rnsg: 1341 common concepts in adult health nursing
TRANSCRIPT
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Division of Health Sciences
Associate Degree Nursing Department
https://www.hccs.edu/programs/areas-of-study/health-sciences/licensed-vocational-nursing-lvn/
RNSG: 1341 Common Concepts in Adult Health Nursing
Spring 2020 | 16 Weeks (1/21/2020-5/17/2020)
In-Person | Coleman Room TBA/ Days/Times: Tuesdays 8-10 and 11-1
CRN #s: 15464, 15603, 15604, 18587 3.0 Credit Hr / 48 Contact Hrs -16 Weeks
:
Instructor Contact Information
Course Level – Intermediate
Type of Instruction: Face-to-Face
Instructor: Brenda McDaniel, PhD., RN-C
Office: 713–718-7494 Cell: (713) 530-2411 Email: [email protected]
Office: Suite 312, Room 309
Office hours: Wednesdays 1-4 pm
Instructor: Deanna Rix, RN, MSN
Office: 713–718-7447 Email: [email protected]
Office: Suite 312, Room # 310
Office hours: Wednesdays 1-4 pm
Please feel free to contact us concerning any problems that you are experiencing in this course. Your performance in our class is very important to us. We are available to hear any concerns you may have or and just to discuss course topics.
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Instructor’s Preferred Method of Contact My email:
We will respond to emails within 24 hours Monday through Friday; We will reply to weekend messages on Monday mornings.
What’s Exciting About This Course
This course is the study of basic integration of the role of the professional nurse as a provider of patient-centered care, patient safety advocate, member of the health care team, and member of the profession. It is the study of the selected concepts of caring for
adult patients and families with medical-surgical health care needs related to body systems, emphasizing knowledge, judgement, skills, and professional values within a
legal/ethical framework. What is exciting about this course is that we will use a new computer program called
Sherpath to assist with your learning. The lessons in this program are designed to follow the textbook. This program is also designed to increase interactivity between the student
and the content. There are multiple ways the student can quiz themselves, with adaptive and nonadaptive quizzing, to improve understanding, especially before exams.
Our Personal Welcome
Welcome to the class! We are delighted that you are in this course. We will present the information in the most exciting way we know, so that you can grasp the concepts and apply
them now and hopefully throughout your life. As you read and wrestle with new ideas and facts that may challenge you, we are available to
support you. The fastest way to reach me is by my HCC email. The best way to really discuss issues is in person and we are available during posted office hours to tackle your
questions. Our goal is for you to walk out of this course with a better understanding of the material. So please visit either of us or contact us by email whenever you have a question.
PLEASE READ AND REFER TO THE PROGRAM HANDBOOK. IT IS THE OFFICIAL
DOCUMENT FOR ALL PROGRAM DECISIONS.
Prerequisites and/or Co-Requisites
Pre-requisites: RNSG 1413 Foundation for Nursing Practice RNSG 1360 Clinical Nursing Foundations
RNSG 1201 Pharmacology RNSG 1105 Nursing Skills I
Co-requisites: RNSG 2360 Clinical Nursing-Adult I
RNSG 2201 Care of Children and Families RNSG 2261 Clinical Nursing-Pediatrics
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Students must pass all Level courses before progressing to the
next level.
. Please carefully read and consider the repeater policy in the HCCS Student Handbook.
Canvas Learning Management System We will use Canvas (https://eagleonline.hccs.edu) to supplement in-class assignments,
exams, and activities.
Please check Canvas daily for updates and announcements.
HCCS Open Lab locations may be used to access the Internet and Canvas. USE FIREFOX OR CHROME AS THE INTERNET BROWSER.
HCC Online Information and Policies Here is the link to information about HCC Online classes including the required Online Orientation for all fully online classes: http://www.hccs.edu/online/
Scoring Rubrics, Sample Assignments, etc. Look in Canvas for the scoring rubrics for assignments, samples of class assignments, and
other information to assist you in the course. https://eagleonline.hccs.edu/login/ldap
Instructional Materials
Required:
Sherpath for Medical-Surgical Nursing (Lewis Version), 11th Edition Access Code by Elsevier | Jan 1, 2017
5.0 out of 5 stars 1
Printed Access Code
Currently unavailable.
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ISBN-13: 978-0323551496
ISBN-10: 0323551491
Why is ISBN important?
Both of these products are part of a larger package that contains HESI standardized exams that are
used as Final exams at the end of the semester. If you are in the nursing program you should
purchase the large bundle which contains the Sherpath computer program, the Lewis ebook, and the
HESI exams. The large bundle costs approximately $700 per semester. The bundle also includes a
Nursing Review and other materials to get you through the NCLEX.
Order your book here: HCC Bookstore West Loop
Temporary Free Access to E-Book
N/A
Other Instructional Resources
Power Points, handouts, and additional resources will be in the Sherpath or Canvas courses.
Some resources may also be given to you in class.
Publisher’s Digital Workbook N/A
Tutoring
HCC provides free, confidential, and convenient academic support, including writing critiques, to HCC students in an online environment and on campus. Tutoring is provided by HCC personnel in order to ensure that it is contextual and appropriate. Visit the HCC Tutoring
Services website for services provided.
Libraries
The HCC Library System consists of 9 libraries and 6 Electronic Resource Centers (ERCs) that are inviting places to study and collaborate on projects. Librarians are available both at the
libraries and online to show you how to locate and use the resources you need. The libraries maintain a large selection of electronic resources as well as collections of books, magazines,
newspapers, and audiovisual materials. The portal to all libraries’ resources and services is the HCCS library web page at http://library.hccs.edu.
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Supplementary Instruction
Supplemental Instruction is an academic enrichment and support program that uses peer-
assisted study sessions to improve student retention and success in historically difficult courses. Peer Support is provided by students who have already succeeded in completion of the specified course, and who earned a grade of A or B. Find details at
http://www.hccs.edu/resources-for/current-students/supplemental-instruction/.
Course Overview
This course provides a large amount of the information needed for students to pass the NCLEX and to
become exceptional caregivers in today’s evolving health care environment. Up-to-date information is
provided, related to the latest trends, hot topics, and clinical developments in Medical-Surgical
Nursing. Various patient care scenario help the student focus on key topics and patient safety. The
institution of the Sherpath computer program provides digital teaching and learning technology that
was designed specifically for health care education. Both the text and the computer program provide
content including an overview of Anatomy and Physiology, health assessment, clinical manifestations,
diagnostic studies, collaborative care and related responsibilities emphasizing the importance of
patient care in different settings for the management for multiple commonly encountered disorders
and diseases.
Core Curriculum Objectives (CCOs)
This course satisfies the requirements in the HCCS core curriculum. The HCCS Associate Degree Nursing faculty have specified that the course address the following core objectives:
Critical Thinking: Students will demonstrate the ability to engage in inquiry and analysis, evaluation and synthesis of information, and creative thinking by completing
a written assignment such as a book report, research paper, or essay. Communication Skills: Students will demonstrate effective development,
interpretation and expression of ideas through written, oral, and visual communication
by completing a written assignment such as a book report, research paper, or essay. Quantitative and Empirical Literacy: Students will demonstrate the ability to draw
conclusions based on the systematic analysis of topics using observation, experiment, and/or numerical skills by completing textbook reading assignments, completing assignments, and answering questions on quizzes and exams that pertain to Course
Student Learning Outcome #2 below. Social Responsibility: Students will demonstrate cultural self-awareness,
intercultural competency, civil knowledge, and the ability to engage effectively in regional, national, and global communities by completing textbook reading assignments, completing assignments, and answering questions on quizzes and exams
that pertain to Course Student Learning Outcome #4 below.
COMPETENCIES
Multiple competencies from multiple regulatory agencies will be acquired and
demonstrated at multiple levels of learning during your ADN program.
Differentiated Essential Competencies (DECs)
I - ABD
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II - ABCDEFGH
III - ABCDE
IV - ABCDEFG
The Texas Board of Nursing has determined that the following competencies must be acquired:
I. Member of the Profession
A. Function within the nurse’s legal scope of practice and in accordance with the policies and
procedures of the employing health care institution or practice setting.
B. Assume responsibility and accountability for the quality of patient care to patients and their
families.
