I.NUR 201: Nursing Through the Lifespan I

Revised Spring 2014

NORTHEAST ALABAMA

COMMUNITY COLLEGE

I.NUR 201: Nursing Through the Lifespan I

Theory3 credit hours

Lab0 credit hour

Clinical2 credit hours

Total5 credit hours

CLASS MEETING DATES/TIMES/LOCATION

TBA

CLINICAL DATES/TIMES/LOCATION

TBA

INSTRUCTOR, CONTACT INFORMATION, CONTACT POLICY, OFFICE HOURS/LOCATION

Mrs. Sheila Gentry, Course Coordinator

Health Education Building, Office 218

The AlabamaCollege System

Nursing Through the Lifespan I NUR 201

COURSE DESCRIPTION:

This course provides opportunities to develop competencies necessary to meet the needs of individuals throughout the lifespan in a safe, legal, and ethical manner using the nursing process. Students manage and provide collaborative care to clients who are experiencing selected alterations in gastrointestinal, reproductive, sensory, and endocrine systems in a variety of settings. Additional instruction is provided for oncology, mental health, teaching/learning concepts, and advanced dosage calculations. Nutrition, pharmacology, communication, cultural, and community concepts are integrated.

PREREQUISITE(S)/CO-REQUISITE(S)

Prerequisites:

NUR 105 – Adult Nursing

NUR 106 – Maternal and Child Nursing

BIO 202 – Human Anatomy and Physiology II

ENG 101 – English Composition I

Co-requisites:

BIO 220 – Microbiology

PSY 200 – General Psychology

TEXTBOOK(S) AND OTHER LEARNING RESOURCES

See Reading Assignment

VIII. COURSE OBJECTIVES

1.Design a teaching/learning plan for client/support system.

2.Calculate advanced dosage calculations for clients through the lifespan.

3.Utilize the nursing process in providing advanced nursing care for clients throughout the lifespan with selected alterations.

A.Mental Health

B.Cancer

C.Digestive/Lower Gastrointestinal System

D.Reproductive System

E.Sensory System

F.Endocrine System

IX.PROFESSIONAL COMPETENCIES

Develop a teaching/learning plan for client/support system.
Calculate dosages.
Provide nursing care for clients with selected system alterations.
Provide nursing care for clients with cancer.

MODULE A – INTRODUCTION TO TEACHING AND LEARNING CONCEPTS

A1.0Develop a teaching/learning plan for client/support system.

A1.1Develop a teaching/learning plan for a specified situation.

A1.1.1Define terms associated with teaching/learning.

A1.1.2Describe elements of a comprehensive teaching/learning plan.

A1.1.3Describe the role of the registered nurse in teaching and learning activities.

A1.2Use a teaching/learning plan to provide instruction to a client and/or support system.

MODULE B – ADVANCED DOSAGE CALCULATIONS

B1.0Calculate dosages.

B1.1This competency is measured cognitively.

B1.1.1Identify information required for calculating dosages.

B1.1.2Validate data for advanced dosage calculations.

B1.1.3Perform dosage calculations using advanced mathematical formulas.

MODULE C – INTRODUCTION TO MENTAL HEALTH CONCEPTS AND ISSUES

C1.0Provide nursing care for clients with selected mental health alterations.

C1.1Apply the nursing process for clients with selected mental health alterations.

C1.1.1Define terms associated with mental health.

C1.1.2Explain selected mental health concepts.

C1.1.3Survey historical treatments of mental health.

C1.1.4Explain cultural influences on mental health and illness.

C1.1.5State the use of the Diagnostic and Statistical Manual of Mental Disorders, Text Revised (DSM-IVTR).

C1.1.6Identify the role of mental health team members.

C1.1.7Explain legal and ethical issues related to mental health and illness.

C1.1.8Explain therapeutic relationships and communication as applied to clients, support systems, and the multi-disciplinary team.

C1.1.9Explain selected theories related to mental illness.

C1.1.10Explain selected mental health therapies.

