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RANC 4/14
REGION A NURSING CONSORTIUM Haywood Community College Tri-County Community College
COURSE OUTLINE/OBJECTIVES NUR 113
COURSE DESCRIPTION
Course Objectives
This course is designed to further develop the concepts within the three domains of the individual, healthcare, and nursing. Emphasis is placed on the concepts of oxygenation, sexuality, reproduction, grief/loss, mood/affect, behaviors, development, family, health-wellness-illness, communication, caring interventions, managing care, safety, and advocacy. Upon completion, students should be able to provide safe nursing care incorporating the concepts identified in this course.
PREREQUISITES: NUR 111
CO-REQUISITES: None
CONTACT HOURS: CLASS 3 LAB 0 CLINICAL 6_ CREDIT HOURS: 5__
REQUIRED TEXTBOOKS
Ricci, S., Kyle, T., & Carman, S. (2013) Maternity and pediatric nursing. 2nd ed. Lippincott Williams & Wilkins. Region A Nursing Consortium Lippincott Williams and Wilkins Digital Package
NOTE: Following admission to the nursing program, evaluation of health and overall behavior of the student continues throughout the program. Dismissal from the program will result if a student (1) presents problems in physical or emotional health which do not respond to appropriate treatment and/or counseling within a reasonable period of time, or (2) demonstrates behavior which conflicts with safety essential to nursing practice.
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Domain of the Individual
Objective I: Upon completion of the course, the learner will further develop knowledge of concepts within the domain of the individual. Learning Outcomes: 1. Examine the pathophysiology, prevalence and clinical course of individuals with specific alterations in health. 2. Differentiate between the healthy individual and those individuals experiencing alterations in health. 3. Detect changes within the internal and external environment of the individual with these alterations. 4. Correlate diagnostic tests and procedures with the identified alterations Please note that concepts related to the individual are in bold.
Elimination-Intussusception Outcomes: 1. Describe the pathophysiology of intussusception.
2. Discuss assessment findings for child with intussusception.
3. Describe medical management for child with intussusception.
4. Develop a nursing plan of care for a child with intussusception.
Elimination-Volvulus Outcomes: 1. Describe the pathophysiology of volvulus.
2. Discuss assessment findings for child with volvulus.
3. Describe medical management for child with volvulus.
4. Develop a nursing plan of care for a child with volvulus.
Metabolism-Celiac Disease Outcomes: 1. Describe the pathophysiology of celiac disease.
2. Discuss assessment findings for child with celiac disease.
3. Describe medical management for child with celiac disease.
4. Develop a nursing plan of care for a child with celiac disease.
Metabolism –Nutrition Needs Outcomes: 1. Discuss the planning, intervening and evaluating nutritional needs during pregnancy 2. Discuss how growth and development during infancy influences nutritional requirements and intake.
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3. Discuss how growth and development during childhood influences nutritional requirements and intake. 4. Discuss how growth and development during adolescence influences nutritional requirements and intake.
Thermoregulation- Newborn Outcomes: 1. Identify causes of ineffective thermoregulation in a newborn. 2. Discuss nursing interventions to prevent ineffective thermoregulation in a newborn. 3. Discuss the effects of cold stress on a newborn. 4. Develop a nursing plan of care for the newborn experiencing ineffective thermoregulation.
Cellular Regulation-Fibrocystic Breast Changes Outcomes: 1. Describe the pathophysiology of fibrocystic breast changes.
2. Discuss assessment findings for women with fibrocystic breast changes.
3. Describe medical management for women with fibrocystic breast changes.
4. Develop a nursing plan of care for women with fibrocystic breast changes.
Oxygenation- Sudden Infant Death Syndrome (SIDS) Outcomes: 1. Describe the pathophysiology of (SIDS). 2. Identify risk factors associated with (SIDS). 3. Discuss evidence-base practices to reduce the risk of (SIDS). 4. Create a nursing plan of care for an infant at risk for (SIDS). 5. Develop a nursing plan of care for a family who loses a child to (SIDS).
Oxygenation-Respiratory Syncytial Virus (RSV) Outcomes: 1. Describe the pathophysiology of RSV.
2. Discuss assessment findings for child with RSV.
3. Describe medical management for child with RSV. 4. Develop a nursing plan of care for a child with RSV.
Perfusion-Pregnancy Induced Hypertension (PIH) Outcomes:
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1. Describe the differences between: chronic hypertension, gestational hypertension, preeclampsia, and eclampsia 2. Describe the pathophysiology of pregnancy induced hypertension.