D. Demonstrate responsibility for continued competence in nursing practice, and develop insight
through reflection, self-analysis, self-care, and lifelong learning.
II. Provider of Patient Care
A. Use clinical reasoning and knowledge based on the associate degree nursing program of study
and evidence-based practice outcomes as a basis for decision making in nursing practice.
B. Determine the physical and mental health status, needs, and preferences of culturally,
ethnically, and socially diverse patients and their families based upon interpretation of
comprehensive health assessment findings-compared with evidence-based health data derived
from the associate degree nursing program.
C. Analyze assessment data to identify problems, formulate goals/outcomes, and develop plans of
care for patients and their families using information from evidence-based practice in
collaboration with patients, their families, and the interdisciplinary health care team.
D. Provide safe, compassionate, comprehensive nursing care to patients and their families
through a broad array of health care services.
E. Implement the plan of care for patients and their families within legal, ethical, and regulatory
parameters and in consideration of disease prevention, wellness, and promotion of healthy
lifestyles.
F. Evaluate and report patient outcomes and responses to therapeutic interventions in
comparison to benchmarks from evidence-based practice, and plan follow-up nursing care.
G. Develop, implement, and evaluate teaching plans for patients and their families to address
health promotion, maintenance, and restoration.
H. Coordinate human, information, and material resources in providing care for patients and their
families.
III. Patient Safety Advocate
A. Demonstrate knowledge of the Texas Board of Nursing Rules that emphasize safety, as well as
all federal, state, and local government, and accreditation organization, safety requirements
and standards.
B. Implement measures to promote quality and a safe environment for patients, self, and others.
C. Formulate goals and outcomes using evidence-based data to prevent patient risks.
D. Obtain instruction, supervision, or training as needed when implementing nursing procedures
or practices.
E. Comply with mandatory reporting requirements of the Texas Nurse Practice Act.
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IV. Member of the Health Care Team
A. Coordinate, collaborate, and communicate with patients, their families, and the
interdisciplinary health care team to plan, deliver, and evaluate patient.
B. Serve as a health care advocate in monitoring and promoting quality and access to health care
for patients and their families.
C. Refer patients and their families to resources that facilitate continuity of care; health
promotion, maintenance, and restoration; and ensure confidentiality.
D. Communicate and collaborate in a timely manner with members of the interdisciplinary health
care team to promote and maintain the optimal health status of patients and their families.
E. Communicate and manage information using technology to support decision-making to
improve patient care.
F. Assign and/or delegate nursing care to other members of the health care team based upon an
analysis of patient or unit need.
G. Supervise nursing care provided by others for whom the nurse is responsible by using
evidence-based nursing practice.
QSEN Competencies
Using the institute of Medicine (2003) competencies for nursing, QSEN faculty have defined prelicensure and graduate quality and safety competencies for nursing and proposed targets for the knowledge, skills, and attitudes to develop in nursing pre-licensure programs for each competency as follows:
• Patient centered care
• Teamwork and Collaboration
• Evidence Based Practice
• Quality improvement
• Safety
• Informatics • Patient Centered Care - Recognize the patient or designee as the source of control and full
partner in providing compassionate and coordinated care based on respect for patient’s
preferences, values, and needs.
• Teamwork and Collaboration - Function effectively within nursing and interprofessional
teams, fostering open communication, mutual respect, and shared decision making to achieve
quality patient care.
• Evidence Based Practice - Integrate best current evidence with clinical expertise and
patient/family preferences and values for delivery of optimal health care.
• Quality Improvement - Use data to monitor the outcomes of care processes and use
improvement methods to design and test changes to continuously improve the quality and
safety of health care systems.
• Safety - Minimize risk of harm to patients and providers through both system effectiveness
and individual performance.
• Informatics - Use information and technology to communicate, manage knowledge, mitigate
error, and support decision making.
QSEN pursues strategies to build will and develop effective teaching approaches to assure that future graduates develop competencies in patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement, safety, and informatics. About QSEN, Copyright 2014, CWRU http://qsen.org/competencies/
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NCLEX-RN TEST PLAN
The NCLEX Test Plan provides a concise summary of the content and scope of the exam.
The Test Plan also serves as a guide for topic selection, exam development, and candidate
preparation.
Client Needs Percentage of Items From Each
Category/subcategory
Safe and Effective Care Environment
Management of Care 17-23%
Safety and Infection Control 9-15%
Health Promotion and Maintenance 6-12%
Psychosocial Integrity 6-12%
Physiological Integrity
Basic Care and Comfort 6-12%
Pharmacological and Parenteral
Therapies
12-18%
Reduction of Risk Potential 9-15%
Physiological Adaptation 11-17%
Course Calendar
Course Calendar (Also Available via Canvas Online) review is during the first day. Changes are sometimes necessary and will be announced in class and/or via Canvas Online if necessary.
Program Student Learning Outcomes (PSLOs)
Upon graduation, you will be able to: 1. Communicate effectively with patients, families, and members of the health-care team
2. Utilize a systematic problem-solving approach in caring for patients with selected and selected needs 3. Demonstrate appropriate entry-level Associate Degree Nursing Program didactic competencies to pass the NCLEX-RN licensure exam
4. Demonstrate safe entry-level nursing practice as defined by the four roles of the Differentiated Essential Competencies (DECs) for graduates of Texas Nursing Programs. Course Student Learning Outcomes:
Upon the completion of this course the student will be able to: 1. Explain the roles of the professional nurse in caring for adult patients and their
families.
2. Utilize critical thinking skills and a systematic problem-solving process in providing
care for adult patients and families with selected health care needs
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Learning Objectives:
1.1 Determine the physical and mental health status, needs, and preferences of culturally, ethnically, and socially diverse patients and their families based upon
interpretation of comprehensive health assessment findings-compared with evidence-based health data derived from the associate degree nursing programs.
1.2 Implement the plan of care for patients and their families within legal, ethical, and regulatory parameters and in consideration of disease prevention, wellness, and promotion of healthy lifestyle.
1.3 Participate in activities that promote the development and practice of professional
nursing.
1.4 Coordinate, human, information, and material resources in providing care for patients
and their families.
1.5 Coordinate, collaborate, and communicate with patients, their families, and the
interdisciplinary health care teams to plan, deliver, and evaluate patient.
2.1 Analyze assessment data to identify problems, formulate goals/outcomes, and
develop plans of care for patients and their families using information from evidence-based practice in collaboration with patients, their families, and the interdisciplinary
health care team.
2.2 Develop, implement, and evaluate teaching plans for patients and their families to
address health promotion, maintenance, and restoration.
2.3 Formulate goals and outcomes using evidence-based data to prevent patient risks.
2.4 Evaluate and report patient outcomes and responses to therapeutic interventions in comparison to benchmarks from evidence-based practice, and plan follow-up nursing
care.
Expect to spend at least twice as many hours per week outside of class as you do in class studying the course content. Additional time will be required for written assignments. The assignments provided will help you use your study hours wisely. Successful completion of this
course requires a combination of the following: Reading the textbook
Attending class in person and/or online Completing assignments Participating in class activities
There is no shortcut for success in this course; it requires reading (and probably re-reading) and studying the material using the course objectives as a guide.
Instructor and Student Responsibilities
As your Instructor, it is my responsibility to: Provide the grading scale and detailed grading formula explaining how student grades
are to be derived.
Facilitate an effective learning environment through learner-centered instructional techniques.
Provide a description of any special projects or assignments. Inform students of policies such as attendance, withdrawal, tardiness, and making up
assignments.
Provide the course outline and class calendar that will include a description of any special projects or assignments.
Arrange to meet with individual students before and after class as required.
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As a student, it is your responsibility to:
Attend class in person and/or online. Participate actively by reviewing course material, interacting with classmates, and
responding promptly in your communication with us. Read and comprehend the textbook. Complete the required assignments and exams.
Ask for help when there is a question or problem. Keep copies of all paperwork, including this syllabus, handouts, and all assignments.
Attain a raw score of at least 75% to pass the course. Be aware of and comply with academic honesty policies in HCCS Student Handbook.
Assignments, Exams, and Activities
Written Assignment
If there are any applicable written assignments, they will be announced in class.
