VNSG 1400 Health & Illness I
Growth & Development: Infancy through Adolescence
Course Objectives / Content / Learning ExperienceIdentify the principles of growth and development.
Discuss the stages of Erikson’s theory of psychosocial development.
Discuss the stages of Piaget’s theory of cognitive development.
Discuss moral development according to Kohlberg.
Describe the physical development of children.
Identify two pros and two cons of early childhood education.
Discuss age-appropriate discipline measures for children.
Explain the male and female physical changes of puberty.
Identify developmental tasks of adolescence.
Discuss at least three concerns related to adolescence. / Age Groups
Theories of Development
Principles of Growth and Development
Prenatal Development
Events in Prenatal Development
Maternal Influences
Infants
Appearance and Capabilities of Newborns
Nutrition
Physical Development
Motor Development
Young Children
Physical Development
Motor Development
Cognitive Development
Psychosocial Development
Middle and Older Children
Physical and Cognitive Development
Psychosocial Development
Parenting
Child Abuse
Adolescents / DeWitt (2005) 2nd Ed.
Fundamental Concepts and Skills for Nursing
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DeWitt (2005) 2nd Ed. Fundamental Concepts and Skills for Nursing Study Guide
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Common Physical Care Problems of the Elderly
Discuss five age-related common physical care problems of the elderly.
Discuss the physical and psychological consequences of chronic incontinence.
Identify three ways to promote mobility in the elderly.
Discuss four ways for the elder to prevent falls in the home.
Discuss how multiple factors affecting the elderly may lead to an alteration in nutrition.
Explain techniques to facilitate communication and safety for the patient with a sensory deficit.
Identify five reasons why the elder is prone to the problem of polypharmacy. / Immobility
Nursing Interventions to Promote Mobility
Preventing Falls
Alteration in Elimination
Urinary Incontinence
Constipation and Fecal Impaction
Alteration in Nutrition
Nursing Interventions
Sensory Deficits
Vision
Hearing
Polypharmacy
Nursing Interventions / DeWitt (2005) 2nd Ed.
Fundamental Concepts and Skills for Nursing
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DeWitt (2005) 2nd Ed. Fundamental Concepts and Skills for Nursing Study Guide
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Adulthood and the Family
Describe the three stages of adulthood.
Describe the physical development and changes of young and middle adults.
Explain Schaie’s theory of cognitive development
in young and middle adults.
Identify Erikson’s stages of psychosocial
development in young middle adults.
Describe at least three functions of families.
Describe the effects of divorce on involved persons. / Theories of Development
Families
Erickson’s Stages of Adult Psychosocial Development
Young Adults
Middle Adulthood
Health Promotion / DeWitt (2005) 2nd Ed., Fundamental Concepts and Skills for Nursing
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DeWitt (2005) 2nd Ed. Fundamental Concepts and Skills for Nursing Study Guide
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Promoting Urinary Elimination
Describe the structure and functions of the urinary systems.
Identify abnormal findings on a urinalysis report.
Describe three nursing measures to assist patients to urinate normally.
Discuss different ways for the nurse to collect a
urine specimen
Explain the purposes and principles of indwelling
and intermittent catheterization.
Discuss ways to manage urinary incontinence.
Discuss the rationale for using a continuous bladder irrigation system. / Normal Urinary Elimination
Factors Affecting Normal Urination
Characteristics of Normal Urine
Alterations in Urinary Elimination
Urinary Specimen Collection
Nursing Diagnosis
Planning
Implementation
Assisting with Use of a Urinal
Assisting a Patient to Urinate
Types of Urinary Catheters
Performing Catheterization / DeWitt (2005) 2nd Ed.
Fundamental Concepts and Skills for Nursing
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W.B. Saunders.
DeWitt (2005) 2nd Ed. Fundamental Concepts and Skills for Nursing Study Guide
Chapter 29
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Promoting Bowel Elimination
Describe the process of normal bowel elimination.
Identify abnormal characteristics of stool.
Discuss the different types of enemas and their actions.
Describe three types of intestinal diversions.
Discuss bowel training for incontinent clients. / Structures of the GI system involved in elimination
Functions of the Intestines
Effects of Aging
Characteristics of Stool
Normal
Abnormal
Retention Enema.
Cleansing Enema.
Medicated Enema.
Fleets Enema
Bowel Ostomy
Ostomy Care
Colostomy Irrigation
Interventions for Bowel Training / DeWitt (2005) 2nd Ed.
Fundamental Concepts and Skills for Nursing
Philadelphia:
W.B. Saunders.
DeWitt (2005) 2nd Ed. Fundamental Concepts and Skills for Nursing Study Guide
Chapter 30
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Concepts of Basic Nutrition and Cultural Considerations
Review the structure and function of the gastrointestinal system.
Utilize the components of the Food Guide Pyramid to assist patients to plan their diets.
Discuss the function of proteins, carbohydrates, fats, vitamins, minerals, and water in the human body.
Identify food sources of proteins, carbohydrates, fats, vitamins, and minerals.
