UNIVERSITY OF FLORIDA



UNIVERSITY OF FLORIDA

COLLEGE OF NURSING

COURSE SYLLABUS

SPRING 2014

COURSE NUMBER NGR 6365 section 1G99

COURSE TITLE Primary Care for Nurse-Midwifery Practice

CREDITS 03

PLACEMENT DNP Program: Nurse Midwifery Track

PREREQUISITES NGR 6002C Advanced Health Assessment and Diagnostic Reasoning

NGR 6101 Theory and Research for Nursing

NGR 6140 Physiology & Pathophysiology for Advanced Nursing Practice

NGR 6636 Health Promotion and Role Development in Advanced Practice Nursing

PRE/COREQUISITES NGR 6172 Pharmacotherapeutics for Advanced Practice Nursing

FACULTY:

|Jane Gannon DNP, CNM, CNL |LRC Jax Campus |Office hours: Monday, |

|jmgannon@ufl.edu |904-244-5166 |1 pm-3 pm |

DEPARTMENT CHAIR:

|Susan Schaffer, PhD, ARNP |GNV HPNP Bldg |Office hours: By Appt |

|sdschaf@ufl.edu |352-273-6366 | |

JACKSONVILLE CAMPUS DIRECTOR:

|Andrea Greg PhD, RN |LRC Jax Campus |Office hours: By Appt |

|greggac@ufl.edu |904-244-5172 | |

COURSE DESCRIPTION This course presents the knowledge, theory, and research needed to provide holistic primary health care to women in the outpatient setting. Emphasis is on the use of critical thinking, diagnostic reasoning, and evidence-based practice guidelines to develop diagnostic and management plans that are patient-centered and culturally competent. The focus is on infections, self-limited conditions and mild and/or stable presentations of chronic conditions. The use of consultation, collaboration and referral are incorporated into management plans

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

1. Synthesize knowledge, theory, and research findings from nursing and other disciplines related to the prevention, diagnosis, and nurse-midwifery management of infections, self-limited conditions and mild and/or stable presentations of chronic conditions.

2. Develop patient centered diagnostic plans based on holistic health assessment data.

3. Construct management plans using evidence-based practice guidelines.

4. Plan collaborative care to maximize functional health status.

5. Evaluate the effectiveness of prevention, health promotion, and management plans as they relate to expected clinical outcomes.

6. Identify appropriate use of consultation, collaboration, and referral strategies.

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 . 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.

ProctorU Information

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

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

o Each examination will cost $22.50 per exam.

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

o Once an 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 College of Nursing IT Support office will oversee this process and provide technical assistance.

ATTENDANCE

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.

ACCOMMODATIONS DUE TO DISABILITY

Each semester, students are responsible for requesting a memorandum from the Disability Resource Center () 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: .

STUDENT HANDBOOK

Students are to refer to the College of Nursing DNP Student Handbook for information about College of Nursing policies, honor code, and professional behavior.

ACADEMIC HONESTY

The University of Florida Student Conduct and Honor Code may be found at

TOPICAL OUTLINE

I. Primary care delivery principles

A. Prevention, diagnosis and management.

B. Identification of physical, mental, emotional, and social concerns of females

C. Collaboration, consultation, and referral with other health care providers

D. Integration of accountability for quality of care, client satisfaction, efficient use of resources, legal guidelines, and ethical behavior

E. Patient centered care, including complementary and alternative treatments

F. The nurse-midwifery management process

1. Assessment

2. Diagnosis

3. Management

a) Diagnostic components

b) Therapeutic components

c) Education components

d) Referral/follow-up components

II. Nurse-midwifery management of selected infections, self-limited conditions and mild and/or stable presentations of chronic conditions arising in the following areas/systems:

A. Dermatological (e.g., hyper- and hypopigmented lesions, psoriasis, dermatitis)

B. Eye, Ear, Nose and Throat (e.g., conjunctivitis, rhinitis, pharyngitis, sinusitis)

C. Reproductive (e.g., contraception, abnormal uterine bleeding, abnormal pap smear management)

D. Endocrine (e.g., thyroid disease, diabetes)

E. Neurological (e.g., headaches [migraine, tension, cluster], sensory alterations)

F. Psychiatric/Behavioral (e.g., anxiety, panic attacks. depression)

TOPICAL OUTLINE (Continued)

G. Health care needs of disenfranchised and vulnerable females (e.g, intimate partner violence, addiction)

H. Respiratory (e.g., asthma, bronchitis, pneumonia)

I. Cardiovascular (e.g, hypertension, hyperlipidemia)

J. Gastrointestinal (e.g, irritable bowel syndrome, peptic ulcer disease, gastroesophageal reflux disease)

K. Genitourinary (e.g., urinary tract infection [acute, recurrent, chronic], pyelonephritis, sexually transmitted infections in women and their partners)

L. Musculoskeletal (e.g., osteoarthritis, osteoporosis, sprains/strains, low back pain)

M. Hematological (e.g., anemias, hemoglobinopathies)

TEACHING METHODS

Online presentations/lectures, case studies, and audiovisual materials

LEARNING ACTIVITIES

Readings, web-based activities

EVALUATION

Examinations (3) 60%

Quizzes (6) 20%

Written case studies (7) 20%

MAKE UP POLICY

Unless there are significant extenuating circumstances, makeup exams are not allowed. Extenuating circumstances include personal illness or death in the family, and documentation may be required. Case study assignments will incur a 1 point penalty for each day they are late. (Each case is worth 20 points).

