NORTHEAST ALABAMA



NORTHEAST ALABAMACOMMUNITY COLLEGENUR 201: Nursing Through the Lifespan ITheory3 credit hoursLab0 credit hourClinical2 credit hoursTotal5 credit hoursCLASS MEETING DATES/TIMES/LOCATIONTBACLINICAL DATES/TIMES/LOCATIONTBAINSTRUCTOR, CONTACT INFORMATION, CONTACT POLICY, OFFICE HOURS/LOCATIONMrs. Sheila Gentry, Course CoordinatorHealth Education Building, Office 218COURSE DESCRIPTION:This course provides opportunities to develop competencies necessary to meet the needs of individuals throughout the lifespan in a safe, legal, and ethical manner using the nursing process. Students manage and provide collaborative care to clients who are experiencing selected alterations in gastrointestinal, reproductive, sensory, and endocrine systems in a variety of settings. Additional instruction is provided for oncology, mental health, teaching/learning concepts, and advanced dosage calculations. Nutrition, pharmacology, communication, cultural, and community concepts are integrated. PREREQUISITE(S)/CO-REQUISITE(S)Prerequisites:NUR 105 – Adult NursingNUR 106 – Maternal and Child NursingBIO 202 – Human Anatomy and Physiology IIENG 101 – English Composition ICo-requisites: BIO 220 – MicrobiologyPSY 200 – General Psychology TEXTBOOK(S) AND OTHER LEARNING RESOURCESSee Reading Assignment COURSE OBJECTIVES1.Design a teaching/learning plan for client/support system.2.Calculate advanced dosage calculations for clients through the lifespan.3.Utilize the nursing process in providing advanced nursing care for clients throughout the lifespan with selected alterations.A.Mental HealthB.CancerC.Digestive/Lower Gastrointestinal SystemD.Reproductive SystemE.Sensory SystemF.Endocrine SystemPROFESSIONAL COMPETENCIESDevelop a teaching/learning plan for client/support system.Calculate dosages.Provide nursing care for clients with selected system alterations.Provide nursing care for clients with cancer.MODULE A – INTRODUCTION TO TEACHING AND LEARNING CONCEPTSA1.0Develop a teaching/learning plan for client/support system.A1.1Develop a teaching/learning plan for a specified situation.A1.1.1Define terms associated with teaching/learning.A1.1.2Describe elements of a comprehensive teaching/learning plan.A1.1.3Describe the role of the registered nurse in teaching and learning activities.A1.2Use a teaching/learning plan to provide instruction to a client and/or support system.MODULE B – ADVANCED DOSAGE CALCULATIONS B1.0Calculate dosages.B1.1This competency is measured cognitively.B1.1.1Identify information required for calculating dosages.B1.1.2Validate data for advanced dosage calculations. B1.1.3Perform dosage calculations using advanced mathematical formulas.MODULE C – INTRODUCTION TO MENTAL HEALTH CONCEPTS AND ISSUES C1.0Provide nursing care for clients with selected mental health alterations.C1.1Apply the nursing process for clients with selected mental health alterations.C1.1.1Define terms associated with mental health.C1.1.2Explain selected mental health concepts.C1.1.3Survey historical treatments of mental health.C1.1.4Explain cultural influences on mental health and illness.C1.1.5State the use of the Diagnostic and Statistical Manual of Mental Disorders, Text Revised (DSM-IVTR).C1.1.6Identify the role of mental health team members.C1.1.7Explain legal and ethical issues related to mental health and illness.C1.1.8Explain therapeutic relationships and communication as applied to clients, support systems, and the multi-disciplinary team.C1.1.9Explain selected theories related to mental illness.C1.1.10Explain selected mental health therapies.C1.1.11Explain health promotion related to mental health.C1.1.12Describe selected mental health alterations.C1.1.13Describe the pharmacological agents and/or treatments for selected mental health alterations.C1.1.14Describe nutritional considerations for clients experiencing selected mental health alterations.C1.1.15Use critical thinking to manage nursing care for culturally diverse clients experiencing selected mental health alterations.C1.1.16Evaluate expected outcomes of nursing care of clients experiencing selected mental health alterations.C1.1.17Identify the impacts of mental health alterations on maternal and pediatric clients.MODULE D – ONCOLOGY NURSINGD1.0Provide nursing care for clients with cancer.D1.1Apply