List medical conditions that may occur as a result of protein, calorie, vitamin, or mineral deficiency or excess.
Describe cultural influences on nutrition practices.
Identify a variety of factors that influence nutrition.
Identify nutritional needs throughout the life span.
Discuss components of a basic nutritional assessment. / Dietary Guidelines
Protein
Functions of Protein
Food Sources of Protein
Dietary Reference Intakes of Protein
Protein Deficiency
Protein Excess
Vegetarian Diets
Carbohydrates
Functions of Carbohydrates
Simple Carbohydrates
Complex Carbohydrates
Recommendations for Intake
Fiber
Fats (Lipids)
Functions of Fat
Food Sources of Fat
Vitamins
Minerals
Water
Factors that Influence Nutrition
Cultural Influences on Nutrition
Nutritional Needs Throughout the Life Span / DeWitt (2005) 2nd Ed.
Fundamental Concepts and Skills for Nursing
Philadelphia:
W.B. Saunders.
DeWitt (2005) 2nd Ed. Fundamental Concepts and Skills for Nursing Study Guide
Chapter 26
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Diet Therapy and Assisted Feeding
Course Objectives / Content / Learning ExperienceIdentify the role of the nurse related to diet therapy and special diet.
Compare and contrast a full liquid with a clear liquid diet.
Describe health issues related to nutrition.
List disease processes that may benefit from diet therapy.
Know the rationale for tube feedings.
List the steps for the procedure to insert, irrigate, and remove a nasogastric tube.
Discuss the procedure for tube feeding.
Identify medical rationale and nursing care for a patient receiving total Parenteral nutrition (TPN). / The Goals of Diet Therapy
The Postoperative Patient
Health Issues Related to Nutrition
Bulimia
Obesity
Pregnancy
Substance Abuse
Disease Processes that Benefit from Diet Therapy
Cardiovascular Disease
Diabetes Mellitus
HIV/AIDS
Assisted Feeding
Nasogastric and Enteral Tubes
Percutaneous Endoscopic Gastrostomy Tubes / DeWitt (2005) 2nd Ed.
Fundamental Concepts and Skills for Nursing
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W.B. Saunders.
DeWitt (2005) 2nd Ed. Fundamental Concepts and Skills for Nursing Study Guide
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Delegation, Leadership, and Management
Course Objectives / Content / Learning ExperienceDiscuss considerations for appropriate delegation
of tasks to an unlicensed assistive personnel.
Identify management functions of the LVN working in a long-term care facility, home care, or an outpatient clinic.
Discuss considerations for appropriate delegation of tasks to unlicensed assistive personnel.
Discuss techniques of effective time management.
Compare the skills and functions of the team leader with those of the charge nurse.
Compare examples of effective and ineffective communication. / Beginning Management
The Chain of Command
Leadership Styles
Keys to Effective Leadership
Effective Communication
Clinical Competence and Confidence
Organization
Delegation
Leadership Roles
Management Skills for the LVN
Time Management
Using the Computer
Transcribing Written Orders
Taking Verbal Orders
Documentation for Reimbursement
Risk Management / DeWitt (2005) 2nd Ed. Fundamental Concepts and Skills for Nursing
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DeWitt (2005) 2nd Ed. Fundamental Concepts and Skills for Nursing Study Guide
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Complementary and Alternative Therapies
Course Objectives / Content / Learning ExperienceIdentify therapies considered part of complementary and alternative medicine (CAM).
Discuss the use of CAM in integrative medicine.
Discuss five commonly used complementary and alternative medicines.
Name four mind-body therapies.
Direct patients to information needed to make a decision on whether to use a herbal preparation.
Describe the desired outcome of spinal manipulation during chiropractic treatment. / Alternative Medical Systems
Homeopathic Medicine
Naturopathic Medicine
Traditional Chinese Medicine
Ayurveda
Shamanism
Folk Medicine
Mind-Body Interventions
Relaxation Therapy
Imagery
Meditation
Biofeedback
Hypnotherapy
Music, Art, and Dance Therapy
Yoga
Humor
Prayer
Biologically Based Therapies
Herbal Therapy
Aromatherapy
Manipulative and Body-Based Methods
Energy Therapies
The Nurse’s Role in Complementary & Alternative Therapies / DeWitt (2005) 2nd Ed. Fundamental Concepts and Skills for Nursing
Philadelphia:
W.B. Saunders.
DeWitt (2005) 2nd Ed. Fundamental Concepts and Skills for Nursing Study Guide
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Loss and Grief and the Dying Patient
Course Objectives / Content / Learning ExperienceDescribe the stages of grief and dying, with their associated behaviors and feelings.
Discuss the concept of hospice care.
Identify four examples of palliative care.
Identify three common fears a patient is likely to experience when dying.
List the common signs of impending death.
Discuss the difference between the patient’s right to refuse treatment and assisted suicide.
