Representing Alabama’s Public Two-Year College System

AlabamaDepartment of

Postsecondary Education

Revised Spring 2014

NORTHEAST ALABAMANORTHEAST ALABAMACOMMUNITY COLLEGECOMMUNITY COLLEGE

NUR 203: Nursing Through the Lifespan IIITheory 4 credit hoursLab 0 credit hourClinical 2 credit hoursTotal 6 credit hours

I. CLASS MEETING DATES/TIMES/LOCATIONTBA

II. CLINICAL DATES/TIMES/LOCATION (None)TBA

III. INSTRUCTOR, CONTACT INFORMATION, CONTACT POLICY, OFFICE HOURS/LOCATION

Mrs. Sheila Gentry, Course CoordinatorHealth Education Building, Office 218

The Alabama College SystemCopyright 2004

All Rights Reserved

IV. COURSE DESCRIPTION:This course builds upon previous instruction and provides additional opportunities to develop competencies necessary to meet the needs of individuals throughout

the lifespan in a safe, legal, and ethical manner using the nursing process. Students manage and provide collaborative care to clients who are

experiencing selected alterations in cardiovascular, respiratory, and neurological systems in a variety of settings. Additional instruction is provided care for selected mental health disorders, selected emergencies, multiple organ dysfunction syndrome and related disorders. Teaching/learning concepts, advanced dosage calculations, nutrition, pharmacology, communication, cultural, and community concepts are integrated. This course supports CIP code 51.1601.

V. PREREQUISITE(S)/CO-REQUISITE(S)PREREQUISITES:NUR 202 – Nursing Throughout the Lifespan II

PSY 210 – Human Growth and DevelopmentSPH 107 – Fundamentals of Speech

CO-REQUISITES:NUR 204 – Transition Into Nursing PracticeHumanities elective

VI. TEXTBOOK(S) AND OTHER LEARNING RESOURCESSee Reading Assignment

VIII. COURSE OBJECTIVES1. Utilize the nursing process in providing collaborative nursing care for clients

throughout the lifespan with selected health alterations.A. Cardiovascular SystemB. Respiratory SystemC. Neurological SystemD. Sepsis, Septic Shock, DICE. EmergenciesF. BurnsG. Mental Health Disorders

IX. PROFESSIONAL COMPETENCIES Provide and manage nursing care for clients experiencing selected system alterations.

MODULE A – SELECTED CARDIOVASCULAR ALTERATIONSA1.0 Provide and manage nursing care for clients experiencing selected system alterations.

A1.1 Utilize the nursing process to provide care for multiple clients with cardiovascular alterations.

A1.1.1 Define terms associated with selected cardiovascular system alterations.

A1.1.2 Describe selected cardiovascular system alterations.A1.1.3 Describe legal and ethical considerations related to providing

nursing care for selected cardiovascular system alterations.A1.1.4 Describe the impact of selected cardiovascular system alterations

on clients throughout the lifespan. A1.1.5 Relate the pathophysiology associated with selected

cardiovascular system alterations to clinical manifestations.A1.1.6 Describe the role of the nurse in providing care for clients

experiencing selected cardiovascular system alterations.A1.1.7 Explain health promotion related to selected cardiovascular

system alterations.A1.1.8 Interpret selected diagnostic test for cardiovascular system

alterations.A1.1.9 Explain complications associated with selected cardiovascular

system alterations.A1.1.10 Describe the pharmacological agents and/or treatments for

selected cardiovascular system alterations.A1.1.11 Evaluate nutritional considerations for clients experiencing

selected cardiovascular system alterations.A1.1.12 Identify client response to treatment modalities for clients

experiencing selected cardiovascular system alterations.A1.1.13 Evaluate psychosocial needs of clients, families, and/or support

systems.A1.1.14 Use critical thinking to prioritize nursing care for culturally

diverse clients experiencing selected cardiovascular system alterations.

A1.1.15 Describe the delegation process used to provide nursing care for clients experiencing selected cardiovascular system

alterations.A1.1.16 Evaluate outcomes of nursing care for clients experiencing

selected cardiovascular system alterations.