the nursing process for clients with cancer.D1.1.1Define terms associated with treatment of cancer.D1.1.2Describe legal and ethical issues related to cancer.D1.1.3Describe the pathophysiology associated with cancer.D1.1.4Describe the role of the nurse in prevention and detection of cancer.D1.1.5Interpret clinical manifestations of cancer.D1.1.6 Interpret diagnostic tests and staging for cancer.D1.1.7 Describe oncological agents and treatments for cancer.D1.1.8 Evaluate nutritional considerations for clients with cancer.D1.1.9 Identify expected outcomes of treatment modalities.D1.1.10Describe psychosocial needs of clients, families, and support systems.D1.1.11Use critical thinking to manage nursing care for culturally diverse clients with cancer.D1.1.12Evaluate expected outcomes of nursing care of clients with cancer.D1.1.13Identify impacts of cancer on maternal and pediatric clients.MODULE E – GASTROINTESTINAL SYSTEM ALTERATIONSE1.0Provide nursing care for clients with selected alterations.E1.1Apply the nursing process for clients with selected gastrointestinal system alterations.E1.1.1Define terms associated with selected gastrointestinal system alterations.E1.1.2Describe selected gastrointestinal system alterations.E1.1.3Describe the pathophysiology associated with selected gastrointestinal system alterations.E1.1.4Describe the role of the nurse in providing care for clients experiencing selected gastrointestinal system alterations.E1.1.5Interpret clinical manifestations of selected gastrointestinal system alterations.E1.1.6Interpret diagnostic tests for selected gastrointestinal system alterations.E1.1.7Describe the pharmacological agents and/or treatments for selected gastrointestinal system alterations.E1.1.8Evaluate nutritional considerations for clients experiencing selected gastrointestinal system alterations.E1.1.9Explain health promotion related to selected gastrointestinal system alterations.E1.1.10Identify expected outcomes of treatment modalities for clients experiencing selected gastrointestinal system alterations.E1.1.11Evaluate the psychosocial needs of clients, family, and/or support systems.E1.1.12Use critical thinking to manage nursing care for culturally diverse clients experiencing selected gastrointestinal system alterations.E1.1.13Evaluate expected outcomes of nursing care for clients experiencing selected gastrointestinal system alterations.E1.1.14Identify impacts of selected gastrointestinal system alterations on maternal and pediatric clients.MODULE F – REPRODUCTIVE SYSTEM ALTERATIONS F1.0Provide nursing care for clients with selected system alterations.F1.1Apply the nursing process for clients with selected reproductive system alterations.F1.1.1Define terms associated with selected reproductive system alterations.F1.1.2Describe selected reproductive system alterations.F1.1.3Describe the pathophysiology associated with selected reproductive system alterations.F1.1.4Describe the role of the nurse in providing care for clients experiencing selected reproductive system alterations.F1.1.5Interpret clinical manifestations of selected reproductive system alterations.F1.1.6Interpret diagnostic tests for selected reproductive system alterations.F1.1.7Describe the pharmacological agents and/or treatments for selected reproductive system alterations.F1.1.8Evaluate nutritional considerations for clients experiencing selected reproductive system alterations.F1.1.9Explain health promotion related to selected reproductive system alterations.F1.1.10Identify expected outcomes of treatment modalities for clients experiencing selected reproductive system alterations.F1.1.11Evaluate the psychosocial needs of clients, family, and/or support systems.F1.1.12Use critical thinking to manage nursing care for culturally diverse clients experiencing selected reproductive system alterations.F1.1.13Evaluate expected outcomes of nursing care for clients experiencing selected reproductive system alterations.F1.1.14Identify impacts of selected reproductive system alterations on maternal and pediatric clients.MODULE G – sensory system alterations G1.0Provide nursing care for clients with selected system alterations.G1.1Apply the nursing process for clients with selected sensory system alterations.G1.1.1Define terms associated with