating dosages. Validate data for advanced dosage calculations. Perform dosage calculations using advanced mathematical formulas. MODULE C – INTRODUCTION TO MENTAL HEALTH CONCEPTS AND ISSUES C1.0 Provide nursing care for clients with selected mental health alterations. C1.1 Apply the nursing process for clients with selected mental health alterations. C1.1.1 C1.1.2 C1.1.3 C1.1.4 C1.1.5 C1.1.6 C1.1.7 C1.1.8 C1.1.9 C1.1.10 C1.1.11 C1.1.12 C1.1.13 C1.1.14 Define terms associated with mental health. Explain selected mental health concepts. Survey historical treatments of mental health. Explain cultural influences on mental health and illness. State the use of the Diagnostic and Statistical Manual of Mental Disorders, Text Revised (DSM-IVTR). Identify the role of mental health team members. Explain legal and ethical issues related to mental health and illness. Explain therapeutic relationships and communication as applied to clients, support systems, and the multi-disciplinary team. Explain selected theories related to mental illness. Explain selected mental health therapies. Explain health promotion related to mental health. Describe selected mental health alterations. Describe the pharmacological agents and/or treatments for selected mental health alterations. Describe nutritional considerations for clients experiencing selected mental health alterations. The Alabama College System Copyright 2004 All Rights Reserved 3 Nursing Through the Lifespan I C1.1.15 C1.1.16 C1.1.17 NUR 201 Use critical thinking to manage nursing care for culturally diverse clients experiencing selected mental health alterations. Evaluate expected outcomes of nursing care of clients experiencing selected mental health alterations. Identify the impacts of mental health alterations on maternal and pediatric clients. MODULE D – ONCOLOGY NURSING D1.0 Provide nursing care for clients with cancer. D1.1 Apply the nursing process for clients with cancer. D1.1.1 D1.1.2 D1.1.3 D1.1.4 D1.1.5 D1.1.6 D1.1.7 D1.1.8 D1.1.9 D1.1.10 D1.1.11 D1.1.12 D1.1.13 Define terms associated with treatment of cancer. Describe legal and ethical issues related to cancer. Describe the pathophysiology associated with cancer. Describe the role of the nurse in prevention and detection of cancer. Interpret clinical manifestations of cancer. Interpret diagnostic tests and staging for cancer. Describe oncological agents and treatments for cancer. Evaluate nutritional considerations for clients with cancer. Identify expected outcomes of treatment modalities. Describe psychosocial needs of clients, families, and support systems. Use critical thinking to manage nursing care for culturally diverse clients with cancer. Evaluate expected outcomes of nursing care of clients with cancer. Identify impacts of cancer on maternal and pediatric clients. MODULE E – GASTROINTESTINAL SYSTEM ALTERATIONS E1.0 Provide nursing care for clients with selected alterations. E1.1 Apply the nursing process for clients with selected gastrointestinal system alterations. E1.1.1 E1.1.2 E1.1.3 E1.1.4 E1.1.5 E1.1.6 E1.1.7 E1.1.8 E1.1.9 Define terms associated with selected gastrointestinal system alterations. Describe selected gastrointestinal system alterations. Describe the pathophysiology associated with selected gastrointestinal system alterations. Describe the role of the nurse in providing care for clients experiencing selected gastrointestinal system alterations. Interpret clinical manifestations of selected gastrointestinal system alterations. Interpret diagnostic tests for selected gastrointestinal system alterations. Describe the pharmacological agents and/or treatments for selected gastrointestinal system alterations. Evaluate nutritional considerations for clients experiencing selected gastrointestinal system alterations. Explain health promotion related to selected gastrointestinal system alterations. The Alabama College System Copyright 2004 All Rights Reserved 4 Nursing Through the Lifespan I E1.1.10 E1.1.11 E1.1.12 E1.1.13 E1.1.14 NUR 201 Identify expected outcomes of treatment modalities for clients experiencing selected gastrointestinal system alterations. Evaluate the psychosocial needs of clients, family, and/or support systems. Use critical thinking to manage nursing care for culturally diverse clients experiencing selected gastrointestinal system alterations. Evaluate expected outcomes of nursing care for clients experiencing selected gastrointestinal system alterations. Identify impacts of selected gastrointestinal system alterations on maternal and pediatric clients. MODULE F – REPRODUCTIVE SYSTEM ALTERATIONS F1.0 Provide nursing care for clients with selected system