MODULE B – RESPIRATORY ALTERATIONSB1.0 Provide and manage nursing care for clients experiencing selected system

alterations.B1.1 Utilize the nursing process to provide care for multiple clients with

respiratory alterations.B1.1.1 Define terms associated with selected respiratory system

alterations.B1.1.2 Describe selected respiratory system alterations.B1.1.3 Describe legal and ethical considerations related to providing

nursing care for selected respiratory system alterations.B1.1.4 Describe the impact of selected respiratory system alterations on

clients throughout the lifespan. B1.1.5 Relate the pathophysiology associated with selected respiratory

system alterations to clinical manifestations.B1.1.6 Describe the role of the nurse in providing care for clients

experiencing selected respiratory system alterations.B1.1.7 Explain health promotion related to selected respiratory system

alterations.B1.1.8 Interpret selected diagnostic test for respiratory system

alterations.B1.1.9 Explain complications associated with selected respiratory

system alterations.B1.1.10 Describe the pharmacological agents and/or treatments for

selected respiratory system alterations.B1.1.11 Evaluate nutritional considerations for clients experiencing

selected respiratory system alterations.B1.1.12 Identify client response to treatment modalities for clients

experiencing selected respiratory system alterations.B1.1.13 Evaluate psychosocial needs of clients, families, and/or support

systems.B1.1.14 Use critical thinking to prioritize nursing care for culturally

diverse clients experiencing selected respiratory system alterations.

B1.1.15 Describe the delegation process used to provide nursing care for clients experiencing selected respiratory system alterations.

B1.1.16 Evaluate outcomes of nursing care for clients experiencing selected respiratory system alterations.

MODULE C – NEUROLOGICAL ALTERATIONSC1.0 Provide and manage nursing care for clients experiencing selected system

alterations.C1.1 Utilize the nursing process to provide care for multiple clients with

selected neurological alterations.C1.1.1 Define terms associated with selected neurological system

alterations.C1.1.2 Describe selected neurological system alterations.

C1.1.3 Describe legal and ethical considerations related to providing nursing care for selected neurological system alterations.

C1.1.4 Describe the impact of selected neurological system alterations on clients throughout the lifespan.

C1.1.5 Relate the pathophysiology associated with selected neurological system alterations to clinical manifestations.

C1.1.6 Describe the role of the nurse in providing care for clients experiencing selected neurological system alterations.

C1.1.7 Explain health promotion related to selected neurological system alterations.

C1.1.8 Interpret selected diagnostic test for neurological system alterations.

C1.1.9 Explain complications associated with selected neurological system alterations.

C1.1.10 Describe the pharmacological agents and/or treatments for selected neurological system alterations.

C1.1.11 Evaluate nutritional considerations for clients experiencing selected neurological system alterations.

C1.1.12 Identify client response to treatment modalities for clients experiencing selected neurological system alterations.

C1.1.13 Evaluate psychosocial needs of clients, families, and/or support systems.

C1.1.14 Use critical thinking to prioritize nursing care for culturally diverse clients experiencing selected neurological system

alterations.C1.1.15 Describe the delegation process used to provide nursing care for

clients experiencing selected neurological system alterations.C1.1.16 Evaluate outcomes of nursing care for clients experiencing

selected neurological system alterations.

MODULE D – SEPSIS, SEPTIC SHOCK, AND DISSEMINATED INTRAVASCULAR COAGULATION (DIC)

D1.0 Provide and manage care for clients with sepsis, septic shock, and/or DIC.D1.1 Utilize the nursing process to provide care for a client with sepsis, septic

shock, and/or DIC.D1.1.1 Define sepsis, septic shock, and DIC.D1.1.2 Describe the impact of sepsis, septic shock, and DIC on clients

throughout the lifespan. D1.1.3 Describe legal and ethical considerations related to providing

nursing care for sepsis, septic shock, and DIC.D1.1.4 Relate the pathophysiology associated with sepsis, septic shock,

and/or DIC to the clinical manifestations.D1.1.5 Interpret selected diagnostic test results for sepsis, septic shock,

and/or DIC.D1.1.6 Explain complications associated with sepsis, septic shock,

and/or DIC.D1.1.7 Describe the pharmacological agents and/or treatments for

sepsis, septic shock, and/or DIC.

D1.1.8 Evaluate nutritional considerations for clients experiencing sepsis, septic shock, and/or DIC.

