NURS 206 Expanding and Developing Family and Community Course Name: Expanding and Developing Family and Community NURS 206 Course Number: Academic Program: Campus: Nursing Section A Instructor’s Name Allan J. V. Cresencia, MSN, CPN, RN Christine L. Dyer, MSN, CPN, RN Elizabeth Hartman MSN, RNC-OB I. Instructor’s Contact Information, Course Pre and Co-Requisites Phone Number: E-mail: Office location: Office hours: Course Website: Course Prerequisites: Course Co requisites: acresencia@westcoastuniversity.edu ehartman@westcoastuniversity.edu climann@westcoastuniversity.edu Faculty Room 108 Ms. Hartman: Weds 12-2pm; Thurs 12-1 pm; and by appt. Mr. Cresencia: by e-mail and appt. Mrs. Dyer: by e-mail and appt. wcunurs206and216.pbworks.com NURS 201, NURS 211L NURS 216L II. Mission and Outcomes University Mission At West Coast University, we embrace a student-centric learning partnership that leads to professional success. We deliver transformational education within a culture of integrity and personal accountability. We design market-responsive programs through collaboration between faculty and industry professionals. We continuously pursue more effective and innovative ways through which students develop the competencies and confidence required in a complex and changing world. College of Nursing Mission The mission of the College of Nursing is to provide evidence-based and innovative nursing education to culturally diverse learners; preparing nurses to provide quality and compassionate care that is responsive to the needs of the community and the global society. West CoastUniversity Course Syllabus Revision Date: Revision Date: Month, Year (i.e. February, 2010) Page 1 Page 1 April, 2011 NURS 206 Expanding and Developing Family and Community College of Nursing Philosophy Program Learning Outcomes Term: Class Meeting Dates: Class Meeting Times: Class Meeting Location: Web Site: Class Credit Hours Class Credit Length The philosophy of the College of Nursing is the education of nurses who become lifelong learners and critical thinkers. The philosophy reflects beliefs that education is a continuous process, occurring in phases throughout an individual’s lifetime 1. Synthesize knowledge derived from liberal arts and sciences with a conceptual framework as a basis for professional nursing practice. 2. Utilize nursing process in health promotion, restoration, and disease and illness prevention. 3. Apply evidence-based practice in providing therapeutic nursing interventions for patients and families in a wide variety of health care, and community setting. 4. Apply critical thinking skills in providing culturally sensitive and developmentally appropriate nursing care to patients who are experiencing simple and/or complex health problems in a variety of settings. 5. Provide health care education to individuals, families, and aggregates. 6. Develop measurable goals that demonstrate the willingness to become a life-long learner in building expertise as a member of the nursing profession. 7. Utilize effective communication to interact with patients, families, and the interdisciplinary health team. 8. Assume responsibility for the delegation and supervision of the delivery of nursing care to subordinates based on the subordinate’s legal scope of practice and ability. 9. Demonstrate application of the AACN 9 Essentials. 10. Be eligible to apply for the registered nursing licensing examination in order to be employed as a registered nurse in a variety of health care settings. III. Course Information Summer I, 2011 June- August 2011 Weds 12:30- 5:30 pm Room 126 (OB);Room 212 (Peds) wcunurs206and216.pbworks.com 3 semester credits/5 contact hours per week/45 hours per term 9 weeks West CoastUniversity Course Syllabus Revision Date: Revision Date: Month, Year (i.e. February, 2010) Page 2 Page 2 April, 2011 NURS 206 Expanding and Developing Family and Community Class Required Texts, Learning Resources Assessment Technology Institute Inc. Content Mastery Series: Maternal Newborn Nursing Review Module. Overland Park KSwww.atitesting.com Boyd, D., Hinds, M., Hyland, J. Hyland &Saccoman, (2008) Evolve reach comprehensive review for the NCLEX-RN examination (2nd ed.) St. Louis, MO: Mosby Elsevier Evolve Online Learning Center. evolve.elsevier.com Class Required Texts, Learning Resources (continued) Case Studies & Practice Tests Hockenberry, M. J., & Wilson, D. (2007). Wong’s nursing care of infants and children (8thed.). St. Louis, MO: Mosby Elsevier. Hockenberry, M. J., & Wilson, D. (2009). Clinical companion forWong’s essentials of pediatric nursing. St. Louis, MO: Mosby Elsevier. Ward, S. &Hisley, S. (2009) Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, and Families. Philadephica, PA: F.A. Davis West CoastUniversity Course Syllabus Revision Date: Revision Date: Month, Year (i.e. February, 2010) Page 3 Page 3 April, 2011 NURS 206 Expanding and Developing Family and Community Class Recommended Texts, Learning Resources American Psychological Association. (2002). Publication manual of the American Psychological Association (5th ed.).Washington, DC: American Psychological Association. ATI. Content Mastery Series: Nursing care of children. Nursing Review Module, Overland Park KS: www.atitesting.com Hockenberry, M. J., & Wilson, D. (2007). Virtual clinical excursions for Wong’s nursing care of infants and children (8thed.). St. Louis, MO: Mosby Elsevier. Knippa, A. (Ed.). (2008). Nursing Care of Children Version 7.0: Content Mastery Series Review Module. Stilwell, KS: Assessment Technologies Institute, LLC. Pearson Hall Real Nursing Skills: Maternal-Newborn & Women’s Health Nursing Skills online videos Websites: National Health Objectives: www.healthypeople.gov www.hhs.gov, (Immunization