Exams
There are: 5 (five) unit exams consisting of 50 questions each. There is a final exam consisting of 100 questions.
In-Class Activities If there are any applicable activities and/or assignments, they will be announced in class.
Final Exam
All students will be required to take a comprehensive standardized HESI final exam consisting of 50 questions. There are no make-up exams for the final exam.
Grading Formula
The grades for this theory class are weighted accordingly:
Exams (5) 75% Quizzes 5%
Participation 5% HESI 15% ___________________
100%
Incomplete Policy: In order to receive a grade of Incomplete (“I”), a student must have completed at least 85%
of the work in the course. In all cases, the instructor reserves the right to decline a student’s request to receive a grade of Incomplete.
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HCC Grading Scale for Associate Degree Nursing
Student Grade Sheet. It is the responsibility of the student to record his/her grades for
personal records. The professor is not obligated to give the student the exam grade once
they have been distributed to the class.
Grading
90-100: A 80-89: B 75-79: C
70-74: D 60-69: F
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Course Calendar
Date
Tuesdays
Content
Reading Assignment,
Lewis 11th ed.
Ch
#
Faculty Exam
Ques
%
1 1/28/2020 Concepts in
Nursing
Practice
Fluids & Electrolytes Ch 16
Pre- and Post-Op Ch 17, 19
Inflammation/Healing Ch 11
Wooten
2
2/4/2020
Math
Competency
Exam # 1
Integumentary System Ch 22, 23
Sensory (Eye and Ear) Ch 20, 21
Rix
3
2/11/20
Math
Competency
Exam # 2
EXAM 1 Ch 11, 16, 17, 19, 20, 21, 22, 23,
8
6/ch
15
4
2/18/20
Math
Competency
Exam # 3
Endocrine (Diabetes) Ch 47, 48, 49
Immune/Infection Ch 13, 14
McDaniel
5 2/25/20 Gastrointestinal System Ch 38, 41, 42, 43 Rix
6 3/3/20
EXAM 2 Ch 13, 14, 38, 41, 42, 43, 47, 48,
49
9 5/ch 15
7 3/10/20 Respiratory System Ch 25, 26, 27, 28 Wooten
8
3/17/20
Spring Break Reproductive System Ch 50, 51, 53, 54
Reading Assignment and Exam
Rix
9
3/24/20
EXAM 3 Ch 25, 26, 27, 28, 50, 51, 53, 54
8
6/ch
15
10 3/31/20 Cardiovascular System Ch 31, 32, 33, 34, 35 McDaniel
11 4/7/20 Cardiovascular System Ch 36, 37
Renal System Ch 44, 45, 46
McDaniel
12 4/14/20
EXAM 4 Ch 31, 32, 33, 34, 35, 36, 37, 44,
45, 46
10 5/ch 15
13 4/21/20 Movement & Coordination Ch 55, 56, 57, 58 Wooten
14 4/28/20 Movement & Coordination Ch 61, 62, 63 Wooten
15 5/5/2020 EXAM 5 Ch 55, 56, 57, 58, 61, 62, 63 7 7/ch 15
16 Monday
5/11/2020
Comprehensive HESI Final Exam 15
Monday, January 20, 2020 Martin Luther King, Jr. Observance Tuesday, January 21, 2020 16-week classes begin Monday, February 3, 2020 Reg 16-wk Official Day of Record
Monday, February 17, 2020 Presidents Day Week of 3/16/2020 Spring Break Monday, April 6, 2020 Reg 16-wk Last Day to Withdraw
Friday, April 10 Spring Holiday Sunday, May 17, 2020 Semester Ends
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Syllabus Modifications The instructor reserves the right to modify the syllabus at any time during the semester and will promptly notify students in writing, typically by e-mail, of any such changes.
Instructor’s Practices and Procedures
Missed Assignments There are no make-up assignments or in-class quizzes. Written assignments are collected once during
class. If your paper is not in the ones collected in class, you will get a zero. No exceptions.
Examinations
Examinations are usually administered by computer, hereafter referred to as Online Testing.
In certain situations, testing may be done by Scantron All students must follow the guidelines
for Online Testing in the Associate Degree Nursing Program.
Students must:
Enter the last four digits/numbers of the student ID to sign on to the scheduled test.
Log on to the examination ONE time only during the scheduled examination as directed
by the instructor.
Use the designated examination name and password only during the scheduled testing
session.
Attend the scheduled examination review for each course. Exams will not be reviewed
again online after the scheduled examination review UNLESS remediation is done.
A student must not attempt to log on the computer for a review using any examination
name/password except the one specified for review by the instructor. **
Direct any question to the instructor or proctor only. Remain seated and raise your
hand for assistance.
Focus only on the monitor for the computer on which you are testing. Any student the
instructor/proctor observes looking on any other monitor, or attempting to exchange
information (giving or receiving) with another student, will be immediately dismissed
from the testing room and a grade of zero "O" will be assigned and receive a negative
incident report. Student will not be allowed to re-take the test.
Student must avoid participating in any form of "Scholastic Dishonesty".
On the day of the scheduled examination, leave all books, backpacks, and roller carts,
cell phones, tablets or other communication devices in an assigned classroom or
locker. Do not bring these items to the computer lab or testing area. Any students with
a cell phone, tablet or other communication device will be asked to leave the computer
lab or testing area, receive a zero (0) for the exam and a negative incident report.
During testing all students are required to put their ID badge in a box at the podium or
on the privacy screen at the computer facing away from the computer. Students are
also required to remove jewelry including earrings, necklaces, bracelets, rings (except
wedding sets), and watches. They are to be left in a locker or put in a box at the
podium. No jackets, hoodies, or sweaters are to be worn during an exam. A student
may wear a uniform warm-up jacket or lab coat. Jackets, hoodies, sweaters or coats
must be left in a locker or at the front of the computer lab/room.
Avoid consuming a large volume of fluids before exam.
Locate and use restroom before entering the computer lab testing area.
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Any student leaving the testing area without the proctor's permission will not be
allowed to re-enter the testing area. Grade will be voided or calculated on number of
questions completed.
If a student arrives last for an exam they will have the remaining time/minutes in which
to take the exam.
Do not enter the computer lab/testing area prior to the examination time. Remain in
the student lounge area. Do not enter the lab/area until you are instructed to do so by
the instructor/proctor.
Exams are FORWARD ONLY. You will not be allowed to go back.
Upon completion of exam, you must leave/exit the computer lab/testing area.(Do not
stop at open lab area). Do not sit at any computer or use any computer for any reason.
There will be no rounding of exam grades. Rounding is done only on the final course
grade.
Grades will not be shown on the computer after the exam. Professors must do a
statistical analysis before grades are given. Grades may be posted on Canvas (or the
current Learning Management System). Remember grades on Canvas may not be
weighted according to your syllabus and may not be 100% accurate. You can refer to
the weighting scale in the syllabus and calculate your course grade.
*ONE time ONLY log-in for review is allowed. ** Thirty (30) minutes will be allowed for review. No pens, pencils, paper, etc. will be allowed
during review. If there are questions regarding the exam during review, the student must make an appointment to meet with the Instructor.
Make-Up Exam Policy: Again, a student may miss only one exam per the directions above. If a second exam is
missed there will be no make-up exam and a grade of zero (0) will be given. If a student will be absent from an exam they must notify the professor BEFORE the exam time via phone call
AND email. Failure to do so will result in a zero (0) for the exam. A student may make up ONE EXAM ONLY providing they notify the professor according to the previous statement and
provide an official authorized documentation (examples of documentation: doctor's release, hospital release, court summons, traffic ticket, immigration meeting etc). This documentation must be presented to the professor or Dr. Williams (1) before the exam that will be missed or
(2) the next day after the missed exam date and BEFORE the makeup exam is given. The makeup exam must be taken 72 hours post missed exam and 5% will be deducted from the
grade. If the makeup exam is taken over 72 hours but within 1 week of the missed exam 10% will be deducted from the grade. If the makeup exam is not taken within 1 week a grade of zero (0) will be given.