alterations. F1.1 Apply the nursing process for clients with selected reproductive system alterations. F1.1.1 F1.1.2 F1.1.3 F1.1.4 F1.1.5 F1.1.6 F1.1.7 F1.1.8 F1.1.9 F1.1.10 F1.1.11 F1.1.12 F1.1.13 F1.1.14 Define terms associated with selected reproductive system alterations. Describe selected reproductive system alterations. Describe the pathophysiology associated with selected reproductive system alterations. Describe the role of the nurse in providing care for clients experiencing selected reproductive system alterations. Interpret clinical manifestations of selected reproductive system alterations. Interpret diagnostic tests for selected reproductive system alterations. Describe the pharmacological agents and/or treatments for selected reproductive system alterations. Evaluate nutritional considerations for clients experiencing selected reproductive system alterations. Explain health promotion related to selected reproductive system alterations. Identify expected outcomes of treatment modalities for clients experiencing selected reproductive system alterations. Evaluate the psychosocial needs of clients, family, and/or support systems. Use critical thinking to manage nursing care for culturally diverse clients experiencing selected reproductive system alterations. Evaluate expected outcomes of nursing care for clients experiencing selected reproductive system alterations. Identify impacts of selected reproductive system alterations on maternal and pediatric clients. The Alabama College System Copyright 2004 All Rights Reserved 5 Nursing Through the Lifespan I NUR 201 MODULE G – SENSORY SYSTEM ALTERATIONS G1.0 Provide nursing care for clients with selected system alterations. G1.1 Apply the nursing process for clients with selected sensory system alterations. G1.1.1 G1.1.2 G1.1.3 G1.1.4 G1.1.5 G1.1.6 G1.1.7 G1.1.8 G1.1.9 G1.1.10 G1.1.11 G1.1.12 G1.1.13 G1.1.14 Define terms associated with selected sensory system alterations. Describe selected sensory system alterations. Describe the pathophysiology associated with selected sensory system alterations. Describe the role of the nurse in providing care for clients experiencing selected sensory system alterations. Interpret clinical manifestations of selected sensory system alterations. Interpret diagnostic tests for selected sensory system alterations. Describe the pharmacological agents and/or treatments for selected sensory system alterations. Evaluate nutritional considerations for clients experiencing selected sensory system alterations. Explain health promotion related to selected sensory system alterations. Identify expected outcomes of treatment modalities for clients experiencing selected sensory system alterations. Evaluate the psychosocial needs of clients, family, and/or support systems. Use critical thinking to manage nursing care for culturally diverse clients experiencing selected sensory system alterations. Evaluate expected outcomes of nursing care for clients experiencing selected sensory system alterations. Identify impacts of selected sensory system alterations on maternal and pediatric clients. MODULE H – ENDOCRINE SYSTEM ALTERATIONS H1.0 Provide nursing care for clients with selected system alterations. H1.1 Apply the nursing process for clients with selected endocrine system alterations. H1.1.1 H1.1.2 H1.1.3 H1.1.4 H1.1.5 H1.1.6 H1.1.7 H1.1.8 H1.1.9 H1.1.10 Define terms associated with selected endocrine system alterations. Describe selected endocrine system alterations. Describe the pathophysiology associated with selected endocrine system alterations. Describe the role of the nurse in providing care for clients experiencing selected endocrine system alterations. Interpret clinical manifestations of selected endocrine system alterations. Interpret diagnostic tests for selected endocrine system alterations. Describe the pharmacological agents and/or treatments for selected endocrine system alterations. Evaluate nutritional considerations for clients experiencing selected endocrine system alterations. Explain health promotion related to selected endocrine system alterations. Identify expected outcomes of treatment modalities for clients experiencing selected endocrine system alterations. The Alabama College System Copyright 2004 All Rights Reserved 6 Nursing Through the Lifespan I H1.1.11 H1.1.12 H1.1.13 H1.1.14 NUR 201 Evaluate the psychosocial needs of clients, family, and/or support systems. Use critical thinking to manage nursing care for culturally diverse clients experiencing selected endocrine system alterations. Evaluate expected outcomes of nursing care for clients experiencing selected endocrine system