SOUTHWESTERN MICHIGAN COLLEGE
SCHOOL OF NURSING AND ALLIED HEALTH
Dowagiac, Michigan
COURSE SYLLABUS
______Semester, 20__
COURSE TITLE: Nursing Care of Children-Theory COURSE NO.: NURS 202
CREDITS/CONTACTS: Credit Hours: 2
Lecture hours/weekly: 2
Laboratory hours/weekly: 0
A-T hours/weekly: 0
INSTRUCTOR(s): Sandra Cazallis, RN, MSN, CPN
Office hours: variable
Phone: 269-782-1245
E-mail:
PREREQUISITE: NURS 180, 181 and previous or concurrent enrollment in EDUC 215.
COURSE DESCRIPTION: This course examines the needs of a child from birth through adolescence, the role portrayed and the effect of illness upon the child, the family, and society. The course will include clinical experiences in various pediatric nursing settings.
CORE CURRICULUM: Not applicable
DISTRIBUTION
REQUIREMENTS: Required for ADN curriculum.
NOTICE: Information in this syllabus, was to the best knowledge of the instructor, considered correct and complete when distributed for use at the beginning of the semester. The instructor, however, reserves the rights, acting within the policies and procedures of Southwestern Michigan College, to make changes in course content or instructional techniques without notice or obligation.
HONESTY POLICY
Cheating or plagiarizing will absolutely not be tolerated at Southwestern Michigan College. Any student found cheating or plagiarizing material in any manner may be assigned a failing semester/session grade in this course. A second such incident while at SMC could result in suspension or expulsion from the institution. A student found in violation of this section of the syllabus will not be allowed to drop this course. Additional detail regarding cheating and/or plagiarism may be found elsewhere in this syllabus.
TEXTBOOK(s): James, S. Ashwill, J. & Droske, S. Nursing Care of Children Priciples & Practice. Philadelphia PN. WB Sanders Current Ed.
Wong and Waley. Clinical Manual of Pediatric Nursing. Chicago. Mosby Current Edition
Additional Resources: Southwestern Michigan College Fred L. Mathews Library for references cited in the syllabus.
METHOD OF This course uses discussion, audio-visual materials, clinical INSTRUCTION: conference presentations, selected readings, written assignments, demonstration, case studies, student reports, and role playing.
EVALUATION: Upon completion of this course, the student will demonstrate achievement of the course objectives by obtaining a final minimum grade of seventy-eight (78%), as measured by teacher made quizzes, tests and written assignments.
EVALUATION METHOD: All assignments are mandatory. All assignments must be completed to successfully complete the course.
Examinations (3) 75%
Final Exam 25%
Total 100%
GRADING SCALE: Per School of Nursing Student Handbook guidelines.
PROGRESSION Progression in the nursing program without interruption is determined
POLICY: academically by achieving a minimal grade of "C" (78%).
ATTENDANCE POLICY: Attendance is mandatory. See the School of Nursing Student Handbook for specific guidelines.
TESTING POLICY: Students are expected to take all examinations as they are scheduled. Make-up policy with regard to examinations is described in the School of Nursing Student Handbook.
OTHER COURSE The student is expected to have read the material to be covered
EXPECTATIONS: in class PRIOR to class.
Examinations will cover material from audio-visual materials, clinical conference, presentations, discussion, case studies, and selected readings. Therefore, the student is expected to study these sources of material thoroughly.
TERMINAL 1. Provides direct care, based on the nursing process, for
OBJECTIVES clients with well-defined nursing diagnoses, within a variety of settings, and who have simple to complex health care needs.
2. Utilizes comprehensive therapeutic communication skills when interacting with clients, families, and other health care team members.
3. Organizes comprehensive aspects of care for clients with simple to complex health needs in a variety of settings.
4. Assesses client's needs for information in order to formulate a teaching plan; implements and modifies individualized teaching plans, and evaluates client's learning.
5. Demonstrates responsibility and accountability to the profession of nursing as well as collecting data for nursing research and utilizing research findings.
GUIDELINES FOR Assignments are to be neatly typed with proper grammar and
WRITTEN WORK: spelling, following college level requirements for written work. Written work that is below a college level of performance regarding grammar, punctuation, spelling, or sentence structure will not be acceptable.
Assignments are due on the day assigned or before if preferred. See the School of Nursing Student Handbook for rules regarding late written assignments.
COMPUTER Nursing computers are available during nursing lab open ASSIGNMENT: hours. Pediatric simulations are available. It is recommended that each student take the time and complete all simulations. These simulations increase critical thinking skills which will increase understanding and retention of material for this course.
COURSE OBJECTIVES: At the completion of the course, the learner will meet the following objectives.