C1.1.11Explain health promotion related to mental health.

C1.1.12Describe selected mental health alterations.

C1.1.13Describe the pharmacological agents and/or treatments for selected mental health alterations.

C1.1.14Describe nutritional considerations for clients experiencing selected mental health alterations.

C1.1.15Use critical thinking to manage nursing care for culturally diverse clients experiencing selected mental health alterations.

C1.1.16Evaluate expected outcomes of nursing care of clients experiencing selected mental health alterations.

C1.1.17Identify the impacts of mental health alterations on maternal and pediatric clients.

MODULE D – ONCOLOGY NURSING

D1.0Provide nursing care for clients with cancer.

D1.1Apply the nursing process for clients with cancer.

D1.1.1Define terms associated with treatment of cancer.

D1.1.2Describe legal and ethical issues related to cancer.

D1.1.3Describe the pathophysiology associated with cancer.

D1.1.4Describe the role of the nurse in prevention and detection of cancer.

D1.1.5Interpret clinical manifestations of cancer.

D1.1.6 Interpret diagnostic tests and staging for cancer.

D1.1.7 Describe oncological agents and treatments for cancer.

D1.1.8 Evaluate nutritional considerations for clients with cancer.

D1.1.9 Identify expected outcomes of treatment modalities.

D1.1.10Describe psychosocial needs of clients, families, and support systems.

D1.1.11Use critical thinking to manage nursing care for culturally diverse clients with cancer.

D1.1.12Evaluate expected outcomes of nursing care of clients with cancer.

D1.1.13Identify impacts of cancer on maternal and pediatric clients.

MODULE E – GASTROINTESTINAL SYSTEM ALTERATIONS

E1.0Provide nursing care for clients with selected alterations.

E1.1Apply the nursing process for clients with selected gastrointestinal system alterations.

E1.1.1Define terms associated with selected gastrointestinal system alterations.

E1.1.2Describe selected gastrointestinal system alterations.

E1.1.3Describe the pathophysiology associated with selected gastrointestinal system alterations.

E1.1.4Describe the role of the nurse in providing care for clients experiencing selected gastrointestinal system alterations.

E1.1.5Interpret clinical manifestations of selected gastrointestinal system alterations.

E1.1.6Interpret diagnostic tests for selected gastrointestinal system alterations.

E1.1.7Describe the pharmacological agents and/or treatments for selected gastrointestinal system alterations.

E1.1.8Evaluate nutritional considerations for clients experiencing selected gastrointestinal system alterations.

E1.1.9Explain health promotion related to selected gastrointestinal system alterations.

E1.1.10Identify expected outcomes of treatment modalities for clients experiencing selected gastrointestinal system alterations.

E1.1.11Evaluate the psychosocial needs of clients, family, and/or support systems.

E1.1.12Use critical thinking to manage nursing care for culturally diverse clients experiencing selected gastrointestinal system alterations.

E1.1.13Evaluate expected outcomes of nursing care for clients experiencing selected gastrointestinal system alterations.

E1.1.14Identify impacts of selected gastrointestinal system alterations on maternal and pediatric clients.

MODULE F – REPRODUCTIVE SYSTEM ALTERATIONS

F1.0Provide nursing care for clients with selected system alterations.

F1.1Apply the nursing process for clients with selected reproductive system alterations.

F1.1.1Define terms associated with selected reproductive system alterations.

F1.1.2Describe selected reproductive system alterations.

F1.1.3Describe the pathophysiology associated with selected reproductive system alterations.

F1.1.4Describe the role of the nurse in providing care for clients experiencing selected reproductive system alterations.

F1.1.5Interpret clinical manifestations of selected reproductive system alterations.

F1.1.6Interpret diagnostic tests for selected reproductive system alterations.

F1.1.7Describe the pharmacological agents and/or treatments for selected reproductive system alterations.

F1.1.8Evaluate nutritional considerations for clients experiencing selected reproductive system alterations.

F1.1.9Explain health promotion related to selected reproductive system alterations.

