UNIVERSITY OF FLORIDA
COLLEGE OF NURSING
COURSE SYLLABUS
FALL 2012
COURSE NUMBER
NUR 4739 – Section 3362
COURSE TITLE
Systems of Care 3: Restoration of Wellness
CREDITS
4
PLACEMENT
BSN Program: 3rd Semester Upper Division
PREREQUISITES
Systems of Care 2: Restoration of Wellness
COREQUISITES:
NUR 3826 Legal and Ethical Issues in Nursing
FACULTY
David J Derrico RN, MSN
Clinical Assistant Professor
derridj@ufl.edu
OFFICE
HPNP
3202
PHONE
352-273-6341
cell 352-562-6305
OFFICE HOURS
Tuesday 1115-1315
Anna Hall Kelley, MSN, ARNP
Clinical Assistant Professor
alkelley@ufl.edu
HPNP
2221
352-273-6422
cell 352-494-8053
Monday 0930-1130
Debbie Popovich, MSN, CPNP
Assistant Professor
popovdm@ufl.edu
HPNP
352-273-6342
2223 Beeper 888- 980-3708
cell 352-215-8990
Karen Reed, RN, MSN, DHSc
Clinical Assistant Professor
ksreed@ufl.edu
HPNP
3235
Martha (Jo) Snider, EdD, RN,
Associate Professor
snidemj@ufl.edu
HPNP
4229
DEPARTMENT CHAIR
Joyce Stechmiller, PhD,ACNP-BC
FAAN
Associate Professor, Interim Chair
Adult and Elderly Nursing
stechjk@ufl.edu
NUR4739 (3362) Fall 2012 Derrico
352-273-6097
cell 352-514-8565
Tuesday 1300-1500
& by Appointment
Monday 1300-1500
352-273-6359
By Appointment
352-273-6394
By Appointment
HPNP
3230
Page 1
COURSE DESCRIPTION
The purpose of this course is to examine the knowledge necessary to participate in development
of plans of care for diverse clients with complicated acute and chronic illnesses across the
lifespan. Emphasis is on principles of safe and effective management of clients with
complicated disease, injury and disability in a variety of settings. Focus is on the principles
inherent in the care of clients whose complexity affects restoration to wellness.
COURSE OBJECTIVES
Upon completion of this course, the student will be able to:
1.
Analyze factors that contribute to client potential for restoration to wellness.
2.
Analyze the healthcare needs of clients with complicated acute and chronic illnesses
across the lifespan.
3.
Synthesize principles and concepts from liberal arts and science and nursing science into
plans of care for selected clients.
4.
Integrate multiple factors in construction of holistic plans of care.
5.
Analyze inter- and intraprofessional communication and collaborative strategies used to
deliver evidence-based, client-centered care.
6.
Evaluate healthcare outcomes of clients with complicated acute and chronic illnesses
using data from multiple relevant sources.
COURSE SCHEDULE
Day
Time
Room
Monday
0830-1025
HPNP-G101
Tuesday
0830-1025
HPNP-G101
E-Learning in Sakai is the course management system that you will use for this course.
ELearning in Sakai is accessed by using your Gatorlink account name and password at
http://lss.at.ufl.edu . There are several tutorials and student help links on the E-Learning login
site. If you have technical questions call the UF Computer Help Desk at 352-392-HELP or send
email to helpdesk@ufl.edu.
It is important that you regularly check your Gatorlink account email for College and
University wide information and the course E-Learning site for announcements and notifications.
Course websites are generally made available on the Friday before the first day of classes.
ATTENDANCE & MAKE UP POLICY
Requirements for class attendance and make-up exams, assignments, and other work are
consistent with university policies that can be found at:
https://catalog.ufl.edu/ugrad/current/regulations/info/attendance.aspx.
NUR4739 (3362) Fall 2012 Derrico
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Students are expected to be present for all classes, other learning experiences and examinations.
Students who have extraordinary circumstances preventing attendance should explain these
circumstances to the course instructor prior to the scheduled class as soon as possible. Instructors
will make an effort to accommodate reasonable requests.
ACCOMMODATIONS DUE TO DISABILITY
Each semester, students are responsible for requesting a memorandum from the Disability
Resource Center to notify faculty of their requested individual accommodations. This should be
done at the start of the semester.
UNIVERSTY COUNSELING AND MENTAL HEALTH SERVICES
http://www.counseling.ufl.edu/cwc/ (352) 392-1575
STUDENT HANDBOOK
Students are to refer to the College of Nursing Student Handbook for information about
University & College of Nursing policies, Academic Honesty , and professional behavior.
http://con.ufl.edu/currentStudents/e_docs/Undergraduate%20Handbook%202011.pdf
https://catalog.ufl.edu/ugrad/current/advising/info/student-honor-code.aspx#honesty
TOPICAL OUTLINE
1. General Approach
Use of the problem solving process to develop interdisciplinary plans of care for patients
with complicated acute and chronic illnesses.
