WOOD COUNTY SCHOOL OF PRACTICAL NURSING. Medical/Surgical Nursing: Reproductive
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1 WOOD COUNTY SCHOOL OF PRACTICAL NURSING Medical/Surgical Nursing: Reproductive Time: 19 Hours Theory; 1 Hour Pharmacology IV, (1 Diet Therapy - Integrated.) Placement: Nursing IV. Instructor: Toni Tennant, RN, BSN Textbooks: Christensen, Barbara and Kockrow, Elaine. Foundations of Nursing, 6 th Edition 2011 Clayton, Laura and Stock, Yvonne. Basic Pharmacology For Nurses, 15 th Edition, Mosby Yearbook, St. Louis, Missouri, Christensen, Barbara & Kockrow, Elaine, Adult Health Nursing, 6th Edition, Chapters 5 and Skidmore-Roth, Mosby s 2011 Nursing Drug Reference, Mosby Yearbook, St. Louis, Missouri. Course Overview: Medical/Surgical Nursing: Reproductive deals with disorders of the male and female systems. Integrated information includes oncology nursing and use of community resources to emphasize total client care. Course 1. Discuss disorders of the reproductive system including medical and nursing management. 2. Identify health promotion and disease prevention behaviors. 3. Plan nursing care for the client with a reproductive disorder including the use of community resources. Clinical Component: The learner will utilize knowledge garnered in the classroom to provide health care in the acute care setting for the client with reproductive system disorders. The learner will integrate this knowledge to care for clients in any clinical setting with related disorder. Instructor 1. Handout course papers. 2. Lecture. 3. Show audiovisuals. 4. Initiate class discussions. 5. Prepare, administer, and score examinations. Student 1. Read textbook assignments. 1. Attend lectures and take notes. 2. Participate in class discussions. 3. View audiovisuals. 4. Study for, take, and pass examinations with at least 80% accuracy.
2 Course Content and Time: Unit I - Introduction - 6 Hours Unit II - Female Reproductive 8 Hours Unit III - Male Reproductive - 2 Hours Unit IV - Sexually Transmitted Disease - 2 Hours Unit V - Family Planning - 1 Hours Unit VI - Pharmacology IV: Reproductive - 1 Hour UNIT I - INTRODUCTION - 6 HOURS Lesson I - Assessment Hours Pre-class Assignment: Christensen, Adult Health, pages A. Normal Structure and Function (Review) B. Human Sexuality C. Health History 1. Define terms related to the reproductive systems. 2. Identify normal structure and function of male and female reproductive systems. 3. Identify effects of aging on the reproductive system. 4. Discuss effects of illness on sexuality. 5. List data collected for a reproductive health history. 6. Discuss analysis of health history data. 7. Discuss possible nursing diagnoses related to the reproductive system. 8. Identify possible attitudes associated with reproductive issues. 1. Define and study terminology. 2. Videos: "Assessment Review Series - Reproductive." (optional) Lesson II - Diagnostic Tests Hours Pre-class Assignment: Christensen, pages A. Diagnostic Tests For Females B. Diagnostic Tests For Males 1. State normal values and reasons for the various diagnostic tests. 2. State the time recommendations for various screening tools. 3. Discuss nursing responsibilities in preparation for diagnostic studies. 4. Compare the procedures for colposcopy, culdoscopy, and laparoscopy. 5. Describe the procedure for a PAP smear. 6. Explain PAP smear results. Note the various Classifications of results.. 7. List indications for cervical, endometrial, and breast biopsies. 8. State the differences between Conization and D & C. 9. Explain the significance of the presence of the human papilloma virus in a cervical smear. 10. Identify various diagnostic tests for males and the implications and follow-up. Video: "Mammography." (optional) 2
