Family Nurse Practitioner II NURS 5603 3 credit hours Course Information Course Description: This course focuses on advanced practice nursing and healthcare management of adults and older adults in diverse populations. Course content includes developmental, physiological, pathological, and psychosocial changes relative to health maintenance, acute and chronic illnesses and life transitions Course Outcomes: Upon completion of this course, the student will be able to: 1. Assess the developmental status and functional capacity adults and older adults 2. Formulate differential diagnoses to promote health, prevent disease, and manage acute/chronic illness in adults and older adults applying knowledge from related disciplines and nursing 3. Develop advanced practice plans of care to manage the delivery of health care to adults and older adults in diverse settings 4. Evaluate the health status of adults and older adults 5. Utilize relevant research findings in the clinical management of adults and older adults health 6. Analyze existing protocols using established standards of care for intervention in health promotion and acute and chronic health alterations in adults and older adults 7. Integrate legal, ethical, socioeconomic, psychosocial, and cultural factors in delivery of health care to adults and older adults 8. Relate the role and scope of practice of the family nurse practitioner to health care situations of adults and older adults. 9. Evaluate adequacy of health policies, health resources, community resources, support networks and advocacy structures for the older adult. Prerequisites and Corequisites: Admission to the RODP MSN program or permission from the department chair. Prerequisites: NURS 5101/5102 Advanced Health Assessment; NURS 5103 Advanced Pathophysiology; NURS5104 Advanced Pharmacology Co requisite: NURS 5604 FNP II Clinical Course Topics: The emphasis of this course is the care of adults and older adults. The content will encompass those topics addressed in the companion clinical course (NURS 5604). These will include: I. Overview of Issues related to the Care of Adults and Older Adults: Health Promotion, Wellness and Self Care II. Management of Common Psychosocial Disorders Violence and Dependency
III. Management of Common Acute and Chronic Problems of the Head, Eyes, Ears, Nose, Throat and Neck. IV. Management of Common Acute and Chronic Problems of the Integumentary System V. Management of Common Acute and Chronic Problems of the Respiratory System VI. Management of Common Acute and Chronic Problems of the Cardiac System, PAD and PVD. VII. Management of Common Acute and Chronic Problems of the Endocrine System VIII. Management of Common Acute and Chronic Problems of the Renal and Male Reproductive System IX. Management of Common Acute and Chronic Problems of the Neuromusculoskeletal systems X. Management of Common Acute and Chronic Problems of the GI system and Nutritional Issues XI. Management of Common Acute and Chronic Problems of the Hematological, Immune, and Lymphatic systems XII. Management of Common Emergency Situations in Primary Care. Textbooks, Supplementary Materials, Hardware and Software Requirements Required Textbooks: Please visit the Virtual Bookstore to obtain textbook information for this course: http://rodp.bkstr.com Supplemental Textbooks: Current Advanced Patho book, Current Advanced Pharmacology Book, Current Advanced Assessment Book - Current NP Guidelines, ICD-9 Software, APA 6th edition book, Current Nursing Theory Books Supplementary Materials: As needed Hardware Requirements: The minimum requirements can be found at http://www.rodp.org/current-students/technical-support Software Requirements: The minimum requirements can be found at http://www.rodp.org/current-students/technical-support. (A list of software the student is required to purchase or download for the course, Real Player, Media Player, Acrobat Reader, Microsoft Office, etc). Instructor Information Click on the "Faculty" link located in the left frame of each page inside this course to find instructor contact information. Assessment and Grading Testing Procedures: There are quizzes and a final examination in this course Grading Procedure:
Grades on the following assignments constitute the grade for this course. Specific requirements for each assignment are detailed at the end of this syllabus: Assessment and Grading: The course grade is based on the following: Case Analysis with Clinical Research Documentation 20% Quizzes 20% Class Discussion and Participation 20% Module Assignments 20% Comprehensive Final 20% TOTAL 100% Grading Scale: A = 93-100 B = 85-92 C = 77-84 D = 70-76 F = <70 Late Assignments: Late assignments will receive a 10% grade deduction for each day or portion of a day that the assignment is late - even if the portion of a day is only one minute. Central standard time will be used as the standard in this course. Assignments and Participation Assignments and Projects: The requirements for all assignments are detailed in the sections that follow. Each module has an assignment component that should be submitted through the Dropbox. All assignments must be submitted to the Assignment Dropbox unless otherwise indicated. Other assignments include the Case Analysis, Discussion Board (Leadership component), Quizzes, and Final Examination. See Calendar for dates due.
