CAREER TECHNOLOGY CENTER OF LACKAWANNA COUNTY PRACTICAL NURSING PROGRAM

Transcription

1 CAREER TECHNOLOGY CENTER OF LACKAWANNA COUNTY PRACTICAL NURSING PROGRAM Course Title: Nursing in the Family Life Cycle II Description: This course is to introduce the practical nursing student to the disorders in reproduction, growth and development and pediatric disorders. Placement: Level IV Total Hours: 50 Parallel Courses: Medical Surgical Courses(Endocrine, Dermatology, Respiratory & Oncology and PVR II) Objectives: At completion of the course, the student will: 1. Utilize the nursing process in providing care and caring for disorders in reproduction, growth and development and pediatric disorders. 2. Demonstrate skills necessary to provide safe, effective nursing care for the patient with disorders in reproduction, growth and development, and pediatric disorders. 3. Effectively apply the problem solving process in making decisions about the plant of care for the patients with disorders in reproduction, growth and development and pediatric disorders. 4. Communicate effectively with the patient experiencing disorders of reproduction, growth and development and pediatric disorders, as well as team members and faculty. 5. Demonstrate responsibility for personal actions within the legal parameters of the Practical Nursing Practice Act. 6. Promote individual family members rights to health care decisions as they relate to the disorders of reproduction, growth and development and pediatric disorders. 7. Adhere to the nursing code of ethics in providing care for clients. 8. Correlate theoretical knowledge of disorders of reproduction, growth and development, and pediatric disorders. 9. Support patients psychosocial, spiritual and cultural values in planning care for patients dealing with disorders of reproduction, growth and development and pediatric disorders. Unit Outline: Requirements: Evaluation: 1. Reproductive Disorders 2. The Child Needing Nursing Care Leifer, G. (2011), Introduction of Maternity and Pediatric Nursing & Study Guide, 7th Ed. Mosby Elsevier, St. Louis, Missouri Williams, L.S., Hopper, P.D. (2011) Understanding Medical-Surgical Nursing, 4th Ed. F.A. Davis Co., Philadelphia, Pennsylvania McKinney, M.A. (2012) Comprehensive Review to NCLEX-PN, 2nd Ed. Pearson Education, Inc., Upper Saddle River, New Jersey Passpoint. NCLEX-PN.Kluwer-Lippincott, Williams, & Wilkins. Web Average of tests and final/ / Group Presentations Final average of 80% is minimum passing grade and a satisfactory clinical evaluation is required. Family Life Cycle II implements the philosophy and objectives of the program in that students will correlate maternal child theoretical knowledge in the clinical setting. With moderate guidance, the student utilizes the nursing process to prioritize nursing care needs of their clients. The student will provide nursing care according to the accepted standards of practice with minimal guidance. Principles of communication are encouraged for interaction with patients, families, faculty, and co-workers. At Level IV the student is expected to take responsibility for research and performance with minimal guidance. Instructor: Janet Yontas, MSN, RN Date: 2016

2 COURSE TITLE: Nursing in the Family Life Cycle II Page 1 The student will: 1. Verbalize understanding of objectives and requirements of Family Life II Introduction a. Objectives b. Requirements c. Evaluation Course Outline Handout & Clinical 2. Identify the various types of sexually transmitted diseases and apply knowledge of each when providing care to patients on the clinical setting Caring for the patient with a sexually transmitted disease a. Pathophysiology and Etiology, Assessment/ Diagnostic tests b. Medical Management related to: Syphilis Herpes Simplex & Virus Gonorrhea HPV Chlamydia Trichomonas HIV (AIDS) c. Nursing Process in dealing with a patient with an STD Video on STD s /Discussion Video: The Band Played On Oral review GROUP PRESENTATION #1

3 COURSE TITLE: Nursing in the Family-Life Cycle II Page 2 3. Define disorders of the male reproductive system and incorporate the nursing process and critical thinking to the care of patients Disorders of the male reproductive system a. Pathophysiology, etiology, signs and symptoms, diagnostic methods, medical management and nursing interventions related to: 1. Disorders of the prostate 2. Disorders of the testes and adjacent structures 3. Disorders of the penis /Handouts Readings: Williams/Hopper Leifer Testicular Model for Exam 4. Identify various diagnostic studies used to identify disorders of the female reproductive system and implement nursing actions during such studies Nurses role in female physical exam a. Gynecologic exam b. Breast exam and biopsy c. Cytologic test d. Dilation and curettage e. Endometrial smears and biopsy f. Cervical biopsy g. Endoscopic exams h. Radiographic exams Readings: Williams/Hopper Leifer Power-Point Judy Miller DVD Test 1

