Course Outline NEPH201
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School of Health Sciences Faculty: E-mail: CE Office Phone #: CE Office Fax #:
(416) 675-6622 Ext. 4868 (416) 675-2015
COURSE OUTLINE ACADEMIC YEAR 2012-2013It is the student's responsibility to retain course outlines for possible future use in support of applications for transfer credit to other educational institutions. This material is the property of Humber College Institute of Technology and Advanced Learning and may be printed for course reference. This material shall not be photocopied or reproduced, in any other format, for any other purpose. Copyright 2012-2013.
PROGRAM: COURSE NUMBER/NAME: PRE-REQUISITE(S): PRE-REQUISITE FOR:
CONTINUING EDUCATION, NURSINGNEPH 201 ONLINE NEPHROLOGY NURSING II
RN - CNO CERTIFICATE OF COMPETENCENEPHROLOGY NURSING I - NEPH 101 NEPHROLOGY III - NEPH 301 PATIENT ASSESSMENT (POST 107) or EQUIVALENT IS REQUIRED PRIOR TO CLINICAL TO COMPLETE THE NEPHROLOGY NURSING CERTIFICATE
CREDIT VALUE: TOTAL HOURS: DIRECTOR, CONTINUING EDUCATION: APPROVED BY: I COURSE DESCRIPTION
4 60 Pamela Richardson RN BA MA(Ed) [email protected] ASSOCIATE DEAN
This course is designed to provide additional theory in nephrology nursing. Emphasis will be on the care of the patient with End-Stage Renal Disease (ESRD) and the application of peritoneal dialysis based on current management with Intermittent Peritoneal Dialysis (IPD), Continuous Ambulatory Peritoneal Dialysis (CAPD), and Continuous Cyclic Peritoneal Dialysis (CCPD). In addition, infection control, peritonitis, nutritional aspects and special population groups will be presented. Opportunities to increase an understanding of adult education, counselling and developmental tasks of the special renal populations will be discussed. Students will have an opportunity to examine and critically analyze current issues affecting nephrology nursing practice and examine chronic complications and psychosocial adaptation to chronic disease.
LEARNING OUTCOMES Upon completion of this course, the student will be able to: A. Core Outcomes 1. 2. 3. Incorporate knowledge acquired from Nephrology Level 1. Discuss the presentation of chronic uremic syndrome. Apply the principles of peritoneal dialysis to the current methods of peritoneal dialysis. Discuss the complications of peritoneal dialysis. Apply principles of learning to the individual requiring instruction in the performance of home peritoneal dialysis. Describe the nursing management of special population groups requiring peritoneal dialysis, (geriatric, pediatric patients, ESRD secondary to diabetes mellitus). Discuss aspects of adaptation to chronic disease and coping strategies. Develop counselling strategies for the individual and family members involved in peritoneal dialysis programmes.
Generic/Employability Skills Outcomes 9. 10. Describe the pathophysiology of End-Stage Renal Disease. Discuss the advantages and disadvantages of the current methods of peritoneal dialysis. Examine nursing skills related to the performance of peritoneal dialysis. Develop an awareness of the personal value system and its significance related to ethical issues of peritoneal dialysis. Review current literature in ESRD and management with peritoneal dialysis. Deliver a clear concise presentation of specific topics relating to the renal client.
-2This material shall not be photocopied or reproduced, in any other format, for any other purpose. Copyright 2012-2013.
COURSE CONTENTTopic No. No. of Hours
Introduction to Nephrology Nursing II Pathophysiology presentation diagnosis and management: Glomerulopathies - Mechanisms of Glomerulopathies - Classification of Glomerulopathies - Specific types of Glomerulopathies - Nephrotic Pattern with Hematuria - Hematuria with Nephrotic Pattern Heredity - Cystic disorders - Metabolic disorders - Other Other - Hypertensive Disorders - Obstructive Disorders - Infective Disorders - Cardiac Related Online Discussion
End Stage Renal Disease (ESRD) Uremia Manifestations Endocrine Disturbances Complications Associated With Uremic Syndrome
-3This material shall not be photocopied or reproduced, in any other format, for any other purpose. Copyright 2012-2013.
