School of Journalism & Mass Communications



San José State University

School of Nursing

NURS 24 Adult Care Management I, Section 1 – 4 Units

Spring 2011

|Co-Faculty: |Lori Rodriguez, RN, PhD |

|Office location: |HB 403 |

|Telephone: |408-924-3146 |

|Email: |lrodriguez@son.sjsu.edu |

|Office hours: | Wed 10:00-12 Fri 0830-9:30 and by appointment |

|Co-Faculty: |Colleen O’Leary-Kelley, RN, PhD |

|Office location: |HB306 |

|Telephone: |408-924-1319 |

|Email: |colear@son.sjsu.edu |

|Office hours: |Tues 1230-1430, Wed 1230-1330, Thurs 0830-1030 or by appointment |

|Class days/time: |Friday & Friday 10:00 – 11:50 |

|Classroom: |Sweeney Hall 100 |

|Prerequisites: |Completion of NURS 23, NURS 33, NURS 43, NURS 53; CHAD/KIN 67 |

WebCT

Copies of the course syllabus and all major assignment materials may be found on Blackboard/WebCT. Students can access the course on blackboard at . Please contact helpdesk@sjsu.edu or or 408-924-2670 for questions reagarding access to Blackboard. Students are responsible for checking the site weekly for announcements and assignments.

Course Description and Goals

Covers knowledge, skills, and attitudes required to provide safe nursing care to adults/older adults. A systems approach integrates concepts of health promotion, disease prevention, and evidence-based interventions related to actual/potential alterations in: oxygenation, circulation, metabolism, and elimination.

Student Learning Objectives

Course Content Learning Outcomes

Note: PLO = Program Learning Outcome. Full text of these outcomes may be found on the School of Nursing website or in the Student Handbook.

Upon successful completion of this course, students will:

1. Discuss the knowledge, skills, and attitudes related to health promotion and disease prevention associated with alterations in physiological functioning; [PLO #2 – client centered care]

2. Discuss the influence of the cultural context on health promotion, disease prevention, and physiological functions; [PLO #2 – client centered care]

3. Describe sensory, perceptual, physiologic, and psychosocial changes associated with common acute and chronic medical-surgical conditions; [PLO #2 – client centered care]

4. Identify co-morbidity and risks associated with common acute and chronic medical-surgical conditions; [PLO #6 – safe medication administration]

5. Select evidence-based nursing interventions for clients with selected diseases and conditions; [PLO #3 – nursing process, EBP]

6. Evaluate the outcomes of therapeutic nursing interventions; [PLO #6 – safe medication administration]

7. Describe the impact of disease on sexual functioning; [PLO #2 – client centered care]

8. Discuss pain management theory; [PLO #2 – client centered care]

9. Identify appropriate pain management strategies for acute and chronic medical-surgical conditions; [PLO #2 – client centered care, PLO #3 – nursing process]

10. Describe the impact of the Nurse Practice Act and the ANA Standards of practice on practice along the health-illness continuum; [PLO #10 – professional practice]

11. Identify gerontological considerations in caring for the older adult with common acute and chronic medical-surgical conditions; [PLO #3 – nursing process]

12. Apply concepts of health promotion and disease prevention associated with alterations in physiological functions; [PLO #2 – client centered care, PLO #3 – nursing process]

13. Identify educational resources to promote health literacy in medical-surgical clients; [PLO #4 – health literacy]

14. Identify client advocacy strategies for clients with selected medical-surgical conditions; [PLO #5 -- advocacy]

15. Discuss therapeutic and professional communication strategies for use with clients, families, and members of the multidisciplinary healthcare team. [PLO #8 -- communication]

16. Identify relevant healthcare technology to provide safe, quality care to adults/older adults in the medical-surgical setting [PLO #7]

Textbook

Lewis, S.M., Heitkemper, M.M., Dirksen, S.R., O’Brien, P. G., & Bucher, L. (2007). Medical - surgical nursing: Assessment and management of clinical problems. (7th ed.) St. Louis: Mosby.

Wissman, J. (2007). Registered nurse adult medical-surgical review module (Ed. 7.1). Assessment Technologies Institute, LLC.

Semester 4 Bundle ISBN #978-1-4377-8082-6

NOTE: This bundle includes text and ebook package of above texts.