If a student in the class misses an exam the class will not review the exam until the student
takes the makeup exam. Also, no exam grades will be posted until the student that missed the exam makes it up. The final exam must be taken at the scheduled time and date. There is no makeup exam for final exams. Final exams are not reviewed. If a student fails to take
the final exam a grade of zero will be given.
Failing A Unit Examination
The failing of unit exams or receiving a grade of zero will require the student to seek and
attend tutorial assistance from the designated instructor, or tutorial services. The student
must present written confirmation of tutorial attendance before the next scheduled exam. If
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student does not present confirmation of attending a tutorial, they will not be permitted to
take the exam and a grade of zero will be given.
Student Grade Sheet. It is the responsibility of the student to record his/her grades for
personal records. The professor is not obligated to give the student the exam grade once
they have been distributed to the class.
Academic Integrity
Scholastic Dishonesty will result in a referral to the Dean of Student Services. See the link below for details.
Here’s the link to the HCC information about academic integrity (Scholastic Dishonesty and Violation of Academic Scholastic Dishonesty and Grievance):
http://www.hccs.edu/about-hcc/procedures/student-rights-policies--procedures/student-procedures/
Students:
Will be subject to dismissal by the Dean of Nursing for violations of the code of
conduct as outlined in the Houston Community College Student Handbook.
Will be subject to and recommended for withdrawal/dismissal from the program for
unsafe clinical practice and student code of conduct as written in the program
handbook.
Please see Student Code of Conduct.
Students are responsible for reading and adhering to the information presented in the HCCS
Student Handbook and HCCS Catalog, available online at w\Vw.hccs.edu/students. In addition to the HCCS policies regarding student conduct, while acting in the capacity as a
health science student, safe patient care and ethical and professional behavior are essential.
Scholastic Dishonesty. In accordance with HCCS policies regarding Scholastic
dishonesty, students are responsible for conducting themselves with honor and integrity in
fulfilling course requirements. "Scholastic Dishonesty" includes, but is not limited to, cheating
on a test, plagiarism, and collusion.
*"Cheating" on a test includes:
Copying from another student's test paper (computer);
Using or possessing pertinent subject matter materials during a test that are not
authorized by the person giving the test;
Collaborating with another student during a test without authority;
Knowingly using, buying, selling, stealing, transporting, or soliciting in whole or part
the contents of an un-administered test;
Bribing another person to obtain a test that is to be administered.
*"Plagiarism" means the appropriation of another's work and the unacknowledged
incorporation of that work in one's own written work offered for credit.
*"Collusion" means the unauthorized collaboration with another person in preparing written
work offered for credit.
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PROFESSIONAL BEHAVIOR/CLASSROOM ETIQUETTE
1. Students are to remain quiet during class time. Should a student need to ask a
question or communicate with the instructor, the student is to raise their hand.
2. Students should refrain from interrupting when someone is speaking.
3. Any student disrupting the class is to leave the classroom at the discretion of the
instructor.
4. In consideration of others and of safety, no children allowed in the classroom.
Frequently, the content presented in the classroom may be inappropriate for children.
Please be aware that children are distracting to other students trying to take notes or
exams.
5. Students must abide by the appropriate standards of conduct identified in the Student
Handbook, including language and professional behavior.
6. All cell phones and pagers are to be turned off or placed on vibrate during class time.
ATTENDANCE
Absences are set at 12.5% of the total class hours. It is the responsibility of the
student to remain current with their attendance. Absences in excess of 12.5% of the total class hours may result in administrative withdrawal from the course.
Student Conduct Please refer to the Program Handbook for Student Conduct. As a student you are responsible
for adhering to proper conduct in the classroom and clinical settings..
Instructor’s Course-Specific Information (As Needed)
Electronic Devices
Turn-off all personal communication devices (cell phones/camera phones, pagers, I-
phone, MP3 players, I-pods and laptop computers.) prior to the start of class
Make a personal telephone call only when it is an emergency. In such an instance, a
pay telephone is to be used or instructor notified. No cell phones are allowed in the
clinical/patient area or the assigned clinical facility.
Program Information
Texas Board of Nursing has granted full approval status to the Associate Degree Nursing
program (TBN, 333 Guadalupe, Suite 3-460, Austin, Texas 78701, (512)305-7400.
HCC Policies Here’s the link to the HCC Student Handbook http://www.hccs.edu/resources-for/current-students/student-handbook/ In it you will find information about the following:
Academic Information Academic Support
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17
Attendance, Repeating Courses, and Withdrawal Career Planning and Job Search
Childcare disAbility Support Services
Electronic Devices Equal Educational Opportunity Financial Aid TV (FATV)
General Student Complaints Grade of FX
Incomplete Grades International Student Services Health Awareness
Libraries/Bookstore Police Services & Campus Safety
Student Life at HCC Student Rights and Responsibilities Student Services
Testing Transfer Planning
Veteran Services
EGLS3 The EGLS3 (Evaluation for Greater Learning Student Survey System) will be available for most courses near the end of the term until finals start. This brief survey will give invaluable information to your faculty about their teaching. Results are anonymous and will be available
to faculty and division chairs after the end of the term. EGLS3 surveys are only available for the Fall and Spring semesters. EGLS3 surveys are not offered during the Summer semester
due to logistical constraints. http://www.hccs.edu/resources-for/current-students/egls3-evaluate-your-professors/
Campus Carry Link Here’s the link to the HCC information about Campus Carry: http://www.hccs.edu/departments/police/campus-carry/
HCC Email Policy When communicating via email, HCC requires students to communicate only through the HCC
email system to protect your privacy. If you have not activated your HCC student email account, you can go to HCC Eagle ID and activate it now. You may also use Canvas Inbox to communicate.
Housing and Food Assistance for Students
Any student who faces challenges securing their foods or housing and believes this may affect their performance in the course is urged to contact the Dean of Students at their college for support. Furthermore, please notify the professor if you are comfortable in doing
so. This will enable HCC to provide any resources that HCC may possess.
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Office of Institutional Equity Use the link below to access the HCC Office of Institutional Equity, Inclusion, and
Engagement (http://www.hccs.edu/departments/institutional-equity/)
disAbility Services HCC strives to make all learning experiences as accessible as possible. If you anticipate or
experience academic barriers based on your disability (including long and short term conditions, mental health, chronic or temporary medical conditions), please meet with a
campus Abilities Counselor as soon as possible in order to establish reasonable accommodations. Reasonable accommodations are established through an interactive
process between you, your instructor(s) and Ability Services. It is the policy and practice of HCC to create inclusive and accessible learning environments consistent with federal and state law. For more information, please go to http://www.hccs.edu/support-
services/disability-services/
Title IX Houston Community College is committed to cultivating an environment free from inappropriate conduct of a sexual or gender-based nature including sex discrimination, sexual assault, sexual harassment, and sexual violence. Sex discrimination includes all forms of
sexual and gender-based misconduct and violates an individual’s fundamental rights and personal dignity. Title IX prohibits discrimination on the basis of sex-including pregnancy and
parental status in educational programs and activities. If you require an accommodation due to pregnancy please contact an Abilities Services Counselor. The Director of EEO/Compliance is designated as the Title IX Coordinator and Section 504 Coordinator. All inquiries
concerning HCC policies, compliance with applicable laws, statutes, and regulations (such as Title VI, Title IX, and Section 504), and complaints may be directed to:
David Cross Director EEO/Compliance
Office of Institutional Equity & Diversity 3100 Main (713) 718-8271
Houston, TX 77266-7517 or [email protected] http://www.hccs.edu/departments/institutional-equity/title-ix-know-your-rights/
Office of the Dean of StudentsContact the office of the Dean of Students to seek assistance in determining the correct complaint procedure to follow or to identify the appropriate academic dean or supervisor for
informal resolution of complaints.
https://www.hccs.edu/about-hcc/procedures/student-rights-policies--procedures/student-complaints/speak-with-the-dean-of-students/
Department Chair Contact InformationDr. Tyrone Sharp, Suite 326, Room 329.
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SELECTED CONCEPTS OF ADULT HEALTH
COURSE OUTLINE (Alphabetized)
1. Nursing role in management of adult clients with selected alterations of Cardiovascular
function.
2. Nursing role in management of adult clients with selected alterations of Endocrine
function (Diabetes Mellitus).
