LEVEL II VNSG 1509 – NURSING IN HEALTH AND ILLNESS II Credit Hours: 5 Lecture Hours: 5 Prerequisite: VNSG 1122, 1136, 1500, 1402, 2413, 1160, 2231, and 1216 Corequisite: Kaufman Program – VNSG 1330, 1334, 1361, and 2214 WECM COURSE DESCRIPTION Introduction to health problems of the adult requiring medical and surgical interventions. WECM COURSE LEARNING OUTCOMES The student will compare and contrast normal physiology of body systems to pathologic variations in the patient with medical-surgical health problems; evaluate and treat patients with medical-surgical health problems using the nursing process including nutrition and drug therapy. COURSE OUTLINE I. Care of the Patient with Gastrointestinal Disorders A. Assessment B. Diagnostic tests C. Care of patient with ostomy D. Etiology, pathophysiology, clinical manifestations of selected gastrointestinal disorders 1. Gastroesophageal reflux disease 2. Gastritis 3. Peptic ulcer 4. Inflammatory bowel 5. Hernias 6. Colorectal cancer 7. Gallbladder disease 8. Hepatitis 9. Cirrhosis/liver failure 10. Pancreatitis 11. Splenomegaly E. Nursing care for patient with gastrointestinal disorders F. Surgeries involving gastrointestinal system II. Care of the Patient with Genitourinary Disorders A. Assessment B. Diagnostic tests C. Etiology, pathophysiology, clinical manifestations of selected genitourinary disorders 1. Cystitis 2. Pyelonephritis 3. Obstructions 4. Hydronephrosis 5. Glomerulonephritis 6. Nephrotic syndrome 7. Renal failure 8. Epididymitis 9. Male reproductive trauma 10. Benign prostatic hypertrophy 11. Prostate/testicular cancer 12. Cystocele/rectocele/relaxation disorders D. Nursing care for patient with genitourinary disorders E. Surgeries involving genitourinary system III. Care of the patient with endocrine disorders A. Assessment B. Diagnostic tests C. Etiology, pathophysiology, clinical manifestations of selected endocrine disorders 1. Thyroid disorders 2. Parathyroid disorders 3. Adrenal glands a. Addison’s disease b. Cushing’s disease 4. Pituitary a. Diabetes insipidus D. Nursing care for patient with endocrine disorders E. Surgeries involving endocrine system IV. Care of the patient with cardiovascular disorders A. Assessment B. Diagnostic tests C. Common cardiac dysrhythmias, treatments and interventions D. Etiology, pathophysiology, clinical manifestations of selected cardiovascular disorders 1. Bacterial endocarditis 2. Coronary artery disease 3. Angina pectoris 4. Myocardial infarction 5. Congestive heart failure 6. Pulmonary edema 7. Valvular disease 8. Aneurysm 9. Arterial and venous insufficiency 10. Thrombophlebitis 11. Deep vein thrombosis 12. Anemias 13. Polycythemia 14. Thrombocytopenia 15. Purpura E. Nursing care for patient with cardiovascular disorders F. Surgeries involving cardiovascular system V. Care of the patient with respiratory disorders A. Assessment B. Diagnostic tests C. Etiology, pathophysiology, clinical manifestations of selected respiratory disorders 1. Upper airway a. Infections b. Obstructions c. Laryngeal cancer 2. Chest and lower respiratory tract a. Infections b. Adult respiratory distress syndrome c. Pulmonary embolism and infarction d. Tumors e. Trauma 1) Fractures 2) Penetrating wounds of the chest D. Nursing care for patient with respiratory disorders E. Surgeries involving respiratory system VI. Care of the Patient with Mental Illness A. Mental Illness Concept 1. Definitions 2. Diagnosis 3. Legal & Ethical Issues B. Treatment Modalities C. Psychoactive Medications D. Mental Health Disorders 1. Mood/affective disorders 2. Personality disorders 3. Schizophrenia 4. Organic mental disorders 5. Somatoform disorders 6. Dissociative disorders E. Substance related disorders F. Eating disorders G. Suicide H. Abuse COURSE REQUIREMENTS The student will be required to take 5 tests over the course material. The student will be required to satisfactorily complete required bib cards. See the Evaluation Policy in the handbook for grading and progression information. See the Attendance Policy in the handbook for attendance requirements. See Grade Information Policy in the handbook for information on grade information. v:\word\syllabus\vocational\level ii\vnsg 1509 intro 4/2013