alterations. Identify impacts of selected endocrine system alterations on maternal and pediatric clients. OUTLINE OF MODULES MODULE A – INTRODUCTION TO TEACHING AND LEARNING CONCEPTS Teaching/learning terms Elements of a teaching/learning plan Role of the registered nurse in teaching/learning MODULE B - ADVANCED DOSAGE CALCULATIONS Review of basic dosage calculations Advanced dosage calculations MODULE C - INTRODUCTION TO MENTAL HEALTH CONCEPTS AND ISSUES Mental health terms and concepts o Mental health vs. mental illness o Coping and adaptation o Stress and anxiety History of the care of the mentally ill Cultural influences Diagnostic and Statistical Manual IV-TR Mental health team Legal and professional issues o Client advocacy o Promoting and maintaining psychosocial integrity based on American Nursing Association standards o Role of the registered nurse o Legal and ethical issues Reporting incidents Using restraint devices Client confidentiality Informed consent Refusing treatment Reporting client abuse Therapeutic relationship and communication o Client o Family The Alabama College System Copyright 2004 All Rights Reserved 7 Nursing Through the Lifespan I NUR 201 o Multi-disciplinary health team o Incorporating an interpersonal relationship record (IPR) into care plan development Selected theories Selected therapies Health promotion Common mental health alterations o Crisis o Cognitive disorders o Anxiety disorders o Suicide Pharmacological agents and treatments Nutrition Nursing process MODULE D – ONCOLOGY NURSING Terminology and anatomy and physiology review o Overview of common cell types Diagnostic tests Tumor staging Role of the RN in prevention and detection o Health promotion and prevention o Clinical manifestations Legal and ethical issues o Role of the nurse o Client/family decisions related to care and treatment Overview of treatment modalities across the lifespan o Pharmacological agents o Radiation o Others Nutrition Psychosocial o Hospice care o Client/family education o Community resources o Pain management Nursing process Impacts on maternal and pediatric clients MODULE E - DIGESTIVE AND GI SYSTEM ALTERATION (LOWER) Terminology and anatomy and physiology review Lower GI o Acute and chronic abdominal pain o Peritonitis o Inflammatory bowel disease Ulcerative colitis Crohn’s disease The Alabama College System Copyright 2004 All Rights Reserved 8 Nursing Through the Lifespan I o o o o o o o o o NUR 201 Intestinal obstruction Polyps Hernia Diverticulosis/diverticulitis Sprue Short Bowel Syndrome (SBS) Hemorrhoids NEC Analrectal abscess o Fistula o Pilonidal sinus o Cancers Accessory organs o Jaundice o Hepatitis o Cirrhosis Esophageal varices Ascites Hepatic encephalopathy o Liver transplant o Acute and chronic pancreatitis o Cholelithiasis o Cholecystitis o Cancers o Biliary atresia Role of the nurse Clinical manifestations Diagnostic tests Pharmacological agents and treatments Nutritional considerations Health promotion Nursing process Impacts on maternal and pediatric clients MODULE F – REPRODUCTIVE SYSTEM ALTERATIONS Terminology and anatomy and physiology review Sexuality issues o Family planning o Sexually Transmitted Diseases o PMS o Menopause o Safe sex o Toxic shock o Precocious puberty Uterine o Fibroids o Prolapse o Hysterectomy o Anterior and Posterior (A&P) repairs The Alabama College System Copyright 2004 All Rights Reserved 9 Nursing Through the Lifespan I NUR 201 Cervical o Inflammatory diseases Ovarian o Polycystic disease Breast o Fibrocystic disease o Mastectomies o Cancer of the breast (male and female) Cancers of the female reproductive system Infertility Erectile dysfunction Role of the nurse Clinical manifestations Diagnostic tests Pharmacological agents and treatments Nutritional considerations Health promotion Nursing process Impacts on maternal and pediatric clients MODULE G – SENSORY SYSTEM ALTERATIONS Terminology and anatomy and physiology review Visual alterations o Refractive errors Amblyopia Strabismus Astigmatism Presbyopia Myopia Hyperopia o Blindness o Trauma Hematoma Chemical burns Corneal abrasions Penetrating wounds Foreign bodies o Infection/inflammation Conjunctivitis Blepharitis Keratitis Disorders o Cataracts o Retinal detachment o Glaucoma o Retinitis pigmentosis o Macular degeneration o Cancers The Alabama College System Copyright 2004 All Rights Reserved 10 Nursing Through the Lifespan I NUR 201 Hearing alterations o Hearing loss Conductive loss Sensorineural loss Mixed hearing loss Otosclerosis Tinnitis o Trauma o Foreign body o Infection/inflammation Otitis Labrynthitis o Inner ear disorders Meniere’s Role of the nurse Clinical manifestations