3. Discuss assessment findings for women with pregnancy induced hypertension.
4. Describe medical management for women with pregnancy induced hypertension.
5. Discuss the effects maternal hypertension has on fetus and newborn.
6. Develop a nursing plan of care for women with pregnancy induced hypertension.
Sexuality- Family Planning and Preconception Counseling Outcomes: 1. Identify assessment data for family planning and contraceptive teaching. 2. Identify advantages and disadvantages of commonly utilized contraceptive methods. 7. Discuss patient education related to commonly utilized forms of contraceptive methods.
Sexuality-Sexually Transmitted Infections (STIs) Outcomes: 1. Evaluate the spread and control of sexually transmitted infections. 2. Identify risk factors related to common sexually transmitted infections. 3. Describe patient education that is needed in relation to common sexually transmitted infections. 4. Describe prevention of common sexually transmitted infections. 5. Describe effects of common sexually transmitted infections on the fetus or newborn. 6. Develop a nursing plan of care for women experiencing common sexually transmitted infections.
Sexuality-Dysmenorrhea Outcomes: 1. Describe the pathophysiology of dysmenorrhea.
2. Discuss assessment findings for women with dysmenorrhea.
3. Describe medical management for women with dysmenorrhea.
4. Develop a nursing plan of care for women with dysmenorrhea.
Sexuality-Menopausal Transition Outcomes: 1. Discuss the physiologic and psychological aspects of menopausal transition. 2. Develop a nursing plan of care for women during the menopausal transition. 3. Discuss the risk for postmenopausal diseases and their prevention.
Sexuality-Pelvic Inflammatory Disease Outcomes:
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1. Describe the pathophysiology of pelvic inflammatory disease.
2. Discuss assessment findings for women with pelvic inflammatory disease.
3. Describe medical management for women with pelvic inflammatory disease.
4. Develop a nursing plan of care for women with pelvic inflammatory disease.
Sexuality-Hydrocele Outcomes: 1. Describe the pathophysiology of hydrocele.
2. Discuss assessment findings for child with hydrocele.
3. Describe medical management for child with hydrocele.
4. Develop a nursing plan of care for child with hydrocele.
Sexuality-Hypospadias Outcomes: 1. Describe the pathophysiology of hypospadias.
2. Discuss assessment findings for child with hypospadias.
3. Describe medical management for child with hypospadias.
4. Develop a nursing plan of care for child with hypospadias.
Sexuality-Cryptorchidism Outcomes: 1. Describe the pathophysiology of cryptorchidism.
2. Discuss assessment findings for child with cryptorchidism.
3. Describe medical management for child with cryptorchidism.
4. Develop a nursing plan of care for child with cryptorchidism.
Reproduction-Antepartum Care Outcomes: 1. Review the anatomical and physiological changes that occur during pregnancy. 2. Discuss cultural variables affecting response to pregnancy 4. Outline the components of an initial prenatal visit. 5. Outline the assessments performed at follow-up prenatal visits. 6. Discuss the tests used to assess maternal and fetal well-being, including the nursing management for each.
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7. Outline appropriate nursing management to promote maternal self-care ant to minimize the common discomforts of pregnancy. 8. Outline the key components of perinatal education.
Reproduction-Intrapartum Care Outcomes: 1. Relate premonitory signs of labor. 2. Compare and contrast true versus false labor. 3. Categorize the critical factors affecting labor and birth. 4. Analyze the cardinal movements of labor. 5. Evaluate the maternal and fetal responses to labor and birth. 6. Classify the stages of labor and the critical events of each stage. 7. Characterize the normal physiologic/psychological changes occurring during all four stages of labor. 8. Discuss the nursing implications for medications used during labor and delivery. 9. Develop a nursing plan of care for a woman experiencing labor. 10. Describe pain management during the labor and delivery process. 11. Discuss alternative therapies used during the labor and delivery. 12. Apply culturally-sensitive interventions to individuals experiencing birth. Reproduction-Postpartum Outcomes: 1. Examine the systemic physiologic changes occurring in the woman after childbirth. 2. Describe the nursing assessment of a postpartum woman: a. breasts b. uterus c. bowel d. bladder e. lochia f. episiotomy g. hemorrhoids h. emotions i. incision 3. Describe nursing interventions for the postpartum woman: a. Perineal care b. Incision care c. Breast care 4. Develop an individualized family teaching related to newborn care. 5. Develop an individualized family teaching related to newborn feeding. 6. Discuss the phases of maternal role adjustment and accompanying behaviors. 7. Apply culturally-sensitive nursing interventions for the postpartum family.