*Systems include: Growth and development of children, respiratory, eye, ear, nose and throat, cardiovascular, hematologic, fluid and electrolyte balance, gastrointestinal, genitourinary, endocrine, infectious and communicable diseases, immune function, neurologic, cellular growth, musculoskeletal skin integrity and psychosocial function.
NURSING 202
NURSING CARE OF CHILDREN
COURSE OBJECTIVES
At the completion of the course, the learner will meet the following objectives in the areas of growth & development.
1. Uses critical thinking skills in implementing the nurse process.
2. Identifies a nursing history based on subjective and objective data.
3. Identifies basic health care needs/stressors according to nursing assessment.
4. Selects nursing diagnosis from an established list based on identified health care needs.
5. Prioritizes nursing diagnosis for the individual client that reflects biopsychosocial needs.
6. Identifies goals for the individual client according to selected nursing diagnosis and to their level of growth and development.
7. Identifies outcomes criteria specific to each goal to promote adaptation.
8. Identifies nursing interventions for an individual client’s plan of care to meet human needs.
9. Utilizes knowledge from nursing and liberal arts and science courses when contributing to an individual plan of care.
10. Verbalizes understanding of the medical plan of care based on scientific knowledge to promote an integrated plan of care.
11. Recognizes client’s response and adaptation to plan of care based on established nursing interventions and outcomes criteria.
NURSING 202
NURSING CARE OF CHILDREN - THEORY
UNIT OBJECTIVES
ALTERATIONS IN RESPIRATORY FUNCTION INCLUDING EYE, EAR, NOSE AND THROAT
LEARNING OBJECTIVES FOR TEST #1
Chapter 22 and 32
. Explain how the structure and function of the infant’s or child’s respiratory system increases the risk for respiratory disease.
. Explain the significance of the differences between adult and pediatric respiratory tracts.
. Differentiate between early and late symptoms of respiratory distress.
. Describe the nursing assessments performed on children in respiratory distress.
. Describe the needs of the family of an infant who has died of sudden infant death syndrome (SIDS).
. Discuss and display an understanding of the pathophysiology, therapeutic management, nursing care and home care with discharge instructions of children with respiratory disorders.
. Discuss and display an understanding of the pathophysiology, clinical manifestation and therapeutic management of respiratory alterations. Include screening tests and home care and discharge teaching.
. Outline the nursing management of children with acute & chronic respiratory alterations.
. Identify common triggers of asthma symptoms and measures that can be taken to prevent and treat asthma. (include teaching)
· Describe specific nursing care for children with health problems affecting the eye and ear.
· Describe how alterations in the sensory organs affect the child’s ability to communicate.
· Identify potential growth and development interruptions that may occur with problems affecting the sensory organs.
Disease process to know:
Apnea Tonsillitis T&A
SIDS Self-study
Croup syndromes Sinusitis
Asthma CPR
Status asthmaticus Epistaxis
Bronchitis Conjunctivitis
Bronchiolitis Aspiration of foreign object
Bronchopulmonary dysplasia
Pneumonia
Cystic fibrosis
Sinusitis
Otitis media
Pharyngitis
Nasopharyngitis
ALTERATIONS IN CARDIOVASCULAR FUNCTION
LEARNING OBJECTIVES FOR TEST #1
Chapter 23
. Describe the anatomy and physiology of the normally functioning heart.
. Discuss the nursing implications of common cardiac medications used in children.
. Discuss, display, and understand the condition listed below including pathophysiology, clinical manifestations, therapeutic management, include screening tests and home care/discharge instructions of these children.
. Describe the most common types of shock in children, and the associate therapeutic management of nursing care.
. Differentiate symptoms of right-sided and left-sided heart failure.
. Identify nursing interventions that decrease workload on the heart in children with heart failure.
. Compare the fetal and pulmonary circulation of the heart.
. Describe changes that occur in the fetal cardiovascular structures after birth.
. Discuss the child's response to chronic hypoxemia.
. Differentiate between cyanotic and acyanotic heart defects.
. Discuss the anatomy and clinical manifestations of selected acyanotic heart defects and the medical and nursing management of children with these defects.
. Discuss the anatomy and clinical manifestations of cyanotic heart defects and the clinical and nursing management of children with these defects.
. Outline the diagnostic tests and procedures used to diagnose congenital heart diseases.
· Describe the etiology, pathophysiology, and clinical manifestations of discharge instructions medical and nursing management of children with the following disorders.
Heart catherization
Congestive heart failure.
Cyanosis
Patent ductus arteriosus
Atrial septal defect
Ventricular septal defect
Pulmonic stenosis
Aortic stenosis
Coarctation of aorta
Tetralogy of fallot
Transposition of the great vessels
Tricuspid Atresia
Truncus arteriosus
Rheumatic fever
Endocarditis
Kawasaki disease
Hypertension
Shock-self-study
Hypoxemia
Thrombocytopenia-self-study
ALTERATIONS IN HEMATOLOGIC FUNCTION
LEARNING OBJECTIVES FOR TEST #1
Chapter 24
. Describe the anatomy and physiology of the hemapoietic system.
