The University of Jordan Faculty of Nursing Maternal Child Health Nursing Department Second Semester 2014/2015 Course Information Course Title: Children and Adolescents Health Nursing (Theory) Course Number: 0703371 Credit Hours: (3 Credit hours) Prerequisite: 0702206 Time: Mon Wed 2-3:30 Classroom: Nursing Dep. Room 4. Faculty Member: Nadin Abdel Razeq, Ph.D. Office Location and Tel: Faculty of Nursing – Third floor – office # 49 Email and Website: n.abdelrazeq@ju.edu.jo Office Hours: Mon Wed: 12-2 pm Course Description This Course has a multifaceted direction, in which the student is introduced to the concepts of health promotion, maintenance, and restoration of children and their families of all age groups from birth to the end of Adolescence. Attention is given to the implementation of the nursing process in the care for healthy and sick children and their families. Course Goals The course aims at providing the essential knowledge that is necessary for caring for children and adolescent and their families with various health problems Intended Learning Outcomes (ILOs) Successful completion of the course should feed the following learning outcomes: A) Knowledge and Understanding A. 1 A. 2 A. 3 A. 4 Recognize basic concepts related to nursing care of children from a wellness to an illness perspective and from birth to adolescence. Review concepts of the growth and development of children from birth to adolescent. Identify the roles of the child health nurse in providing care for children, adolescents, and their families. Identify different health problems related to neonates, infants, and children at different pediatric settings B) Intellectual Analytical and Cognitive Skills B. 1 Integrate knowledge of primary health care initiatives in providing nursing care to children and adolescents B. 2 Optimize the role of the child health nurse in providing care for children, adolescent, and their families. B. 3 Analyze common children health problems using nursing process and preventive management as a model of care. Subject/ Specific/ Practical Skills 1 C. 1 Demonstrate ability to understand the basic concepts in caring for children and their families. C. 2 Create a plan to solve health problems of children and their families using critical thinking skills the ability to for children with different age group. D) Creativity /Transferable Key Skills/Evaluation D. 1 Explain the health needs of children with common health problems from birth to adolescent. D. 2 Synthesize a nursing process for children, adolescent, and their families. Learning Activities/Teaching Strategies 1- Interactive class discussion 2- Just-in-Time Teaching (JiTT) 3- Group-based learning activities 4- Problem-based scenarios Learning Resources 1- PowerPoint presentations 2- Electronic resources and Websites 3- Videos Illustrations Course Learning Assessment/Evaluation: Assessment Med term exam Quiz Homework In-class participation Final exam Total Weight 30% 10% 5% 5% 50% 100% ILOs All ILOs All ILOs All ILOs, focus on B1-3 C1&2, D1&2 All ILOs Due Date Refer to time plan Grading System Mark Range 0-34 35-46 47-49 50-52 53-56 57-60 61-64 65-69 70-74 75-79 80-83 84-100 Grade F DD D+ CC C+ BB B+ AA Passing Grade: D 2 Course Policies Should be explained to students at the first meeting: 1. Class Attendance: a. Students must attend all classes of this course. b. Any student with absence of 15% of the classes of any course, will be illegible to sit for the final exam and will be given the university zero (F grade) in this course. c. In the case (b) above, if a student submits an official sick report authenticated by university clinic or an accepted excuse by the Dean of his/her faculty, the student will be considered as withdrawn from the course, and a "W" will be shown in the transcript for this course. d. Students are not allowed to come late to classes. Any student coming late will not be allowed to attend the class and he/she will be marked absent. 2. Exams: a. Failure in attending a course exam other than the final exam will result in zero mark unless the student provides an official acceptable excuse to the instructor who approves a make up exam. b. Failure in attending the final exam will result in zero mark unless the student presents an official acceptable excuse to the Dean of his/her faculty who approves an incomplete exam, normally scheduled to be conducted during the first two weeks of the successive semester. 3. Assignments & Projects: (It depends on the course?????) 4. Exam Attendance/Punctuality: a. A student who is late more than 10 minutes will not be permitted to sit the exam (first, second or mid exams). b. A student who is late more than 30 minutes will not be permitted to sit to final exam, and no student will be permitted to leave the exam center before the elapse of 30 minutes. 5. Cheating: Cheating is an attempt to gain marks dishonestly and includes; but not limited to: Copying from another student’s work. Using materials not authorized by the institute. Collaborating with another student during a test, without permission. Knowingly using, buying, selling, or stealing the contents of a test. Plagiarism which means presenting another person’s work or ideas as one’s own, without attribution. Using any media (including mobiles) during the exam. Course References Required Textbook: Wong. D &Hockenberyy - Eaton M. (2013) Wong's Essentials of Pediatric Nursing, 9th ed. St Louis: MosbyCo. Recommended references: Pilliteri, A. (2014) Maternal and child Health: Care of the growing family, 7nd.ed. New York: Lippincott Williams & Wilkins 3 Course Units and Objectives COURSE OUTLINES Unit one: Perspectives of child health nursing: Ch 1 a. Standards of child health nursing b. Childhood mortality and morbidity c. The art of pediatric nursing d. The roles of the child health nurse. e. The Jordanian child (MOH reports, mortality and morbidity rates) f. The bills of right of the Jordanian children Unit two: The Newborn 1. Health promotion of the newborn and family: Ch 8 a. Adjustment to extra uterine life. b. Health assessment of the neonate. c. Nursing care of the newborn and family. 