D1.1.9 Identify client response to treatment modalities for clients experiencing sepsis, septic shock, and/or DIC.

D1.1.10 Evaluate the psychological care for clients, families and/or support systems.

D1.1.11 Use critical thinking to prioritize care for culturally diverse clients experiencing sepsis, septic shock, and/or DIC.

D1.1.12 Describe the delegation process used to provide care for clients with sepsis, septic shock, and/or DIC.

D1.1.13 Evaluate outcomes of nursing care for clients experiencing sepsis, septic shock, and/or DIC.

MODULE E – SELECTED EMERGENCIESE1.0 Provide and manage care for clients with selected emergencies.

E1.1 Utilize the nursing process to provide care for multiple clients experiencing selected emergencies.

E1.1.1 Define terms associated with selected emergencies.E1.1.2 Describe legal and ethical considerations related to providing

nursing care for selected emergencies.E1.1.3 Describe the impact of selected emergencies on clients

throughout the lifespan.E1.1.4 Relate the pathophysiology associated with selected emergencies

to the clinical manifestations.E1.1.5 Interpret selected diagnostic test results for selected emergencies.E1.1.6 Explain complications associated with selected emergencies.E1.1.7 Describe the pharmacological agents and/or treatments for

selected emergencies.E1.1.8 Evaluate client’s condition to determine nutritional needs.E1.1.9 Identify response to treatment for selected emergencies.E1.1.10 Evaluate the psychosocial needs for clients, families and/or

support systems.E1.1.11 Use critical thinking to prioritize nursing care for culturally

diverse clients experiencing selected emergencies.E1.1.12 Describe the delegation process used to provide care for clients

with selected emergencies.E1.1.13 Evaluate outcomes of nursing care for clients experiencing

selected emergencies.

MODULE F – BURNSF1.0 Provide and manage care for clients with burns.

F1.1 Utilize the nursing process to provide care for a client with burns.F1.1.1 Define terms associated with burns.F1.1.2 Explain teaching and learning activities for prevention of burns.F1.1.3 Describe legal and ethical considerations related to providing

nursing care for burns.F1.1.4 Describe the impact of burns on clients throughout the lifespan.

F1.1.5 Relate the pathophysiology associated with burns to the clinical manifestations.

F1.1.6 Explain complications associated with burns.F1.1.7 Interpret diagnostic tests for clients with burns.F1.1.8 Describe the pharmacological agents and/or treatments for burns

and complications.F1.1.9 Evaluate nutritional considerations for clients with burns and

complications.F1.1.10 Identify client’s response to treatment modalities for burns.F1.1.11 Evaluate psychosocial needs of clients, families and/or support

systems.F1.1.12 Use critical thinking to prioritize nursing care for culturally

diverse clients with burns.F1.1.13 Describe the delegation process used to provide care for clients

with burns.F1.1.14 Evaluate outcomes of nursing care for clients with burns.F1.1.15 Describe the collaborative process of the rehabilitation phase for

burn clients.

MODULE G – SELECTED MENTAL HEALTH DISORDERSG1.0 Provide and manage care for clients with selected mental health disorders.

G1.1 Utilize the nursing process to provide care for clients experiencing selected mental health disorders.

G1.1.1 Define terms associated with selected mental health disorders.G1.1.2 Explain selected mental health disorders throughout the lifespan.G1.1.3 Describe legal and ethical considerations related to providing

nursing care for selected mental health disorders.G1.1.4 Explain therapeutic relationships and communication as applied

to clients with selected mental health disorders.G1.1.5 Explore etiologies related to selected mental health disorders.G1.1.6 Explain therapies for selected mental health disorders.G1.1.7 Explain health promotion related to selected mental health

disorders.G1.1.8 Describe the role of the nurse in providing nursing care for

clients experiencing selected mental health disorders.G1.1.9 Interpret clinical manifestations of selected mental health

disorders.G1.1.10 Interpret diagnostic tests for selected mental health disorders.G1.1.11 Describe the pharmacological agents and/or treatments for

selected mental health disorders.G1.1.12 Evaluate nutritional considerations for clients experiencing

selected mental health disorders.G1.1.13 Identify expected outcomes of treatment modalities for clients

experiencing selected mental health disorders.G1.1.14 Evaluate psychosocial needs of clients, families, and/or support

systems.G1.1.15 Use critical thinking to manage nursing care for culturally

diverse clients experiencing selected mental health disorders.

