DIVISION: Health Professions. Course: NUR1211 Holistic Nursing 1

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1 ILLINOIS VALLEY COMMUNITY COLLEGE Course Outline DIVISION: Health Professions Course: NUR1211 Holistic Nursing 1 Date: January 2014 Semester Hours: 5.0 Prerequisite(s): NUR 1201, NUR 1202: (A.D.N.) BIO 1007, BIO 1009, ALH 1000; or (P.N.) ALH 1200, ALH 1002, BIO 1200, PSY Concurrent enrollment in or completion of (A.D.N.) ALH 1002, BIO 1008, PSY 1000 or (P.N.) PSY 1000, ENG 1001 Delivery Method: Lecture 5 Credit Hours Seminar Lab Clinical 0 Credit Hours 0 Credit Hours 0 Credit Hours Online Blended Offered: Fall Spring Summer IAI Equivalent Only for Transfer Courses-go to CATALOG DESCRIPTION: The focus of this course is the nursing care of patients with the most commonly experienced problems of the respiratory, cardiovascular, gastrointestinal, urinary, endocrine, and integumentary systems across the life span. Students are provided an opportunity to utilize critical thinking, the nursing process, nursing skills, and theoretical knowledge in a variety of health care settings. GENERAL EDUCATION GOALS ADDRESSED Upon completion of the course, the student will be able: To apply analytical and problem solving skills to personal, social and professional issues and situations. To communicate orally and in writing, socially and interpersonally. To develop an awareness of the contributions made to civilization by the diverse cultures of the world. To understand and use contemporary technology effectively and to understand its impact on the individual and society. To work and study effectively both individually and in collaboration with others. To understand what it means to act ethically and responsibly as an individual in one s career and as a member of society. To develop and maintain a healthy lifestyle physically, mentally, and spiritually. To appreciate the ongoing values of learning, self-improvement, and career planning. 1

2 EXPECTED LEARNING OUTCOMES AND RELATED COMPETENCIES: Upon completion of the course, the student will be able to: 1. Use the nursing process as a framework to address basic concepts of health condition related to the listed body systems. 2. Describe the normal anatomy and physiology of the listed body systems. 3. Describe the pathophysiology of selected health problems covered in this course. 4. Identify the signs and symptoms of the patient experiencing these selected health problems. 5. Compare and contrast different medical and surgical modalities used in the treatment of course specific illnesses. 6. Develop a nursing process paper/concept map for an individual with a health problem identified with these course specific illnesses. 7. Perform a head to toe assessment on an individual, identifying the signs and symptoms of course specific illnesses. 8. Use the nursing process to select nursing diagnoses while caring for clients with these selected health problems in the acute care setting. 9. Set measurable and realistic goals stemming from nursing diagnoses related to the course specific illnesses. 10. Select the most significant nursing interventions to achieve these goals. 11. Perform nursing interventions as selected and as ordered by the physician for these course specific illnesses. 12. Evaluate the patient s progress after receiving the nursing care for these illnesses. 13. Identify legal/ethical behavior and practices within profession standards. Practice nursing in accordance with the guidelines set forth in the Illinois Nurse Practice Act. 14. Demonstrate the ability to organize and provide the prescribed plan of nursing care to patients/aggregates in collaboration with other members of the health care team. Seek opportunities that will broaden the student s knowledge base and professional growth. Utilize goal-oriented communication to promote teaching and learning within the clinical and community arenas. Demonstrate correct documentation skills in the acute care setting. Complete a written teaching plan for a patient with a course specific health problem. 15. Identify resources available for the patient with selected health care needs related to the listed body systems. Identify community referral agencies and services available for the patient with selected health care problems for the purpose of planning the continuity of health care. List the lifestyle factors that may contribute to course specific health problems. List the means of preventing the course specific health problems. 16. Describe biopsychosocial adaptation to applied therapies used for health promotion, maintenance, and restoration of patient(s) with selected health conditions related to the listed body systems. Describe the biopsychosocial adaptation responses of culturally diverse, aging, and pediatric patients to these health problems. Describe the diagnostic tests necessary in the care of these health problems, and the nursing care associated with these tests. Demonstrate therapeutic nursing measures necessary to safely care for individuals with course specific illnesses receiving various surgical and medical interventions. Examine the actions, uses, usual dosages, side effects, and nursing implications for the most commonly used medications applicable to this course. Examine and apply therapeutic diet modifications for selected health problems. During each clinical, provide complete nursing care for one to two patients with selected health problems. Demonstrate the skills necessary for the assessment of the course specific body systems. 17. Use therapeutic communication techniques to establish/maintain a nurse-patient relationship in the acute care setting. Analyze the communication techniques used with patients in the acute care setting. 2

