SOUTHWESTERN MICHIGAN COLLEGE SCHOOL OF NURSING AND HUMAN SERVICES Dowagiac, Michigan

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1 SOUTHWESTERN MICHIGAN COLLEGE SCHOOL OF NURSING AND HUMAN SERVICES Dowagiac, Michigan COURSE SYLLABUS Semester, Year COURSE TITLE: Nursing Care of Adults IV-Theory COURSE NO.: NURS 241 CREDITS/CONTACTS: Credit Hours: 2 Lecture Hours/week: 2 Laboratory Hours/week: 0 A-T Hours/week: 0 INSTRUCTOR(s): Mrs. Kathy Oliver, MSN Office hours: Variable Phone: koliver@swmich.edu PRE-REQUISITE: NURS 240, 211 COURSE DESCRIPTION: This course is a continuation of NURS 240 and enables the student to expand knowledge of medical/surgical conditions. This course also provides practice of management concepts and skills presented in 212. The student is expected to demonstrate increasing mastery of skills and concepts necessary to function as an effective Associate Degree Nurse. CORE CURRICULUM: DISTRIBUTION REQUIREMENTS: Not applicable Required for ADN curriculum. NOTICE: Information in this syllabus, was to the best knowledge of the instructor, considered correct and complete when distributed for use at the beginning of the semester. The instructor, however, reserves the rights, acting within the policies and procedures of Southwestern Michigan College, to make changes in course content or instructional techniques without notice or obligation. HONESTY POLICY Cheating or plagiarizing will absolutely not be tolerated at Southwestern Michigan College. Any student found cheating or plagiarizing material in any manner may be assigned a failing semester/session grade in this course. A second such incident while at SMC could result in suspension or expulsion from the institution. A student found in violation of this section of the syllabus will not be allowed to drop this course. Additional detail regarding cheating and/or plagiarism may be found elsewhere in this syllabus. TEXTBOOK(s): Black, Joyce M., Matassarin-Jacobs, E Medical-Surgical

2 Nursing. Saunders, 6 th Edition. Huddleston, S., & Ferguson, S. (1997). Critical Care and Emergency Nursing. Springhouse, 3 rd Edition. REFERENCE SOURCES: Fishbach, F. A Manual of Laboratory Diagnostic Tests Philadelphia: J.B. Lippincott Co., Latest Edition. Kempf, B. (1992). Basic Cardiac Rhythms Made Easy! Redlands, California: Dimensions Publishing. (optional). Any NLN approved review book. Bullock, B. and Rosendahl, P. (1992). Pathophysiology; Adaptations and Alterations in Function. Philadelphia: J.B. Lippincott Co., Latest Edition. Taptich, B., Iyer, PJ., and Bernocchii-Losey, D. Nursing Diagnosis and Care Planning. Philadelphia: W.B. Saunders Co., Latest Edition. Weldy, N. Body Fluid and Electrolytes: A Programmed Instruction, C. V. Mosby Co., Latest Edition. Additional Resources: Southwestern Michigan College Fred. L. Mathews Library for references cited in the syllabus. METHOD OF INSTRUCTION: EVALUATION: Nursing 241 uses audio-visual materials with lecture or discussion, selected readings, case study, written assignments and demonstration. Upon completion of this course, the student will demonstrate achievement of the course objectives by obtaining a final minimum grade of seventy-eight (78%), as measured by examinations. EVALUATION METHOD: All assignments are mandatory. All assignments must be completed to successfully complete the course. Examinations (3) 75% Final Examination (1) 25% Total 100% GRADING SCALE: Per School of Nursing Student Handbook guidelines. PROGRESSION POLICY: Progression in the nursing program without interruption is determined academically by achieving a minimal grade of

3 "C" (78%). ATTENDANCE POLICY: Attendance is mandatory. See the School of Nursing Student Handbook for specific guidelines. TESTING POLICY: OTHER COURSE EXPECTATIONS: Students are expected to take all examinations as they are scheduled. Make-up policy with regard to examinations is described in the School of Nursing Student Handbook. The student is expected to have read the material to be covered in class PRIOR to class. Examinations will cover material from lecture, discussion, case study, audio-visual materials and selected readings. Therefore, the student is expected to study these sources of material thoroughly. The student must complete integrated tests 1-5 under NCLEX Success at a passing rate of 85% each. The following prompts will get you into the program: start-all programs-nursing-meds software-nclex Success. The student must present to the instructor the computer printout with the student name and score listed. These questions should be completed outside of scheduled class time. The assignment is mandatory and if not completed with result in failure of the course. LEVEL II COMPETENCIES 1. Provides direct care, based on the nursing process, by initiating as well as implementing all parts of the nursing process for clients with defined nursing diagnoses, within a variety of settings, and who have simple to complex health care needs. 2. Utilizes comprehensive therapeutic communication skills when interacting with clients, families, and other health care team members. 3. Assesses clients need for information in order to formulate a teaching plan; implements and modifies individualized teaching plans, and evaluates clients needs. 4. Organizes comprehensive aspects of care for clients with simple to complex health needs in a variety of settings. 5. Demonstrates responsibility and accountability to the profession of nursing as well as collecting data for nursing research and utilizing research findings.