Other materials

Additional readings, pre-class assignments, study guides and case studies are listed on the course calendar and available on Blackboard.

Classroom Protocol

Class is held on Tuesday and Friday 10:00 – 11:50 Sweeney Hall 100. Students are expected to arrive on time. Cell phones are not to be used during class.

Dropping and Adding

Students are responsible for understanding the policies and procedures about add/drops, academic renewal, etc. found at . You should be aware of the new deadlines and penalties for adding and dropping classes.

Assignments and Grading Policy

NURS 24 Adult Care Management I is a four-unit course. Total course points = 400

Exams, Quizzes, Activities/Assignments = 75%

Final Exam = 25%

See course calendar for quiz / exam dates.

The following percentage breakdown will be used to determine letter grades of each activity and for the final grade of the course:

Satisfactory Range Unsatisfactory Range

374-400 = A (94-100%) 278-289 = C- (70-72%)

358-373 = A- (90-93%) 266-277 = D+ (67-69%)

346-357 = B+ (87-89%) 250-265 = D (63-66%)

330-345 = B (83-86%) 238-249 = D- (60-62%)

318-329 = B- (80-82%) < 237 = F (0-59%)

306-317 = C+ (77-79%)

290-305 = C (73-76%)

Activity Points

4 Quizzes 40

2 Worksheets 10

2 Scenario 10

3 Exams 240

FINAL 100

TOTAL 400

Policies on examinations and incompletes:

• Exams must be taken on the scheduled date unless prior permission has been received from the instructor of the course, otherwise, the student will receive zero points for that exam.

• Students receiving permission from instructor to take an exam on a date/time other than posted must not only get permission prior to exam, but also must submit written documentation of reason for absence.

• See SJSU Bulletin regarding regulations for taking final exams and the initiation and removal of an incomplete grade.

Students who receive less than 73% (C) in this course should refer to Departmental Student Progression Policies. A copy is in the Student Handbook.

University Policies

Academic integrity

Students are expected to be familiar with the University’s Academic Integrity Policy. Please review this at: . “Your own commitment to learning, as evidenced by your enrollment at San Jose State University and the University’s integrity policy, require you to be honest in all your academic course work. Faculty members are required to report all infractions to the office of Student Conduct and Ethical development.”

Instances of academic dishonesty will not be tolerated. Cheating on exams or plagiarism (presenting the work of another as your own, or the use of another person’s ideas without giving proper credit) will result in a failing grade and sanctions by the University. For this class, all assignments are to be completed by the individual student unless otherwise specified. “If you would like to include in your assignment any material you have submitted, or plan to submit for another class, please note that SJSU’s Academic Policy F06-1 requires approval of instructors.”

Campus Policy in Compliance with the American Disabilities Act

If you need course adaptations or accommodations because of a disability, or if you need to make special arrangements in case the building must be evacuated, please make an appointment with me as soon as possible, or see me during office hours. Presidential Directive 97-03 requires that students with disabilities requesting accommodations must register with the DRC (Disability Resource Center) to establish a record of their disability.

Special accommodations for exams require ample notice to the testing office and must be submitted to the instructor well in advance of the exam date.

Student Technology Resources

Computer labs for student use are available in the new Academic Success Center located on the 1st floor of Clark Hall and on the 2nd floor of the Student Union. Additional computers are available to students in the Nursing Learning Resource Center (NLRC) located in HB302. Check the schedule posted in the NLRC. Computers are also available in the Martin Luther King Library.

A wide variety of audio-visual equipment is available for student checkout from Media Services located in IRC 112. These items include digital and VHS camcorders, VHS and Beta video players, 16 mm, slide, overhead, DVD, CD, and audiotape players, sound systems, wireless microphones, screens and monitors.