selected sensory system alterations.G1.1.2Describe selected sensory system alterations.G1.1.3Describe the pathophysiology associated with selected sensory system alterations.G1.1.4Describe the role of the nurse in providing care for clients experiencing selected sensory system alterations.G1.1.5Interpret clinical manifestations of selected sensory system alterations.G1.1.6Interpret diagnostic tests for selected sensory system alterations.G1.1.7Describe the pharmacological agents and/or treatments for selected sensory system alterations.G1.1.8Evaluate nutritional considerations for clients experiencing selected sensory system alterations.G1.1.9Explain health promotion related to selected sensory system alterations.G1.1.10Identify expected outcomes of treatment modalities for clients experiencing selected sensory system alterations.G1.1.11Evaluate the psychosocial needs of clients, family, and/or support systems.G1.1.12Use critical thinking to manage nursing care for culturally diverse clients experiencing selected sensory system alterations.G1.1.13Evaluate expected outcomes of nursing care for clients experiencing selected sensory system alterations.G1.1.14Identify impacts of selected sensory system alterations on maternal and pediatric clients.MODULE H – eNDOCRINE SYSTEM ALTERATIONS H1.0Provide nursing care for clients with selected system alterations.H1.1Apply the nursing process for clients with selected endocrine system alterations.H1.1.1Define terms associated with selected endocrine system alterations.H1.1.2Describe selected endocrine system alterations.H1.1.3Describe the pathophysiology associated with selected endocrine system alterations.H1.1.4Describe the role of the nurse in providing care for clients experiencing selected endocrine system alterations.H1.1.5Interpret clinical manifestations of selected endocrine system alterations.H1.1.6Interpret diagnostic tests for selected endocrine system alterations.H1.1.7Describe the pharmacological agents and/or treatments for selected endocrine system alterations.H1.1.8Evaluate nutritional considerations for clients experiencing selected endocrine system alterations.H1.1.9Explain health promotion related to selected endocrine system alterations.H1.1.10Identify expected outcomes of treatment modalities for clients experiencing selected endocrine system alterations.H1.1.11Evaluate the psychosocial needs of clients, family, and/or support systems.H1.1.12Use critical thinking to manage nursing care for culturally diverse clients experiencing selected endocrine system alterations.H1.1.13Evaluate expected outcomes of nursing care for clients experiencing selected endocrine system alterations.H1.1.14Identify impacts of selected endocrine system alterations on maternal and pediatric clients.OUTLINE OF MODULESMODULE A – INTRODUCTION TO TEACHING AND LEARNING CONCEPTSTeaching/learning termsElements of a teaching/learning planRole of the registered nurse in teaching/learningMODULE B - ADVANCED DOSAGE CALCULATIONSReview of basic dosage calculationsAdvanced dosage calculationsMODULE C - INTRODUCTION TO MENTAL HEALTH CONCEPTS AND ISSUESMental health terms and conceptsMental health vs. mental illnessCoping and adaptationStress and anxietyHistory of the care of the mentally illCultural influencesDiagnostic and Statistical Manual IV-TRMental health teamLegal and professional issuesClient advocacyPromoting and maintaining psychosocial integrity based on American Nursing Association standardsRole of the registered nurseLegal and ethical issuesReporting incidentsUsing restraint devicesClient confidentialityInformed consentRefusing treatmentReporting client abuseTherapeutic relationship and communicationClientFamilyMulti-disciplinary health teamIncorporating an interpersonal relationship record (IPR) into care plan developmentSelected theoriesSelected therapiesHealth promotionCommon mental health alterationsCrisis Cognitive disordersAnxiety disordersSuicide Pharmacological agents and treatmentsNutritionNursing processMODULE D – ONCOLOGY NURSINGTerminology and anatomy and physiology review Overview of common cell typesDiagnostic tests Tumor stagingRole of the RN in prevention and detectionHealth promotion and prevention Clinical manifestationsLegal and ethical issuesRole of the nurseClient/family