Reproduction-Newborn Care
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Outcomes: 1. Examine the major physiologic changes that occur as the newborn transitions to extrauterine life. 2. Discuss the primary challenges faced by the newborn during the transition to extrauterine life. 3. Identify the purpose and components of the Apgar score. 4. Compare and contrast the characteristics of preterm, late preterm, term, and postterm neonates. 3. Outline the components of a newborn assessment. 4. Describe the assessment of the newborn: a. physical findings b. thermoregulation c. positioning 5. Discuss nursing interventions for the care of a newborn: a. skin care b. eye care c. cord care d. immunizations/medications e. bulb suctioning 7. Discuss screenings for the newborn: a. hearing b. capillary blood glucose c. PKU 8. Discuss nursing considerations and interventions for the immediate newborn period. 9. Discuss nursing interventions to create a safe environment for the newborn. 10. Compare and contrast infant feeding methods, including advantages of each. 11. Explain the purposes and methods of circumcision, the postoperative care of the circumcised infant, and parent teaching regarding circumcision. 12. Evaluate pain in the newborn based on physiologic changes and behavioral observations. 13. Discuss anticipatory guidance nurses provide to parents before discharge to home.
Reproduction-Prematurity Outcomes: 1. Discuss risk factors associated with prematurity. 2. Relate the physiological impact of prematurity and complications associated with premature births. 3. Compare and contrast the physical exam findings of a term infant and a premature infant. 4. Develop a nursing plan care for a premature infant.
Reproduction-Placenta Abruptio Outcomes: 1. Describe the pathophysiology of placenta abruptio.
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2. Discuss assessment findings for women with placenta abruptio.
3. Describe medical management for women with placenta abruptio.
4. Develop a nursing plan of care for women with placenta abruptio.
Reproduction-Placenta Previa Outcomes: 1. Describe the pathophysiology of placenta previa.
2. Discuss assessment findings for women with placenta previa.
3. Describe medical management for women with placenta previa.
4. Develop a nursing plan of care for women with placenta previa.
Infection- Conjunctivitis Outcomes: 1. Describe the pathophysiology of conjunctivitis.
2. Discuss populations at risk for conjunctivitis. 3. Discuss assessment findings for child with conjunctivitis.
4. Describe medical management for child with conjunctivitis.
5. Develop a nursing plan of care for child with conjunctivitis.
Infection-Otitis Media Outcomes: 1. Describe the pathophysiology of otitis media.
2. Discuss populations at risk for otitis media. 3. Discuss assessment findings for child with otitis media.
4. Describe medical management for child with otitis media.
5. Develop a nursing plan of care for child with otitis media.
Infection-Strep Infection Outcomes: 1. Describe the pathophysiology of strep infection.
2. Discuss populations at risk for strep infection. 3. Discuss assessment findings for child with strep infection.
4. Describe medical management for child with strep infection.
5. Develop a nursing plan of care for child with strep infection.
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6. Discuss possible complications related to strep infection.
Immunity-Fifth’s Disease Outcomes: 1. Describe the pathophysiology of Fifth’s Disease.
2. Discuss populations at risk for Fifth’s Disease. 3. Discuss assessment findings for child Fifth’s Disease.
4. Describe medical management for child with Fifth’s Disease.
5. Develop a nursing plan of care for child with Fifth’s Disease.
Grief and Loss- Perinatal Loss Outcomes: 1. Describe grief symptoms associated with perinatal loss in patient and family members. 2. Apply culturally-sensitive and spiritually-sensitive interventions to individualized patient assessment and care for families experiencing perinatal loss. 3. Describe the grief process for a woman experiencing elective or spontaneous abortion. 4. Develop a nursing plan of care for a woman and family experiencing perinatal loss.
Mood and Affect- Post Partum Depression Outcomes: 1. Describe the pathophysiology of post partum depression.
2. Discuss assessment findings for women with post partum depression.
3. Describe medical management for women with post partum depression. 4. Develop a nursing plan of care for women with post partum depression.