Requirements for class attendance and make-up exams, assignments, and other work are

consistent with university policies that can be found at:



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:

Students are expected to provide feedback on the quality of instruction in this course by completing online evaluations at . 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

REQUIRED TEXTBOOKS

Buttaro, M., Trybulski, J., Bailey, P., & Sandberg-Cook, J. (2012). Primary care: a collaborative practice (4th Ed.). Mosby.

REQUIRED TEXTBOOKS (Continued)

King, T., Trybulski, J., Bailey, P. & Sandberg-Cook, J. (2013). Varney’s midwifery. (5th Ed.). Jones & Bartlett Learning.

Tharpe, N., Farley, C. & Jordan, R. (2012). Clinical practice guidelines for midwifery & women's health (4th Ed.). Jones & Bartlett Learning.

WEEKLY CLASS SCHEDULE

|DATE |TOPIC/EVALUATION |ASSIGNMENTS/READINGS |

|Week 1 |Course overview/ Evidence-based Medicine/Health |Buttaro: Chapters 1-8, 18, 19, 21 |

|Jan 6-12 |Screening/ |plus required articles |

| |Immunizations/ Intimate Partner Violence/ Substance Use |Varney: Pages 212, 365, 672, 679 |

| |EBP Assignment due 1/13, 8 am |Online IPV module |

|Week 2 |GYN problems Part 1 |Buttaro: Chap 154, 158, 160, 162, 164 plus required articles |

|Jan 13-19 |Menstrual changes & AUB |Varney: Chap 11,12 |

| |Open book quiz on Sakai |Online learning activity |

|Week 3 |GYN Problems Part 2 |Buttaro: Chap 155, 156, 157, 159, 163, 165, 167, 169 |

|Jan 21-26 |Cervical & vulvar problems/ Breast problems/ Incontinence|Varney: Chap 13, 14 |

| |Case studies due 1/27, 8 am | |

|Week 4 |Genitourinary: UTI/STI |Buttaro: Chap 145,146, 148, 149, 153, 232 |

|Jan 27 –Feb 2 |Case studies due 2/3, 8 am |Varney, Chapter 15 plus required articles |

|Week 5 |Contraception |Buttaro: Chapter 9, 161, 168 |

|Feb 3-9 |Open book quiz on Sakai |Varney: Chapter 16, 17, 18 plus required articles |

| | |Online learning activity |

|Week 6 |ProctorU Test #1 | |

|Feb 10-16 |Access: 9 am to 12 noon Feb 10 | |

|Week 7 |Upper & Lower Respiratory Illness |Buttaro: Chap 86, 91, 92, 101,102,103,105,111, 233, 237 |

|Feb 17-23 |Case studies due 2/24, 8 am |Varney p 227-234 |

|Week 8 |Neuro: Headache/Mental Illness/ Substance abuse |Buttaro: Chap 187, 195, 200, 245, 246, 248 plus required |

|Feb 24 |Open book quiz on Sakai |articles |

| | |Varney, p. 246-249; Chap 9, p. 1128-1129. |

|Week 9 |SPRING BREAK | |

|Mar 3-9 | | |

|Week 10 |GI: GERD/PUD/Mobility disorders/ Hepatitis |Buttaro: Chap 126, 130, 131, 133, 134, 135, 136-141, 143, 234 |

|Mar 10-16 |GI Case studies due 3/17, 8 am |plus required articles |

| | |Varney: p. 235-239 |

|Week 11 |Anemia/Hemoglobinopathies |Buttaro: Chap 213, 214 plus required articles |

|Mar 17-23 |Open book quiz on Sakai |Varney: p. 220-224 |

|DATE |TOPIC/EVALUATION |ASSIGNMENTS/READINGS |

|Week 12 |ProctorU Test #2 | |

|Mar 24 |Access: 9am to 12 noon Mar 24 | |

|Week 13 |CV: HTN/CAD/ |Buttaro: Chap 17, 119, 121, 209 |

|Mar 31-Apr 6 |Hyperlipidemia/Obesity |Varney p. 224-227 |

| |Case studies due 4/7 8 am | |

|Week 14 |Dermatology |Buttaro: Chap 39-44, 47-68 |

|Apr 7-13 |Open book quiz on Sakai |plus required articles |

| | |Varney: p. 252-257 |

|Week 15 |Endocrine: DM/Metabolic/Thyroid |Buttaro: Chap 205-210, 212 |

|Apr 14-20 |Endocrine Case studies due 4/21, |plus required articles |

| |8 am |Varney: p. 242-246. |

|Week 16 |Musculoskeletal: Sprains/Strains/Neuropathies |Buttaro: Chap 218, 220-222, 170, 171-183, 185-186 plus |

|Apr 21-23 |Open book quiz on Sakai |required articles |

| | |Varney: p. 249-252. |

|Apr 28 |ProctorU Test #3 | |

| |Access: 9 am to 12 noon Apr 28 | |

Approved: Academic Affairs Committee: 06/09

Faculty : 06/09

UF Curriculum: 10/09

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