3 UNIT CONTENT: Unit 1 Respiratory Unit 2 Cardiovascular Unit 3 Gastrointestinal Unit 4 Urinary Unit 5 Endocrine Unit 6 Integumentary INSTRUCTIONAL METHODS: Lecture Discussion Clinical practice and evaluation Written projects Case Studies Simulation Demonstrations Seminars Audio-Visual Aids Exams Guest Speakers Computer programs INSTRUCTIONAL MATERIALS: Textbooks Study Guide Books Class Notes and Handouts Audio-Visual Aids Computer Programs TEXTS: REQUIRED: Ackley, B.J., & Ladwig, G.B. (2014). Nursing Diagnosis Handbook (10 th ed.). St. Louis: Mosby. Conley, P., Rose, D., & Lee, A. H. (2013). Clinical decision-making guide for Medical-Surgical nursing patient-centered collaborative care (7 th ed.). St. Louis: Elsevier-Saunders. Gould, B., & Dyer, R.M. (2011). Pathophysiology for the Health Professions (4 rd ed.). Philadelphia: Saunders. Ignatavicius, D.D., & Workman, M. L. (2013). Medical-Surgical nursing patient-centered collaborative care (7 th ed.). St. Louis: Elsevier-Saunders. Josephson, D. (2004). Intravenous Infusion Therapy for Nurses: Principles and Practice (2 nd ed.). Clifton Park, N.Y: Delmar Learning. Kee, J.L., Hayes, E.R., & McCuistion, L. E. (2012). Pharmacology: A nursing process approach (7 th ed.). Philadelphia: Saunders. LaCharity, L., Kumagai, C. K., & Bartz, B. (2011). Prioritization, Delegation, and Assignment (2 nd ed). Mosby-Elsevier. McKinney, E. S., James, S. R., Murray, S. S., Nelson, K.A., & Ashwill, J.W. (2013). Maternal-child nursing (4 th ed.). St. Louis; Elsevier-Saunders. McKinney, E. S., James, S. R., Murray, S. S., Nelson, K.A., & Ashwill, J.W. (2013). Study guide for maternal-child nursing (4 th ed.). St. Louis: Elsevier-Saunders. Pagana, K. D., & Pagana, T. J. (2010). Manual of Diagnostic and Laboratory Tests (4 th ed.). St. Louis: Mosby. 3

4 Potter, P., Perry A.G. Stockert, P A. & Hall, A. M. (2013). Fundamentals of Nursing (8 th ed.). St. Louis: Mosby. Wilson, S.F. & Giddens, J.F. (2013). Health assessment for nursing practice (5 rd ed.). St. Louis: Mosby. Evolve Case Studies Mosby s Nursing Skills video NCLEX-RN 10,000 Prep U program NUR 1211 Class notes Handbook and Portfolio Handbook (2014) Recent Health Dictionary Recent Drug Guide RECOMMENDED: Berger K.S. (2011). Developing Person through the Life Span (8 th ed.). New York: Worth Publishers. Hogan, M.A., & Madayag, T. (2004). Medical-Surgical Nursing: Reviews & Rationales, Upper Saddle River, N.J.: Prentice Hall. Kee, J.L., Hayes, E.R., McCuistion, L. E. (2012). Study Guide for Pharmacology: A nursing process approach (7 th ed.). Philadelphia: Saunders. Rolfes, S.R., Pinna, K. & Whitney, E. (2006). Understanding normal and clinical nutrition (7 th ed.). Belmont, CA: Thomson Wadsworth. (Or any clinical nutrition book). A nursing process critical thinking guidebook NCLEX review book Reminder about e-books: Using Pageburst, you will be able to download your e-books to your computer for both online and offline use. You can access your textbooks on your computer without the use of Internet or online through your computer or mobile devices (smart phones, IPads, e-readers, etc.). Some of the features of e-books: create and print custom study guides, ability to add your own notes and highlights, collaborate with classmates, customize searches through all your e-books. Please contact the Student Help Desk or lab instructor if you need help downloading your electronic resources. Instructors: Lecturer: Clinical Instructors: Patricia Pence: office B307; ; (home); (cell); Office Hours: Tuesday 10-12:30. Thursdays 10-12:30 Lena Alfano: office B311a, ; ; Ann Bruch: office B219; ; Julie Hogue: office B310; ; Karie Stecken: office B311a; ; METHOD OF EVALUATION: Grading Policies % of classroom theory is the minimum grade required for passing theory. Grade percentages are not rounded up. Students who do not pass a test with at least 80% must submit a completed learning contract by or in person to the lecture instructor, outlining the specific plan to improve the next test grade. Failure to submit a Learning Contract may result in a Need for Professional Development. Test questions may be generated from any component of this course. All tests are comprehensive. 4