schedule) LIRN (Library Information Resources Network) http://www.lirn.net/services.shtml Patron Indentification #: 52516 (Available anywhere with Internet access) Opposing Viewpoints; InfoTrac- magazine articles; Medical Encyclopedia Medical Dictionary; Current information on dozens of topics Ebsco Databases http://search.ebscohost.com UserID: west; Password: coast (Available anywhere with Internet access); Full text periodical articles Course Catalog Description EBRARY http://site.ebrary.com/lib/westcoastu (Only available on the WCU campus This course focuses on nursing concepts in the therapeutic care of women, mothers, infants, children, adolescents and their families. Included are Gordon’s conceptual framework, major health promotion and disease prevention, nursing process, therapeutic communication, evidenced based practice, teaching/learning principles and role development in the area of women, infants and children, and families. West CoastUniversity Course Syllabus Revision Date: Revision Date: Month, Year (i.e. February, 2010) Page 4 Page 4 April, 2011 NURS 206 Expanding and Developing Family and Community Course Learning Outcomes 1. Interpret how the Healthy People 2020 Objectives and other major health promotion and disease prevention concepts will improve the health and welfare of women, children, and families. 2. Discuss current issues regarding women's health care as they transition through the life cycle. 3. Describe significant aspects of human sexuality and reproduction and apply this knowledge in planning nursing care and comprehensive teaching plans for individuals and families throughout the life cycle. 4. Analyze the physiologic and psychosocial aspects of uncomplicated and complicated pregnancy from conception to postpartum and plan appropriate nursing interventions for actual and potential self-care demands for each stage. 5. Discuss and apply the nursing process in conjunction with Gordon’s Functional Health Patterns to the obstetrical client and neonates suffering from a variety of acute and chronic disease states, assessing health deviations, developing expected outcomes and identifying and validating the effectiveness of nursing interventions. 6. Incorporate evidence-based nursing research from a variety of sources, including pharmaceutical, biological, psychosocial and behavioral sciences, in the nursing process when planning care for women, infants and families. 7. Evaluate the impact of cultural, ethical, legal, gender, and economic issues related to health care of women, newborns and their families. 8. Describe nutritional requirements for newborns and for women throughout the life cycle, with emphasis on pregnant, breastfeeding, and post-menopausal women, and plan nursing interventions for actual and potential nutritional deficits for selected clients. 9. Identify and explore the role of the nurse as provider, manager and coordinator of therapeutic care for women, neonates and their families. 10. Identify community resources and referrals appropriate for childbearing women, their infants and families, with particular attention to families facing major health problems and special health care needs. Teaching Strategies Lecture, group analysis of selected case studies, research studies, internet search, evaluation of evidence-based practice, interactive software programs, and independent study. West CoastUniversity Course Syllabus Revision Date: Revision Date: Month, Year (i.e. February, 2010) Page 5 Page 5 April, 2011 NURS 206 Expanding and Developing Family and Community Formative Assessment of Student Learning: Will not count more than 80% of final grade Summative Assessment of Student Learning: Will not count more than 20% of final grade Participation: Student Participation will not account for more than 10% of the final grade. IV. Evaluation Methods, Grading Maternity: Formative Assessment Assignment/Assessment Activity Case Studies (2) Homework Assignments Participation Examinations Due Date Points 5 2.5 2.5 30 Due Date Points 5 2.5 2.5 30 Pediatrics: Formative Assessment Assignment/Assessment Activity Case Study Presentation Homework assignments Participation Examinations Summative Assessment: Final Exam 20.0 Student must attain a score of at least 76% out of the 80% examinationoriented part of the total course grade. In other words, if the total number of points available in a given class is 100, then a minimum of 80 of those points are earned by taking examinations, and a student must earn at least 61 points of the 80 points (76%) out of those exam questions in order to pass the course. Assuming the student attains the minimum 76% (61 points), then the 20% non-examination activities (20 points) are added to calculate the final course grade. Note – A student can attain 76% of the combined examinations and still fail the course if not attaining enough points from non-examination assignments. West CoastUniversity Course Syllabus Revision Date: Revision Date: Month, Year (i.e. February, 2010) Page 6 Page 6 April, 2011 NURS 206 Expanding and Developing Family and Community V. Policies and Procedures West Coast University Grading Scale (reflective of final course grade. See associated policy in Catalog) West Coast University Attendance Policy Grade Points A 4 WCU Numerical Scale for non program specific courses 90-100 B 3 80-89 84-90 C 2 70-79 76-83 D 1 60-69 64-75 F 0 59 and below 63 and below TC N/A Transfer Credit Transfer Credit W N/A Withdrawal Withdrawal I N/A Incomplete CR N/A Credit Incomplete Credit granted for 75% or higher on a challenge exam or Credit awarded for NURS 199 Nursing and Dental Hygiene Specific Numerical Score 91-100 Satisfactory attendance in courses is a requirement of the university and linked with