UNIVERSITY OF FLORIDA



UNIVERSITY OF FLORIDA

COLLEGE OF NURSING

COURSE SYLLABUS

Fall 2016

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 |HPNP 3239 |(352) 273-6424 |Thursday 1300-1500 & |

|Clinical Assistant Professor/Adult-Gero Primary Care |Gainesville | |By Appointment |

|Track Coordinator | | | |

|cindiarn@ufl.edu | | | |

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 Canvas is the course management system that you will use for this course. E-Learning in Canvas is accessed by using your Gatorlink account name and password at . 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 helpdesk@ufl.edu.

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.

The College of Nursing utilizes ProctorU, a live proctoring service, for major examinations in graduate web-based online courses to ensure a secure testing environment.  See Canvas site for more information on Proctor U and how to create an account.

• Each student computer must be in compliance with Policy S1.04, Student Computer Policy and must contain a web cam, microphone, and speakers.

• CON IT Support office will oversee this process and provide technical assistance.

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 & |5% |

|Cultures associated with the Nurse Practitioners Role & Gerontology Populations. | |

|Total |100% |

*Students are required to submit all written documents through the “turn-it-in” website site prior to posting them on the Canvas 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 Canvas website for specific instructions on presentations & written assignments.

Faculty will be available Monday through Friday, excluding holidays & week-ends.

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:

PROFESSIONAL BEHAVIOR

The College of Nursing expects all Nursing students to be professional in their interactions with patients, colleagues, faculty, and staff and to exhibit caring and compassionate attitudes. These and other qualities will be evaluated during patient contacts and in other relevant settings by both faculty and peers. Behavior of a Nursing student reflects on the student's individual’s ability to become a competent professional Nurse. Attitudes or behaviors inconsistent with compassionate care; refusal by, or inability of, the student to participate constructively in learning or patient care; derogatory attitudes or inappropriate behaviors directed at patients, peers, faculty or staff; misuse of written or electronic patient records (e.g., accession of patient information without valid reason); substance abuse; failure to disclose pertinent information on a criminal background check; or other unprofessional conduct can be grounds for disciplinary measures including dismissal.

UNIVERSITY POLICY ON ACADEMIC MISCONDUCT

Academic honesty and integrity are fundamental values of the University community. Students should be sure that they understand the UF Student Honor Code at . Students are required to provide their own privacy screen for all examination’s administered to student laptops. No wireless keyboards or wireless mouse/tracking device will be permitted during examinations.

University and College of Nursing Policies:

Please see the College of Nursing website for a full explanation of each of the following policies - .

Attendance

UF Grading Policy

Accommodations due to Disability

Religious Holidays

Counseling and Mental Health Services

Student Handbook

Faculty Evaluations

Student Use of Social Media

REQUIRED TEXTBOOKS

Institute of Medicine, (Current). 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:

and:

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

ONLINE RESOURCES

Infectious Diseases Society of America:

Heart Failure Society of America:

Oncology Clinical Practice Guidelines:

American Lung Association:

American Diabetes Association:

Strokes:

WEEKLY CLASS SCHEDULE Fall 2016

|DATE |TOPIC/EVALUATION |ASSIGNMENTS/READINGS |Assignments/ |

| | | |Examination Dates/ |

| | | |Due Dates |

|Week 1 |Orientation & |CMDT Related Topics |Refer to the Canvas course |

|August 22-26 |Complex Health Problems: | |website for due dates related to |

| |Evidence-Based Practice Guidelines, |IOM Text |weekly PowerPoint presentations &|

| |Comprehensive Model Treatment | |associated written assignments. |

| |Programs: General Approach | | |

|Week 2 |Oncology Part 1 |CMDT Related Topics | |

|Aug 29 – Sept 2| | | |

| | |IOM Text | |

|Week 3 |Oncology Part 2 |CMDT Related Topics |9/5 Holiday |

|Sept. 6-9 | | |Labor Day |

| | |IOM Text | |

|Week 4 |Cardiac (CHF) |CMDT Related Topics | |

|Sept. 12-16 |Part 1 | | |

| | |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 |Cardiac (HTN/Strokes) |CMDT Related Topics | |

|Sept. 19-23 |Part 2 | | |

| | |IOM Text | |

|Week 6 |Pulmonary (COPD) |CMDT Related Topics | |

|Sept.26-30 |Part 1 | | |

| | |IOM Text | |

| | | | |

| | | |

| | |b/provider-card.pdf | |

|Week 7 Oct. 3-7|Pulmonary (Asthma) |CMDT Related Topics | |

| |Part 2 | | |

| | |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. | |

| | | | |

| | | | |

| | | |

| | |b/provider-card.pdf | |

| | | | |

|Week 8 |Diabetes Part 1 |CMDT Related Topics |Midterm Exam (Proctor U) |

|Oct.10-13 | | | |

| | |IOM Text |October 10th |

| | | |Between 7:00AM-5:00PM |

| | |National Diabetes Education Program: Diabetes TeamCare Comprehensive | |

| | |Lifetime Management for Diabetes | |

| | | |Homecoming |

| | | |Oct. 14th & 15th, 2016 |

|Week 9 |Diabetes Part 2 |CMDT Related Topics | |

|Oct. 17-21 | |IOM Text | |

| | | | |

| | |ADA (2009). Executive Summary: Standards of Medical Care in | |

| | |Diabetes-2009.Diabetes Care, 32, 1, S6-12. | |

|Week 10 |Chronic Wounds |CMDT Related Topics | |

|Oct. 24-28 |Part 1 |IOM Text | |

|Week 11 |Chronic Wounds |CMDT Related Topics | |

|Oct 31 -Nov. 4 |Part 2 |IOM Text | |

|Week 12 |Infectious Disease |CMDT Related Topics |11th Holiday |

|Nov.7-10 |Part 1 TB |IOM Text |Veterans Day |

|Week 13 |Infectious Disease |CMDT Related Topics | |

|Nov. 14-18 |Part 2 MERSA |IOM Text | |

|Week 14 |Depression Part 1 |CMDT Related Topics |23rd – 26th Holiday |

|Nov. 21-22 | |IOM Text |Thanksgiving Break |

| | | | |

|Week 15 |Depression Part 2 |CMDT Related Topics | |

|Nov. 28-Dec. 2 | | | |

| | |IOM Text | |

|Week 16 | |Classes End |

|Dec. 5-7 |Conclusion & Overview of Course |Dec. 7, 2016 |

| | | |

| | |Reading Days: |

| | |Dec 8-9, 2016 |

| |

| |

|FINAL EXAM December 12, 2016 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

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