Chabot College Fall 2005 Replaced Fall 2012 Course Outline for Nursing 52 NURSING OF THE CHILDREARING FAMILY (PEDIATRICS NURSING) Catalog Description: 52 - Nursing of the Childrearing Family (Pediatrics Nursing) 4 units Emphasis placed on the use of the nursing process in promoting adaptive processes necessary for coping with the health issues of the childrearing family; theory and clinical highlight the coping mechanisms for childrearing families. Focus on cultural diversity and growth and development as they affect the physiological and psychological adaptation of families experiencing common health issues and problems of infants, children and adolescents. Theory and clinical practice includes integration of assessment skills, growth and development, family abuse issues, nutrition, pharmacological concepts, ethical issues, and teaching strategies unique to childrearing families. Clinical focuses on care of clients in community and acute care settings. Prerequisite: Formal referral by the California Board of Registered Nursing for the purpose of meeting the requirements for eligibility to take the licensing examination for registered nursing (NCLEX-RN). May not receive credit if Nursing 59 has been completed. 2 hours lecture, 6.75 hours clinical. [Typical contact hours: lecture 35, laboratory 118.125] Prerequisite Skills: None Expected Outcomes for Students: Upon completion of the course, the student should be able to: Theoretical Outcomes: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. discuss an assessment on children of various ages, identifying high-risk clients through the systematic collection of data in hospital and community settings; develop relevant, culturally sensitive, and developmentally appropriate nursing care plans for childrearing families based on assessment data; identify appropriate psychosocial and physical nursing interventions for childrearing families, including health teaching related to growth and development, and child safety; identify the characteristic behaviors of children at different developmental levels; identify cultural patterns influencing the family’s adaptation to the childrearing experience; identify the physiological and pathophysiological processes of childrearing; articulate some of the ethical issues involved in the health care of families, especially children’s health care; facilitate the family’s adaptation and role change during the childrearing process; discuss adaptations necessary for caring for family families with chronic illness and/or developmental disabilities; discuss nursing responsibilities in caring for families with unexplained death or injuries to the child. Clinical Outcomes: 1. 2. perform an assessment on children of various ages, identifying high-risk clients through the systematic collection of data in hospital and community settings; develop a relevant, culturally sensitive, and developmentally appropriate nursing care plans for childrearing families based on assessment data; Chabot College Course Outline for Nursing 52, Page 2 Fall 2005 3. 4. 5. 6. 7. 8. identify appropriate psychosocial and physical nursing interventions for childrearing families including health teaching related to growth and development, and child safety; safely administer medications to a variety of pediatric clients using the developmentally appropriate approach; identify and describe the steps of the nursing process in pediatric settings, and incorporate legally appropriate principles in the care of pediatric clients; identify and institute appropriate interventions in family abuse; identify the conditions associated with genetic patterns of inheritance and correlate pediatric care appropriately; demonstrate the following nursing skills as adapted to childrearing families: a. application of bedside assessment, respiratory, and abdominal; b. application of the adaptation model based on Roy’s theory in the formulation of nursing care plans for the childrearing family; c. family teaching of concepts related to: 1) physical and emotional care of the hospitalized child; 2) compliance with therapy or prescribe treatment; 3) safety factors appropriate for each age; 4) need for health supervision for the growing child and childrearing family; 5) personal hygiene d. use and effectiveness of therapeutic play; e. administration of parenteral therapies; f. nasogastric feedings; g. therapeutic procedures related to respiratory dysfunction (oxygen, mist tent, clapping, vibration, postural drainage); h. care of the child with chronic illness; i. care of the child with problems related to production and circulation of blood; j. care of the child with a life-threatening illness; k. care of the child with problems related to gas transport; l. care of the immobilized child; m. care of the child with fluid and electrolyte disturbance and alteration in nutrition including calculation of fluid and caloric needs. Course Content: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. Application of the nursing process in the care of the child and family Physical and developmental assessment of the newborn and the child Impact of hospitalization on the child and family The child and family with special needs The child and family with chronic and/or life-threatening illness disability Children’s perception of death and care of the grieving family Communicable disease and immunization practices Disturbances of fluids and electrolytes Problems in transfer of oxygen Problems in transfer of nutrients Problems related to production and circulation of blood Problems that interfere with locomotion Issues in parent education Family violence Acquired immunodeficiency syndrome in the pediatric population Effects of cultural diversity in meeting needs of the child Attention deficit disorder Chabot College Course Outline for Nursing 52, Page 3 Fall 2005 Methods of Presentation: 1. 2. 3. Lecture Seminar discussion Clinical Assignments and Methods of Evaluating Student Progress: 1. Typical Assignments: a. Complete and submit responses to case studies in Pediatrics nursing using interactive computer simulations b. Evaluate nursing function differences in the home, out-patient clinic and hospital settings c. Perform a head-to-toe assessment on a pediatrics patient and document findings in the chart d. Analyze and evaluate results of a head-to-toe assessment of a pediatrics patient e. Implement safe and effective nursing care, using interventions developed from the analysis and evaluation of the assessment of a pediatrics patient 2. Methods of Evaluating Student Progress a. In-class projects b. Nursing Care Plans c. Medication cards d. Homework e. Class participation f. Clinical performance tools g. Written final exam Textbook(s) (typical): Essentials of Pediatric Nursing, Wong, Hockenberry, and Eaton, 6th ed., Mosby 2002 Special Student Materials Stethoscope Student ID card Lab Coat Student Uniform Watch with sweep second hand Students will provide own transportation to and from health care facilities nc/N52courseoutline.05 New 9/04 Rev. 2/05