student success. The percentage of attendance is calculated on the basis of the clock hours identified and varies by the type of course or major. For example, 30% of a three credit lecture course is 13.5 hours. Absences in excess of 30% of any course will result in a grade of “F” and the student will be required to repeat the course. Nursing students may not be absent for more than 20% of a NURS lab or clinical course identified as “L”. Dental hygiene students may not be absent for more than 20% of any DHYG course whether theory or clinical. If any student is absent from the University for more than 14 consecutive calendar days, excluding holidays, and no contact has been made during that period, the student will be withdrawn from the University. Students must provide the Academic Dean or Dean of Nursing with written documentation verifying the required military leave and length of time requested. West CoastUniversity Course Syllabus Revision Date: Revision Date: Month, Year (i.e. February, 2010) Page 7 Page 7 April, 2011 NURS 206 Expanding and Developing Family and Community Course Completion Requirements Students are expected to participate in class. Participation includes being present in the class, participation in discussions, and active engagement in the lecture/learning activities. Students must achieve a passing grade of C or better, submit all required assignments, complete all required quizzes and examinations, and meet the standards of the University attendance policy. Unscheduled quizzes may be given periodically throughout the term. The quizzes may include previously covered content and/or content to be covered during the current day’s class session. Unless designated as a group project by the instructor, all student papers and assignments must be completed by the individual student and represent the student’s own original work. Group projects are designated as such so that all other assignments are individual assignments and are to be completed by the student and NOT as a group assignment. Each student is responsible for his or her own learning which includes all aspects of the work required for a class. In order to maintain security and confidentiality, student assignments must be submitted directly to the instructor via the method(s) approved by the instructor. Do not fax papers to the campus. Do not e-mail papers to instructors without written permission from the instructor. Students who do not successfully pass a course and therefore must repeat the class are required to earn a minimum grade of ‘B’ on the course they retake. Students who fail to earn a minimum grade of ‘B’ on a repeated course will be academically disqualified from the University. West Coast University Make-up Work Policy In order to meet course outcomes students may be required to make up all assignments and work missed as a result of absences. The faculty may assign additional make-up work to be completed for each absence. Hours of make-up work cannot be accepted as hours of class attendance. Students are required to be present when an examination is given. If unexpectedly absent for a documented emergency situation (i.e. death in the immediate family), it is the student’s responsibility to arrange for a make-up date by contacting the faculty member within 48 hours of the original assessment date. The make-up work must be completed within five (5) school days of the originally assigned date. Students who do not take the exam on the scheduled make-up date or who do not contact the instructor within 48 hours will receive a zero score for that assessment activity. The highest score possible on a nursing or dental hygiene make-up examination is passing grade (e.g., if a student obtained a perfect score (100%) in the make-up examination, the grade will still be recorded as a passing grade). Lack of preparation at the scheduled exam time is not an acceptable excuse for not taking an examination or quiz. West CoastUniversity Course Syllabus Revision Date: Revision Date: Month, Year (i.e. February, 2010) Page 8 Page 8 April, 2011 NURS 206 Expanding and Developing Family and Community Classroom Policies Academic Integrity Policy Students are expected to dress professionally during class time, as they will in their future roles and positions. No children are allowed in class or unattended on campus. Personal use of cell phones, Blackberries or any other electronic devises in the classroom during class time is not permitted. Unauthorized use may lead to faculty member confiscation of the device for the remainder of the class. Consistent breaches of this policy will be addressed by the University as a student conduct issue. Behavior that persistently or grossly interferes with classroom activities is considered disruptive behavior and may be subject to disciplinary action. Such behavior inhibits other students' abilities to learn and the instructor’s abilities to teach. A student responsible for disruptive behavior may be required to leave class pending discussion and resolution of the problem. Consistent breaches of this policy will be addressed as a student conduct issue. Academic honesty, integrity, and ethics are required of all members of the West Coast University community. Students are expected to conduct themselves in a manner reflecting the ideals, values, and educational aims of the University at all times. Academic integrity and honorable behavior are essential parts of the professionalism that will be required well beyond graduation from WCU. They are the foundation for ethical behavior in the workplace. A student who acts in an unethical or unprofessional manner on an assignment will receive a grade of zero for that assignment. A second incident of unethical or unprofessional