No. of Hours
4 5 6
Pharmacology Diet Therapy Peritoneal Dialysis - Intermittent Peritoneal Dialysis (IPD) - Continuous Ambulatory Peritoneal Dialysis (CAPD) - Anatomy & Physiology-Peritoneum - Membrane Permeability - Transport Mechanism - Models of Peritoneal Dialysis - Ultrafiltration Profile Factors Affecting Dialysis Efficiency - Factors Related to Technique - Dialysate Composition - Drug Effects - Microcirculatory Effects - Interstitial Factors and Fluid Films - Mesothial Factors - Ultrafiltration Factors - Other Factors Clinical Application of Peritoneal Dialysis Access - Acute Catheter Implantation - Nursing Assessment & Management - Discontinuing Acute Dialysis Indwelling Catheters - Catheter Design - Patient Preparation - Implantation Technique - Complications - Nursing Assessment & Management - Long Term Complications - Surgical Implantation
Online Discussion Online Discussion Online Discussion
3 2 3
-4This material shall not be photocopied or reproduced, in any other format, for any other purpose. Copyright 2012-2013.
No. of Hours
10 11 12
Clinical Application of Peritoneal Dialysis Risks Associated With Dialysis Clinical Application of Peritoneal Dialysis Modalities Intermittent Peritoneal Dialysis (IPD) - Concepts - Patient Selection - IPD Clinical Management - Automated Peritoneal Dialysis - Complications Associated With Acute IPD and Management - Complications Associated With Chronic IPD and Management - Nursing Management CAPD Concepts and Advantages - Clearance Factors - Ultrafiltration Rate - Glucose Absorption - Fluid & Electrolyte Balance - Control of Hypertension - Control of Anemia - Patient Selection - Contraindications - Continuous Cyclic Peritoneal Dialysis CAPD Clinical Application CAPD Self-Care Approach Nutritional Assessment and Peritoneal Dialysis - Components of Nutritional Assessments - Alterations in Metabolism with Peritoneal Dialysis - Nutritional Management
Online Discussion Case Studies Case Studies
2 2 3
14 15 16
Online Discussion Case Studies Online Discussion
2 2 3
-5This material shall not be photocopied or reproduced, in any other format, for any other purpose. Copyright 2012-2013.
No. of Hours
Infection Control in Peritoneal Dialysis - Asepsis - High-Risk Populations Peritonitis - Incidence - Clinical Presentation - Clinical Course - Pathogenesis - Causative Organism - Diagnosis - Treatment - Complications of Peritonitis - Mortality - Prevention - Nursing Management Peritoneal Dialysis In Special Populations: Diabetes Mellitus Population Adaptation to Chronic Disease and Dialysis - Stresses - Coping Mechanism - Theories of Adaptation - Resources Counselling For Dialysis Populations - Counselling - Family dynamics Current Methods of Peritoneal Dialysis - biochemical - physiological - psychological - economical
Online Discussion Case Studies
7 Discussion Case Studies Discussion 2
Group Discussion Discussion
The topics, their order, and length of time spent on each may vary depending on the interest and needs of each group
-6This material shall not be photocopied or reproduced, in any other format, for any other purpose. Copyright 2012-2013.
EVALUATION PROCEDUREType of Assignment Learning Outcome # Date Due Weighting %
1. 2. 3. 4.
Participation Assignment Mid-Term Exam Final Exam TOTAL:
10% 15% 25% 50% 100%
Assignments received after the scheduled dates are subject to a late penalty of 20%. The student will not have the opportunity to write the mid-term test if she/he is absent on the assigned day of the test. The final comprehensive examination will then be assigned a greater weight, (i.e. if the mid-term test is worth 20%, and the final comprehensive is worth 70%, then the final comprehensive examination will be worth 90% of the total grade). A final grade of 60% must be obtained to successfully complete the NEPH 201 course. If a grade of 50-59% is obtained, the student is eligible to write a supplemental exam. To write this exam the student must make arrangements with the instructor. Current Provincial registration to practice from the College of Nurses is required for this course see critical path/schedule. Failure to show proof of current registration will lead to a final grade of zero. If temporary registration is submitted, final grades will be held for three months then will revert to a zero grade.To obtain an electronic copy for submission: Step-By-Step Guide How To Print Your Nursing Registration InformationThese instructions are to guide nurses who are registered in Ontario. Print this page to have it beside you as you go through the steps. 1. Visit the College of Ontario Nurses web site, at http://www.cno.org/ 2. Under the section Find a Nurse, click on the button titled Search for a nurse. 3. At the Welcome page, you will be prompted to acknowledge