3. Nursing role in management of adult clients with selected alterations of
Gastrointestinal function.
4. Nursing role in management of adult clients with selected alterations of Hematological
function.
5. Nursing role in management of adult clients with selected alterations of Immunologic
function.
6. Nursing role in management of adult clients with selected alterations of function related
to Infections.
7. Nursing role in management of adult clients with selected alterations of
Inflammation/Healing function.
8. Nursing role in management of adult clients with selected alterations of
Integumentary function.
9. Nursing role in management of adult clients with selected alterations of
Musculoskeletal function.
10. Nursing role in management of adult clients with selected alterations of Neurological
function.
11. Nursing role in management of adult clients with selected alterations of
Renal/Urological function.
12. Nursing role in management of adult clients with selected alterations of Reproductive
function.
13. Nursing role in management of adult clients with selected alterations of Sensorineural
(Ear) function.
14. Nursing role in management of adult clients with selected alterations of Sensorineural
(Eye) function.
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UNIT LEARNING OUTCOMES AND RELATED CONTENT
Nursing role in management of clients with selected problems/alterations in
Reproductive Function
Learning Outcomes:
At the completion of the class learning activities, the student will be able to:
1. Integrate knowledge of the anatomy and physiology as it relates to clients with selected
reproductive problems.
2. Describe the pathophysiology and clinical manifestations of selected reproductive
problems.
3. Discuss the various areas of assessment used in clients with selected reproductive
problems.
4. Describe therapeutic interventions used regarding health promotion, maintenance, and
restoration/ rehabilitation related to selected reproductive problems
5. Formulate a plan of care using critical thinking for clients and families with selected
reproductive problems in collaboration with other health care professionals.
6. Apply principles of teaching/learning to clients and families with selected reproductive
problems.
7. Describe safe nursing practice within legal/ethical parameters when caring for clients with
selected reproductive problems.
8. Apply age-related concepts in the management of clients with selected reproductive
problems.
9. Discuss components of effective community-based nursing care of clients with selected
problems.
10. Evaluate clients' and their families' outcomes and responses to therapeutic interventions.
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UNIT LEARNING OUTCOMES AND RELATED CONTENT
Nursing role in management of clients with selected problems/alterations in
Reproductive Function
Chapter(s) Content
50 Female Reproductive Problems- Review
51 Breast Disorders
Fibrocystic Changes
Gynecomastia in Men
52 Sexually Transmitted Infections (STI’s)
Chlamydia
Gonorrhea
Trichomoniasis
Genital Herpes
Genital Warts
Syphilis
53 Female Reproductive Problems
Dysmenorrhea
Menopause
Pelvic Inflammatory Disease (PID)
Endometriosis
Leiomyomas (Fibroids)
54 Male Reproductive Problems
BPH
TURP
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UNIT LEARNING OUTCOMES AND RELATED CONTENT
Nursing role in management of clients with selected problems/alterations in
the Immunological/Infection Function
Learning Outcomes:
At the completion of the class learning activities the student will be able to:
1. Incorporate knowledge of the anatomy and physiology as it relates to clients with
\infection problems.
2. Describe the pathophysiology and clinical manifestations of immunologic/infection
problems.
3. Discuss the various areas of assessment used in clients with immunologic\infection
problems.
4. Formulate a plan of care using critical thinking for clients and families with
immunologic\infection problems in collaboration with other health care professionals.
5. Apply principles of teaching/learning to clients and families with immunologic\infection
problems.
6. Describe safe nursing practice within legal/ethical parameters when caring for clients
with immunologic\infection problems.
7. Discuss components of effective community-based nursing care of clients with
immunologic\infection problems.
8. Evaluate clients' and their families' outcomes and responses to therapeutic
interventions.
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Nursing role in management of clients with selected problems/alterations in the
Immunological/Infection Function
Reading Assignment: Lewis, et al, (2017). Medical-Surgical Nursing, 10th Ed.
Chapter(s) Content
13 Normal and Altered Immune Response
Immunocompetence
Allergic contact Dermatitis
Hypersensitivity Reactions
Types of Immunity
Anaphylaxis
Latex Allergies
Organ Transplantation
Immunosuppressive Therapy
14 Human Immunodeficiency Virus Infection
64 Rheumatoid Arthritis Pg. 1530
Systemic Lupus Erythematosus Pg.1538
Chronic Fatigue Syndrome Pg. 1548
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UNIT LEARNING OUTCOMES AND RELATED CONTENT
Nursing role in management of clients with selected problems/alterations in Oxygenation
Function
Learning Outcomes:
At the completion of the class learning activities, the student will be able to:
1. Integrate knowledge of anatomy and physiology as it relates to clients with selected
upper and lower oxygenation problems.
2. Describe the pathophysiology and clinical manifestations of selected upper and lower
oxygenation problems.
3. Discuss the various areas of assessment used in clients with oxygenation problems.
4. Describe therapeutic interventions used regarding health promotion, maintenance, and
restoration/ rehabilitation related to selected oxygenation problems.
5. Formulate a plan of care using critical thinking for clients and families with selected
oxygenation problems in collaboration with other health care professionals.
6. Apply principles of teaching/learning to clients and families with selected oxygenation
problems.
7. Describe safe nursing practice within legal/ethical parameters when caring for clients with
selected oxygenation problems.
8. Apply age-related concepts in the management of clients with selected oxygenation
problems.
9. Discuss components of effective community-based nursing care of clients with selected
oxygenation problems.
10. Evaluate clients' and their families' outcomes and responses to therapeutic interventions.
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UNIT LEARNING OUTCOMES AND RELATED CONTENT
Nursing role in management of clients with selected problems/alterations in
Oxygenation Function
Reading Assignment: Lewis, et al, (2017). Medical-Surgical Nursing, 10th Ed.
Chapter Content
25 Anatomic and Physiologic Overview
Diagnostic Evaluation
Sleep Apnea (Chp. 7; pg. 97)
26 Upper Respiratory Problems
Acute Viral Rhinitis
Sinusitis
Influenza
Epistaxis
Airway Obstruction/Tracheostomy
Laryngeal Polyps
*Note: Head and Neck Cancer will be covered in Medical-Surgical II.
27 Lower Respiratory Problems
Acute Bronchitis
Types of Pneumonia (PNE)
Pertussis
Tuberculosis (TB)
Pleural Effusion
Pleurisy
Atelectasis
Pulmonary Edema
Pulmonary Embolism
Pulmonary Arterial Hypertension
Cor Pulmonale
28 Asthma
Chronic Obstructive Pulmonary Disease (COPD)
Bronchiectasis
Cystic Fibrosis
*Note: Lung Cancer will be covered in Medical-Surgical II.
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UNIT LEARNING OUTCOMES AND RELATED CONTENT
Nursing role in management of clients with alterations of
Sensorineural\Eye Function
Learning Outcomes:
At the completion of the class learning activities, the student will be able to:
1. Incorporate knowledge of anatomy and physiology as it relates to clients with selected
sensorineural\eye problems.
2. Describe the pathophysiology and clinical manifestations of selected sensorineural\eye
problems.
3. Discuss the various areas of assessment used in clients with selected sensorineural/eye
problems.
4. Identify therapeutic interventions used regarding health promotion, maintenance and
restoration/ rehabilitation related to selected sensorineural/eye problems.
5. Develop a plan of care using critical thinking for clients and families with selected
sensorineural\eye problems, in collaboration with other health care professionals.
6. Apply principles of teaching/ learning to clients and families with selected sensorineural\eye
problems.
7. Describe safe nursing practice within legal/ethical parameters when caring for clients with
selected sensorineural\eye problems.
8. Apply age-related concepts in the management of clients with selected sensorineural\eye
problems.
9. Discuss components of effective community-based nursing care of clients with selected
Sensorineural\eye problems
10. Evaluate the clients' and their families‟ outcomes and responses to therapeutic interventions.
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UNIT LEARNING OUTCOMES AND RELATED CONTENT
Nursing role in management of clients with alterations of
Sensorineural\Eye Function
Reading Assignment: Lewis, et al, (2017). Medical-Surgical Nursing, 10th Ed.