G1.1.16 Evaluate the outcomes of care provided for clients experiencing selected mental health disorders.

X. OUTLINE OF MODULESMODULE A – SELECTED CARDIOVASCULAR ALTERATIONS Terms Alterations

o Cardiomyopathy Hypertrophic Dilated Restrictive

o Inflammatory conditions Endocarditis Pericarditis Myocarditis Rheumatic heart disease

o Valvular conditions Prolapse Stenosis Regurgitation

o Pediatric cardiac alterations- Arterial septal defect- Ventricular septal defect- Patent ductus arteriosus- Coarctation of the aorta- Tetrology of Fallot- Congestive heart failure- Pulmonary stenosis- Aortic stenosis

Hemodynamic monitoringo Pulmonary artery pressureo Arterial pressure o Central venous pressureo Cardiac outputo Systemic vascular resistance

Treatmentso Pharmacologyo Advanced cardiac life supporto Cardiac surgeries

Coronary artery bypass graft Valve repair/replacement Cardiac transplant

o Pacemakero Intra-aortic balloon pumpo Ventricular assist device

Pathophysiology Role of the nurse Health promotion Clinical manifestations Diagnostic tests

Pharmacological agents and treatments

Nutritional considerations Nursing process

MODULE B – RESPIRATORY ALTERATIONS Terms Alterations

o Pulmonary Edemao Pulmonary Embolismo Chest traumao Acute Respiratory Distress Syndrome (ARDS)o Hemothorax/pneumothoraxo Pleural Effusiono Flail chest

Cancers of the respiratory system Surgical interventions

o Lobectomyo Pneumonectomyo Segmental resection

Care and treatmento Chest tubeso Arterial blood gases (interpretation)o Ventilatorso Endotracheal Tube and Trach management

Pathophysiology Role of the nurse Health promotion Clinical manifestations Diagnostic tests Pharmacological agents and treatments Nutritional considerations Nursing process

MODULE C – NEUROLOGICAL ALTERATIONS Terms Alterations

o Tumorso Infections

Meningitis Encephalitis

Head injuryo Contusionso Concussions o Fractures

Transient ischemic attacks

Cerebrovascular accidentso Thrombotico Hemorrhagico Embolic

Spinal cord dysfunctionso Spinal cord injuryo Herniated disco Spinal shocko Paralysis

Quadriplegic Paraplegic

o Autonomic Dysreflexiao Spasticityo Neurogenic bladder/bowelo Respiratory o Sexualo Infection

Complicationso Increased intracranial pressureo Unconsciouso Systemic infectionso Neurogenic shocko Seizure disorders (epilepsy)

Pathophysiology Role of the nurse Health promotion Clinical manifestations Diagnostic tests Pharmacological agents and treatments Nutritional considerations Nursing process

MODULE D – SEPSIS, SEPTIC SHOCK AND DISSEMINATED INTRAVASCULAR COAGULATION (DIC)

Terms Legal/ethical considerations Etiologies – risk factors Pathophysiology Clinical manifestations

o Stageso Systems

Lab and diagnostics tests Collaborative care

o Oxygen/ventilationo Fluid replacement

o Pharmacological treatmento Nutrition

Multiple Organ Dysfunction Syndrome (MODS) Complications Pathophysiology Role of the nurse Health promotion Clinical manifestations Diagnostic tests Pharmacological agents and treatments Nutritional considerations Nursing process

MODULE E – EMERGENCY Terms Legal/ethical considerations Triage

o Primaryo Secondary

Heat related emergencies Cold related emergencies Submersion injuries Poisoning (adult/children) Bites and stings Violence/abuse

o Substanceso Suicideo Gunshotso Stabbingso Domestic violenceo Rape

Disaster preparedness and responseo System infrastructure and processeso Mass casualty exerciseso Bioterrorism agents

Emergent drugso Resuscitativeo Tetanus

Client education Pathophysiology Role of the nurse Health promotion Clinical manifestations Diagnostic tests Pharmacological agents and treatments Nutritional considerations Nursing process