ADULT CARE MANAGEMENT I

SAMPLE COURSE CALENDAR – Spring 2011

Table 1 Course Schedule

|CLASS |Date |Topics, Readings, Assignments, |Calendar is subject to change with fair notice via in-class |

| | |Deadlines |announcement/Blackboard |

| | |Intro, Immobility |All classes: SLOs 1-15 |

| | |Holiday | |

| | |Immobility; Pre/Intra/Post op care |LHDOB: Ch 20 pp. 376 - 396 |

| | | |Olsen, E. (1990) The hazards of immobility: An AJN Classic. American |

| | | |Journal of Nursing, March 43-48. |

| | | |Complete Immobility Study Guide on Blackboard and bring. |

| | | |Lattavo, K. (2001) Pinpointing post-operative hypoxemia. Nursing 2001 |

| | | |31(1). |

| | | |Fetzer, S. (2008). Putting a stop to postop nausea and vomiting. |

| | | |American Nurse Today 3(8) 10-12. |

| | |Older Adult/Aging |LHDOB : Ch 10 (continued) pp. 134 - 149 |

| | | |D’Arcy, Y. (2006). Which analgesic is right for my patient? Nursing2006,|

| | |Quiz #1 |36(7), 50-55 |

| | | |LHDOB: Chapter 6 pp. 66-93 |

| | | |Braun, U, Pham, C. Kunik, M. (2008) Recognizing and managing depression |

| | | |at end of life. Geriatrics 63(6) 25-27. |

| | | |Rushton, C, Roshi, J. & Dossey, B. Being with dying: Contemplative |

| | | |practices for compassionate end of life care. American Nurse Today 2(9) |

| | | |16-18. |

| | |Pain |LHDOB: Ch 10 pp. 125 – 134 |

| | | |Lafleur, K. (2004). Taking the fifth (vital sign). RN 67(7) 30-37. |

| | | |Review BRN materials on Blackboard |

| | |Pain/Alternate therapies |Complete the Pain Management study guide and bring to class |

| | | |Bring a copy of case scenarios (Blackboard) to discuss. |

| | |Quiz #2 | |

| | |Respiratory I -- URI |LHDOB: Review on your own: Ch 26 pp. 509-532; |

| | | |Read: Upper respiratory problems Ch 27 pp 543-551 ATI: Ch. 4, 9 & 39 |

| | | |McEnroe-Ayers, D. (2004). Dyspnea. Nursing 2004 34(7)36-41. |

| | |Respiratory II -- LRI |LHDOB: Ch 28 pp. 560-575 |

| | | |Complete Respiratory Study Guide |

| | | |(2008) MRSA may be waiting. (on Blackboard) |

| | | |Ruppert, R. (2007). Tuberculosis today. American Nurse Today 2(11) |

| | | |32-36. |

| | | |Weitzel, Robinson, &Homes (2006). Preventing Nosocomial Pneumonia: |

| | | |Routine oral care reduced the risk of infection at one facility. |

| | | |Hospital 106(9). |

| | |Respiratory III -- chronic |LHDOB: Chapter 29 pp. 607 – 655 |

| | | |ATI: Ch. 11, 12 (check Blackboard pre-class worksheet due*) |

| | | |Ellis, K. C. (2008). Keeping asthma at bay. American Nurse Today. 3(2), |

| | | |p. 20-25. |

| | |Respiratory IV -- acute |LHDOB: Ch 28 pp. 585-600, Ch 68 pp. 1812-1818 |

| | | |Study guide in WebCT |

| | | |Forgione, A.M. (2006). Managing patients with suspected pulmonary |

| | | |embolism. JAAPA. 19(7), 22-28. |

| | | |Powers, J. (2007).The 5 P's spell positive outcomes for ARDS patients. |

| | | |American Nurse Today March 34-39 |

| | |EXAM #1 | |

| | |CHF/Pulm edema, pleural eff |LHDOB: Review on your own Ch 32 pp. 739-760 Ch 35 pp. 821-838 |

| | | |Cunningham, C. (2006) Managing hospitalized patients with heart failure.|

| | | |American Nurse Today Oct. 07 p. 44-50 |

| | | |Wing, S. (2004 ) Pleural effusion: Nursing care challenge in the |

| | | |elderly. Geriatric Nursing 25(6) 348-355. |

| | |HTN |LHDOB: Chapter 33 pp. 761- 783 |

| | | |ATI: Ch. 28 |

| | | |Woods, A. (2004). Loosening the grip of hypertension. Nursing 2004 |

| | | |34(12) 36-43. |

| | |Cardiac I – ACS, MI, |LHDOB: Ch 34 pp. 784-820 |

| | |Diag/interventional proc |Coughlin, R. (2008) Attacking anterior wall myocardial infarction in |