F1.1.10Identify expected outcomes of treatment modalities for clients experiencing selected reproductive system alterations.

F1.1.11Evaluate the psychosocial needs of clients, family, and/or support systems.

F1.1.12Use critical thinking to manage nursing care for culturally diverse clients experiencing selected reproductive system alterations.

F1.1.13Evaluate expected outcomes of nursing care for clients experiencing selected reproductive system alterations.

F1.1.14Identify impacts of selected reproductive system alterations on maternal and pediatric clients.

MODULE G – sensory system alterations

G1.0Provide nursing care for clients with selected system alterations.

G1.1Apply the nursing process for clients with selected sensory system alterations.

G1.1.1Define terms associated with selected sensory system alterations.

G1.1.2Describe selected sensory system alterations.

G1.1.3Describe the pathophysiology associated with selected sensory system alterations.

G1.1.4Describe the role of the nurse in providing care for clients experiencing selected sensory system alterations.

G1.1.5Interpret clinical manifestations of selected sensory system alterations.

G1.1.6Interpret diagnostic tests for selected sensory system alterations.

G1.1.7Describe the pharmacological agents and/or treatments for selected sensory system alterations.

G1.1.8Evaluate nutritional considerations for clients experiencing selected sensory system alterations.

G1.1.9Explain health promotion related to selected sensory system alterations.

G1.1.10Identify expected outcomes of treatment modalities for clients experiencing selected sensory system alterations.

G1.1.11Evaluate the psychosocial needs of clients, family, and/or support systems.

G1.1.12Use critical thinking to manage nursing care for culturally diverse clients experiencing selected sensory system alterations.

G1.1.13Evaluate expected outcomes of nursing care for clients experiencing selected sensory system alterations.

G1.1.14Identify impacts of selected sensory system alterations on maternal and pediatric clients.

MODULE H – eNDOCRINE SYSTEM ALTERATIONS

H1.0Provide nursing care for clients with selected system alterations.

H1.1Apply the nursing process for clients with selected endocrine system alterations.

H1.1.1Define terms associated with selected endocrine system alterations.

H1.1.2Describe selected endocrine system alterations.

H1.1.3Describe the pathophysiology associated with selected endocrine system alterations.

H1.1.4Describe the role of the nurse in providing care for clients experiencing selected endocrine system alterations.

H1.1.5Interpret clinical manifestations of selected endocrine system alterations.

H1.1.6Interpret diagnostic tests for selected endocrine system alterations.

H1.1.7Describe the pharmacological agents and/or treatments for selected endocrine system alterations.

H1.1.8Evaluate nutritional considerations for clients experiencing selected endocrine system alterations.

H1.1.9Explain health promotion related to selected endocrine system alterations.

H1.1.10Identify expected outcomes of treatment modalities for clients experiencing selected endocrine system alterations.

H1.1.11Evaluate the psychosocial needs of clients, family, and/or support systems.

H1.1.12Use critical thinking to manage nursing care for culturally diverse clients experiencing selected endocrine system alterations.

H1.1.13Evaluate expected outcomes of nursing care for clients experiencing selected endocrine system alterations.

H1.1.14Identify impacts of selected endocrine system alterations on maternal and pediatric clients.

X.OUTLINE OF MODULES

MODULE A – INTRODUCTION TO TEACHING AND LEARNING CONCEPTS

Teaching/learning terms
Elements of a teaching/learning plan
Role of the registered nurse in teaching/learning

MODULE B - ADVANCED DOSAGE CALCULATIONS

Review of basic dosage calculations
Advanced dosage calculations

MODULE C - INTRODUCTION TO MENTAL HEALTH CONCEPTS AND ISSUES

Mental health terms and concepts

Mental health vs. mental illness
Coping and adaptation
Stress and anxiety

History of the care of the mentally ill

Cultural influences
Diagnostic and Statistical Manual IV-TR
Mental health team
Legal and professional issues