behavior may result in administrative termination from the university. In its commitment to academic honesty and accurate assessment of student work, West Coast University uses a plagiarism-detection web-service to help prevent plagiarism. Consequently, instructors reserve the right to submit student assignments to the website to check for similarities between student submissions and the internet, various research databases, and the web-site’s database of previous student submissions. Students may be required to electronically submit their work to the instructor or to the website, and by taking WCU courses, students agree that all assignments are subject to plagiarism detection processes and Academic Honesty policies. Assignments submitted to the website by the student or instructor will become part of the service’s database and will be used for plagiarism prevention and detection. Student papers, however, will remain the intellectual property of the authors. Any submitted papers that are not the student’s original work will be considered plagiarism, in violation of the Academic Honor Code. For clarification of plagiarism, please refer to the WCU Catalog, Dean or Instructor West CoastUniversity Course Syllabus Revision Date: Revision Date: Month, Year (i.e. February, 2010) Page 9 Page 9 April, 2011 NURS 206 Expanding and Developing Family and Community Academic Dishonesty Testing and Examination Policy Reasonable Accommodations Changes to the Course Schedule The University considers plagiarism and falsification of documents, including documents submitted to the University for other than academic work, a serious matter that may result in a failure in the class or dismissal from the program. All student work is to be submitted to faculty and represent the student’s original work. All students are required to follow the American Psychological Association (APA) writing guidelines. All sources used as references must be properly identified Students who violate university standards of academic integrity are subject to disciplinarysanctions, including failure in the course and suspension from the university. Since dishonesty in any form harms the individual, other students and the university, policies on academic integrity will be strictly enforced. Familiarize yourself with the Academic Integrity guidelines and the Academic Honor Code in WCU catalog and program handbooks. The university testing policy stipulates that no phones or other electronic devices, food or drink, papers, hats or backpacks can be taken into the examination area. In specific courses the faculty may have additional requirements. Talking during testing or sharing of information regarding the test questions is not allowed. Please review the policy for the complete list of testing requirements and the Academic Honor Code. Once the exam results are available, the students will be offered a test review. The student will be provided with a test copy (not applicable to HESI, ATI exams), answer sheet, and a copy of his or her Scranton, which must all be returned unchanged upon completion of review. No written or oral notes can be taken when a student reviews his or her exam. The school encourages students to review their test results as soon as the exam is completed. HESI (or ATI) exam results are available for review on line through the Elsevier (or ATI) website usually within 24 hours of completing the exam. Students are encouraged to use this information to tailor their remediation in areas of weakness as identified by subjects missed on the HESI or ATI exam. The HESI and ATI testing policy require that you may not share any of the testing information with anyone at any time. Please read it carefully as this is a legal document you are signing and will be legally held accountable to uphold, when taking these examinations. See Testing policy and Academic Honor Code in WCU catalog and/or Nursing Student Handbook. Any student requesting accommodations based on a verified disability is required to register with the Director of Student Services each semester. A letter or clinical evaluation form from a learning specialist showing proof of a learning disability and what accommodations are required to assist the student, is required to be on file with the Director of Student Services. A letter of verification for approved accommodations can be obtained from that office. Please be sure the letter is delivered to your instructors at the beginning of each term so they may appropriately assist you. Any changes to the course schedule as outlined in this syllabus will be thoroughly discussed with students attending the class prior to implementation. West CoastUniversity Course Syllabus Revision Date: Revision Date: Month, Year (i.e. February, 2010) Page 10 Page 10 April, 2011 NURS 206 Expanding and Developing Family and Community Additional Program or Accreditation Requirements The purpose of this section of the syllabus is to guide the student in understanding how the AACN 9 Essentials are incorporated into their education and to provide guidance to them in developing their individual portfolios. The Essentials that are met in NURS 206 Expanding and Developing Family and Community include the following: Essential I, Liberal Education for Baccalaureate Generalist Nursing Practice: Use in class presentations of ancient and classical artwork and artifacts depicting the history and evolution of birthing throughout the ages. Discussion and case studies from Women’s Health involving exploration of cultural, ethical, spiritual, psychosocial, anthropological and social justice issues. Essential II, Basic Organizational and Systems Leadership for Patient Safety and Quality Care: Use of group and individual case