| | | |time. American Nurse Today 3(1) |

| | | |Pelkie, D. (2008) Keeping care current: Guidelines on modifying |

| | | |secondary risk factors in patients with chronic stable angina. Advance |

| | | |for Nurses. June 16, 19-20. |

| | |Cardiac II – PVD/PAD |LHDOB: Chapter 38 pp. 893 – 921 |

| | | |Date, M. (2007) Protect your patients from venous thromboembolism. |

| | |Quiz #3 |American Nurse Today Nov. p 25-27. |

| | | |Scheetz, L. (2006) Aortic Dissection. AJN 106(4) 55-59. |

| | |Cardiac III -- Dysrhythmias |LHDOB: Ch 36 pp. 842 – 864; ATI: Ch. 20, 22 |

| | | |Corona, G. (2004). Biphasic defibrillation—new technology for the |

| | | |bedside crashcart. Advance for Nurses [June 21, 2004] p. 33 |

| | | |Coughlin, R. M. (2007). Recognizing ventricular arrhythmias. American |

| | | |Nurse Today. 2(5), p. 38-44. |

| | |Dysrhythmias II |LHDOB: Ch 36 continued |

| | | |ATI: Ch. 38 |

| | |Cardiac IV – myopathies, transplant |LHDOB: Ch 36 pp. 896 – 899; 857 – 858. |

| | | |Bring copies of case scenarios. |

| | |EXAM #2 | |

| | |Shock I |LHDOB: Ch 65 pp. 1796 – 1818 |

| | |Shock II, multiple organ system |LHDOB: Ch 65 pp. 1819 – 1822 |

| | |failure | |

| | |Diabetes I |LHDOB: Ch 47 pp 1268 – 1290 |

| | |Quiz #4 | |

| | |Diabetes II |LHDOB: Ch 47 pp 1290 – 1300 |

| | |Wounds |LHDOB: Ch 12 pp 220 – 225 |

| | |EXAM #3 | |

| | |Anemias/Transfusions |LHDOB: Ch 30 pp 705 – 713; 747 – 751 |

| | |Renal I |LHDOB: Ch 46 pp. 1155 – 1162; 1165-1166; 1169-1173; 1185-1188 ATI: Ch. |

| | | |45, 46, 47, 48 |

| | | |(check Blackboard pre-class worksheet due*) |

| | |Renal II |LHDOB: Review on your own Ch 45 pp. 1136-1153 Ch 47 pp. 1197-1231 |

| | | |Dinwiddie, L.C. (2006). Stage 4 Chronic kidney disease. AJN, 106(9), p. |

| | | |40-51. |

| | |Holiday | |

| | |Putting it all together - Review | |

|Final Exam | |Venue and Time TBA |COVERS LECTURES 18-24 (60%) AND CUMULATIVE CONTENT (40%) |

[LHDOB] = Lewis, S.M. , Heitkemper, M.M., Dirksen, S.R., O’Brien, P.G., & Bucher, L. (2007). Medical - surgical nursing: Assessment and management of clinical problems. (7th ed.) St. Louis: Mosby.

[ATI ] = Wissman, J. Registered Nurse Adult Medical-Surgical Review Module Edition 7.1 (2000-2007) Assessment Technologies Institute, LLC.

Theory Template for Adult Care Management I

By the end of the course, students will describe the knowledge, skills, and attitudes associated with care of the client with selected acute and chronic diseases and conditions including:

|Pathophysiologic mechanisms |

|Clinical Manifestations |

|Laboratory/Diagnostics |

|Risks & Co-morbidities |

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|Collaborative Care |

|Medical Care |

|Pharmacology |

|Surgical Procedures |

|Related Treatments |

|Physical Therapy, Respiratory Therapy, Nutritional Therapy, etc. |

|CAM |

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|NURSING CARE |

|Assessment: What can the RN expect to see? What assessments should the RN make? |

|Planning: Nursing diagnosis, evidence-based interventions |

|Implementation: Nursing considerations; including safety and delegation |

|Evaluation: How do you know when the medical and nursing care is working? |

|Patient Teaching & Advocacy |

|Gerontological considerations/variations |

|Cultural considerations/variations |

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|Notes/Questions: |

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