Chapter Content
20 Anatomy and Physiologic of the Eye
Assessment of Visual System
Gerontological Considerations Diagnostic Studies
21 Refractive Errors
Myopia
Hyperopia
Presbyopia
Astigmatism
Impaired Vision
Inflammation and Infection
Hordeolum
Conjunctivitis
Keratitis
Strabismus
Dry Eye Disorders
Corneal Disorders
Intraocular Disorders
Cataracts
Retinal Detachment
Retinopathy
Age-Related Macular Degeneration
Glaucoma
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UNIT LEARNING OUTCOMES AND RELATED CONTENT
Nursing role in management of clients with selected problems/alterations in Hematological
Function
Learning Outcomes:
At the completion of the class learning activities, the student will be able to:
1. Integrate knowledge of the anatomy and physiology as it relates to clients with selected
hematological problems.
2. Describe the pathophysiology and clinical manifestations of selected hematological
problems.
3. Discuss the various areas of assessment used in clients with selected hematological
problems.
4. Describe therapeutic interventions used regarding health promotion, maintenance, and
restoration/ rehabilitation related to selected hematological problems.
5. Formulate a plan of care using critical thinking for clients and families with selected
hematological problems, in collaboration with other health care professionals.
6. Apply principles of teaching/learning to clients and families with selected hematological
problems.
7. Describe safe nursing practice within legal/ethical parameters when caring for clients with
selected hematological problems.
8. Apply age-related concepts in the management of clients with selected hematological
problems.
9. Discuss components of effective community-based nursing care of clients with selected
hematological problems.
10. Evaluate clients' and their families' outcomes and responses to therapeutic interventions
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Nursing role in management of clients with selected problems/alterations in
Hematological Function
Reading Assignment: Lewis, et al, (2017). Medical-Surgical Nursing, 10th Ed.
Chapter Content
29 (Review) Assessment of Hematologic System
Gerontologic Considerations
Assessment Abnormalities (Table 29-5)
Diagnostic Studies of Hematologic System (Table 29-3, Table 29-6,7,9,10)
30 Hematologic Problems
Anemias
Iron-Deficiency Anemia
Aplastic Anemia
Blood Loss
Sickle Cell Anemia Disease
Acquired Hemolytic Anemia
Polycythemia
Thrombocytopenia
Bleeding Disorders
Hemophilia
Disseminated Intravascular Coagulation (DIC)
Neutropenia
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UNIT LEARNING OUTCOMES AND RELATED CONTENT
Nursing role in management of clients with selected problems/alterations in
Cardiovascular Function
Learning Outcomes:
At the completion of the class learning activities, the student will be able to:
1. Integrate knowledge of the anatomy and physiology as it relates to clients with
selected cardiovascular problems.
2. Describe the pathophysiology and clinical manifestations of selected cardiovascular
problems.
3. Discuss the various areas of assessment used in clients with selected cardiovascular
problems.
4. Describe therapeutic interventions used regarding health promotion, maintenance, and
restoration/ rehabilitation related to selected cardiovascular problems.
5. Formulate a plan of care using critical thinking for clients and families with selected
cardiovascular problems, in collaboration with other health care professionals.
6. Apply principles of teaching/learning to clients and families with selected cardiovascular
problems.
7. Describe safe nursing practice within legal/ethical parameters when caring for clients with
selected cardiovascular problems.
8. Apply age-related concepts in the management of clients with selected cardiovascular
problems.
9. Discuss components of effective community-based nursing care of clients with selected
problems.
10. Evaluate clients' and their families' outcomes and responses to therapeutic interventions
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Nursing role in management of clients with selected problems/alterations in
Cardiovascular Function
Reading Assignment: Lewis, et al, (2017). Medical-Surgical Nursing, 10th Ed.
Chapter Content
31 Cardiovascular System (Review)
Anatomy and Physiology of the Cardiac System
Assessment of the Cardiovascular System
Diagnostic Studies
32 Hypertension and Gerontologic Considerations
33 Coronary Artery Disease
Acute Coronary Syndrome
Risk Factors/Health Promotion
Gerontologic Considerations
Chronic Stable Angina and Unstable Angina
Nursing Management of Angina
Cardiac Catheterization
36 Inflammatory Disorders of the Heart
Infective Endocarditis
Pericarditis
Valvular Heart Disease
Mitral Valve Prolapse
Mitral Stenosis
Mitral Insufficiency
Aortic Stenosis
Aortic Insufficiency
Cardiomyopathy
37 Vascular Disorders
Peripheral Artery Disease
Raynaud’s phenomenon
Phlebitis
Superficial Venous Thrombosis
Deep Vein Thrombosis
Varicose Veins
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UNIT LEARNING OUTCOMES AND RELATED CONTENT
Nursing role in management of clients with selected problems/alterations in
Integumentary\Inflammation/Wound Function
Learning Outcomes:
At the completion of the class learning activities, the student will be able to:
1. Integrate knowledge of the anatomy and physiology as it relates to clients with selected skin
problems.
2. Describe the pathophysiology and clinical manifestations of selected skin problems.
3. Discuss the various areas of assessment used in clients with skin problems.
4. Describe therapeutic interventions used regarding health promotion, maintenance, and
restoration/ rehabilitation related to selected skin problems.
5. Formulate a plan of care using critical thinking for clients and families with selected skin
problems, in collaboration with other health care professionals.
6. Apply principles of teaching/learning to clients and families with selected reproductive
problems.
7. Describe safe nursing practice within legal/ethical parameters when caring for clients with
selected skin problems.
8 Apply age-related concepts in the management of clients with selected skin problems.
9. Discuss components of effective community-based nursing care of clients with selected skin
problems.
10. Evaluate clients' and their families' outcomes and responses to therapeutic interventions
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Nursing role in management of clients with selected problems/alterations in
Inflammation/Healing Function
Reading Assignment: Lewis, et al, (2017). Medical-Surgical Nursing, 10th Ed.
Chapter Content
11 Inflammation and Wound Healing (Review)
The Inflammatory Response
Types of Inflammation Healing Process
Wound Classification
Complications of Healing
Pressure Ulcers
Gerontologic Considerations
22 Assessment of Integumentary System (Review)
23 Integumentary Problems (Tables 23-5, 6, 7, 8,9,10)
Selected Bacterial Infections of the Skin
Impetigo
Selected Viral Infections of the Skin
Herpes Simplex Virus 1 and 2
Herpes Zoster (Shingles)
Plantar Warts
Selected Fungal Infections of the Skin
Candidiasis
Tinea Corporis
Tinea Cruris
Tinea Pedis
Tinea Unguium (Onychomycosis)
Selected infestations and Insect Bites
Bees and Wasps
Bedbugs
Pediculosis (Head, Body, Pubic Lice)
Scabies
Ticks
Selected Allergic Conditions of the Skin
Allergic Contact Dermatitis
Urticaria
Cellulitis
Drug Reaction
Selected Benign Conditions of the Skin
Acne Vulgaris
Nevi (Moles)
Psoriasis
Seborrheic Keratosis
Acrochordons (Skin Tags)
Lipoma
Lentigo
Collaborative Care of Dermatologic Problems
Nursing Management of Dermatologic Problems
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UNIT LEARNING OUTCOMES AND RELATED CONTENT
Nursing role in management of clients with selected problems/alterations in
Sensorineural\Ear Function
Learning Outcomes:
At the completion of the class learning activities, the student will be able to:
1. Incorporate knowledge of anatomy and physiology as it relates to clients with selected
sensorineural\ear problems.
2. Describe the pathophysiology and clinical manifestations of selected sensorineural\ear
problems/
3. Discuss the various areas of assessment used in clients with selected sensorineural/ear
problems.
4. Identify therapeutic interventions used regarding health promotion, maintenance and
restoration/ rehabilitation related to selected sensorineural/ear problems.
5. Develop a plan of care using critical thinking for clients and families with selected
sensorineural\eye problems, in collaboration with other health ear professionals.
6. Apply principles of teaching/ learning to clients and families with selected sensorineural\ear
problems.
7. Describe safe nursing practice within legal/ethical parameters when caring for clients with
selected sensorineural\ear problems.
8. Apply age-related concepts in the management of clients with selected sensorineural\ear
problems.