studies, in class and assigned, that explore issues involving clinical teamwork, delegation, leadership, communication, and creative problem-solving to ensure patient safety. Discussion of RN role in patient care team responsible for ensuring patient safety and quality of care. Essential III, Scholarship for Evidence-Based Practice: Assigned research papers, care plans and case studies requiring the use of library and internet research databases, professional journals and texts. Group PowerPoint and poster projects/presentations of issues involved in maternal/child /family nursing. Interpret how the Healthy People 2010 objectives will improve the health and welfare of women, children, and families. Essential IV, Information Management and Application of Patient Care Technology Discussion and analysis of fetal monitoring technologies that promote effective care management and patient safety. Discussion of ethical and legal issues related to the use of information technologies as they relate to women’s health care. Promotion of information literacy and computer skills through on-line and web-based research and testing programs, word processing and presentation software such as PowerPoint. West CoastUniversity Course Syllabus Revision Date: Revision Date: Month, Year (i.e. February, 2010) Page 11 Page 11 April, 2011 NURS 206 Expanding and Developing Family and Community Additional Program or Accreditation Requirements (continued) Essential V, Health Care Policy, Finance and Regulatory Environments Discussion and exploration of ethics and cost/benefit analysis in relation to access to and provision of healthcare for women, fetuses, infants and children through programs such as Medicaid/Medi-Cal, WIC, etc. Discussion of Healthy Families 2010 and role of early prenatal care in promoting optimal outcomes in women’s reproductive health. Essential VI, Interprofessional Communication and Collaboration for Improving Patient Health Outcomes Case study discussions with peers and healthcare professionals focusing on issues in women’s health. Role-play scenarios emphasizing role of interdisciplinary team with RN in active role to promote patient safety and improve health outcomes. Essential VII Clinical Prevention and Population Health for Optimizing Health Discussion and exploration of risk-identification and screening of women for health deviations, complications, genetic-influenced disorders and communicable diseases in women’s and obstetrical health care. Discussion and case studies exploring how to obtain gynecological, obstetrical, sexual, genetic and psychosocial health histories of women for promotion of optimal health and disease prevention and planning of effective interventions for women and infants. Family assessment written assignment for obtaining and analyzing family and cultural structures/history that impact women’s and infants’ health. Essential VIII: Professionalism and Professional Values Discussion and case studies touching on ethical, legal and moral implications of patient care situations in maternal/child health care areas such as: abuse, withdrawal of life support, maternal vs. fetal rights, assistive reproduction, etc. Essential IV: Baccalaureate Generalist Nursing Practice Individual and group case studies exploring prioritization of patient care needs, decision making regarding patient care management and analysis of patient’s medical condition, pathophysiology and appropriate therapeutic interventions. West CoastUniversity Course Syllabus Revision Date: Revision Date: Month, Year (i.e. February, 2010) Page 12 Page 12 April, 2011 NURS 206 Expanding and Developing Family and Community Section B: Course Outline Week / Date Class Objectives Content Outline Specific Course Activity West CoastUniversity Course Syllabus Revision Date: Student Assignments Page 13 April, 2011 NURS 206 Expanding and Developing Family and Community Week / Date 1 CLO 1, 2, 6 Class Objectives Content Outline Specific Course Activity Discuss theories of caring and holism as they Contemporary nursing care and Review of Syllabus, apply to the nursing care of women as they current health care issues Learning Outcomes, and transition through the life cycle. - Family Centered Care Assignments -Complementary and Alternative - Health care/medicine (CAM) - Evidence-based nursing practice (EBPs) CLO 1, 2 Discuss the social, political, economic, and Healthy People 2010: Blueprint for cultural trends that impact women’s and Action newborns’ health. -Increasing quality and years of healthy life CLO 7, 9, 10 Identify and explore the role of the nurse as -Eliminating health disparities advocate, provider, manager, delegator and (WIC, Medicaid, Newborn and coordinator of therapeutic care for women, Mothers Health Protection Act, neonates and their families. Family and Medical Leave Act) CLO 3, 4, 6 CLO 4, 6 CLO 9 Assess and provide patients contraceptive Human Sexuality and Fertility care. -Medication Free Contraception -Hormonal Methods -Sterilization -Surgical/Medical Termination of Pregnancy Analyze the nurse’s role in teaching and Assessments and Treatment counseling clients about infertility and Options for Infertility genetics. Surrogacy and adoptions Identify potential alternatives to childbearing for the infertile couple. Women’s health: Common infections Social issues in women’s health Violence against women West CoastUniversity Course Syllabus Revision Date: Student Assignments Ward &Hisley: Maternal-Child Nursing Care Chapter 1- 3 Chapter 5 & 6, Chapter 11, p. 315-322 Pearson Hall Real Nursing Skills Maternal-Newborn and Women’s Health Nursing Skills:: Health Assessment Teaching Self-Breast exam Birth Control Other student Resources include: Hesi Textbook Tests online at ATI or