|5/29/2023 11:48:05 PM||
|Discipline and Nbr:
Advanced Vocational Nursing: Teamleading/Acute Gerontology
|Units||Course Hours per Week|| ||Nbr of Weeks||Course Hours Total
|Maximum||4.00||Lecture Scheduled||4.00||17.5 max.||Lecture Scheduled||70.00
|Minimum||4.00||Lab Scheduled||0||17.5 min.||Lab Scheduled||0
| ||Contact DHR||0|| ||Contact DHR||0
| ||Contact Total||4.00|| ||Contact Total||70.00
| ||Non-contact DHR||0|| ||Non-contact DHR Total||0
Title 5 Category:
AA Degree Applicable
00 - Two Repeats if Grade was D, F, NC, or NP
Also Listed As:
| ||Total Out of Class Hours: 140.00||Total Student Learning Hours: 210.00||
This is one part of advanced level theory for the part time vocational nursing program. Concepts learned in prerequisite theory are integrated into the study of nursing care of severely acute and chronic illness patients in hospitals, ambulatory care, and skilled nursing levels. Health promotion and maintenance are emphasized. Health problems common in the elderly and legal/ethical dilemmas arising in their care are explored. Concepts fundamental to the leadership and delegation roles in the skilled nursing settings are presented.
Course Completion of NRV 60B
Limits on Enrollment:
Schedule of Classes Information
Advanced level VN course for part time vocational nursing program which builds on previous theory courses. Focus is on the care of severely acute and chronic illness patients. Theory includes leadership concepts, care of special needs of geronotolgy clients, health promotion and client teaching that may be applied to a variety of settings.
Prerequisites:Course Completion of NRV 60B
Limits on Enrollment:
Repeatability:00 - Two Repeats if Grade was D, F, NC, or NP
ARTICULATION, MAJOR, and CERTIFICATION INFORMATION
Certificate Applicable Course
Outcomes and Objectives:
At the conclusion of this course, the student should be able to:
|CSU GE:||Transfer Area|| ||Effective:||Inactive:
|IGETC:||Transfer Area|| ||Effective:||Inactive:
Upon completion of the course students will be able to:
1. Apply concepts learned in prerequisite theory for the analysis and care
of needs of patients with unstable acute illness & severe chronic illness.
2. Apply Orem's Self-care Deficit Theory to clinical scenarios involving
patients with multiple self-care deficits.
3. Apply adult development concepts to the design of nursing systems for
4. Collaborate with other vocational nursing students in solving problems
related to hypothetical clinical scenarios where the VN assumes a leader-
ship role in skilled nursing settings.
5. Compare and contrast effects of pathophysiological processes in older
adults versus younger adults and children.
6. Predict the effects of medications on older adults, including the
effects on functional status.
7. Describe common clinical syndromes encountered in older adults,
including typical nursing, medical and allied health care & therapies
such as in:
a. Degenerative neurologic and muscular disorders.
b. Mental illness, confusion, and delirium states.
c. Electrolyte imbalances as a result of multiple body system effects and
pharmacologic and other interventions.
d. Wound and incontinence diagnosing, treatment and nursing care.
e. Immune system disorders of complex and often terminal outcomes.
8. Formulate plans of care for patients in hypothetical scenarios with a
focus on diagnostics, labs, and monitoring of responses to treatment.
9. Design brief tutorials for patients with chronic illness.
10. Resolve hypothetical ethical dilemmas related to end of life issues.
11. Compare and contrast strategies and techniques employed in the care of
younger adults and children with the elderly.
12. Prepare and present a case study to peers with a thorough overview of
pathophysiology, nursing diagnoses, interventions and patient outcomes.
Topics and Scope
Topics of course include:
1. Mental Health Nursing
a. Assessment, intervention and evaluation of common disorders.
b. Monitoring of psychotropic and anti-seizure medications.
2. Leadership Role in the VN scope of practice in the skilled nursing
3. Care of the gerontological patient in acute, ambulatory care and the
skilled nursing settings including:
a. Changes of aging in the normal physiologic processes
b. Losses of aging, sexuality concerns, and special considerations with
pharmacologic drugs and fluid balance.
c. Overall expanded focus of care of the gerontology client.
4. Intershift reports in acute and skilled nursing settings.
a. Verbal skills for phone and direct physician orders and reporting.
b. Written skills for transcribing of orders and documenting care.
5. Common chronic illness problems related to degenerative disorders.
a. Nursing care of patients with conditions (i.e. Multiple sclerosis,
Myasthenia gravis, Amyotrophic lateral sclerosis).
b. Treatment plans including medications, teaching, rehab exercises.
6. Advanced monitoring of fluid and electrolyte status.
7. Chronic illness care related to repetitive injuries and rehab needs.
8. Advanced immunology theory including:
a. AIDS: the current trends and treatments.
b. Hypersensitivity: allergy categories and treatment options.
9. Common gerontologic and chronic illness problems related to skin
breakdown and complex wound care, incontinence categories and options of
10. Review of cardiovascular disorders with focus on cardiogenic shock.
heart failure, pacemakers and current trends in cardiology.
11. Peripheral vascular disorders and relationship to culture and aging
with common drug and treatment plans.
12. Common pulmonary problems with review of pneumonia, asthma, and more
advanced theory related to ARDS treatment and cancer of head/neck leading
13. Critical thinking and priority setting related to death and dying with
review of advance directives and process for meeting patient spiritual
14. Quick data collection and case study review of varied clients.
1. Reading assignments: approximately 50-100 pages per week.
2. Written Homework: answering of 5-20 objectives per week.
3. Case studies: approximately 1-2 per week for group discussion.
4. Quizzes: 1-2 per week.
5. Exams: approximately 2-4 exams over course of semester which prepare
the student for NCLEX-PN test consisting of multiple choice questions
questions primarily with a combined theory and application to clinical
6. Cumulative Final Exam similar to course exams.
Methods of Evaluation/Basis of Grade.
Representative Textbooks and Materials:
|Writing: Assessment tools that demonstrate writing skill and/or require students to select, organize and explain ideas in writing.||Writing
15 - 25%
|Written homework, Weekly objectives and group case studies||
|Problem solving: Assessment tools, other than exams, that demonstrate competence in computational or non-computational problem solving skills.||Problem Solving
0 - 0%
|Skill Demonstrations: All skill-based and physical demonstrations used for assessment purposes including skill performance exams.||Skill Demonstrations
0 - 0%
|Exams: All forms of formal testing, other than skill performance exams.||Exams
60 - 80%
|Multiple choice, True/false, Matching items, Completion, Exams mirroring NCLEX-PN format.||
|Other: Includes any assessment tools that do not logically fit into the above categories.||Other Category
5 - 15%
|Attendance and participation required with point system.||
INTRODUCTION TO MEDICAL-SURGICAL NURSING, 3rd ed., by A.D. Linton and N.K.
Maebius. W.B. Saunders, Philadelphia (2003).
PHARMACOLOGY: A NURSING APPROACH, 4th ed., by Kee & Hayes, W.B. Saunders,
CARING FOR THE ELDERLY, 2nd ed., by M.A. Anderson & J.V. Braun, F.A. Davis
NRV 61 Syllabus.