A. Application of concepts to exemplars across the lifespan.
B. Nursing interventions that are developed based on identified nursing problems and
utilize evidence based guidelines and standards of care.
C. Exemplars include patients with:
1. Prevalent blood disorders — e.g. iron deficiency anemia, sickle cell anemia,
bleeding and clotting disorders
2. Prevalent cancers
3. Prevalent immune illnesses
4. Prevalent gastrointestinal illnesses
5. Prevalent behavioral disorders e.g. major depression, psychoses, bipolar disorders.
6. Prevalent nervous system illnesses
7. Prevalent musculoskeletal and connective tissue illnesses
8. Prevalent endocrine disorders, e.g. thyroid
9. Prevalent cardiac/vascular disorders
10. Substance abuse
11. Complications of pregnancy
TEACHING METHODS
Lecture, group activities, practice tests and discussion
LEARNING ACTIVITIES
Participation in class and group activities, selected readings and electronic sources
NUR4739 (3362) Fall 2012 Derrico
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CLASSROOM ETIQUETTE
Classroom Behavior is covered under the Regulation of the University of Florida, Regulation
2.019. (j) Conduct Disruptive to the University Community. All students are expected to comply
with UF policies http://regulations.ufl.edu/chapter4/4041.pdf.
The UF policy defines disruption of a class or curricular activity as follows:
Classroom or other academic workplace behavior that interferes with either (a) the instructor’s
authority or ability to conduct the class or (b) the ability of other students to benefit from the
instructional program
EVALUATION METHODS/COURSE GRADE CALCULATION
3 Exams 60%
Final exam 20%
Total 100%
Evaluation will be based on four objective exams. The final exam is cumulative and will include
content previously tested in this course. Test scores are averaged and rounded to the nearest
whole number to determine the final course grade.
Exam 1
Monday September 24, 2012 0830
Computer Testing Center
25%
Exam 2
Monday October 22, 2012
0830
Computer Testing Center
25%
Exam 3
Tuesday November 20, 2012 0830
Computer Testing Center
25%
Exam 4
Monday December 10, 2012 0800
Cumulative Final Exam
Computer Testing Center
25%
Total
You must also achieve 84% on each of the four RN practice exams to pass the course
100%
4 EVOLVE RN Practice Tests:
Maternity
RN Practice Test
– Due 9/7/12
Pediatrics
RN Practice Test
– Due 10/5/12
Psychiatric-Mental Health
RN Practice Test
– Due 10/26/12
Medical-Surgical
RN Practice Test
– Due 11/30/12
NUR4739 (3362) Fall 2012 Derrico
Each test is
Pass-Fail.
You must score 84% or above on
each test to PASS.
Online at EVOLVE:
https://evolve.elsevier.co
m/cs/Satellite/StudentHo
me?Audience=Student
May be taken multiple times.
Each exam will close at 11:59pm on
the due date
You must achieve 84% or above on
all 4 practice tests, submitted by
due date/time, to pass the course.
Page 4
Testing will be done at the date and time indicated on the course syllabus. Early testing is
not an option and late testing will be given only in exceptional situations. Students must
obtain approval of absence from David Derrico (273-6341) prior to the scheduled exam.
Late testing will be completed within one week of the scheduled exam.
TEN PERCENTAGE POINTS will be deducted from the exam score for UNEXCUSED
absences. Alternate test forms will be given to students not taking exams at scheduled times.
GRADING SCALE/QUALITY POINTS
Letter Grade
Points
A
AB+
B
BC+
C
CD+
D
DE
95 – 100
93 – 94
91 – 92
84 – 90
82 – 83
80 – 81
74* - 79
*74% is the minimum
72 – 73
70 – 71
64 – 69
62 – 63
61 or below
Quality Points
4.0
3.67
3.33
3.0
2.67
2.33
2.0
passing grade
1.67
1.33
1.0
.67
0.0
For more information on grades and grading policies, please refer to University’s grading
policies: https://catalog.ufl.edu/ugrad/current/regulations/info/grades.aspx
REQUIRED TEXTS
Evolve RN Practice Tests: HESI RN Practice Test, Version 3.0
Lewis, S.L., Dirksen, R.F., Heitkemper, M.M., Bucher, l., & Camera, I.M. (2011).
Medical-Surgical nursing: Assessment and management of clinical problems (8th ed.).
St. Louis, Mo: Mosby
Perry, S., Hockenberry, M., Lowdermilk, D., & Wilson, D. (2010). Maternal child nursing
care (4th ed.). Maryland Heights, MO: Mosby.
Silvestri, L.A. (2011). Saunders comprenhensive review for the NCLEX-RN examination
(5th ed.). St. Louis, MO: Saunders.