9. Discuss components of effective community-based nursing care of clients with selected
Sensorineural\ear problems.
10. Evaluate the clients' and their families‟ outcomes and responses to therapeutic interventions.
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Nursing role in management of clients with selected problems/alterations in
Sensorineural\Ear Function
Reading Assignment: Lewis, et al, (2017). Medical-Surgical Nursing, 10th Ed.
Chapter Content
20 (Review) Anatomy and Physiologic of the Ear (Pg. 360)
Assessment of Auditory System (Pg. 361) Gerontological Considerations (Pg. 361)
Diagnostic Studies (Pg. 364)
21 Ocular Manifestations (Auditory Problems) Pg. 383
External Otitis
Otitis Media
Otosclerosis
Inner Ear Problems Méniére’s
Disease
Benign Paroxysmal Positional Vertigo
Hearing Loss and Deafness
Gerontologic Considerations
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UNIT LEARNING OUTCOMES AND RELATED CONTENT
Nursing role in management of clients with selected problems/alterations in
Gastrointestinal Function
Learning Outcomes:
At the completion of the class learning activities, the student will be able to:
1. Integrate knowledge of the anatomy and physiology as it relates to clients with selected
gastrointestinal problems.
2. Describe the pathophysiology and clinical manifestations of selected gastrointestinal
problems.
3. Discuss the various areas of assessment used in clients with selected gastrointestinal
problems.
4. Describe therapeutic interventions used regarding health promotion, maintenance, and
restoration/ rehabilitation related to selected gastrointestinal problems.
5. Formulate a plan of care using critical thinking for clients and families with selected
gastrointestinal problems, in collaboration with other health care professionals.
6. Apply principles of teaching/learning to clients and families with selected gastrointestinal
problems.
7. Describe safe nursing practice within legal/ethical parameters when caring for clients with
selected gastrointestinal problems.
8. Apply age-related concepts in the management of clients with selected gastrointestinal
problems.
9. Discuss components of effective community-based nursing care of clients with selected
problems.
10. Evaluate clients' and their families' outcomes and responses to therapeutic interventions.
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Nursing role in management of clients with selected problems/alterations in
Gastrointestinal Function
Reading Assignment: Lewis, et al, (2017). Medical-Surgical Nursing, 10th Ed.
Chapter Content
38 (Review) Assessment of Gastrointestinal System
Assessment of GI System
Diagnostic\Radiologic Studies
Gerontologic Considerations
40 Obesity (Table 40-10)
Bariatric Surgical Therapy
Gastric Sleeve
Gastric Banding
Intragastric Balloons
Metabolic Syndrome
41 Upper Gastrointestinal Problems
Nausea/Vomiting
Esophageal Disorders
GERD
Hiatal Hernia
Esophageal Diverticula
Esophageal Varices
Disorders of Stomach and Upper Small Intestine
Acute Gastritis
Chronic Gastritis
Peptic Ulcer Disease (PUD)
Upper GI Bleed
Food Poisoning
42 Lower Gastrointestinal Problems
Diarrhea
Constipation
Acute Abdominal Pain
Peritonitis
Appendicitis
Gastroenteritis
Inflammatory Bowel Disease (IBD)
Intestinal Obstruction
Fistulas
Diverticulosis and Diverticulitis
Hernias (Types)
Celiac Disease
Hemorrhoids
*Note: Cancers, Liver, Biliary Tract, and Pancreas information will be covered in Medical-Surgical II.
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UNIT LEARNING OUTCOMES AND RELATED CONTENT
Nursing role in management of clients with selected problems/alterations in
Renal/Urologic Function
Learning Outcomes:
At the completion of the class learning activities, the student will be able to:
1. Integrate knowledge of the anatomy and physiology as it relates to clients with selected renal
and urological problems.
2. Describe the pathophysiology and clinical manifestations of selected renal and urological
problems.
3. Discuss the various areas of assessment used in clients with selected renal and urological
problems.
4. Describe therapeutic interventions used regarding health promotion, maintenance, and
restoration/ rehabilitation related to selected renal and urological problems.
5. Formulate a plan of care using critical thinking for clients and families with selected renal
and urological problems, in collaboration with other health care professionals.
6. Apply principles of teaching/learning to clients and families with selected renal and
urological problems.
7. Describe safe nursing practice within legal/ethical parameters when caring for clients with
selected renal and urological problems.
8. Apply age-related concepts in the management of clients with selected renal and urological
problems.
9. Discuss components of effective community-based nursing care of clients with selected
urological problems.
10. Evaluate clients' and their families' outcomes and responses to therapeutic interventions
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Nursing role in management of clients with selected problems/alterations in
Renal/Urologic Function
Reading Assignment: Lewis, et al, (2017). Medical-Surgical Nursing, 10th Ed.
Chapter Content
16 Fluid, Electrolyte, and Acid-Base Imbalances
Electrolyte Composition of Fluid Compartments
Hydrostatic Pressure
Fluid Shifts
Fluid Spacing
Renal Regulation
Fluid Volume Imbalances
Alterations in Acid-Base Balance
Respiratory Acidosis
Respiratory Alkalosis
Metabolic Acidosis
Metabolic Alkalosis
Mixed Acid-Base Disorders
Blood Gas Values
Assessment of Fluid, Electrolyte, and Acid-Base
Imbalances
44 Assessment of Urinary System
Diagnostic Studies of Urinary System
45 Renal and Urologic Problems
Urinary Tract Infection (UTI)
Acute Pyelonephritis
Chronic Pyelonephritis
Urethritis
Interstitial Cystitis
Glomerulonephritis
Nephrotic Syndrome
Urinary Tract Calculi
Lithotripsy
Polycystic Kidney Disease
Urinary Diversion
Urinary incontinence
Urinary retention
46 Acute Kidney Surgery
Chronic Kidney Disease
End Stage Renal Disease (ESRD)
Dialysis
Kidney Transplantation
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UNIT LEARNING OUTCOMES AND RELATED CONTENT
Nursing role in management of clients with selected problems or alterations in the
Endocrine Function
Learning Outcomes:
At the completion of the class learning activities, the student will be able to:
1. Incorporate knowledge of anatomy and physiology as it relates to clients with diabetes
mellitus.
2. Describe the pathophysiology and clinical manifestations of diabetes mellitus.
3 Discuss the various areas of assessment used in clients with diabetes mellitus.
4. Identify therapeutic interventions used regarding health promotion, maintenance, and
restoration/rehabilitation related to diabetes mellitus.
5. Develop a plan of care using critical thinking for clients and families with diabetes mellitus, in
collaboration with other health care professionals.
6. Apply principles of teaching/learning to clients and families with diabetes mellitus.
7. Describe safe nursing practice within legal/ethical parameters when caring for clients with
diabetes mellitus.
8. Apply age-related concepts in the management of clients with diabetes mellitus.
9. Discuss components of effective community-based nursing care of clients with diabetes
mellitus.
10. Evaluate the clients' and their families‟outcomes and responses to therapeutic interventions.
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Nursing role in management of clients with selected problems/alterations in
Endocrine/Diabetes Mellitus Function
Reading Assignment: Lewis, et al, (2017). Medical-Surgical Nursing, 10th Ed.
Chapter Content
48 Diabetes Mellitus (DM)
Classifications of Diabetes Mellitus
Assessment and Diagnostic Findings
Nursing Role in the Management of clients with DM
Acute and Chronic Complications
Cultural practices and strategies for health promotion/maintenance
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UNIT LEARNING OUTCOMES AND RELATED CONTENT
Nursing role in management of clients with selected Alterations of the
Neurological Function
Learning Outcomes:
At the completion of the class learning activities, the student will be able to:
1. Incorporate knowledge of anatomy and physiology as it relates to clients with selected
neurological problems
2. Describe the pathophysiology and clinical manifestations of selected neurological problems.
3 Discuss the various areas of assessment used in clients with selected neurological problems.
4. Identify therapeutic interventions used regarding health promotion, maintenance, and
restoration/rehabilitation related to selected neurological problems.
5. Develop a plan of care using critical thinking for clients and families with selected
neurological problems, in collaboration with other health care professionals.
6. Apply principles of teaching /learning to clients and families with selected neurological
problems.