4 CRITERIA FOR EXTRA CREDIT ARTICLE REVIEWS: Students will have the opportunity to obtain extra credit points by critiquing an article from a reputable nursing journal. The main considerations of each article should be: (1) Explanation of main concepts, (2) Your understanding of the article, (3) The subject matter application to nursing practice. Your paper needs to be turned in on the day of the test to receive credit. The article should be applicable to whatever subject matter we studied for that test. One test point can be earned for each article review; up to 1 test point per test can be earned. You must submit a copy of the article with your summary. Regurgitation of information from the article will not be accepted. Material must be no more than 3 years old. Reviews should be between 1-2 pages. FORMAT: Top of Page Your name. Date. Which Test This Is For. Journal Name w/date (Month, Year etc), Volume & Page # (s) Title of Article Author (s) Main Concepts: 1/3 of Critique. Personal Critique: 1/3 of Critique. Application: 1/3 of critique. All double spaced. Good grammar and accurate spelling are acceptable standards in a college level course & will be considered.

5 NURSING 241 NURSING CARE OF ADULTS IV - THEORY COURSE OBJECTIVES At the completion of the course, the learner will meet the following objectives in the areas of: respiratory, cardiovascular, hepatic, pancreatic, renal and neurologic systems: also for clients with burns injuries and tuberculosis. 1. Uses critical thinking skills in implementing the nursing process. 2. Identifies a nursing history based on subjective and objective data. 3. Identifies basic health care needs/stressors according to the nursing assessment. 4. Selects a nursing diagnoses from an established list based on identified health care needs/stressors for the individual client. 5. Prioritizes nursing diagnoses for the individual client that reflect biopsychosocial needs. 6. Identifies goals for the individual client according to the selected nursing diagnoses with attention to their level of growth and development. 7. Identifies outcome criteria specific to each goal to promote adaptation. 8. Identifies nursing interventions for an individual client=s plan of care to meet human needs. 9. Utilizes knowledge from nursing and liberal arts and science courses when contributing to an individual plan of care. 10. Verbalizes understanding of the medical plan of care based on scientific knowledge to promote an integrated plan of care. 11. Recognizes the client=s response and adaptation to the plan of care based on established nursing interventions and outcome criteria.

6 NURSING 241 NURSING CARE OF ADULTS IV - THEORY COURSE OUTLINE Nursing diagnoses, goals, plans of care, and interventions will be provided per unit. The specific information will be given relating to each problem. The nursing plan of care will stress the concept of adaptation. The nursing plan of care and medical plan of care have been separated to emphasize the difference between the two concepts. Each unit in this outline will be presented in the following format: A. Nursing Process Overview B. Data 1. Definition 2. Etiology - precipitating factors 3. Pathophysiology 4. Clinical picture 5. Diagnostic techniques - lab, x-ray, etc. C. Medical Plan of Care 1. Intervention a) Medical b) Surgical D. Nursing Plan of Care 1. Nursing diagnosis 2. Nursing goals 3. Nursing interventions E. Client Response 1. Adaptation and outcome criteria 2. Complications

7 NURSING 241 NURSING CARE OF ADULTS IV UNIT OUTLINE I. Nursing Care of Clients with Cardiovascular Problems CHAPTERS 54-58; 81, 82. B. Basic Dysrhythmia Overview C. Congestive Pulmonary Edema D. Myocardial Infarction E. Pericarditis F. Endocarditis G. Valve Dysfunction H. Aneurysms I. Blood Products II. III. IV. Nursing Care of Clients with Hepatic, Pancreatic CHAPTERS 46,47 B. Cirrhosis C. Pancreatitis Nursing Care of Clients with Respiratory Problems CHAPTERS B. Common Treatment Modalities C. Acute Respiratory Failure 1. Non-cardiogenic Pulmonary Edema (ARDS) D. Chronic Obstructive Pulmonary Disease E. Pneumonia 1. Sepsis F. Pleural disorder G. Pulmonary Embolism H. Tuberculosis Nursing Care of Clients with Burn Injuries CHAPTER 50 A. Physiologic overview of the integumentary system B. Pathophysiology of burns C. Treatment Modalities

8 4. Rehabilitation V. Nursing Care of Clients with Renal Problems CHAPTERS 35, 36,80 B. Renal Failure (acute and chronic) 1. Hemodialysis 2. Peritoneal Dialysis 3. Glomerulo Nephritis 4. Transplant VI. Nursing Care of Clients with Neurologic Problems CHAPTER B. ICU psychosis 3. Increased Intracranial Pressure 4. Cerebral Vascular Disorders E. Guillain-Barre' Syndrome F. Spinal Cord Injuries/Laminectomy 7. Neurogenic Shock