5 Students are expected to take all tests on the designated days. When missing a test, the SN must notify the lecture instructor within 24 hours about a make-up test and make an appointment at the Assessment Center to take the test. Failure to take the test on the designated day will result in a zero (0) for the test. Missed tests need to be completed before the next scheduled test. According to the nursing handbook, only one test can be missed per 8-week period, more than one will require a letter of appeal. The make-up test could be paper/pencil, computer based, or an oral test, to be determined at the discretion of the nursing instructor. It may NOT be the same test given to the rest of the class, but may be made up of different questions that cover the same content. Student s grade is based on cumulative total points, which are then recorded as a percentage of the total points for the course: #Of SN test points # Of total test points for course = SN percentage (course grade) (Do not average the percentages of each test). The grading scale is in accordance with the nursing handbook. Grading Scale % A 92-86% B 85-80% C 79-71% D Below 71% F Students are encouraged to review their own test results after completing the test. When challenging answers to test questions, the SN must present written support from 3 professional sources in person, NOT by . This must be given in person to the instructor for review within one week following the exam review. 2. Passing grade (90%) on a Math Quiz. (See Nursing Handbook). 3. A Pass grade on all assigned WRITTEN PAPERS (As designated by portfolio grid). All written papers are due on the 4 th school day after caring for the patient. If each paper is not submitted on the designated day, it will not be accepted. The papers should be submitted at the college entrance desk or as the individual clinical instructor prefers. Any that are mailed should be mailed certified mail so that the student may submit the receipt as proof of mailing. The SN is ultimately responsible for papers that get lost or that pass the hands of people in between the SN and the instructor. 4. Passing (satisfactory) evaluation of CLINICAL PERFORMANCE: The SN will be evaluated during clinical times for progress in application of course content and all nursing skills expected at this level. Achievement of SATISFACTORY clinical performance is: a. Set forth by the clinical evaluation tool, and course objectives for this course. b. Satisfactory demonstration of the nursing process and all the nursing skills necessary to provide holistic patient care. c. Personal growth and development for appropriate professional nursing behavior. d. Submission of satisfactory written assignments Students must maintain satisfactory status in the clinical area as outlined on the clinical evaluation form. The clinical instructor evaluates the student s level of personal professionalism, ability to effectively implement the nursing process, and mature interaction with the health care team. Students are encouraged to make an appointment with their clinical instructor to periodically review their clinical progress. 5

6 Clinical Procedure Proficiency Criteria: 1. The SN must satisfactorily proficiency all the basic skills identified by the clinical instructor. The instructor assigns the procedure to the SN. The SN may clarify the procedure or any other details before beginning. 2. During the procedure the SN may ask the instructor about the situation but not ask the instructor to give him/her the steps of the procedure. 3. The proficiency evaluation may be discontinued at any time the SN demonstrates an inability to perform the procedure safely or adequately. If the SN is being evaluated other than the first time, the SN may receive a Critical Incident Citation. 4. The SN must demonstrate procedures safely and satisfactorily use 100% aseptic technique with consideration of the patient as a person rather than the object of a technique. The SN will use proper communication skills in all nursing interactions applying cultural diversity concepts. The SN will demonstrate the nursing process in giving complete nursing care to a patient within the clinical time frame allowed. The SN will maintain legal requirements, ethical standards, and institutional policies. The clinical instructor notes each SN s performance. It is the SN s responsibility to review such information periodically with the instructor. Portfolio: A complete and up-to-date portfolio must be presented to the clinical instructor at the time of the evaluation. Failure to do so will result in an incomplete for the nursing course. ATTENDANCE: Students are to attend lecture, college lab, clinical lab, and/or alternative experiences promptly as scheduled. Absenteeism and tardiness will be dealt with according to the nursing handbook policies, which may result in a Need for Professional Development. If you are late for class, you will be marked absent unless you inform the instructor of your tardiness by the end of class time. Note: (from the Nursing Handbook) Students must inform the clinical instructor by phone (or as specified by clinical instructor) if a circumstance prevents attendance in the clinical experience or seminar. PARTICIPATION: Students are expected to attend class/lab/seminar prepared with reading assignments and/or written assignments. Active participation in class discussions, lab activities, and clinical experiences is expected. Due to the vast amount of information to be learned, not all unit objectives may be addressed in class and labs. However, since the content most likely will be tested, the student is responsible to complete those objectives. Students are responsible for all materials covered during their absence. IMPORTANT: The lecture notes serve as an outline for the lecture material. Students are expected to bring the completed lecture notes to class. The student must prepare to fill in the lecture notes prior to class by reviewing podcast lectures, assigned readings, and other assignments. Students who present to class unprepared will jeopardize their success because they will find it very difficult to follow the activities scheduled during class. PERFORMANCE POLICIES: Students need to review and abide by the policies in the IVCC Nursing Handbook including those regarding Critical Incidents, Need for Professional Development, Program of Improvement, and Learning Contract. Failure to attain any one of the above criteria will result in failure of the course. Evidence of unsafe, ineffective, or unreliable nursing care will result in failure of the course regardless of exam scores or written assignments. 6

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