HesiEvlove ATI Unproctored Test Homework: (due on week 2 during class) Develop a concept map that shows how nurses can improve pregnancy outcomes and reduce maternal mortality. Page 14 April, 2011 NURS 206 Expanding and Developing Family and Community Week / Date 1(cont) CLO 4 CLO 1, 3,4 Class Objectives Content Outline Discuss fetal growth & development. Specific Course Activity Conception and development of the embryo and fetus Understand the nurse’s role in minimizing threats to the developing fetus. CLO 3, 4 Discuss developmental stages of adapting to Preparation for Parenthood pregnancy and the taking on of parenting roles within the family. CLO 4, 5 Identify the importance of assessment, Nurse’s Role in Prenatal Evaluation history taking and establishing a therapeutic relationship in providing care to women in Physiological Changes During the prenatal care setting. Pregnancy CLO 4, 8 Describe physiologicalchanges that occur Self Care during Pregnancy during pregnancy and their etiologies 2 CLO 1, 2, 4, 5 Prenatal Assessment and Care CLO 4, 5, 6, 7, 8 CLO 7,8,9 Ward &Hisley: Chapter 7- 11 ASSIGNMENT: Outline a prenatal schedule and describe the importance of prenatal care. Homework Case Study #1 Due by class time Evolve online : Anticipatory Gestational Diabetes Promoting a Healthy Pregnancy CLO 1, 7, 8, Student Assignments Describe holistic approaches to achieve optimal healthy pregnancy. Early Signs Identify the signs of pregnancy and methods Teachings to manage the common associated discomforts. & Discuss the special considerations in giving Adolescent Pregnancy care to the pregnant adolescent. Nutritional Needs and West CoastUniversity Course Syllabus Revision Date: Maternal Tasks and Role Transition (pg. 208- Table 8-5) Paternal Adaptation to Pregnancy (pg. 209) Review Table 10-6 (pg. 282)-Example of a Prenatal Care Map Page 15 April, 2011 NURS 206 Expanding and Developing Family and Community Week / Date 2 (Cont) CLO 4,5,8 CLO 3, 5, 6 CLO 4, 6 CLO 5, 7, 9 Class Objectives Content Outline Describe nutritional requirements for Maternal Nutrition women during pregnancy, identify clients with special nutritional needs and discuss strategies for effective client teachings. Recognize signs of impending complications Recognizing Signs and Symptoms of pregnancy and discus interventions to of Danger During Pregnancy decrease morbidity and mortality. Identify complications of pregnancy and Caring for the Woman describe fetal surveillance tests to evaluate Experiencing Complications During fetal well being. Pregnancy -Prenatal Loss Plan nursing assessments and interventions -Hemorrhagic Disorders for the woman experiencing complications -Preterm Labor of pregnancy. -Premature Rupture of Membranes -Hypertensive Disorders of Pregnancy DIC -Multiple Gestation -Infections -Inflammatory Diseases -Rh Isoimmunization -Cardiovascular -Diabetes Psychiatric Complications During Pregnancy Substance Abuse Antepartum Nursing Assessment -Chorionic Villus Sampling -Percutaneous Umbilical Blood Sampling -Amniocentesis Specific Course Activity Student Assignments Other student Resources include: 1. Hesi Text book 2. ATI Videos 3. Case studies online at Evlolve.com 4. ATI unproctored test Clinical Group 1: Describe prenatal tests done and rationale for test: (When are tests done?) -Alpha FetoProtein -Ultrasound -Glucose screen -Fetal fibronectin Describe the following tests, when they are done, and the significance of the results. -Kick Count -NST -BPP West CoastUniversity Course Syllabus Revision Date: Pearson Hall Real Nursing Skills Maternal-Newborn & Women’s Health Nursing Skills: Prenatal Care Videos Page 16 April, 2011 NURS 206 Expanding and Developing Family and Community Week / Date Class Objectives Content Outline Specific Course Activity Student Assignments -Ultrasonography 2 (cont) CLO 4, 5 CLO 2, 4,5, 7, 10 Identify assessment modalities evaluating fetal well-being. -Kick Counts -Fetal Biophysical Profile for -Nonstress Test -Acoustic Stimulation -Contraction Stress Test Homework Reflection: What are the characteristics of reassuring and nonreassuring FHR patterns by EFM? Discuss partner abuse common during Intimate Partner Violence During pregnancy and plan nursing interventions Pregnancy when abuse is suspected. West CoastUniversity Course Syllabus Revision Date: Page 17 April, 2011 NURS 206 Expanding and Developing Family and Community Week / Date 3 CLO 3, 4 CLO 3, 4 CLO 4, 5 CLO 4, 5 Class Objectives Content Outline Discuss normal physiological processes of The Birth Experience: Intrapartum labor and birth. Nursing Care Discuss the stages of labor and birth and Labor & Birth Processes (Four common responses of women to the Stages of Labor) birthing process. Nursing Care During Labor Identify nursing interventions and patient Ensuring Culture-Centered care teachings to facilitate the birthing process. Assessment of Fetal Heart Rate Recognize reassuring and non-reassuring Birth-Related Procedures and FHR patterns, and provide appropriate Cesarean Section nursing interventions. Uterine Medications: CLO 4, 9, 10 Discuss the nurse’s role in conjunction with Oxytocics&Tocolytics other care providers in providing care for women in labor and during obstetric Pain Management During labor emergencies. -Nonpharmacological Measures -Pharmacological Measures CLO 4, 6 Analyze concepts and research findings in regards to ensuring maternal-fetal safety while promoting labor and comfort during labor and birth. Specific Course Activity Student Assignments Exam#1(covers ASSIGNMENT: week 1 & 2 lectures) *Homework Case Study #2 Due Ward &Hisley: Chapter 12, 13, 14 Evolve online: Pre-Eclampsia ATI Content Mastery Series MaternalNewborn Nursing ATI Clinical Group 2: Describe labor