Client advocacy
Promoting and maintaining psychosocial integrity based on American Nursing Association standards
Role of the registered nurse
Legal and ethical issues

Reporting incidents

Using restraint devices

Client confidentiality

Informed consent

Refusing treatment

Reporting client abuse

Therapeutic relationship and communication
Client
Family
Multi-disciplinary health team
Incorporating an interpersonal relationship record (IPR) into care plan development
Selected theories

Selected therapies
Health promotion
Common mental health alterations

Crisis
Cognitive disorders
Anxiety disorders
Suicide
Pharmacological agents and treatments
Nutrition
Nursing process

MODULE D – ONCOLOGY NURSING

Terminology and anatomy and physiology review

Overview of common cell types

Diagnostic tests
Tumor staging
Role of the RN in prevention and detection

Health promotion and prevention
Clinical manifestations

Legal and ethical issues

Role of the nurse
Client/family decisions related to care and treatment
Overview of treatment modalities across the lifespan

Pharmacological agents
Radiation
Others
Nutrition
Psychosocial

Hospice care
Client/family education
Community resources
Pain management

Nursing process
Impacts on maternal and pediatric clients

MODULE E - DIGESTIVE AND GI SYSTEM ALTERATION (LOWER)

Terminology and anatomy and physiologyreview

Lower GI
Acute and chronic abdominal pain
Peritonitis
Inflammatory bowel disease

Ulcerative colitis

Crohn’s disease

Intestinal obstruction
Polyps
Hernia
Diverticulosis/diverticulitis
Sprue
Short Bowel Syndrome (SBS)
Hemorrhoids
NEC
Analrectal abscess
Fistula
Pilonidal sinus
Cancers

Accessory organs
Jaundice
Hepatitis
Cirrhosis

Esophageal varices

Ascites

Hepatic encephalopathy

Liver transplant
Acute and chronic pancreatitis
Cholelithiasis
Cholecystitis
Cancers
Biliary atresia

Role of the nurse
Clinical manifestations
Diagnostic tests
Pharmacological agents and treatments
Nutritional considerations
Health promotion
Nursing process
Impacts on maternal and pediatric clients

MODULE F –REPRODUCTIVE SYSTEM ALTERATIONS

Terminology and anatomy and physiologyreview
Sexuality issues
Family planning
Sexually Transmitted Diseases
PMS
Menopause
Safe sex
Toxic shock
Precocious puberty
Uterine
Fibroids
Prolapse
Hysterectomy
Anterior and Posterior (A&P) repairs
Cervical
Inflammatory diseases
Ovarian
Polycystic disease
Breast
Fibrocystic disease
Mastectomies
Cancer of the breast (male and female)
Cancers of the female reproductive system
Infertility
Erectile dysfunction

Role of the nurse
Clinical manifestations
Diagnostic tests
Pharmacological agents and treatments
Nutritional considerations
Health promotion
Nursing process
Impacts on maternal and pediatric clients

MODULE G– SENSORY SYSTEM ALTERATIONS

Terminology and anatomy and physiologyreview
Visual alterations

Refractive errors

Amblyopia

Strabismus

Astigmatism

Presbyopia

Myopia

Hyperopia

Blindness
Trauma

Hematoma

Chemical burns

Corneal abrasions

Penetrating wounds

Foreign bodies

Infection/inflammation

Conjunctivitis

Blepharitis

Keratitis

Disorders

Cataracts
Retinal detachment
Glaucoma
Retinitis pigmentosis
Macular degeneration
Cancers

Hearing alterations

Hearing loss

Conductive loss

Sensorineural loss

Mixed hearing loss

Otosclerosis

Tinnitis

Trauma
Foreign body
Infection/inflammation

Otitis

Labrynthitis

Inner ear disorders

Meniere’s

Role of the nurse
Clinical manifestations
Diagnostic tests
Pharmacological agents and treatments
Nutritional considerations
Health promotion
Nursing process
Impacts on maternal and pediatric clients