Discuss how the Code for Nursing provides guidelines for the nurse’s behavior regarding the patient’s right to refuse treatment, euthanasia, and assisted suicide. / Loss and Grief
Stages of Grief
Death and Dying
The Nature of Death
End-of-Life Care within the Health Care System
Hospice Care
The Dying Process
Nursing and the Dying Process
Application of the Nursing Process
Nursing Diagnosis
Planning
Implementation
Evaluation
Signs of Impending Death
Legal and Ethical Aspects of Life and Death Issues
Advance Directives
Euthanasia
Assisted Suicide
Adequate Pain Control
Organ and Tissue Donation
Postmortem Care / DeWitt (2005) 2nd Ed. Fundamental Concepts and Skills for Nursing
Philadelphia:
W.B. Saunders.
DeWitt (2005) 2nd Ed. Fundamental Concepts and Skills for Nursing Study Guide
Chapter 15
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Providing Wound Care Treating Pressure Ulcers
Describe the physiologic process by which wounds heal.
Discuss factors that affect wound healing.
Explain the major purpose of a wound drain.
Describe four signs and symptoms of wound
infection.
Discuss actions to be taken if wound dehiscence or evisceration occurs.
Discuss the principles involved in wound cleansing and dressing. / Body Response to Injury
Physiology of Wound Healing
Factors Affecting Wound Healing:
Age
Nutrition
Lifestyle
Medications
Infection
Chronic illness
Drains and Drainage Devices
Active
Passive
Signs and Symptoms of Inflammation
Complications of Wound Healing:
Dehiscence
Evisceration
Wound Cleansing and Dressing Changes / DeWitt (2005) 2nd Ed., Fundamental Concepts and Skills for Nursing
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W.B. Saunders.
DeWitt (2005) 2nd Ed. Fundamental Concepts and Skills for Nursing Study Guide
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Promoting Musculoskeletal Function
Course Objectives / Content / Learning ExperienceDiscuss the effects of inactivity on respiratory exchange and airway clearance.
Describe how to perform a neurovascular assessment on an immobilized extremity.
Describe appropriate care of a cast as it dries.
Discuss the differences among an air-fluidized bed, low-air loss bed, and continuous lateral-rotation-bed, listing the reasons for their use.
Explain at least four pressure-relief devices that
help prevent skin injury in immobile clients.
Discuss the use of bandages and slings to
immobilize a body part. / Systemic Effects of Immobilization
Psychosocial Effects of Immobilization
Types of Immobilization
Splints
Traction
Casts
External Fixators
Devices Used to Prevent Problems of Immobility
Specialty Beds
Pressure Relief Devices
Continuous Passive Motion Machine
Therapeutic Exercise / DeWitt (2005) 2nd Ed., Fundamental Concepts and Skills for Nursing
Philadelphia:
W.B. Saunders.
DeWitt (2005) 2nd Ed. Fundamental Concepts and Skills for Nursing Study Guide
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Assisting With Respiration and Oxygen Delivery
Course Objectives / Content / Learning ExperienceExplain the function of the respiratory system.
Discuss the causes of hypoxia.
Describe the various methods used for oxygen delivery.
Discuss the steps involved in suctioning a client.
Explain the rationale for using sterile technique
when performing nasopharyngeal or
tracheobronchial suctioning on a client.
Discuss the rationale for insertions of a chest tube
on a client. / Structures involved in respiration
Functions of the respiratory structures
Changes that occur with aging that affect respiration
Hypoxemia
Symptoms of hypoxia
Pulse oximetry
Airway obstruction and respiratory arrest
Clearing respiratory secretions
Oxygen administration
Cannula
Masks
Artificial airways
Nasopharyngeal suctioing
Aseptic technique
Disposable sterile suction sets
Tracheobronchial suctioning
Tracheostomy
Chest drainage tubes
Care of clients with chest tubes / DeWitt (2005) 2nd Ed.
Fundamental Concepts and Skills for Nursing
Philadelphia:
W.B. Saunders.
DeWitt (2005) 2nd Ed. Fundamental Concepts and Skills for Nursing Study Guide
Chapter 28
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Common Psychosocial Care of the Elderly
Course Objectives / Content / Learning ExperienceDifferentiate characteristics of delirium, dementia, and depression.
Discuss general principles of care for elderly patients with altered cognitive functioning.
Identify the interrelationship between alcoholism, depression, and suicide in the elder.
Discuss five crimes commonly occurring to the elderly.
Identify the four main categories of elder abuse.
Discuss two future psychosocial issues for the elderly. / Changes in Cognitive Functioning in the Elderly
Assessment of Cognitive Changes in the Elderly
Common Cognitive Disorders in the Elderly
Delirium
Dementia and Depression
Alzheimer’s Disease
Depression/Alcoholism/Suicide
Crimes Against the Elderly
Elder Abuse
Future Issues of Concern to the Elderly
Planning for the Future / DeWitt (2005) 2nd Ed.
Fundamental Concepts and Skills for Nursing
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W.B. Saunders.
DeWitt (2005) 2nd Ed. Fundamental Concepts and Skills for Nursing Study Guide
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Cultural and Spiritual Aspects of Patient Care