pain relief options, rationale for use, and contraindications for each. 1 -Epidural &Spinal 2 -General 3 -Local 4 -IV Medication Describe the medication, it’s indication, and contraindications: 1 -Cervidil 2 -Pitocin 3 -Methergine 4 -Hemabate 5 -Duramorph Other Student Resources Include: 1. HESI Textbook 2. ATI Videos: Intrapartum 3. Case Studies online at EVOLVE.com 4. ATI unproctored test Homework Reflection: Describe Bishop’s score and explain its significance. West CoastUniversity Course Syllabus Revision Date: Page 18 April, 2011 NURS 206 Expanding and Developing Family and Community Week / Date 3 (Cont) CLO 4, 5 CLO 4, 5,6 Class Objectives Content Outline Specific Course Activity Recognize intrapartal complications and Caring for the Woman provide the appropriate expected nursing Experiencing Complications During management. Labor and Birth Maternal: Demonstrate critical thinking abilities in -Hypertensive Disorders synthesizing and applying knowledge in the -Diabetes care of women and newborns. Fetal: -Fetal malpresentation -Shoulder dystocia -Cephalopelvic disproportion Student Assignments Homework: What are the characteristics of reassuring and nonreassuring FHR patterns by EFM? -Multiple gestation -Non-reassuring FHR patterns Obstetrical Emergencies -Placenta previa -Placental abruption -Rupture of uterus -Umbilical cord prolapse West CoastUniversity Course Syllabus Revision Date: Page 19 April, 2011 NURS 206 Expanding and Developing Family and Community Week / Date 4 CLO 4, 5 CLO 4, 5 CLO 4, 5 CLO 4, 5 Class Objectives Content Outline Ensuring Safety for the Mother Discuss measures implemented to ensure and Infant safety for mother and infant. Care of the New Family: Describe the physiological and psychological -Maternal Assessment changes that occur in the postpartal woman. -Maternal Physiological Adaptations Plan nursing interventions to prevent -Maternal Teachings to prevent postpartum complications. complications Provide nursing interventions postpartum emergencies. Specific Course Activity Clinical Group 3 : Student Assignments Exam 2(covers weeks 3-4 lectures) Describe tests done during the neonatal hospital stay Chapter 15, 16, 17, 18, and rationale: 19 1 2 3 during 4 Bili screen&Bilirubin lab test Coombs lab test Newborn metabolic screen Hearing screen Describe the following community resources: 1 2 ATI Review Hesi Textbook Pearson Hall Real Nursing Skills Maternal-Newborn & Women’s Health Nursing Skills: Newborn Videos WIC Early Intervention Programs West CoastUniversity Course Syllabus Revision Date: Page 20 April, 2011 NURS 206 Expanding and Developing Family and Community Week / Date 4 (cont) CLO 4, 5, 7,9, 10 CLO 8 Class Objectives Content Outline Plan a holistic nursing care for the postpartal Postpartum Hemorrhage, woman and her family including strategies Hematomas and Infection for home follow-up care. Recovery and Self-care During Implement nursing plan to promote optimal Puerperium breastfeeding or formula feeding outcomes for the mother and her infant. Postpartum Depression/Psychosis CLO 8, 9,10 Design comprehensivepostpartal discharge Facilitating Infant Nourishment: planning and teaching. Making Informed Choices CLO 4, 5 Identify and describe physical assessment Community Resources for the New norms for neonates. Family CLO 4, 5 Discuss normal neonatal patterns of Newborn Physiologic Responses to behavior during the first several hours after Birth birth. CLO 4,5, 6 CLO 4, 5 Specific Course Activity Student Assignments Other Student Resources Include: 1. ATI Videos 2. Tests online at ATI or HESI EVOLVE Identify the components of the immediate Nursing Assessment of Newborn newborn care to promote maternalnewborn bonding and prevent neonatal Newborn Care: Normal complications. Provide nursing care for high-risk newborns Newborn Care: High Risk and newborn complications. West CoastUniversity Course Syllabus Revision Date: Page 21 April, 2011 NURS 206 Expanding and Developing Family and Community Week / Date 5 CLO 1 CLO 9 CLO 4, 5,9 CLO 7 Class Objectives Content Outline Specific Course Activity PEDS Interpret how the Healthy People 2020 Objectives will improve the health and welfare of the pediatric population and their families. Describe the role of the nurse, using Gordon’s 11 Functional Health Patterns, in the care of the pediatric client and the expanding family. Analyze the central role of therapeutic care relationship in providing nursing care to pediatric clients in all care settings and situations. Evaluate the impact of cultural, ethical, legal, gender, and economic issues related to the health care of pediatric populations and their families. Using Gordon’s conceptual framework, the nursing process, evidenced based practice, therapeutic communication, teaching/learning and role development in the therapeutic care of pediatric patients: Developing Child Child in Hospital and Community Family across care setting Child with Psychosocial or Cognitive Condition West CoastUniversity Course Syllabus Revision Date: Student Assignments Ward &Hisley Chapters 20, 21, 22 and 23 Other Student Resources Include: HESI Textbook Evolve Elsevier Case Studies and Practice Tests Pearson Real Nursing Clinical Videos Clinical Companion Resource Page 22 April, 2011 NURS 206 Expanding and Developing Family and Community Week / Date 6 CLO 4, 5 CLO 1, 7 Class Objectives Content Outline Analyze potential and actual problems to the health and well being of children and families and plan age-appropriate nursing interventions for selected cases, including high risk cases. Describe major health promotion and disease prevention concepts for children and families across the life cycle. Specific Course Activity Using Gordon’s conceptual framework, the