3 Lesson III - The Reproductive Cycle - 2 Hours Pre-class Assignment: Adult Health, Christensen, pages A. Disturbances of Menstruation B. Climacteric: Female, Male C. Impotence D. Infertility 1. Describe menarche. 2. Discuss health teaching for menstruation. 3. Discuss disorders related to the menstrual cycle. 4. State causes of primary and secondary amenorrhea. 5. Discuss client teaching for the client with dysmenorrhea. 6. Compare hypermenorrhea and metrorrhagia. 7. Identify symptoms and treatment for PMS. 8. Identify changes that occur with menopause. 9. Discuss pathophysiology of male climacteric. 10. Describe nursing interventions to be utilized when caring for disorders of the reproductive cycle. 11. Identify causative factors in impotence. 12. Describe interventions for impotence. 13. Discuss medical management of infertility. 1. Study for Test Unit I Videos: "Infertility"; "Menopause"; and "For the Two of Us." (optional) UNIT II - FEMALE REPRODUCTIVE - 8 HOURS Lesson I - Infections - 2 Hours Pre-class Assignment: Adult Health, Christensen, pages Foundations of Nursing, Christensen, page , Skill 20-16, performing a Vaginal Irrigation/Douche A. Vaginitis C. PID B. Cervicitis D. Toxic Shock Syndrome 1. List assessment findings for infectious conditions of the reproductive tract. 2. Identify causative organisms in various vaginal infections. 3. Discuss nursing care for clients with vaginal infections. 4. Explain the proper positioning of the patient with PID. 5. Discuss client teaching for prevention of TSS. 6. List steps in performing a vaginal irrigation. 7. State possible nursing diagnoses related to infections. 8. Discuss management and teaching areas related to infections. Activity: Study for Test. Read remainder of chapter. 3
4 Lesson II - Disorders of the Female Reproductive System - 3 Hours Pre-class Assignment: Adult Health, Christensen, pages A. Endometriosis E. Ovarian Cysts B. Vaginal Fistula F. Cancer C. Relaxed Pelvic Muscles G. Hysterectomy D. Benign Uterine Tumors 1. Identify signs and symptoms of endometriosis. 2. Identify various types of vaginal fistulas including organs involved and manifestations. 3. List signs and symptoms of various relaxed pelvic muscle conditions. 4. Describe treatments for relaxed pelvic muscles. 5. List manifestations of benign uterine tumors. 6. Discuss the origin of ovarian cysts. 7. Discuss client teaching related to female reproductive disorders. 8. Identify nursing responsibilities for the various disorders of the reproductive system. 9. State possible nursing diagnoses for reproductive disorders. 10. Identify nutritional modifications in reproductive disorders. 11. Identify those at risk for cancer of the cervix. 12. List clinical manifestations of the various reproductive cancers. 13. Discuss medical management of the reproductive cancers. 14. Compare vaginal and abdominal hysterectomies. 15. Plan pre-op and post-op nursing care for a hysterectomy client. 1. Videos: "Endometriosis" and "A New Beginning." (Optional) 2. Study for Test. Lesson III - Breast Disease - 3 Hours Pre-class Assignment: Adult Health, Christensen, pages A. Fibrocystic Breast Condition C. Chronic Mastitis B. Acute Mastitis D. Breast Cancer 1. Discuss fibrocystic breast disease including signs, symptoms, and treatment. 2. State differences between acute and chronic mastitis. 3. Identify predisposing factors for breast cancer. 4. Describe signs and symptoms of breast disease. 5. List methods of diagnosis for breast cancer including client teaching prior to exam. 6. Identify nursing responsibilities in teaching self breast examination. 7. State the best time to perform self breast examination. 8. Explain surgical interventions for breast cancer. 9. Write a plan of care for the client undergoing a mastectomy (including pre-operative teaching). 10. Describe exercises to be used after breast surgery. 11. List adjustments the client with breast cancer will face. 12. Identify the role of adjuvant therapies in the management of breast cancer. 13. Identify personal feelings related to changes in body image. 4
5 1. Videos: "Breast Lumps" (Time Life) (optional) "Breast Cancer" (Time Life) (optional) "Breast Cancer" (1994) (optional) 2. Study for Unit II Test UNIT III - MALE REPRODUCTIVE - 2 HOURS Lesson I - Disorders of the Male Reproductive System - 2 Hours Pre-class Assignment: Adult Health, Christensen, pages A. Prosatitis D. Hydrocele B. Epididymitis E. Varicocele C. Phimosis F. Cancer 1. State symptoms related to various reproductive disorders. 2. Discuss possible behavioral response to reproductive involvement. 3. Identify signs and symptoms of prostatitis. 4. Discuss epididymitis including cause, symptoms, and treatment. 5. Choose the standard treatment for phimosis. 6. List possible causes of hydrocele. 7. Explain varicocele formation. 8. Identify nursing responsibilities in teaching TSE. 9. State the significance of cryptorchidism. 