decisions related to care and treatmentOverview of treatment modalities across the lifespan Pharmacological agentsRadiation OthersNutritionPsychosocialHospice careClient/family education Community resources Pain managementNursing processImpacts on maternal and pediatric clientsMODULE E - DIGESTIVE AND GI SYSTEM ALTERATION (LOWER)Terminology and anatomy and physiology reviewLower GIAcute and chronic abdominal painPeritonitisInflammatory bowel diseaseUlcerative colitisCrohn’s diseaseIntestinal obstructionPolypsHerniaDiverticulosis/diverticulitisSprueShort Bowel Syndrome (SBS)HemorrhoidsNECAnalrectal abscessFistulaPilonidal sinusCancersAccessory organs JaundiceHepatitisCirrhosisEsophageal varicesAscitesHepatic encephalopathyLiver transplantAcute and chronic pancreatitisCholelithiasisCholecystitisCancersBiliary atresiaRole of the nurseClinical manifestationsDiagnostic testsPharmacological agents and treatmentsNutritional considerationsHealth promotionNursing processImpacts on maternal and pediatric clientsMODULE F – REPRODUCTIVE SYSTEM ALTERATIONSTerminology and anatomy and physiology reviewSexuality issuesFamily planningSexually Transmitted Diseases PMSMenopauseSafe sexToxic shockPrecocious pubertyUterineFibroidsProlapseHysterectomyAnterior and Posterior (A&P) repairsCervicalInflammatory diseasesOvarianPolycystic diseaseBreastFibrocystic diseaseMastectomiesCancer of the breast (male and female)Cancers of the female reproductive systemInfertility Erectile dysfunctionRole of the nurseClinical manifestationsDiagnostic testsPharmacological agents and treatmentsNutritional considerationsHealth promotionNursing processImpacts on maternal and pediatric clientsMODULE G – SENSORY SYSTEM ALTERATIONSTerminology and anatomy and physiology reviewVisual alterationsRefractive errorsAmblyopiaStrabismusAstigmatismPresbyopiaMyopiaHyperopiaBlindnessTraumaHematomaChemical burnsCorneal abrasionsPenetrating woundsForeign bodiesInfection/inflammationConjunctivitisBlepharitisKeratitisDisordersCataractsRetinal detachmentGlaucomaRetinitis pigmentosisMacular degenerationCancersHearing alterationsHearing lossConductive lossSensorineural lossMixed hearing lossOtosclerosisTinnitisTraumaForeign bodyInfection/inflammationOtitisLabrynthitisInner ear disordersMeniere’sRole of the nurseClinical manifestationsDiagnostic testsPharmacological agents and treatmentsNutritional considerationsHealth promotionNursing processImpacts on maternal and pediatric clientsMODULE H – ENDOCRINE SYSTEM ALTERATIONSTerminology and anatomy and physiology reviewAlterationsThyroid (hyper/hypo)Addison’sCushing’sPheochromocytomaPituitary disordersParathyroidCancersRole of the nurseClinical manifestationsDiagnostic testsPharmacological agents and treatmentsNutritional considerationsHealth promotionNursing processImpacts on maternal and pediatric clientsEVALUATION AND ASSESSMENTA.Theory1.Tests announced or unannounced may be given throughout the course andmay incorporate various teaching/learning methods (for example: situational, multiple choice, discussion, performances, etc).2.All nursing exams should be taken on the day they are scheduled. In the event of illness, bereavement, or court attendance, the student is required to notify the course coordinator or clinical instructor PRIOR to the test. Immediately upon return to campus, the student is required to submit documentation which supports the absence. A make-up exam will be given at the end of the semester IF appropriate documentation has been provided at the time of the absence.3.Prior to each unit exam, the student will complete PrepU Pre-tests on the topic areas being tested. A minimum grade of 80% or mastery level must be achieved for admission to the unit exam. If the student does not complete the assignments according to posted deadlines, the student will not be allowed to take the exam and a make-up exam will be taken at the end of the semester.4.All students are required to attend test reviews following exams. Students who score less than 75% on unit exams are required to complete a remediation assignment in the computer lab on a designated day. Students must score a minimum of 80% on the remediation assignment. Remediation assignments must be submitted to the instructor on the day of remediation. STUDENTS WHO DO NOT COMPLETE REQUIRED