CASE STUDY PAPER = 20% Each student will develop a case study (approximately 10 pages) on a topic that is preapproved by the faculty. The student will select a topic for the case study that will integrate nurse practitioner management. Promoting Professional Scholarship Purpose: The purpose of this paper is to promote scholarly thought and writing. Writing this paper will increase your critical thinking skills, you writing abilities and will encourage you to incorporate published literature in your nursing practice. A goal of paper is to gain further understanding about how we choose certain actions and why the patients and their families respond the way they do. This paper will allow you to examine that process based on a real person you have had the privilege of interacting with in one of your clinical settings. You may be frustrated with the amount of time and effort this paper will take, but I think you will be proud of your accomplishment upon its completion. You may submit this paper to me twice. The first time I will provide you with feedback if submitted by the date assigned. When you submit the final paper, I will not provide you with any feedback. You are to turn the final paper in to me on the due date. Your grade will be based on the final paper. I. Introduction Criteria Introduction of client (anonymous name) and medical diagnosis (Provide a synopsis of the client and the client's context) A short paragraph is written identifying the purpose of the paper Pathophysiology of diagnosis is clearly stated and has a reference from a textbook or journal (potential pathology) Clearly presented a brief discussion of treatments, medications, diagnostic procedures, lab values and other pertinent data (Describe the presenting issue, problem, or symptoms and the implications of this problem or topic. a. Physiologically (1) Developmental/Aging issues (if any) Theory of aging Psychologically (1) Client (2) Family (3) Community What, if any, laboratory or diagnostic evaluations should this topic or problem require, e.g., x-rays, ultrasound? Identified differential diagnoses and identified why they were priorities. Identified measurable, realistic and short term and long-term outcomes. (How should a client presenting with this problem or topic be managed) II. Review of Related Literature Criteria An introductory paragraph is presented which discusses how the review of literature was conducted Review of literature: References are recent (within 5 years). Critically analyze the case and related topic or problem chosen, using current and classic research from varied disciplines. Research sources should be cited in your paper and included in your presentation. Note that a minimum of ten citations of relevant literature must be included, at least three of which must be research-based.
The presentation should only include the most noteworthy citations. A paragraph summarizing the literature is clearly presented. A brief compare and contrast among literature citations is presented. III. Application and Evaluation Criteria The client's present clinical status is compared and contrasted to the current pertinent literature Critically analyze the case choosing three of the most salient of the following areas: social, political, ethical, legal, moral, feminist, spiritual, or cultural influences. a. What (if any) are the common and alternative therapeutic management modalities that would be appropriate in managing this clinical case? b. Identify the appropriate anticipatory guidance. c. Identify a plan for continuity of care for the client. Evaluation of expected outcomes is clearly presented. These evaluations should be related to the data and information in the introduction. This should be presented in a comprehensive SOAP format. Included a conclusion from each diagnosis identified in the introduction. List an ICD-9 code for the diagnosis you choose. Conclusion demonstrates analysis and creativity IV. Opportunities for Teaching and Quality of Care Improvement Criteria Teaching needs of the client and the family were clearly presented. A brief rationale is provided for each area of teaching need identified. A teaching plan is included. Actual or potential referrals are identified with rationales cited When or did consultation, comanagement, and/or referral become indicated? a. Identify your plan if any for this collaboration. b. Include provisions for collaboration with any other disciplines. Identified an aspect of management related to the client's care Describe nurse practitioner care outcomes for this woman and her family. V. Technical Aspects of the Paper Criteria Followed APA format for the layout of the paper (Each paper is to be typed and double spaced with appropriate margins. The pages of this paper should be numbered. The title page should include title of the paper, your name, course number, and the date) Followed APA format for references (citing and reference list) No spelling or grammatical errors (Proofread your paper for typographical errors prior to turning in your paper). Papers are to be turned in on or before the due date. Late papers are not accepted and will result in NO POINTS. Course faculty for emergencies may grant extensions.