Diagnostic tests Pharmacological agents and treatments Nutritional considerations Health promotion Nursing process Impacts on maternal and pediatric clients MODULE H – ENDOCRINE SYSTEM ALTERATIONS Terminology and anatomy and physiology review Alterations o Thyroid (hyper/hypo) o Addison’s o Cushing’s o Pheochromocytoma o Pituitary disorders o Parathyroid o Cancers Role of the nurse Clinical manifestations Diagnostic tests Pharmacological agents and treatments Nutritional considerations Health promotion Nursing process Impacts on maternal and pediatric clients The Alabama College System Copyright 2004 All Rights Reserved 11 Nursing Through the Lifespan I NUR 201 IX. EVALUATION AND ASSESSMENT A. Theory 1. Tests announced or unannounced may be given throughout the course and may incorporate various teaching/learning methods (for example: situational, multiple choice, discussion, performances, etc). 2. All nursing exams should be taken on the day they are scheduled. In the event of illness, bereavement, or court attendance, the student is required to notify the course coordinator or clinical instructor PRIOR to the test. Immediately upon return to campus, the student is required to submit documentation which supports the absence. A make-up exam will be given at the end of the semester IF appropriate documentation has been provided at the time of the absence. 3. Prior to each unit exam, the student will complete PrepU Pre-tests on the topic areas being tested. A minimum grade of 80% or mastery level must be achieved for admission to the unit exam. If the student does not complete the assignments according to posted deadlines, the student will not be allowed to take the exam and a make-up exam will be taken at the end of the semester. 4. All students are required to attend test reviews following exams. Students who score less than 75% on unit exams are required to complete a remediation assignment in the computer lab on a designated day. Students must score a minimum of 80% on the remediation assignment. Remediation assignments must be submitted to the instructor on the day of remediation. STUDENTS WHO DO NOT COMPLETE REQUIRED REMEDIATION ASSIGNMENTS WILL NOT BE ALLOWED TO TAKE THE NEXT UNIT EXAM AND WILL TAKE A MAKE-UP EXAM AT THE END OF THE SEMESTER. 5. If a make-up exam is to be taken for any reason, the student must complete a PrepU Pre-test assignment on the modules being tested before the exam can be taken. A minimum grade of 80% or mastery level must be achieved for admission to the make-up exam. Failure to complete the assignment with a minimum score of 80% or mastery level will result in a zero (0) for that make-up exam. 6. Required written assignments are due by the end of the scheduled class period. The Alabama College System Copyright 2004 All Rights Reserved 12 Nursing Through the Lifespan I NUR 201 B. Clinical 1. Performance in the clinical setting is evaluated according to the form, Evaluation of Clinical Performance. A final evaluation of satisfactory in clinical performance is required to progress in nursing. A rating of unsatisfactory in clinical performance will result in a grade of “F” for the nursing course regardless of any other grading component in the course. 2. Students may not attend clinical lab until they have successfully completed all required assignments in order to provide safe client care. C. Computerized Tests Students will be required to pay a testing fee to cover the expense of the Health Education Systems (HESI) tests. The HESI tests are scheduled throughout the nursing curriculum. D. Course Grade 1. The course grade is a composite grade based on the following: a. Unit tests b. Comprehensive final examination (HESI) c. Clinical performance evaluation Student must achieve a grade of 75% or above in each course to continue in the nursing program. A grade below 75% will result in a “D” or an “F” depending on the numerical score. 2. Course and instructor evaluation by each student is required. 3. Conference with the clinical instructor is required each semester. 