10. List those at risk for cancer of the penis. 11. Discuss medical management of the various disorders of the male reproductive system. 12. Plan care for the client with a disorder of the male reproductive system. 1. Review prostate disorders in Adult Health, Christensen, Chapter 10, pages Study for Test. (Units III, IV, and V) UNIT IV - SEXUALLY TRANSIMITTED DISEASES - 3 HOURS Lesson I - Male & Female - 3 Hours Pre-class Assignment: Adult Health, Christensen, pages and review Adult Health, Chapter 16. A. Herpes Genitalis E. Candidiasis B. Syphilis F. Chlamydia C. Gonorrhea G. AIDS (Review) C. Trichomoniasis 1. List the cause and treatment for stated sexually transmitted diseases. 2. Discuss the mode of transmission for sexually transmitted diseases. 3. Identify symptoms of stated sexually transmitted diseases. 4. Identify diagnostic tests for each STD. 5. Contrast Herpes I and Herpes II. 5
6 6. Identify nursing interventions for teaching prevention of STD's. 7. State the reason why the incidence of Chlamydia has increased. 8. Contrast the symptoms of Trichomoniasis and Candida infections. 9. Research community resources available to those with STD's. 1. Complete STD Study Sheet - 25 points. 2. Video: "What Now?: Living with Genital Herpes." (optional) 3. Study for test UNIT V - FAMILY PLANNING - 2 HOURS Lesson I - Contraceptive Options - 2 Hours Pre-class Assignment: Adult Health, Christensen, pages A. Surgical Contraception B. Hormonal Contraceptives C. Barrier and Behavioral Contraceptives 1. Discuss attitudes related to contraception. 2. Discuss vasectomy including the reversal procedure. 3. Explain tubal ligation. 4. List post-op nursing interventions for the client undergoing surgical contraception. 5. Develop a plan for client teaching regarding birth control pills (how they work, how to take them, storage, etc.). 6. Describe possible side effects with hormonal contraceptives. 7. Discuss barrier and behavioral contraception. 8. Identify personal feelings related to the discussion of contraception. 9. List an example of the four contraceptive methods. 1. Answer study questions at the end of the chapter. 2. Videos: "Methods of Contraception"; "Coming Together"; "Vasectomy"; and "Tubal Ligation". 3. Test Units III-V 4. Write a Patient Teaching Tool to give the client who will start taking an oral contraceptive. Refer to grading rubric for guidelines 25 pts 6
7 PHARMACOLOGY IV: REPRODUCTIVE - 1 HOUR Pre-class Assignment: Adult Health, Christensen, pages Skidmore-Roth - Mosby's 2011 Nursing Drug Reference. Study Guide. Basic Pharmacology for Nurses, Clayton & Stock, Chapter 41. A. Related to Disorders of Menstrual Cycle B. Infections C. Breast Disease D. Sexually Transmitted Diseases E. Contraception F. Infertility 1. List two drug classes given for dysmenorrhea including their therapeutic action. 2. Explain the reason for a pregnancy test before initiating drug therapy for amenorrhea. 3. List the drug of choice for trichomonas. 4. State the recommended drugs including related client teaching for the client diagnosed with monilial vaginitis. 5. Discuss the effect of vitamins in fibrocystic breast disease. 6. Describe the action of tamoxifen therapy in breast cancer. 7. List two drugs used to treat syphilis and/or gonorrhea. 8. Identify nursing considerations when teaching the client about Flagyl. 9. State the drug of choice for treatment of chlamydia. 10. Discuss the treatment for Herpes Genitalis. 11. Identify pre-existing conditions when considering use of oral contraceptives. 12. State what the client should do if she forgets a dose of oral contraceptive. 13. Discuss reasons for discontinuance of oral contraceptives. 14. Identify the required examination for renewal of oral contraceptives. 15. Explain the therapeutic roles of prescribed reproductive related hormones. 16. State the length of time a client on oral contraceptives should wait after discontinuance before attempting to conceive. 17. Discuss nursing implications for the client receiving an antibiotic while taking oral contraceptives. 18. Solve dosage problems. 1. Handout - Pharmacology Study Guide. 2. Review calculations and conversions. 3. Study for Reproductive Pharmacology Final Exam Reproductive Curr Revised 4/11 7
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