REMEDIATION ASSIGNMENTS WILL NOT BE ALLOWED TO TAKE THE NEXT UNIT EXAM AND WILL TAKE A MAKE-UP EXAM AT THE END OF THE SEMESTER.5.If a make-up exam is to be taken for any reason, the student must complete a PrepU Pre-test assignment on the modules being tested before the exam can be taken. A minimum grade of 80% or mastery level must be achieved for admission to the make-up exam. Failure to complete the assignment with a minimum score of 80% or mastery level will result in a zero (0) for that make-up exam.6.Required written assignments are due by the end of the scheduled class period.B. Clinical1.Performance in the clinical setting is evaluated according to the form, Evaluation of Clinical Performance. A final evaluation of satisfactory in clinical performance is required to progress in nursing. A rating of unsatisfactory in clinical performance will result in a grade of “F” for the nursing course regardless of any other grading component in the course.2.Students may not attend clinical lab until they have successfully completed all required assignments in order to provide safe client care.puterized TestsStudents will be required to pay a testing fee to cover the expense of the Health Education Systems (HESI) tests. The HESI tests are scheduled throughout the nursing curriculum.D.Course Grade1.The course grade is a composite grade based on the following:a.Unit prehensive final examination (HESI)c.Clinical performance evaluationStudent must achieve a grade of 75% or above in each course to continue in the nursing program. A grade below 75% will result in a “D” or an “F” depending on the numerical score.2.Course and instructor evaluation by each student is required.3.Conference with the clinical instructor is required each semester.4.In the event of a failing grade, students are urged to see their instructor for a conference.ATTENDANCEA.Students are expected to attend all classes for which they are registered. The student must be present 80% of the scheduled class dates in order to demonstrate the expected course outcomes and successfully apply theoretical concepts to the clinical practicum. Students who are unable to attend class regularly, regardless of the reason or circumstance, should withdraw from that class before poor attendance interferes with the student’s ability to achieve the objectives required in the course. Withdrawal from class can affect eligibility for federal financial aid. Withdrawal from class can prohibit progression in nursing and allied health programs.B.Students are expected to attend all clinical rotations required for each course. Only excused absences (a maximum of one) will be considered for make up. However, due to limited clinical space and time, clinical make up days cannot be guaranteed. Failure to complete clinical rotations will prohibit progression in nursing and allied health programsSTATEMENT ON DISCRIMINATION/HARASSMENTThe College and the Alabama Board of Education are committed to providing both employment and educational environments free of harassment or discrimination related to an individual’s race, color, gender, religion, national origin, age, or disability. Such harassment is a violation of State Board of Education policy. Any practice or behavior that constitutes harassment is a violation of State Board of Education policy. Any practice or behavior that constitutes harassment or discrimination will not be tolerated.AMERICANS WITH DISABILITIESThe Rehabilitation Act of 1973 (Section 504) and the American with Disabilities Act of 1990 state that qualified students with disabilities who meet the essential functions and academic requirements are entitled to reasonable accommodations. It is the student’s responsibility to provide appropriate disability documentation to the College. Please contact the ADA representative.COURSE CALENDARCourse Calendar will be provided to student by the first day of class.XVI.STUDENT ACKNOWLEDGEMENT FORMI have received the Course Syllabus for NUR 201: Nursing Through the Lifespan I.My signature indicates that I have read and understand the contents.___________________________________ Student’s Signature ___________________________________ Print Name ___________________________________ Date ................
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