MODULE F - BURNS Terms Legal/ethical considerations Clinical overview Types of burns Predicted effects on body systems Risk factors Clinical manifestations Diagnostic and lab tests

o Rule of Nineso Pediatrics

Therapeutic management o Minoro Moderateo Major burnso Prehospital treatmento Emergency treatment

Airway management Shock Fluid resuscitation

o Acute care Shock Fluid resuscitation

o Rehabilitation Skin graft Wound management

o Pharmacologyo Nutritiono Complications

Cardiovascular Gastrointestinal Acute renal failure Respiratory Psychological Electrolytes Death

Age related changes Pathophysiology Role of the nurse Health promotion Clinical manifestations Diagnostic tests Pharmacological agents and treatments Nutritional considerations Nursing process

MODULE G – SELECTED MENTAL HEALTH DISORDERS Terms Legal/ethical considerations Victimization

o Child abuseo Abused adultso Rape

Lifespan issueso Childhood Disorders

- Attention deficit disorder- Conduct disorder- Impulse control- Oppositional defiance

o Eating disorderso Behavioral aspects of mental retardation

Personality disorderso Odd eccentric behaviorso Dramatic emotional erratic behaviorso Anxious fearful behaviorso Paraphilias

Pathophysiology Role of the nurse Health promotion Clinical manifestations Diagnostic tests Pharmacological agents and treatments Nutritional considerations Nursing process

XI. EVALUATION AND ASSESSMENTA. Theory

1. Tests announced or unannounced may be given throughout the course andmay incorporate various teaching/learning methods (for example: situational, multiple choice, discussion, performances, etc).

2. All nursing exams should be taken on the day they are scheduled. In the event of illness, bereavement, or court attendance, the student is required to notify the course coordinator or clinical instructor PRIOR to the test. Immediately upon return to campus, the student is required to submit documentation which supports the absence. A make-up exam will be given at the end of the semester IF appropriate documentation has been provided at the time of the absence.

3. Prior to each unit exam, the student will complete PrepU Pre-tests on the topic areas being tested. A minimum grade of 80% or mastery level must be achieved for admission to the unit exam. If the student does not complete the assignments according to posted deadlines, the student will not be allowed to take the exam and a make-up exam will be taken at the end of the semester.

4. All students are required to attend test reviews following exams. Students who score less than 75% on unit exams are required to complete a remediation assignment in the computer lab on a designated day. Students must score a minimum of 80% on the remediation assignment. Remediation assignments must be submitted to the instructor on the day of remediation.

STUDENTS WHO DO NOT COMPLETE REQUIRED REMEDIATION ASSIGNMENTS WILL NOT BE ALLOWED TO TAKE THE NEXT UNIT EXAM AND WILL TAKE A MAKE-UP EXAM AT THE END OF THE SEMESTER.

5. If a make-up exam is to be taken for any reason, the student must complete a PrepU Pre-test assignment on the modules being tested before the exam can be taken. A minimum grade of 80% or mastery level must be achieved for admission to the make-up exam. Failure to complete the assignment with a minimum score of 80% or mastery level will result in a zero (0) for that make-up exam.

6. Required written assignments are due by the end of the scheduled class period.

B. Clinical

1. Performance in the clinical setting is evaluated according to the form, Evaluation of Clinical Performance. A final evaluation of satisfactory in clinical performance is required to progress in nursing. A rating of unsatisfactory in clinical performance will result in a grade of “F” for the nursing course regardless of any other grading component in the course.

2. Students may not attend clinical lab until they have successfully completed all required assignments in order to provide safe client care.

C. Computerized Tests

1. Students will be required to pay a testing fee to cover the expense of the Health Education Systems (HESI) tests. HESI tests are scheduled throughout the nursing curriculum. The testing fee this semester is approximately $130.00 and is subject to change.

2. Students will be required to take the HESI EXIT Exam in April. If the student does not pass the exam, he/she must participate in remediation as prescribed by the faculty and retake the HESI EXIT Exam prior to graduation, for an additional fee of $50.00.

D. Course Grade

1. The course grade is a composite grade based on the following:a. Unit tests (60%)b. Computerized Tests

1. Pharmacology HESI (5%) 2. HESI EXIT (10%)

c. Comprehensive final examination (HESI – 25%)d. Clinical performance evaluation

Student must achieve a grade of 75% or above in each course to continue in the nursing program. A grade below 75% will result in a “D” or an “F” depending on the numerical score.

