University of Florida s28

UNIVERSITY OF FLORIDA

COLLEGE OF NURSING

COURSE SYLLABUS

Fall 2014

COURSE NUMBER NGR 6247 Section 1187

COURSE TITLE Complex, High-Prevalence Illnesses of Young, Middle, and Older Adults

CREDITS 4

PLACEMENT DNP Program: Adult-Gerontology Primary Care Nurse Practitioner Track

PREREQUISITES NGR 6244 Complex Adult-Gerontology Health Problems

COREQUISITES None

FACULTY FACULTY

Cynthia Figueroa, PhD, ANP-BC
Clinical Assistant Professor
/ HPNP 3239
Gainesville / (352) 273-6424 / Thursday 1300-1500 &
By Appointment

DEPARTMENT CHAIR

Joyce Stechmiller, PhD, ACNP-C,FAAN
/ HPNP 3230
Gainesville / (352) 273-6394 / By Appointment

JACKSONVILLE CAMPUS DIRECTOR

Andrea Gregg, DSN, RN
/ 3rd Floor
LRC-HSC
Jacksonville / (904) 244-5172 / By Appointment

COURSE DESCRIPTION This course provides the student with in-depth knowledge of advanced nursing practice management of complex, high-prevalence illnesses in young, middle, and older adults. Emphasis is on use of evidence-based practice guidelines and comprehensive treatment programs for client aggregates with congestive heart failure, stroke, cancer, chronic pulmonary disorders, diabetes, chronic wounds, and infectious diseases. This course prepares the student to optimize client outcomes in both acute care and out-patient settings.

COURSE OBJECTIVES Upon completion of this course, the student will be able to:

1.  Analyze current knowledge from health, physiological, psychological, social, and nursing sciences as a basis for comprehensive treatment programs to care for diverse young, middle, and older adult populations with the most prevalent complex illnesses.

2.  Critique and translate research findings to guide development and evaluation of comprehensive treatment programs for young, middle, and older adults with high-prevalence complex illnesses.

3.  Formulate plans for development and evaluation of treatment program models to enhance outcomes for clients with selected high-prevalence complex illnesses.

4.  Critique current technologies to advance the quality and accessibility of care with emphasis on safety, cost, invasiveness, simplicity, and efficacy in the care of young, middle, and older adults with complex illnesses.

5.  Analyze ethical, legal, fiscal, quality improvement, and other intervening variables that affect desired client outcomes.

6.  Analyze leadership and interprofessional collaboration to enhance desired client outcomes.

7.  Evaluate accessibility and quality of care for diverse, underserved, and vulnerable client populations with high-prevalence chronic and complex illnesses.

COURSE SCHEDULE

E-Learning in Sakai is the course management system that you will use for this course. E-Learning in Sakai is accessed by using your Gatorlink account name and password at http://lss.at.ufl.edu. There are several tutorials and student help links on the E-Learning login site. If you have technical questions call the UF Computer Help Desk at 352-392-HELP or send email to .

It is important that you regularly check your Gatorlink account email for College and University wide information and the course E-Learning site for announcements and notifications.

Course websites are made available on the Friday before the first day of classes.

ATTENDANCE

This is an online course, however, students may be expected to attend on-campus or synchronous classes periodically. Students are expected to participate in the activities and discussions as listed in the course syllabus and on the course web-site. Timeframes for the posting and receiving of materials are listed in the course materials on the course web-site. CON IT () Support office will oversee this process and provide technical assistance.

PROCTORU

o Major course examinations will be administered via ProctorU, a live proctoring service, to ensure a secure testing environment.

o Each student computer must be in compliance with Policy S1.04, Student Computer Policy (http://nursing.ufl.edu/students/student-policies-and-handbooks/) and must contain a web cam, microphone, and speakers.

o Each examination will cost approximately $22.50 per exam.

o Students go to the website http://www.proctoru.com/ and click on “How To Get Started”. This will permit students to create an account and test out their system.

o Once the instructor makes an exam available, students go online to ProctorU to schedule and pay for the exam session. Students must provide a valid email address and phone number where they can be reached during an exam.

o CON IT () Support office will oversee this process and provide technical assistance.

ACCOMMODATIONS DUE TO DISABILITY

Each semester, students are responsible for requesting a memorandum from the Disability Resource Center (http://www.dso.ufl.edu/index.php/drc/) to notify faculty of their requested individual accommodations. This should be done at the start of the semester.