MODULE H – ENDOCRINE SYSTEM ALTERATIONS

Terminology and anatomy and physiologyreview
Alterations
Thyroid (hyper/hypo)
Addison’s
Cushing’s
Pheochromocytoma
Pituitary disorders
Parathyroid
Cancers

Role of the nurse
Clinical manifestations
Diagnostic tests
Pharmacological agents and treatments
Nutritional considerations
Health promotion
Nursing process
Impacts on maternal and pediatric clients

XI.EVALUATION AND ASSESSMENT

A.Theory

1.Tests announced or unannounced may be given throughout the course and

may incorporate various teaching/learning methods (for example: situational, multiple choice, discussion, performances, etc).

2.All nursing exams should be taken on the day they are scheduled. In the event of illness, bereavement, or court attendance, the studentis required to notify the course coordinator or clinical instructor PRIOR to the test. Immediately upon return to campus, the student is required to submit documentation which supports the absence. A make-up exam will be given at the end of the semester IF appropriate documentation has been provided at the time of the absence.

3.Prior to each unit exam, the student will complete PrepU Pre-tests on the topic areas being tested. A minimum grade of 80% or mastery level must be achieved for admission to the unit exam. If the student does not complete the assignments according to posted deadlines, the student will not be allowed to take the exam and a make-up exam will be taken at the end of the semester.

4.All students are required to attend test reviews following exams. Students who score less than 75% on unit exams are required to complete a remediation assignment in the computer lab on a designated day. Students must score a minimum of 80% on the remediation assignment. Remediation assignments must be submitted to the instructor on the day of remediation.

STUDENTS WHO DO NOT COMPLETE REQUIRED REMEDIATION ASSIGNMENTS WILL NOT BE ALLOWED TO TAKE THE NEXT UNIT EXAM AND WILL TAKE A MAKE-UP EXAM AT THE END OF THE SEMESTER.

5.If a make-up exam is to be taken for any reason, the student must complete a PrepU Pre-test assignment on the modules being tested before the exam can be taken. A minimum grade of 80% or mastery level must be achieved for admission to the make-up exam. Failure to complete the assignment with a minimum score of 80% or mastery level will result in a zero (0) for that make-up exam.

6.Required written assignments are due by the end of the scheduled class period.

B. Clinical

1.Performance in the clinical setting is evaluated according to the form, Evaluation of Clinical Performance. A final evaluation of satisfactory in clinical performance is required to progress in nursing. A rating of unsatisfactory in clinical performance will result in a grade of “F” for the nursing course regardless of any other grading component in the course.

2.Students may not attend clinical lab until they have successfully completed all required assignments in order to provide safe client care.

C.Computerized Tests

Students will be required to pay a testing fee to cover the expense of the Health Education Systems (HESI) tests. The HESI tests are scheduled throughout the nursing curriculum.

D.Course Grade

1.The course grade is a composite grade based on the following:

a.Unit tests

b.Comprehensive final examination (HESI)

c.Clinical performance evaluation

Student must achieve a grade of 75% or above in each course to continue in the nursing program. A grade below 75% will result in a “D” or an “F” depending on the numerical score.

2.Course and instructor evaluation by each student is required.

3.Conference with the clinical instructor is required each semester.

4.In the event of a failing grade, students are urged to see their instructor for a conference.

XII.ATTENDANCE

A.Students are expected to attend all classes for which they are registered. The student must be present 80% of the scheduled class dates in order to demonstrate the expected course outcomes and successfully apply theoretical concepts to the clinical practicum. Students who are unable to attend class regularly, regardless of the reason or circumstance, should withdraw from that class before poor attendance interferes with the student’s ability to achieve the objectives required in the course. Withdrawal from class can affect eligibility for federal financial aid. Withdrawal from class can prohibit progression in nursing and allied health programs.

B.Students are expected to attend all clinical rotations required for each course. Only excused absences (a maximum of one) will be considered for make up. However, due to limited clinical space and time, clinical make up days cannot be guaranteed. Failure to complete clinical rotations will prohibit progression in nursing and allied health programs