4. In the event of a failing grade, students are urged to see their instructor for a conference. X. ATTENDANCE A. Students are expected to attend all classes for which they are registered. The student must be present 80% of the scheduled class dates in order to demonstrate the expected The Alabama College System Copyright 2004 All Rights Reserved 13 Nursing Through the Lifespan I NUR 201 course outcomes and successfully apply theoretical concepts to the clinical practicum. Students who are unable to attend class regularly, regardless of the reason or circumstance, should withdraw from that class before poor attendance interferes with the student’s ability to achieve the objectives required in the course. Withdrawal from class can affect eligibility for federal financial aid. Withdrawal from class can prohibit progression in nursing and allied health programs. B. Students are expected to attend all clinical rotations required for each course. Only excused absences (a maximum of one) will be considered for make up. However, due to limited clinical space and time, clinical make up days cannot be guaranteed. Failure to complete clinical rotations will prohibit progression in nursing and allied health programs XI. STATEMENT ON DISCRIMINATION/HARASSMENT The College and the Alabama Board of Education are committed to providing both employment and educational environments free of harassment or discrimination related to an individual’s race, color, gender, religion, national origin, age, or disability. Such harassment is a violation of State Board of Education policy. Any practice or behavior that constitutes harassment is a violation of State Board of Education policy. Any practice or behavior that constitutes harassment or discrimination will not be tolerated. XII. AMERICANS WITH DISABILITIES The Rehabilitation Act of 1973 (Section 504) and the American with Disabilities Act of 1990 state that qualified students with disabilities who meet the essential functions and academic requirements are entitled to reasonable accommodations. It is the student’s responsibility to provide appropriate disability documentation to the College. Please contact the ADA representative. COURSE CALENDAR Course Calendar will be provided to student by the first day of class. The Alabama College System Copyright 2004 All Rights Reserved 14 Nursing Through the Lifespan I NUR 201 XVI. STUDENT ACKNOWLEDGEMENT FORM I have received the Course Syllabus for NUR 201: Nursing Through the Lifespan I. My signature indicates that I have read and understand the contents. ___________________________________ Student’s Signature ___________________________________ Print Name ___________________________________ Date The Alabama College System Copyright 2004 All Rights Reserved 15 Nursing Through the Lifespan I NUR 201 Northeast Alabama Community College Form 1: Learning Outcomes Attachment for Career/Technical Courses (Instructor Evaluation of Course) Faculty regularly review the extent to which the course and program learning outcomes identified in a course syllabus are being attained by students who complete the course. Each syllabus identifies the assessment method that will be used to demonstrate student mastery of the desired learning outcomes for that course. Before teaching a course, faculty should review the syllabus to understand how the program learning outcomes will be evaluated. Once the course is complete, this form is used by the instructor to report how well students demonstrated mastery of those course learning (and by extension, program learning) outcomes. Course Prefix & No.: NUR 201 Instructor: Sheila Gentry Semester: Summer Course Title: Nursing Through Lifespan I Date: Section Number(s): Type of Delivery – Mark One*: Dual Enrollment Online Traditional *Double click on the appropriate box. When the form field menu appears, select “checked” under Default value. Note: To insert or delete rows on the table, click on Table on the tool bar. Learning Outcome (Industry or Professional Competency) Develop a teaching/learning plan for client/support system. Calculate dosages. Evaluation Method Evaluation Results Explain how each learning outcome for this course is assessed. Of the students who earned a grade of C or better for the course, what percentage demonstrated attainment of the stated outcomes? The student will use a teaching/learning plan to provide instructions to clients/ support system in the clinical setting. The student will correctly calculate dosages in the clinical lab setting. Provide nursing care Clinical Lab: for clients with The student will perform satisfactorily selected system in the clinical setting while providing alterations. nursing care for clients with health alterations. Refer to Evaluation of Clinical Performance. (Students must score 80% or greater in the clinical lab to progress in the nursing program.) Provide nursing care The student will complete a concept for clients with map for a client with cancer in clinical cancer. lab. Use of Evaluation Results Explain how evaluation results will be used to improve the course. *Reviewed: Division Chair or Program Supervisor Date *To be completed by Division Chair or Program Supervisor Only The Alabama College System Copyright 2004 All Rights Reserved 16