COUNSELING AND MENTAL HEALTH SERVICES

Students may occasionally have personal issues that arise on the course of pursuing higher education or that may interfere with their academic performance. If you find yourself facing problems affecting your coursework, you are encouraged to talk with an instructor and to seek confidential assistance at the University of Florida Counseling and Wellness Center, 352-392-1575, visit their web site for more information: http://www.counseling.ufl.edu/cwc/.

STUDENT HANDBOOK

Students are to refer to the College of Nursing Student Handbook for information about College of Nursing policies, honor code, class demeanor and professional behavior. http://nursing.ufl.edu/students/student-policies-and-handbooks

ACADEMIC HONESTY

The University of Florida Student Conduct and Honor Code may be found at http://www.dso.ufl.edu/index.php/sccr/process/student-conduct-honor-code/

TOPICAL OUTLINE

A. General Approach

Complex health problems of young, middle and older adults in each general area listed below are addressed using the following approach:

1.  Therapeutic Plans for advanced nursing practice

a.  Evidence-based Practice guidelines

b.  Comprehensive Model Treatment Programs

c.  Safety, invasiveness, simplicity, efficacy

2.  Cost /benefit

3.  Evaluation of Treatment Results (accessibility; quality improvement, outcomes)

4.  Use of Interdisciplinary Collaboration and Referral

5.  Ethical principles

6.  Legal requirements

7.  Health disparities

8.  Genomics

B. Complex Health Problems

1.  Complex Cardiovascular disorders (heart failure)

2.  Cancers

3.  Complex pulmonary disorders

4.  Diabetes

5.  Chronic wounds

6.  High Prevalence Infectious Diseases (e.g. MRSA)

7.  Depression

TEACHING METHODS

Lecture, instructional media presentations, analysis of assigned readings, directed projects, guided case discussions of case exemplars.

LEARNING ACTIVITIES

Focused group discussions and case analyses, completion of online offerings, writing scholarly papers, reviewing and analyzing scholarly works congruent with class topics and assignments.

EVALUATION METHODS/COURSE GRADE CALCULATION

ASSIGNMENT / PERCENTAGE
Midterm Exam / 20%
Final Exam / 20%
Treatment Program-EB Presentation (Voiceover PPT) / 30%
Written Assignment (Treatment Program Analysis) / 25%
Participation (discussion board responses to presentations) related to: Theories, Ethics & Cultures associated with the Nurse Practitioners Role & Gerontology Populations. / 5%
Total / 100%

*Students are required to submit all written documents through the “turn-it-in” website site prior to posting them on the Sakai course website.

Deductions of 5 points a day (beginning the day following the deadline) will occur for ALL late assignments.

*An approximate turnaround grading/feedback time is 2-14 days from the time the assignment is due.

*Refer to the Sakai website for specific instructions on presentations & written assignments.

MAKE UP POLICY

If a student is unable to take an exam when scheduled, the grade on the remaining exam constitutes 20% of the course grade.

GRADING SCALE/QUALITY POINTS

A 95-100 (4.0) C 74-79* (2.0)

A- 93-94 (3.67) C- 72-73 (1.67)

B+ 91- 92 (3.33) D+ 70-71 (1.33)

B 84-90 (3.0) D 64-69 (1.0)

B- 82-83 (2.67) D- 62-63 (0.67)

C+ 80-81 (2.33) E 61 or below (0.0)

* 74 is the minimal passing grade

For more information on grades and grading policies, please refer to University’s grading policies: http://gradcatalog.ufl.edu/content.php?catoid=4&navoid=907#grades

FACULTY EVALUATION

Students are expected to provide feedback on the quality of instruction in this course based on ten criteria. These evaluations are conducted online at https://evaluations.ufl.edu. Evaluations are typically open during the last two or three weeks of the semester, but students will be given specific times when they are open. Summary results of these assessments are available to students at https://evaluations.ufl.edu.

REQUIRED TEXTBOOKS

Institute of Medicine, (2001). Crossing the quality chasm: A new health system for the 21st century. Committee of Quality of Health Care in America, Institute of Medicine National Academics Press. *Can purchase hard copy or view full-text online at: http://www.nap.edu/openbook.php?record_id=10027&page=1

and:

All texts from previous and current required courses in current graduate program.