12.7 Describe safe nursing practice within legal/ethical parameters when caring for clients
with selected neurological problems.
8. Apply age-related concepts in the management of clients with selected neurological
problems.
9. Discuss components of effective community-based nursing care of clients with selected
neurological problems.
10. Evaluate the clients' and their families‟ outcomes and responses to therapeutic
interventions.
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Nursing role in management of clients with selected Alterations of the
Neurological Function
Reading Assignment: Lewis, et al, (2017). Medical-Surgical Nursing, 10th Ed.
Chapter Content
55 Anatomy Pathophysiology of Nervous System
Assessment of the Nervous System
Diagnostic Studies
56 Inflammatory Conditions of the Brain:
Brain Abscess
Meningitis
Bacterial
Viral
Encephalitis
57 Stroke / Cerebral Vascular Accident
Types of Strokes Ischemic Stroke
Embolic Stroke Hemorrhagic Stroke
Subarachnoid Hemorrhage
Diagnostic Studies
Gerontologic Considerations Nursing
Management of Stroke
58 Chronic Neurologic Problems:
Headaches:
Types of Headaches
Seizure
Epilepsy
Multiple Sclerosis
Myasthenia Gravis
Parkinson’s disease
Amyotrophic Lateral Sclerosis
Huntington’s disease
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UNIT LEARNING OUTCOMES AND RELATED CONTENT
Nursing role in management of clients with selected problems/alterations of the
Musculoskeletal Function
Learning Outcomes:
At the completion of the class learning activities, the student will be able to:
1. Integrate knowledge of the anatomy and physiology as it relates to clients with selected
musculoskeletal problems.
2. Describe the pathophysiology and clinical manifestations of selected musculoskeletal
problems.
3. Discuss the various areas of assessment used in clients with selected musculoskeletal
problems.
4. Describe therapeutic interventions used regarding health promotion, maintenance, and
restoration/rehabilitation related to selected musculoskeletal problems.
5. Formulate a plan of care using critical thinking for clients and families with selected
musculoskeletal problems, in collaboration with other health care professionals.
6. Apply principles of teaching learning to clients and families with selected musculoskeletal
problems.
7. Describe safe nursing practice within legal/ethical parameters when caring for clients with
selected musculoskeletal problems.
8. Apply age-related concepts in the management of clients with selected musculoskeletal
problems.
9. Discuss components of effective community-based nursing care of clients with selected
musculoskeletal problems.
10. Evaluate clients' and their families' outcomes and responses to therapeutic interventions.
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Nursing role in management of clients with selected problems/alterations of the
Musculoskeletal Function
Reading Assignment: Lewis, et al, (2017). Medical-Surgical Nursing, 10th Ed.
Chapter Content
61 Anatomy and Physiology of the Musculoskeletal System
History and physical assessment
Diagnostic Studies
62 Musculoskeletal Trauma and Orthopedic Surgery
Sprains/Strains
Dislocation/ Subluxation
Carpal Tunnel Syndrome
Rotator Cuff Injury
Meniscus Injury
Bursitis Fractures:
Types of Fractures (Fx)
(Humerus/Pelvis/Tibia/Vertebral)
Traction
Casts
Internal/External Fixation
Neurovascular Assessment
Complications of Fxs
Types of Joint Surgeries
Gerontologic Considerations
63 Osteomyelitis
Muscular Dystrophy
Low Back Pain
Osteomalacia
Osteoporosis
Paget’s disease
64 Arthritis
Osteoarthritis (OA)
Rheumatoid Arthritis (RA)
Gout
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UNIT LEARNING OUTCOMES AND RELATED CONTENT
Nursing role in management of clients who will have surgical procedures.
Learning Outcomes:
At the completion of the lecture, the student will be able to:
1. Distinguish the common purposes and settings of surgery.
2. Apply knowledge of the purpose and components of a preoperative nursing assessment.
3. Interpret the significance of data related to the preoperative patient’s health status and
operative risk.
4. Analyze the components of the patient’s informed consent for surgery.
5. Examine the nursing role in the physical, psychological, and educational preparation of the
surgical patient.
6. Prioritize the nursing responsibilities related to day-of-surgery preparation for the surgical
patient.
7. Discern the purposes and types of common preoperative medications.
8. Apply knowledge of the special considerations of preoperative preparation for the older adult
surgical patient.
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UNIT LEARNING OBJECTIVES AND RELATED CONTENT
Nursing role in management of clients who have had surgical procedures.
Learning Outcomes:
At the completion of the lecture, the student will be able to:
1. Prioritize nursing responsibilities related to managing patients in the post anesthesia care unit
(PACU).
2. Prioritize nursing responsibilities to maintain patient safety and prevent postoperative
complications in the PACU and clinical unit.
3. Apply data from the initial nursing assessment to the management of the patient after transfer
from the PACU to the clinical unit.
4. Select nursing interventions to manage potential problems during the postoperative period.
5. Distinguish discharge criteria from Phase I and Phase II post-anesthesia care.
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UNIT LEARNING OBJECTIVES AND RELATED CONTENT
Nursing role in management of clients who have fluid, electrolyte, and acid-base balances.
Learning Outcomes:
At the completion of the lecture, the student will be able to:
1. Describe the composition of the major fluid compartments.
2. Define processes involved in regulating the movement of water and electrolytes between the
body fluid compartments.
3. Describe the etiology, laboratory diagnostic findings, clinical manifestations, and nursing and
interprofessional management of the following disorders:
a. Extracellular fluid volume imbalances: fluid volume deficit and fluid volume excess.
b. Sodium imbalances: hypernatremia and hyponatremia.
c. Potassium imbalances: hyperkalemia and hypokalemia.
d. Magnesium imbalances: hypermagnesemia and hypomagnesemia.
e. Calcium imbalances: hypercalcemia and hypocalcemia.
f. Phosphate imbalances: hyperphosphatemia and hypophosphatemia.
4. Identify the processes involved in maintaining acid-base balance.
5. Discuss the etiology, diagnostic findings, clinical manifestations, and nursing and
interprofessional management of the following acid-base imbalances:
Metabolic acidosis, metabolic acidosis, respiratory acidosis, respiratory alkalosis.
6. Describe the composition of and indications for common IV fluid solutions.
7. Discuss the types and nursing management of commonly used central venous access devices.
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UNIT LEARNING OUTCOMES AND RELATED CONTENT
Nursing role in management of clients with selected problems/alterations in
Immune Function
Learning Outcomes:
1 Describe the components and functions of the immune system.
2 Distinguish among the 4 types of hypersensitivity reactions in terms of immunologic
mechanisms and resulting alterations.
3 Outline the clinical manifestations and emergency management of a systemic anaphylactic
reaction. *** Covered in MSII?
4 Describe the assessment and interprofessional care of a patient with chronic allergies.
5 Describe the etiologic factors, clinical manifestations, and treatment modalities of autoimmune
diseases.
6 Identify the types and side effects of immunosuppressive therapy.
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UNIT LEARNING OUTCOMES AND RELATED CONTENT
13 Normal Immune Response
Altered Immune Response.
Allergic Disorders
Immunotherapy
Latex Allergies
14 Types of Pathogens
Emerging Infections
Health-Care Associated Infections
Gerontologic Considerations
Human Immunodeficiency Virus Infection
Diagnostic Studies
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HOUSTON COMMUNITY COLLEGE SYSTEM
RNSG 1341: SELECTED CONCEPTS OF ADULT HEALTH
COURSE EXPECTATIONS CONTRACTUAL AGREEMENT
I, ______________________________have read the syllabus and fully understand the expectations
of me as a student in this course.
I am aware that the course syllabus and the Houston Community College A.D.N. Student
Handbook are on the course website and that I am accountable for following the policies and
procedures discussed.
I agree to avoid academic dishonesty by neither giving nor receiving any information about test
content in this course and I will not sign the roll for any other student.
I agree that my failure to submit this signed agreement will be considered a breach of contract and I
may be administratively dropped.
I have been given an opportunity to ask and have my questions answered.
I do not have any unanswered questions regarding the syllabus.
My signature below signifies my willingness to comply with the course requirements.
________________________________________
SIGNATURE
________________________________________ PRINTED NAME
________________________________________ DATE