Behavior- Prenatal Substance Exposure Outcomes: 1. Identify populations at high risk for substance use during pregnancy. 2. Recognize signs of substance use in the pregnant family. 3. Discuss the effects of substance use for the mother, fetus, and newborn. 4. Describe cognitive, behavioral, and developmental problems that may be observed in children exposed to substances while in utero. 5. Discuss alterations to newborn care that are needed for the substance dependent newborn/infant.
Development- Basic Growth and Development Outcomes: 1. Describe factors affecting development. 2. Relate the principles of growth and maturation to development. 3. Perform a developmental assessment.
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4. Describe the assessment findings associated with a developmental stressor. 6. Discuss the psychosocial impact of a developmental stressor on the child and family.
Development-Autism Outcomes: 1. Describe the pathophysiology of autism.
2. Discuss assessment findings for child with autism.
3. Describe medical management for child with autism.
4. Develop a nursing plan of care for child with autism.
Development-Attention-Deficit Hyperactivity Disorder (ADHD) Outcomes: 1. Describe the pathophysiology of autism. 2. Discuss assessment findings for child with autism.
3. Describe medical management for child with autism.
4. Develop a nursing plan of care for child with autism.
Development-Failure to Thrive Outcomes: 1. Describe the pathophysiology of failure to thrive. 2. Discuss populations at risk for failure to thrive. 3. Discuss assessment findings for child with failure to thrive.
4. Describe medical management for child with failure to thrive.
5. Develop a nursing plan of care for child with failure to thrive.
Development-Cerebral Palsy Outcomes: 1. Describe the pathophysiology of cerebral palsy. 2. Discuss populations at risk for cerebral palsy. 3. Discuss assessment findings for child with cerebral palsy.
4. Describe medical management for child with cerebral palsy.
5. Develop a nursing plan of care for child with cerebral palsy.
Family- Family response to health promotion
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Outcomes: 1. Explain the role of the family in incorporating healthful activities into daily life. 2. Identify strengths and weaknesses that enhance or detract from family wellness. 3. Discuss nurse-initiated activities to encourage family participation in health promotion activities.
Health, Wellness, and Illness- Immunizations Outcomes: 1. Identify recommended child/hood and adolescent immunizations and schedules. 2. Identify recommended adult immunizations and schedules. 3. Discuss risk factors and contraindications for adult immunizations.
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Domain of Nursing Objective II: Upon completion of the course, the learner will be able to provide safe, culturally competent, therapeutic nursing care to individuals.
Learning Outcomes: 1. Respond to situations with an awareness of the values, attitudes, behaviors, and beliefs important to professional nursing. 2. Incorporate all concepts within the domain of nursing to safely provide therapeutic care to individuals with alterations in health. 3. Communicate professionally and effectively while safely providing therapeutic care to individuals with alterations. 4. Effectively collaborate with the individual/individuals and members of the interdisciplinary healthcare team to provide therapeutic care. 5. Develop a teaching plan for individuals incorporating teaching and learning principles. 6. Collaboratively manage care of the individual with alterations in health.
Please note that concepts related to nursing are in bold.
Communication- Family Communication Outcomes: 1. Identify goals of the nurse client relationship with families. 2. Describe effective communication techniques for use with families. 3. Utilize effective communication techniques with families. 4. Evaluate effectiveness of communication with families. 5. Utilize effective communication techniques to provide anticipatory guidance for families.
Caring Interventions Outcomes: 1. Demonstrate safe, competent skills within the caregiver skills of:
a. Physical assessment of a woman who is pregnant
b. Physical assessment of a postpartum woman
c. Physical assessment of newborn
d. Physical assessment of pediatric client
e. Medication administration to a pediatric client
f. Specimen collection from a pediatric client
g. Provide effective teaching to families
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Domain of Healthcare
Objective III: Upon completion of the course, the learner will be able to safely and ethically execute the management of therapeutic nursing care within the healthcare system for individuals.
Learning Outcomes: 1. Practice safely and ethically within the healthcare system according to the nursing practice act, healthcare policy, and National Patient Safety Goals. 2. Employ information technology to support clinical decision-making. 3. Utilize principles of evidence-based practice while safely providing therapeutic nursing care to individuals in the healthcare system. 4. Advocate, protect, and support the individual’s rights and interests. 5. Accept accountability for behavior, actions and judgments. Please note that concepts related to healthcare are in bold.
Safety-National Safety Goals Outcomes: 1. Discuss how National Patient Safety goals are utilized in nursing practice within family health concepts. 2. Discuss Health People 2020 goals for women, children, and families.
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