Failure to follow the above guidelines will be reflected in the paper grade( up to a 10% deduction for major APA errors. Guidelines for Grading: Points 5 Exceptional 4.25 Above Average 3.85 Average 3.5 Below Average Documentation is clear and well organized. Appropriate medical terminology is used. Redundant (repetitious) words, phrases, and other distracting information are omitted. Format follows APA standard. Narrative has a logical flow. Documentation meets criteria for "exceptional" but there is occasional redundant information. Documentation meets criteria for clarity but needs to be better organized. Documentation occasionally strays from standard format for SOAP documentation. Narrative occasionally strays from logical sequence but the reader is able to determine findings with minimal difficulty. Documentation is not as clear or does not meet expectations for the graduate level as evidenced by either of the following. Lay terminology or slang is used rather than appropriate medical terminology. Misspelled words and/or grammatical errors are present. Sequencing of documentation requires that the reader extract and sequence information independent of the written record in order to gain an adequate representation of assessment and management. Documentation is unclear and/or unorganized and/or inappropriate as evidenced by any of the following. Absence of appropriate medical terminology 3.0 Unacceptable Frequent use of lay terminology or slang Misspelled words and/or poor grammar are common (>2). Contains repetitious information that creates distractions. Format does not follow a standard format for SOAP documentation.
Points Narratives such as the HPI and Exam are haphazardly written. Subjective and objective assessments of health status are fully explicated without the inclusion of extraneous information. CC is succinct. 5 Exceptional HPI is fully developed and includes location, duration, timing, character, severity provocative/palliative factors and/or other features appropriate for the reason for presentation. Physical exam includes vital signs, height and weight as appropriate, and any relevant developmental data related to assessment of CC. Elements of the PMH, FH, and ROS that expand on the CC and HPI are included yet irrelevant information is excluded. 4.25 Above Average 3.85 Average 3.5 Below Average 3.0 Unacceptable Points Appropriate diagnostic tests are performed/ordered. Subjective and objective assessments meet all criteria above. Information that is needed from the PMH, FH, and/or ROS is not included Either the subjective or objective assessment is missing an element needed for adequate evaluation of the patient's problem. Includes irrelevant information Selection of diagnostic tests is too broad or expensive for evaluating the presenting problem OR Selection of diagnostic tests is inadequate to address the presenting problem Two or more elements needed for adequate evaluation of a patient's problem are missing from the subjective and/or objective assessment. Either the subjective or objective assessment is not developed and/or the assessment is inappropriate for the patient's age, gender, and/or inappropriate for the presenting problem. Diagnosis has coherence, adequacy, and parsimony.* Management plan is appropriate for the diagnosis and accurately addresses the problem identified. 5 Exceptional Management plan is economically sound. Management plan includes plans for evaluation/follow-up care (as appropriate). Management plan is individualized to the patient's age and development, culture, religion, family, environment, education, and/or any other unique concerns uncovered in assessment.