ONLINE RESOURCES

Infectious Diseases Society of America: http://www.idsociety.org/

Heart Failure Society of America: http://www.heartfailureguideline.org/?gclid=CI_K1-7KkZACFQiaPAodxEKOBg

Oncology Clinical Practice Guidelines: http://www.nccn.org/

American Lung Association: http://www.lungusa.org/site/pp.asp?c=dvLUK9O0E&b=22542

American Diabetes Association: http://www.diabetes.org/support-the-cause/make-a-donation.jsp?WTLPromo=googleGR_association%20diabetes

Strokes: http://www.strokecenter.org/prof/guidelines.htm

WEEKLY CLASS SCHEDULE

DATE / TOPIC/EVALUATION / ASSIGNMENTS/READINGS / Assignments/
Examination Dates/
Due Dates /
Week 1
August 25-29 / Orientation &
Complex Health Problems:
Evidence-Based Practice Guidelines, Comprehensive Model Treatment Programs: General Approach / CMDT Related Topics
IOM Text / Refer to the Sakai course website for due dates related to weekly PowerPoint presentations & associated written assignments.
Week 2
Sept 1-5 / Oncology Part 1 / CMDT Related Topics
IOM Text / 9/1 Holiday
Labor Day
Week 3
Sept. 8-12 / Oncology Part 2 / CMDT Related Topics
IOM Text
Week 4
Sept. 15-19 / Cardiac (CHF)
Part 1 / CMDT Related Topics
IOM Text
Case, R, Haynes, D., Holaday, B., & Parker,V. (2010). Evidence-Based Nursing:
The Role of the Advanced Practice Registered
Nurse in the Management of Heart Failure
Patients in the Outpatient Setting. Dimensions of Critical Care Nursing. 29(2), 57-62.
Week 5
Sept. 22-26 / Cardiac (HTN/Strokes)
Part 2 / CMDT Related Topics
IOM Text
Week 6
Sept.29-Oct 3 / Pulmonary (COPD)
Part 1 / CMDT Related Topics
IOM Text
http://www.nhlbi.nih.gov/health/public/lung/copd/campaign-materials/pub/provider-card.pdf
Week 7 Oct. 6-10 / Pulmonary (Asthma)
Part 2 / CMDT Related Topics
IOM Text
National Heart, Lung, and Blood Institute National Asthma Education and Prevention Program.
Expert Panel Report 3: Guidelines for the Diagnosis and Management of Asthma Full Report 2007.
http://www.nhlbi.nih.gov/guidelines/asthma/asthgdln.pdf
http://www.nhlbi.nih.gov/health/public/lung/copd/campaign-materials/pub/provider-card.pdf
Week 8
Oct.13-17 / Diabetes Part 1 / CMDT Related Topics
IOM Text
National Diabetes Education Program: Diabetes TeamCare Comprehensive Lifetime Management for Diabetes http://ndep.nih.gov/media/TeamCare.pdf / Midterm Exam (Proctor U)
October 13th

Between 7:00AM-5:00PM

Homecoming
Oct. 17th & 18th
Week 9
Oct. 20-24 / Diabetes Part 2 / CMDT Related Topics
IOM Text
ADA (2009). Executive Summary: Standards of Medical Care in Diabetes-2009.Diabetes Care, 32, 1, S6-12. /
Week 10
Oct. 27-31 / Chronic Wounds
Part 1 / CMDT Related Topics
IOM Text
Week 11
Nov.3-7 / Chronic Wounds
Part 2 / CMDT Related Topics
IOM Text /
Week 12
Nov.10-14 / Infectious Disease
Part 1 TB / CMDT Related Topics
IOM Text /

11th Holiday

Veterans Day
Week 13
Nov. 17-21 / Infectious Disease
Part 2 MERSA / CMDT Related Topics
IOM Text /
Week 14
Nov. 24-28 / Depression Part 1 / CMDT Related Topics
IOM Text /

26th – 29th Holiday

Thanksgiving Break
Week 15
Dec. 1-5 / Depression Part 2 / CMDT Related Topics
IOM Text /
Week 16
Dec. 8 / Conclusion & Overview of Course /

Classes End

Dec. 10, 2014

FINAL EXAM December 15, 2014 between 7:00 AM – 5:00 PM (ProctorU)

Approved: Academic Affairs Committee: 12/07; 11/12

Faculty: 01/08; 01/13

UF Curriculum: 10/08; 03/13

NGR6247Fall2014FINAL8/7/14Figueroa