2. Common health problems of neonates: Ch 9 a. Soft-tissue injures: Head trauma b. High risk newborn: preterm, post term c. Hyperbilirubinemia d. Respiratory distress syndrome e. Sepsis f. Developmental Dysplasia of the Hip (DDH) g. Cerebral palsy Unit four: The child with health problems related to the transfer of oxygen and nutrients: 1. Nursing care of the child and family with a respiratory disorder: Ch23 a. Etiology and characteristics of respiratory infections b. Upper respiratory tract infection c. Croup syndromes d. Lower respiratory tract infection e. Long-term respiratory dysfunctions: Asthma, Cystic fibrosis f. Nursing care of respiratory disorder in children. 2. Nursing care of the child with Gastrointestinal disorder: Ch 24 a- Water balance and dehydration, b- Structural defects: Cleft lip or cleft palate, esophageal atresia, Esophageal Atresia &Tracheoesophagial fistula. c- Disorders of motility: Hirschsprung disease. d- Inflammatory bowel disease. e- Malabsorption syndrome: Celiac disease Unite five: Nursing care of the child with Circulation of blood 1. Nursing care of the child withcardiovascular dysfunction: Ch 25 a. Congenital heart diseases. b. Acquired heart disease: Rheumatic fever, Endocarditis. c. Vascular dysfunction: Kawasaki disease. 2. Nursing care of child with hematological or immunological dysfunction: Ch 26 a. RBCs disorders: B-Thalasemia, Sickle cell disease, Iron deficiency anemia b. Neoplastic disorders: Ch 26 & 28 I. Leukemia 4 II. Chemotherapy andbone marrow transplantation. Unite six: The child with a disturbance of regulatory mechanisms 1. Nursing care of the child with Genitourinary tract disorder: Ch 27 a. Glomerular disease: I. Nephrotic syndrome II. Acute Glomerulonephritis b. Genitourinary tract disorders/defect: Genitourinary tract defects, c. Wilms tumor 2. The child with cerebral dysfunction: Ch 28 a. Intracranial infections: meningitis. b. Seizure disorder 3. The child with a neuromuscular disorder: Ch 32 Congenital malformations of C.N.S: Spina Bifida Unit seven: The child and family with special needs Impact of sensory developmental impairment on child and family: Ch 19 a. Down syndrome b. Autism spectrum disorder 5 Course Schedule / Calendar Week No. 1 2 3 4 Topic Exam/ Assignments due date Reference in the textbook Review: Syllabus and course orientation Perspectives of child health nursing a. Standards of child health nursing Perspectives of child health nursing b. Concepts: Childhood mortality and morbidity. c. The Jordanian child (mortality and morbidity rate) d. The Roles of the child health nurse. Ch 1 Nursing care of the normal newborn and family - Newborn's adjustment to the extra uterine life - Immediate adjustment - Physiologic state of the systems (system by system adjustment) - Nursing care of the normal newborns. - Initial assessment (Apgar, normal V/S) - Head to toe assessment - Newborn screening for disease (hypothyroidism) Ch 8 Health problems of newborns - Head injury (Caput and cephalohematoma) - Child of diabetic mother - Dysmaturity: Post-mature and premature Ch 9 Health problems of newborns - RDS - Neonatal sepsis - Hyperbilirubinemia Health problems of newborns - Cerebral Palsy - Developmental Dysplasia of the Hip (DDH) The child with respiratory dysfunction - Etiology and characteristics of respiratory infections. - Nursing care of Respiratory disorders in children - Acute infections: Upper respiratory tract infection(nasopharyngitis, pharyngitis, tonsillitis, influenza, otitis media) Ch31 Ch 32 Ch 23 6 Week No. 5 6 7 8 9 10 Topic The child with respiratory dysfunction - Acute infections: Croup syndrome (acute epiglottitis) - Acute infections: Lower respiratory tract infection: Bronchitis, pneumonia. - Asthma - Cystic fibrosis (Res. & GI focus) Exam/ Assignments due date Midterm exam (date: TBA) Reference in the textbook Ch 23 The child with cardiovascular dysfunction A. Congenital heart defect - Circulatory changes at birth - Defects of increased Pulmonary blood flow (Atrial septal defect, Ventricular septal defect, Patent ductus arteriosus) - Obstructive (Coarctation of the Aorta, Aortic stenosis, Pulmonic stenosis). - Decreased blood flow (Tetralogy of Fallot). Ch 25 The child with cardiovascular dysfunction A. Congenital heart defect - Mixed defects: (Transposition of the great vessels, Truncus arteriosus ) The child with cardiovascular dysfunction B. Acquired cardiovascular disorders (Endocarditis, Rheumatic Fever, Kawasaki disease) The child with Hematologic disorders - Anemia (focus Iron deficiency anemia) - Sickle cell - B-Thalasemia - Hemophilia Ch 25 Quiz Ch 26 The child with Hematologic disorders - Acute Leukemia - Chemotherapy BMT The child with gastrointestinal dysfunction - Types of dehydration - Disorders of motility (Hirschsprung disease) Assignment – JiTT – explained Ch 26 The child with gastrointestinal dysfunction - Inflammatory bowel disease: (Crhon’s disease, Ulcerative Colitis) - Malabsorption syndrome (Celiac disease ) - Structural defects: (Cleft lip and palate, Esophageal Atresia &Tracheoesophagial fistula) Assignment – JiTT – submission deadline Ch 24 Ch 24 7 Week No. 11 12 13 Topic Exam/ Assignments due date Reference in the textbook The child with Cerebral and neurologic dysfunction - Intracranial infections (Meningitis) - Seizure disorders( epilepsy, seizures disorder, febrile seizure) Ch 28 The child with genitourinary tract disorders - Acute Glomerulonephritis - Nephritic syndrome - Wilms tumor - Defects of genitourinary tracts (hypospadias, epispadias, inguinal hernia) Ch 27 The child with neuromuscular and musculoskeletal dysfunction - Spina Bifida Common childhood problems - Autism Common childhood problems - Down syndrome Ch 27 Ch 32 Ch 19 Final Exams 8