4.25 Above Average 3.85 Average 3.5 Below Average 3.0 Unacceptable Points 5 Exceptional 4.25 Above Average 3.85 Average 3.5 Below Average 3.0 Unacceptable Diagnosis has coherence, adequacy, and parsimony.* Management plan is appropriate and meets above criteria but is "generic" rather than individualized to the patient. Diagnosis has coherence, adequacy, and parsimony.* Management plan is appropriate for diagnosis and addresses the problem identified but has one of the following problems: Is too expansive (thus expensive) or overwhelming for the client or healthcare system OR Needs to consider alternative features for optimal outcomes Diagnosis lacks either coherence, adequacy, or parsimony. Management plan is appropriate but inadequate to fully address the identified problem. Diagnosis and/or management plan is inappropriate. Authoritative and peer-reviewed references are used to guide decisions regarding diagnosis and treatment. All research articles and references are less than five years old. Authoritative and peer-reviewed references are used to guide decisions regarding diagnosis and treatment. Some research articles and references are greater than five years old but less than eight years old. Relies on nursing journal articles that are not "scholarly" and/or are written for nurses not in advanced practice (includes articles from AJN, RN, and similar journals) and/or relies on unreliable research. Majority references are from a consumer, nonprofessional, or non-authoritative website or magazine, or are not peer-reviewed. All references are from consumer, non-professional, or non-authoritative websites or magazines, or are not-peer reviewed or are less than the required minimum. Total Points Grade = Total Points Earned Total Points Possible x 100 = grade (example 20 20 = 1 x 100 = 100) Students are expected to: Check the course calendar for the due dates of assignments. Check the course bulletin board frequently for announcements.
Course Ground Rules Students are expected to: Learn how to navigate and use tools in D2L Keep abreast of course announcements Use D2LT for all communication UNLESS problems occur with online delivery of the D2L course Contact technical support for any D2L problems (number provided below) Notify faculty of any difficulties related to the preceptor, clinical issues, or other factors affecting participation or performance in this course Guidelines for Communications Email: Always include a subject line. Remember without facial expressions some comments may be taken the wrong way. Be careful in wording your emails. Use of emoticons might be helpful in some cases. Use standard fonts. Do not send large attachments without permission. Special formatting such as centering, audio messages, tables, html, etc. should be avoided unless necessary to complete an assignment or other communication. Respect the privacy of other class members Discussion Groups: Review the discussion threads thoroughly before entering the discussion. Try to maintain threads by using the "Reply" button rather starting a new topic. Do not make insulting or inflammatory statements to other members of the discussion group. Be respectful of other s ideas. Be patient and read the comments of other group members thoroughly before entering your remarks. Be cooperative with group leaders in completing assigned tasks. Be positive and constructive in-group discussions. Respond in a thoughtful and timely manner. See Guidelines For Participation in Threaded Discussion and Guidelines for Leadership in Threaded Discussion below for more information about assignment. Introduce yourself to the other learners in the chat session. Be polite. Choose your words carefully. Do not use derogatory statements. Be concise in responding to others in the chat session. Be prepared to open the chat session at the scheduled time. Be constructive in your comments and suggestion
Library The TN Virtual Library at http://vl.rodp.org is available to all students enrolled in the Regents Degree Program. Links to library materials (such as electronic journals, databases, interlibrary loans, digital reserves, dictionaries, encyclopedias, maps, and librarian support) and Internet resources needed by learners to complete online assignments and as background reading must be included in all courses. Students With Disabilities Qualified students with disabilities will be provided reasonable and necessary academic accommodations if determined eligible by the appropriate disability services staff at their home institution. Prior to granting disability accommodations in this course, the instructor must receive written verification of a student's eligibility for specific accommodations from the disability services staff at the home institution. It is the student's responsibility to initiate contact with their home institution's disability services staff and to follow the established procedures for having the accommodation notice sent to the instructor. Syllabus Changes The instructor reserves the right to make changes as necessary to this syllabus. If changes are necessitated during the term of the course, the instructor will immediately notify students of such changes both by individual email communication and posting both notification and nature of change(s) on the course bulletin board. Technical Support Telephone and Online Support: If you are having problems logging into your course, timing out of your course, using your course web site tools, or other technical problems, please contact the RODP Help Desk by calling or go to their website at: http://askrodp.custhelp.com 1-866-550-7637 (toll free)