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Upon completion of this course students will be able to:
1. Discuss the Health Deviation Self-Care Requisites, Universal
Self-Care Requisites, and Developmental Self-Care Requisites of the
adult and older adult medical-surgical patient and the patient with
selected oxygenation, nutrition, elimination, fluid and electrolytes,
protection, rest and activity, interaction and regulation deficits.
2. Describe appropriate nursing systems, nursing diagnoses, and
interventions to be used with each identified deficit and be able to
plan and evaluate the nursing care required.
3. Describe the pathophysiology and behavioral patterns of selected
psychiatric illnesses and substance abuse that interfere with the
client's ability to meet the universal self-care needs.
4. Use problem solving and facilitative communication skills to conduct
an interview with the patient to assess self-care requisites, self-
care deficits, self-care abilities, and promote relief of symptoms.
5. Describe community resources that may be utilized to meet patients'
needs.
6. Describe use of psychotropic agents for psychopathology.
7. Implement nursing systems for 1-2 clients per day using the plan of
care consistent with theory and clinical objectives.
8. Ethically perform basic nursing skills consistent with theoretical
knowledge base, audit sheet criteria, agency policy, state law and
cultural considerations.
9. Describe the pathophysiology and behavior patterns of selected
psychiatric illnesses as they relate to older adults.
10. Perform a nursing assessment of one to two persons in the acute
rehabilitation setting.
11. Collect and record database for each client who have a need for
assistance in meeting their universal self-care and health deviation
needs.
12. Assess client for manifestations of inability to meet universal
self-care and health deviation needs.
13. Complete basic assessment for each category of clients consistent
with expected level of achievement.
14. Identify actual/potential self-care deficits and state the deficit
in nursing diagnosis terminology.
15. Develop a written plan of nursing care incorporating current
knowledge basis.
16. Select a nursing system appropriate for assigned client.
17. Implement the selected nursing system for 1-2 clients.
18. Demonstrate basic nursing skills consistent with theoretical
Knowledge base and competency-based criteria.
19. Evaluate the effectiveness of therapeutic interventions.
20. Assess client and family's basic self-care needs for health teaching
based on potential/actual self-care deficits and universal self-care
and developmental needs.
21. Develop a teaching plan based on assessed needs.
22. Implement the developed teaching plan.
23. Evaluate client and family response to teaching.
24. Communicate:
a. in writing on a client's chart.
b. effectively with assigned clients and health care team members
using problem solving, goal-directed communications skills.
c. pertinent information to client, family, and health care team
members within the agency.
d. client status during and at end of shift.
25. Identify one's own educational needs and seek appropriate learning
experiences.
26. Demonstrate behaviors consistent with school and health care agency
policies.
27. Utilize self-care concepts as they relate to universal self-care,
developmental, cultural and spiritual needs.
28. Perform psychomotor skills at a level consistent with safe,
competent performance in the clinical setting.
29. Demonstrate therapeutic communication skills consistent with safe,
competent performance in clinical settings.
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I. Basic concepts in the nursing care, in the selection of diagnosis,
nursing systems, and communication about the adult medical-surgical and
geriatric client
with the following altered functions:
A. Cardiovascular
B. Acid-base balance.
C. Glucose metabolism
D. Respiratory
E. Musculoskeletal
F. Gastrointestinal
G. Vision
II. Skill competencies
A. Ostomy management
B. Intravenous therapy
C. Respiratory assessment and therapy
D. Nasogastric tube; insertion, maintenance and removal
E. Urinary catheterization
F. Orthopedic devices and treatments
G. Intradermal injections
III. Nursing care of the psychiatric client
A. The role of the nurse in the psychiatric setting
B. Personality disorders
C. Self-destructive behavior
D. Suicide
E. Thought disorders
F. Substance abuse
G. Dementia and delirium
H. Anxiety disorders and somatoform disorders
I. Disturbances of mood/affect
J. Psychiatric disorders of childhood and adolescence
K. Victims of abuse and violence
L. Group process
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1. Clinical practice in hospitals. Students must meet minimum problem
solving skills and practice to pass this course. Passing is a C
grade at 75%.
2. Preparation for clinical assignments by reviewing patient's chart;
preparing data base, pathophysiology form, assessment tool and
researching medications, treatments and skills - approximately
3-4 hours per week.
3. Written nursing care plans, 2 - 5 plans per semester.
4. Completion of assessment tool, approximately 30 per semester.
5. Viewing selected media in the Health Learning Resource Center.
6. Present patient situations for discussion in post clinical
conferences.
7. Analysis of patient care situations. In group setting, approximately
10-12 per semester.
8. Reading assignments, 70-350 pages per week.
9. Written clinical paper on substance abuse, 3 pages.
10. Written clinical paper on psychiatric day care treatment, 3 pages.
11. Written clinical paper on surgical client, 5 pages.
12. Written clinical paper on Alcoholics Anonymous, 1-2 pages.
13. Reading prior to skills demonstration 15-50 pages per week.
14. Practice skills under faculty supervision in simulated clinical
setting.
15. Provide safe and competent nursing care to 1 - 2 clients
16. Four mid-term exams
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Required:
- California BRN (2006) California Board of Registered Nursing Practice
Act - Rules and regulations and California Statues related to registered
nursing.
- Potter, P.A. & Perry (2006) Fundamentals of Nursing w/Companion Virtual
Hospital 6th ed., Chicago: Mosby.
- Potter, P.A. & Perry (2006). Clinical Nursing Skills and Techniques
w/CD-Roms, 7th ed. Chicago: Mosby
- Phillips, L. (2005). Manual of IV Therapeutics, 4th ed. F.A. Davis
- Kee, Joyce (2005). Laboratory and Diagnostic tests with Nursing
Implications, 7th ed. New Jersey: Prentice Hall.
- Eliopoulos, C. (2004) Gerontological Nursing, 6th ed. Philadelphia:
J.B. Lippincott.
- Varcarolis, E.M. (2006). Foundations of Psychiatric Mental Health
Nursing, 5th ed. Philadelphia: Saunders.
- Lewis, S.M., Heitkemper, M.M., & Dirksen, S.R. (2004) Medical Surgical
Nursing, 6th ed. Chicago: Mosby.
- Jarvis, C. (2004) Physical Examination & Health Assessment, 4th ed.
St. Louis: Saunders.
- McKenry & Salern (2006). Pharmacology in Nursing, 22nd ed. Chicago:
Mosby
Recommended:
- Varcaralis, E.M. (2006). The Manual of Psychiatric Nursing Care Plans,
3rd ed. Saunders
- Deglin & Vallerand (2006). Davis's Drug Guide for Nurses. F.A. Davis.
- McCance & Huether (2006). Pathophysiology - The Biolgic Basis for
Disease in Adults and Children, 5th ed. Chicago: Mosby.