Townsend, M.C. (2011). Essentials of psychiatric mental health nursing: Concepts of care in
evidence-based practice (5th ed.). Philadelphia: FA Davis.
NUR4739 (3362) Fall 2012 Derrico
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RECOMMENDED TEXTS
HESI. (2011). Comprehensive review for the NCLEX-RN examination (3rd ed.). St. Louis,
Missouri: Elsevier.
Ohman, K. A. (2010). Davis’s Q&A for the NCLEX-RN examination. Philadelphia: F.A. Davis.
NUR4739 (3362) Fall 2012 Derrico
Page 6
WEEKLY CLASS SCHEDULE
Week #
Date
2
Monday, August 27
&
Tuesday, August 28
Monday, September 3
Topics Readings & Assignments
Faculty
Orientation, Priorities
Concepts: Oxygenation, & Vulnerability
Comfort: Acute Pain :
Nursing Care Exemplars: Clients
Derrico
with Hematologic dysfunction:
Sickle Cell Anemia, Thromboemboli, & Myelosuppression
Lewis: Chapter 30 & 31
LABOR DAY - - NO CLASSES
3
Tuesday, September 4
Concepts: Vulnerability,
Comfort: Chronic Pain :
Nursing Care Exemplars: Clients with Cancer #1
Colon Cancer & Endometrial Cancer
Lewis: Chapter 16
Derrico
Maternity RN Practice Test
– Due Friday 9/7/11 online
4
Monday, September 10
Tuesday, September 11
5
Monday, September 17
Tuesday, September 18
6
Monday, September 19
Exam #1 0830-0945
Computer Testing Center
NUR4739 (3362) Fall 2012 Derrico
Concepts: Protection &Vulnerability,
Comfort: Chronic Pain :
Nursing Care Exemplars: Clients with Cancer #2
Lewis: Chapter 16
Nursing Care Exemplars: Clients with Cancer #3
Vulnerability
Nursing Care Exemplars: Children with Cancer:
Acute Lymphocytic Leukemia
Perry et al. pp. 1507-1514
Concepts:Protection & Vulnerability
Nursing Care Exemplars: Clients
Immune dysfunction :
Systemic Lupus Erythematosus and HIV Infection
Lewis: pp 241-256, 1189-1194, 1664-1670
Concepts: Protection & Vulnerability
Nursing Care Exemplars: Clients with
Arthritis and Connective Tissue disorders:
Rheumatoid Arthritis, Osteoarthritis, & Gout
Lewis: Chapter 65
Concepts: Elimination & Nutrition
Nursing Care Exemplars: Clients
Derrico
Derrico
Popovich
Derrico
Derrico
Derrico
Page 7
Lecture 0955-1025 G101
Tuesday, September 20
7
Monday, October 1
Intestinal Inflammation:
Appendicitis, Diverticulitis, & Inflammatory Bowel Disease
Lewis: Chapter 43
Concepts: Regulation/Metabolism & Nutrition
Nursing Care Exemplars: Clients with
Liver dysfunction:
Cirrhosis of the Liver
Lewis: Chapter 44
Concepts: Regulation/Metabolism & Nutrition
Nursing Care Exemplars: Children with
Popovich
Liver dysfunction:
Biliary Atresia
Perry et al. pp. 1410-1411
Elimination
Nursing Care Exemplars: Children with Elimination
dysfunction:
Pyloric Stenosis & Hirschsprung’s Disease
Perry et al pp. 1417-1420 & 1391-1394
Concepts: Role:
Nursing Care Exemplars: Clients who use
Passive Aggressive behaviors, and Splitting
Townsend 578-579 (table) plus Pgs. 573-577; 787
Tuesday, October 2
NUR4739 (3362) Fall 2012 Derrico
Derrico
Concepts: Regulation/Metabolism & Nutrition
Nursing Care Exemplars: Clients with
Pancreas dysfunction:
Pancreatitis
Lewis: pp. 1088-1095
Snider
Derrico
Page 8
Concepts: Stress
8
Monday, October 8
Tuesday, October 9
Pediatrics RN Practice Test
– Due 10/5/11 due online
Nursing Care Exemplars: Clients with
Substance abuse & Dependency.
