Module Name: General Nursing 2 Module Code: NU2G02 ECTS: 5 No. of Hours: Lectures 18, Tutorials 2 Term: Hilary Assessment Date: Weeks 37‐38 Module Leader: Michael Coughlan Lecturers: Michael Coughlan, Frances Ryan Aims The aim of this module is to introduce the student to the theory underpinning the nursing care of the person with malignant and non‐malignant blood disorders, cancer, and altered immunity. This includes the nurse’s role in the treatment of these conditions, in preparing patient’s for the different treatment modalities, and in recognising and managing the side effects of these interventions. The module is presented in two units of study: Unit 1: The nursing care of the patient with a non‐malignant blood disorder, including blood transfusion, and management of this persons condition; Unit 2: The nursing care of the patient with a malignant blood disorder, with cancer and with an altered immune response (including HIV) and management of this person’s condition. Learning Outcomes Following completion of this module the student should be able to: • Discuss the nursing care and management of a patient with a non‐malignant haematological disorder using a nursing process approach; • Discuss the nursing care and management of a patient pre, during and post a blood transfusion; • Discuss the nursing care and management of a patient with a malignant haematological disorder / cancer using a nursing process approach; • Discuss the nurses role in preparing the patient for, and caring for him/her during and after treatments such as cytotoxic chemotherapy and radiotherapy; • Discuss the nursing care and management of a patient with altered immunity (including HIV/AIDS) using a nursing process approach. Indicative Content Unit 1: Nursing the Patient with a Non‐malignant Blood Disorder, including Blood Transfusion, and Management of this Persons Condition (8L, 2T) Page 1 of 3 2011‐2012 •
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Nursing in altered Haematological and immune function Care of the patient with anaemia and other red cell disorders; Care of the patient with non‐malignant disorders of the white cells; Care of the patient with bleeding or clotting disorders; Care of a patient receiving a blood transfusion. Unit 2: Nursing the patient with Cancer and AIDS, including the management of the side effects of treatments. (10L) • The primary prevention of cancer; • Care of the patient with malignant disorders of the white cells and lymphatic system; • Care of the patient receiving chemotherapy and radiotherapy; • Care of the immuno‐compromised patient; • Care of the patient with HIV/AIDS. Teaching and Learning Activities •
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Lecture Group Work Allocated Reading and Discussion Assessment Mode of Assessment Assessment Details Multiple Choice Questions (MCQ) and an Unseen Written Examination 25 MCQ and written examination to answer 1 of 2 questions Reading List Bennett, L. (2005) Understanding sickle cell disorders Nursing Standard 19 (32): 52‐61. Catlin, A. (2003) Thalassaemia: the facts and the controversies. Paediatric Nursing 29 (6):447‐449. Coughlan, M. and Healy, C. (2008) Nursing care, education and support for patients with neutropenia. Nursing Standard 22, 46, 35‐41. Department of Health and Children (2005) The Prevention of Transmission of Blood‐Borne Diseases in the Health‐Care Setting. Dublin: Department of Health and Children. Dougherty, L. and, Lister, S. (2004) The Royal Marsden Hospital Manual of Clinical Nursing Procedures. 6th Ed. Oxford: Blackwell Publishing. Grundy, M. (2006) Nursing in Haematological Oncology 2nd Ed. Edinburgh: Baillière Tindall. Page 2 of 3 2011‐2012 Hand, H. (2001) Blood and the classification of anaemia, Nursing Standard 15 (39): 45‐55. Hoffbrand, A. Moss, P. and Pettit, J. (2006) Essential Haematology 5th Ed. Oxford: Blackwell Publishing. Langhorne, M. Fulton, J. and Otto, S. (2007) Oncology Nursing 5th Ed. St. Louis, Missouri: Mosby. Marrs, J. (2006) Care of patients with neutropenia. Clinical Journal of Oncology Nursing 10 (2):164‐166. Montague, S. Watson, R. and Herbert, R. (2005) Physiology for Nursing Practice. 3rd Ed. Edinburgh: Elsevier. National Blood Users Group (2004) Guidelines for the Administration of Blood and Blood Components. Dublin: National Blood Users Group. Shelton, B. (2003) Evidence based care for the neutropenic patient with leukaemia. Seminars in Oncology Nursing 19 (2):133‐141 Smeltzer, S. Bare, B. Hinkle, J. & Cheever, K. (eds) (2008) Brunner and Suddarth's Textbook of Medical‐Surgical Nursing. 11th Ed. Philadelphia: Lippincott Williams & Wilkins. *Additional readings will be provided for individual lectures, as appropriate. Page 3 of 3 2011‐2012