2. Course and instructor evaluation by each student is required.

3. Conference with the clinical instructor is required each semester.

4. In the event of a failing grade, students are urged to see their instructor for a conference.

XII. ATTENDANCEA. Students are expected to attend all classes for which they are registered. The

student must be present 80% of the scheduled class dates in order to demonstrate the expected course outcomes and successfully apply theoretical concepts to the clinical practicum. Students who are unable to attend class regularly, regardless of the reason or circumstance, should withdraw from that class before poor attendance interferes with the student’s ability to achieve the objectives required in the course. Withdrawal from class can affect eligibility for federal financial aid. Withdrawal from class can prohibit progression in nursing and allied health programs.

B. Students are expected to attend all clinical rotations required for each course. Only excused absences (a maximum of two) will be considered for make up. However, due to limited clinical space and time, clinical make up days cannot be guaranteed. Failure to complete clinical rotations will prohibit progression in nursing and allied health programs.

XIII. STATEMENT ON DISCRIMINATION/HARASSMENTThe College and the Alabama Board of Education are committed to providing both employment and educational environments free of harassment or discrimination related to an individual’s race, color, gender, religion, national origin, age, or disability. Such harassment is a violation of State Board of Education policy. Any practice or behavior that constitutes harassment is a violation of State Board of Education policy. Any practice or behavior that constitutes harassment or discrimination will not be tolerated.

XIV. AMERICANS WITH DISABILITIESThe Rehabilitation Act of 1973 (Section 504) and the American with Disabilities Act of 1990 state that qualified students with disabilities who meet the essential functions and academic requirements are entitled to reasonable accommodations. It is the student’s responsibility to provide appropriate disability documentation to the College. Please contact the ADA representative.

XV. COURSE CALENDARCourse Calendar will be provided to student by the first day of class.

XVI. STUDENT ACKNOWLEDGEMENT FORMI have received the Course Syllabus for NUR 203: Nursing Through the Lifespan III.

_________________________________________ Student’s Signature

_________________________________________ Print Name

_________________________________________ Date

Northeast Alabama Community CollegeEvaluation of Program Learning Outcomes

Program Learning Outcomes Form

NUR 203 (Nursing through the Lifespan III)

Faculty annually review the extent to which the program learning outcomes identified in a course syllabus are being attained by students who complete the course. Each syllabus identifies the assessment method that will be used to demonstrate student mastery of the desired program learning outcomes. Before teaching a course, faculty should review the syllabus to understand how the learning outcomes will be evaluated. Once the course is complete, this form is used by the instructor to report how well students demonstrated mastery of those program learning outcomes.

Course Prefix & No.: NUR 203 Course Title: Nursing through the Lifespan IIIInstructor: Date:Semester: Section Number(s):

Type of Delivery – Mark One*: Dual Enrollment Online Traditional*Double click on the appropriate box. When the form field menu appears, select “checked” under Default value.

.Program Learning Outcome Institutional Evaluation Method

and BenchmarkEvaluation ResultsOf the students who completed the assessment, how many demonstrated attainment of the stated outcomes? (For example, 22/28, 19/28)

Suggested ImprovementsBased on an analysis of the evaluation results, what improvements can be made in the program? You must include something specific in this section, even if all of the students demonstrated attainment of the outcomes.

The student will demonstrate proficiency in performing advanced nursing skills for clients with health alterations in a variety of settings.

The student will score a minimum of 80% on the skills component of the clinical evaluation for NUR 203.

The student will utilize relevant technology and develop computer skills by successfully completing appropriate documentation of client care.

The student will document in the DocuCare EHR system with a minimum of 90% accuracy.

The student will apply the nursing The student will score a minimum

PLO FORMCopyright © 2015. [Northeast Alabama Community College]. All rights reserved.Revised 03/01/2015.  Permission for use of this form by other institutions may be requested via email to the Office of Institutional Planning & Assessment.

process in providing advanced nursing care for clients throughout the lifespan.

of 80% on the Nursing Process component of the clinical evaluation.

*Reviewed: Division Director or Program Supervisor Date

*To be completed by Division Director or Program Supervisor Only