Townsend Chapter 10 & pp778
Concepts: Regulation/Metabolism &
Fluid & Electrolyte Balance
Nursing Care Exemplars: Clients with
Endocrine dysfunction:
Pituitary Disease
Adrenal Disease: Cushings v.Addisons
Lewis: Chapters 48 & 50
Snider
Derrico
Concepts: Stress
9
Monday, October 15
Nursing Care Exemplars: Clients with
Post Traumatic Stress Disorder, and Crisis
Townsend Chapter 10 & page 778
Snider
Concepts: Regulation/Metabolism &
Tuesday, October 16
Fluid & Electrolyte Balance
Nursing Care Exemplars: Clients with
Endocrine dysfunction:
Thyroid disease & Parathyroid disease
Derrico
Lewis: Chapters 48 & 50
Concepts: Oxygenation:
10
Monday, October 17
Exam #2 0830-0945
Computer Testing Center
Nursing Care Exemplars: Critically ill
Derrico
Clients with Respiratory problems:
Pulmonary Embolism & Acute Respiratory Failure,
Lewis: Chapter 28, pp 577-80,
Chapter 66, pp. 1698-14 & Chapter 68
Tuesday, October 18
Concepts: Oxygenation:
Psychiatric-Mental Health
RN Practice Test
– Due 10/26/11
Chest Trauma
Acute Respiratory Distress Syndrome,
Nursing Care Exemplars: Critically ill
Clients with Respiratory problems:
Derrico
Lewis: Chapter 28, pp566-74,
Chapter 66, pp. 1700-14 & Chapter 68
Concepts: Affect/Perception:
11
Monday, October 29
NUR4739 (3362) Fall 2012 Derrico
Nursing Care Exemplars: Clients with
Complex Mood dysfunction, and Suicide risk
Snider
Page 9
Townsend Chapter 16; Pgs. 371-372
Concepts: Oxygenation & Perfusion:
Tuesday, October 30
Monday, November 5
12
Nursing Care Exemplars: Critically ill
Clients with Dysrhythmias:
Atrial Fibrillation
Symptomatic Sinus Bradycardia
Lewis: Chapter 36
Derrico
Nursing Care Exemplars: Critically ill
Clients with Shock:
Hypovolemic, cardiogenic,
obstructive, and distributive shock
Multisystem organ dysfunction syndrome
Systemic Inflammatory Response Syndrome
Lewis: Chapter 67
Derrico
Concepts: Elimination
Tuesday, November 6
Nursing Care Exemplars: Clients with
Renal failure
Chronic Renal Disease
Acute Renal Failure
Kidney Transplant
Lewis: Chapter 47
Derrico
Concepts: Elimination
Nursing Care Exemplars: Children with
Renal abnormalities:
Spina Bifida
Perry et al. pp.1724-1731
Popovich
NO CLASSES – VETERAN’S DAY
Monday, November 12
13
Concepts: Activity
Tuesday, November 13
NUR4739 (3362) Fall 2012 Derrico
Nursing Care Exemplars: Clients with
Musculoskeletal problems:
Musculoskeletal Trauma, Muscular Dystrophy
Derrico
Page 10
Lewis: Chapter 63 & Chapter 64
Concepts: Cognition & Activity
Nursing Care Exemplars: Critically ill
clients with CNS problems:
Traumatic Brain Injury,
Hemorrhagic Stroke, Ischemic Stroke
Lewis: Chapter 57 & Chapter 58
Derrico
Concepts: Activity
14
Monday, November 19
Nursing Care Exemplars: Clients with
Problems of the CNS: The spinal cord.
Spinal Cord Injury & Rehabilitation
Chapter 61 pp1546-1567
Reed
Concepts: Cognition & Activity
Tuesday, November 20
Exam #3 0830-0945
Computer Testing Center
Nursing Care Exemplars:
Clients with CNS problems:
Brain Injury and Rehabilitation
Lewis: Chapter 58
Reed
Lecture 0955-1025
Concepts: Activity
15
Monday November 26
Nursing Care Exemplars: Clients with
Derrico
Central & Peripheral Nervous System problems:
Multiple Sclerosis & ALS
Myasthenia Gravis, Guillian-Barre Syndrome
Lewis: Chapter 59 pp 1501-06, 1510-16,
Chapter 61 pp 1538-1546
Concepts: Sexuality/Reproduction
Tuesday, November 27
Nursing Care Exemplars: Clients with
Kelley
Infertility
Perry et al. Chapter 7 pages 129-138 and 156-159.
Concepts: Cognition
Medical-Surgical
RN Practice Test
NUR4739 (3362) Fall 2012 Derrico
Nursing Care Exemplars: Children with
Popovich
CNS problems:
Hydrocephalus & Meningitis
Perry et al. pp. 768-769, 1593-1597, & 1725-1731
Page 11
Due 11/3011 due online
Monday, November 28
Concepts: Sexuality/Reproduction
&
Nursing Care Exemplars: Clients with
Complicated Pregnancy
Perry et al. Chapters 13, 14 and 19.
16
Tuesday, November 29
EXAM
Approved:
Kelley
Monday, December 10
Comprehensive Final Exam
1500-1700
Computer Testing Center
Academic Affairs Committee:
General Faculty:
UF Curriculum Committee:
NUR4739 (3362) Fall 2012 Derrico
09/09
09/09
10/09
Page 12