nursing process, evidenced based practice, therapeutic communication, teaching/learning and role development in the therapeutic care of pediatric patients: Child with a respiratory condition Child with gastrointestinal condition Child with immunological or infectious condition Child with cardiovascular condition West CoastUniversity Course Syllabus Revision Date: Student Assignments Ward &Hisley Chapters 24, 25, 26 and 27 HESI Case studies on : 1. Cystic Fibrosis 2. RSV Bronchiolitis 3. Cleft lip and cleft palate 4. Congenital heart disease Page 23 April, 2011 NURS 206 Expanding and Developing Family and Community Week / Date 6 (Cont) CLO 6 CLO 9 Class Objectives Content Outline Identify principles, concepts, research and evidenced based findings from a variety of sources including the pharmaceutical, biological, psychosocial, and behavioral sciences for inclusion when planning nursing care for pediatric populations and their families. Identify the role of the nurse in the care of children and families in relation to the provider, manager, and coordinator of therapeutic care. CLO 4, 5,7 Analyze family structures, coping mechanisms, roles, relationships, and stages for use in planning, implementing, and evaluating nursing care. CLO 10 Identify community resources and referrals appropriate for children with major health problems and special health care needs. 7 CLO 4, 5 CLO 1, 7 Specific Course Activity Analyze potential and actual problems to the health and well being of children and families and plan age-appropriate nursing interventions for selected cases, including high risk cases. Describe major health promotion and disease prevention concepts for children and families across the life cycle. West CoastUniversity Course Syllabus Revision Date: Student Assignments Exam # 1 (covers week 5 lecture) and includes Peds Med math problems Other Student Resources Include: HESI Textbook Evolve Elsevier Case Studies and Practice Tests ATI Unproctored Tests Pearson Real Nursing Clinical Videos Clinical Companion Resource Ward &Hisley Chapters 28, 29, 30 and 31 HESI Case studies on : 1. Burns 2. Compound Fracture ATI Practice Tests Form A & B Page 24 April, 2011 NURS 206 Expanding and Developing Family and Community Week / Date 7 (Cont) CLO 6 CLO 9 CLO 4, 5,7 CLO 10 8 CLO 4, 5 CLO 1, 7 Class Objectives Content Outline Identify principles, concepts, research and evidenced based findings from a variety of sources including the pharmaceutical, biological, psychosocial, and behavioral sciences for inclusion when planning nursing care for pediatric populations and their families. Specific Course Activity Using Gordon’s conceptual framework, the nursing process, evidenced based practice, therapeutic communication, teaching/learning and role development in the therapeutic care of pediatric patients: Identify the role of the nurse in the care of children and families in relation to the provider, manager, and coordinator of therapeutic care. Analyze family structures, coping mechanisms, roles, relationships, and stages for use in planning, implementing, and evaluating nursing care. Child with endocrinological or metabolic condition Child with neurological or sensory condition Child with musculoskeletal condition Child with integumentary condition Student Assignments Exam #2 (covers week 6 lecture) and includes Peds Med math problems Other Student Resources Include: HESI Textbook Evolve Elsevier Case Studies and Practice Tests ATI Unproctored Tests Pearson Real Nursing Clinical Videos Clinical Companion Resource Identify community resources and referrals appropriate for children with major health problems and special health care needs Analyze potential and actual problems to the health and well being of children and families and plan age-appropriate nursing interventions for selected cases, including high risk cases. Describe major health promotion and disease prevention concepts for children and families across the life cycle. West CoastUniversity Course Syllabus Revision Date: Ward &Hisley Chapters 32, 33, 34 and 35 HESI Case studies on : 1. Sickle Cell Anemia HESI Practice QUIZ or EXAM Page 25 April, 2011 NURS 206 Expanding and Developing Family and Community Week / Date 8 (Cont) CLO 6 Class Objectives Content Outline Identify principles, concepts, research and evidenced based findings from a variety of sources including the pharmaceutical, biological, psychosocial, and behavioral sciences for inclusion when planning nursing care for pediatric populations and their families. Using Gordon’s conceptual framework, the nursing process, evidenced based practice, therapeutic communication, teaching/learning and role development in the therapeutic care of pediatric patients: CLO 9 Identify the role of the nurse in the care of children and families in relation to the provider, manager, and coordinator of therapeutic care. CLO 4,5 ,7 Analyze family structures, coping mechanisms, roles, relationships, and stages for use in planning, implementing, and evaluating nursing care. CLO 10 Identify community resources and referrals appropriate for children with major health problems and special health care needs Final Exam (Covers weeks 1-8 ) 9 Specific Course Activity Child with renal, urinary tract or reproductive condition Child with hematological condition Child with cancer Child with chronic condition or the dying child West CoastUniversity Course Syllabus Revision Date: Student Assignments Exam #3 (covers week 7 lecture) and includes Peds Med math problems Other Student Resources Include: HESI Textbook Evolve Elsevier Case Studies and Practice Tests ATI Unproctored Tests Pearson Real Nursing Clinical Videos Clinical Companion Resource Study for NURS 206 week 1-8 lectures Page 26 April, 2011