. Discuss the pediatric differences related to the hemapoietic system.
. Distinguish among the cells that make up the cellular portion of the blood.
. Describe the etiology, pathophysiology, clinical manifestations, medical and nursing management, and discharge instructions for the following disease process.
. Describe common factors in the care of a child with anemia.
Sickle cell anemia
Iron deficiency anemia
B-Thalassemia
Hemophilia
Von Willebrand disease
Self-study-Immune thrombocytopenia purpura
Aplastic anemia
ALTERATIONS IN GASTROINTESTINAL FUNCTION
LEARNING OBJECTIVES FOR TEST #2
Chapter 19 & 20
. Identify the nursing implications of common medications used in the treatment of upper GI alterations.
. Describe the common diagnostic and screening tests used for alternations in GI functions.
. Describe the anatomy and physiology of the GI system in the infant and child.
. Describe the development of gastrointestinal system and its relationship to selected congential disorders.
. Identify significant differences between the adult and pediatric GI systems.
. Compare and contrast the structural defects that cause dysfunction in the GI system.
. Discuss the impact of ostomy on the growth and development of an adolescent.
. Describe the transmission and clinical manifestations of common intestinal parasites.
. Recognize the effects of common toxic agents and describe the treatment of children poisoned by these agents.
· Use the nursing process to develop nursing care plans and teaching guidelines for the child with GI alterations.
· Discuss and display an understanding of the etiology, pathophysiology, clinical manifestations, medical & nursing management, home care, discharge instructions, and diagnostic evaluation of below conditions.
· Compare those differences in body fluid and electrolyte composition and regulation between infants/children and adults that make infants and children more vulnerable to imbalances.
· Describe dehydration and acid-base imbalance.
· Differentiate among the various types of acid-base disturbances.
· Describe the processes of diarrhea and vomiting.
· Integrate assessment findings with nursing implementation to determine the success of therapy.
· Describe nursing interventions to prevent fluid and electrolyte imbalances.
· Discuss principles of body fluid homeostasis in relation to infants and children.
· Describe the clinical assessment of fluid and electrolyte imbalances in children.
· Identify manifestations and treatment of clinical dehydration.
· Identify manifestations and treatment of edema.
· Describe actions that place infants and children at risk for fluid and electrolyte imbalances.
Cleft lip and palate
Esophageal atresia & tracheoesophageal fistula
Gastroesophageal reflux
Failure to thrive
Poisoning, Tylenol, ASA, petroleum, cortisone, lead
Intussusception
Hirschsprung disease
Anorectal malformations imperforate anus - self-study
Hernias - Self-study
Appendicitis
Constipation - Self-study
Colic
Celiac disease
Pyloric stenosis
Pinworms
Giardiasis - self-study
Dehydration
Diarrhea/vomiting/acidosis/edema
Electrolyte imbalance/acidosis - Self-study
ALTERATIONS IN GENITOURINARY FUNCTION
LEARNING OBJECTIVES FOR TEST #2
Chapter 21
. Describe the anatomy and physiology of the urinary tract system of the infant and child.
. Describe the most common diagnostic and screening tests associated with genitourinary system.
. Identify the differences between the adult and pediatric genitourinary systems.
. Discuss the treatment of urinary tract infections and describe the educational plan to prevent infections in children of various ages.
. Describe enuresis and the medical and nursing management of children with this disorder.
· Identify nursing implications of common medications used in the treatment of urinary tract alterations.
. Discuss and display an understanding of common alterations in the urinary tract system.
· Use the nursing process to assess, plan, and provide nursing care to children with common genitourinary alterations.
· Describe etiology, pathophysiology, clinical manifestations, medical and nursing management, and discharge instructions and home care of the following conditions.
Hypospadias and Epispadias
Cryptorchidism
Phimosis
Chordee
Hydrocele
Urinary tract infection (Vesicoureteral reflux)
Nephrotic syndrome
Acute glomerulonephritis
Enuresis
ALTERATIONS IN ENDOCRINE FUNCTION
LEARNING OBJECTIVES FOR TEST #2
Chapter 28
. Discuss the role of various organs and glands of the endocrine system in the growth and development of children.
. Describe the psychosocial issues concerning children with precocious puberty.
· Identify the role of insulin in the metabolism of CHO, Fats, & Proteins and post prenatal states.
. Compare and contrast IDDM & NIDDM.
. Identify the role and nursing implications of insulin therapy, diet therapy, exercise, and self-monitoring in the management of diabetes.