1 N656: ADVANCED PRACTICE NURSING: PRIMARY CARE II Lorraine Fitzsimmons, PhD, FNP, ANP-BC Sue Hadley, PhD, GNP, ANP-BC Sarah Livermore, PhDc, FNP-BC, ACHPN FALL 2013
2 Course Number: Nursing 656 Course Title: Course Hours: Faculty: Advanced Practice Nursing: Primary Care II 3 units, 3 hours Lorraine Fitzsimmons, PhD, ANP-BC Concentration Chair, Advanced Practice Nursing of Adults and Elderly Director, Adult-Gerontology Nurse Practitioner Program SDSU School of Nursing, Hardy Tower (HT), 172 Lfitzsim@mail.sdsu.edu 619-597-2761 (email preferred method of communication) Sue Hadley, PhD, GNP, ANP-BC Associate Professor, SDSU School of Nursing, HT, 170 shadley@mail.sdsu.edu Sarah Livermore, PhDc, FNP-BC, ACHPH Lecturer, SDSU School of Nursing SLIVERMORE@mail.sdsu.edu Time: Tuesday, 4-6:40 p.m. Place: Montezuma Classrooms North (MCN), Room 107 Concentration: Prerequisites: Concurrent: Description: Advanced Practice Nursing of Adults/Elderly Nurse Practitioner-Clinical Nurse Specialist Specialization N501, Advanced Health Assessment & Health Promotion N610, Pathophysiology of Adults and the Elderly N604A, Theoretical and Research Bases of Nursing N604B, Theoretical and Research Bases of Nursing N608, Nursing in the Health Care System N654, APN: Primary Care I N655, APN Practicum: Primary Care I N684, Information Systems for Nursing N658, Clinical Pharmacology for Advanced Practice Nursing N657, APN Practicum: Primary Care II Primary care management of adults/elderly with acute and chronic health problems. Contemporary role and psychosocial issues in advanced practice nursing of adults and elders. Student Learning Outcomes: Upon successful completion of this course the student shall be able to: 1. Identify adult/geriatric clients at risk for select acute and chronic health problems. 2. Synthesize knowledge of health assessment, pathophysiology and pharmacotherapeutics in the primary care management and evaluation of select acute and chronic health problems. 3. Delineate the pathophysiology, clinical presentation, and differential diagnoses associated with select acute and chronic health problems. 4. Develop initial and continuing management plans including diagnostic tests and pharmacologic and non-pharmacologic therapeutics for select acute and chronic health problems.
3 5. Identify appropriate indications for referral and patient education for select acute and chronic health problems. 6. Analyze current evidence-based-practice guidelines and national standards of care for select adult and geriatric health care problems. 7. Analyze research relative to health promotion, health maintenance, and health restorative interventions. 8. Analyze community resources relative to the provision of primary care. 9. Analyze the multifaceted role of the adult/geriatric advanced practice nurse in health care systems. 10. Analyze contemporary socio-cultural, economic, ethical, and legal issues relevant to advanced practice nursing of adults/elderly. 11. Analyze select concepts and theories from the behavioral and social sciences for application in advanced practice nursing of adults/elderly. Required Books: Buppert, C. (2012). Nurse practitioner's business practice and legal guide. 4 th Bartlett, Boston. edition. Jones and Dains, J., et al. (2011). Advanced health assessment and clinical diagnosis in primary care. Mosby: St. Louis. Desani, S. (2009). Clinician's guide to laboratory medicine. Pocket. MD2B. Houston, Texas. Gilbert, D., et al. (2013). The Sanford guide to antimicrobial therapy. Antimicrobial Therapy. VT. Goroll, A. & Mulley, A. (2009). Primary care medicine. Office evaluation and management of the adult patient. 6th edition. Lippincott Williams & Wilkins: Philadelphia. Gutierrez, K. (2008). Pharmacotheraputics: Clinical Reasoning in Primary Care. Saunders; 2nd edition. Reuben, D. et al. (2012). Geriatrics at your fingertips.14 edition, American Geriatrics Society, New York. Seidel, H., et al. (2011). Mosby's guide to physical examination. 7the edition. Mosby: St. Louis. Course Requirements This class builds on content presented and discussed in Pharmacology (NURS 658), Advanced Health Assessment (NURS 501), Pathophysiology (NURS 610) and Primary Care I (NURS 654). Both lecture and discussion formats will be used. You are expected to be prepared for class, attend class, and actively participate in class. You are expected to read and study all assigned readings (texts and assigned articles) as minimal preparation for class. Assigned articles may be announced as the topic for the class approaches. Students who are not regularly prepared for class will have their grade lowered by one interval (example: A to A-). CLASS ATTENDANCE IS REQUIRED. During class you will discuss cases, you will present your homework, and engage in clinical decision making exercises that prepare you for the nurse practitioner
4 role. Excused absences will be granted by Dr. Fitzsimmons for serious reasons only. Students are required to contact Dr. Fitzsimmons to discuss their absence prior to class. Work schedules are not reasons for excused absences. An unexcused absence will result in the lowering of your course grade by on one interval (example: A to A-) Students are expected to be on time for class. The use of electronic devices during class is limited to activities directly associated with the content being discussed. The use of cell phones to text is distractive and not permitted during class time. Classes may not be recorded. Final Course Grades: Final course grades will be determined by achievement in: Examination I 40% Examination II 40% CV & Professional Portfolio Project 20% To successfully complete this course, a student must earn an average test grade of C or better. Examinations may be in-class closed book tests and may consist of both objective (multiple choice, short answer, matching) and essay type test questions. Critique of literature (research and advanced role development) is an expectation this semester. Final course grades are based on the following plus/minus scale: 93-100% A 90-92% A- 87-89% B+ 83-86% B 80-82% B- 77-79 C+ 73-76 C 70-72 C- 67-69% D+ 63-66% D Please refer to the 2013-2014 SDSU Graduate Bulletin regarding graduate division policies regarding GPA etc. Week/Content /Required Readings: Class Schedule Subject to Revision 8/27 Course orientation, course requirements, COMPETENCY EXAM Advanced Practice Issues, Buppert, chapts, 1, 2, pp. 46-47 (Portfolio information) 9/3 Management of Adult/Elders with Hepatitis 9/10 Palliative Care 9/17 Advanced EKG Interpretation 9/24 Management of Common Geriatric Syndromes 10/1 On-line, class does not meet, materials posted on Blackboard Primary Care of Adults/Elders with Neurologic Problems: Dizziness/Vertigo, Headache, Seizures, Dementia, Memory Decline, Parkinson s Disease 10/8 MENTAL HEALTH ISSUES in Adults/Elders 10/15 EXAM 1 10/22 Management of Adults/Elders with Musculoskeletal Disorders-Student Presentations 10/29 Management of Adults/Elders Requiring Anticoagulation
5 11/5 Management of Adults/Elders with Chest Pain, Cardiac Diagnostics 11/12 Chronic Pain Management in Adults/Elders, Wound Care 11/19 Coding (ICD 10, CPT), Reimbursement, Medicare 11/26 Management of Adults/Elders with Prostate Disorders 12/3 Primary Care of Adults/Elders with Thyroid Disorders Prescribing Steroids in Primary/Emergency Care settings Sociocultural Issues in Health Care Delivery 12/10 TBA 12/17 EXAM