4 COURSE TITLE: Nursing in the Family-Life Cycle II Page 3 5. Define disorders of the female reproductive system. Apply knowledge of nursing interventions in plan of care Caring for patients with disorders of the female reproductive system and related structures. a. Pathophysiology and etiology, assessment, diagnostic tests and medical management related to: 1. Premenstrual syndrome 2. Menstrual disorders 3. Infertility 4. Abortions and Ectopic Pregnancy 5. Menopause 6. Infections and Inflammatory disorders 7. Fistulas 8. Benign tumors 9. Malignancies 10. Disorders of the breast Readings: Williams/Hopper Leifer Handouts PowerPoint Breast Model for BSE Prep U antepartum Test 2

5 COURSE TITLE: Nursing of the Family-Life Cycle II Page 4 6. Identify complications that can occur during pregnancy and apply critical thinking skills to patient care Nursing care for women with complications during pregnancy. a. Definitions, manifestations, treatment and nursing care related to: 1. Hyperemesis Gravidarum 2. Bleeding disorders of early/late pregnancy 3. Gestational diabetes 4. Hypertension (Preeclampsia and Eclampsia) 5. Blood incompatibility 6. Medical conditions 7. Environmental hazards 8. Trauma Video PowerPoint Reading: Leifer Judy Miller DVD Group Presentation #2

6 COURSE TITLE: Nursing of the Family-Life Cycle II Page 5 7. Describe the complications that can occur during labor and incorporate nursing actions into patient plan of care Nursing care of women with complications during labor a. Induction vs. Augmentation b. Version c. Episiotomy vs. Laceration d. Infection e. Forceps, Vacuum Extraction f. Cesarean section g. Hypertonic and Hypotonic labor h. Contributing fetal problems i. Psychological factors j. Pre-term labor k. Post term labor l. Uterine rupture m. Uterine inversion n. Amniotic fluid and embolism o. Trauma Video: High Risk OB Patient Simulation Lab: NOELLE OB emergencies/ complications Simulation Labor Lab/ Clinical Evaluation intrapartum Test 3

7 COURSE TITLE: Nursing of the Family-Life Cycle II Page 6 8. Define complications that can occur Following childbirth and nursing actions that apply. Utilize critical thinking techniques in implementation of appropriate nursing actions in case study scenarios Complications following childbirth a. Hemorrhage b. Thromboembolic disorders c. Infections d. Subinvolution of the uterus e. Mood disorders Case studies OB Clinical SIM Lab Evaluation OB Clinical SIM Lab postpartum 9. Verbalize knowledge related to the care of the pre-term and post-term newborn. Implement a plan of care for the pre-term and post-term newborn Pre-term Newborn and Postterm Newborn a. Physical characteristics b. Related complications Clinical Experience Test Identify potential congenital malformations on the newborn. Discuss ways to maintain clients rights, assist parents with coping and caring for the patient with congenital malformations The Newborn with congenital Malformations a. Hydrocephalus b. Myelodysplasia and Spina bifida c. Cleft lip and cleft palate d. Clubfoot e. Hip dysplasia f. Metabolic defects g. Chromosomal abnormalities Judy Miller DVD Pediatria Clinical: Care of The Medical Fragile Child MIDTERM Neonate Care Plan and Research for Pediatria Experience

8 COURSE TITLE: Nursing of the Family-Life Cycle II Page Describe Sensory/Neurologic disorders in children and implement appropriate nursing care The Child with a Sensory/ Neurologic condition a. Ear disorders b. Eye disorders c. HIB d. Encephalitis and meningitis e. Brain tumors f. Seizure disorders g. Cerebral palsy h. Mental retardation i. Trauma PowerPoint Pediatric Clinical experience Test Describe musculoskeletal disorders of children and incorporate the nursing process on the clinical setting and in a plan of care The Child with a Musculoskeletal Disorder a. Pediatric trauma and treatment b. Muscular dystrophy b. Osteomyelitis c. Leg-Calve Disease d. Osteosarcoma vs. Ewings Sarcoma e. Juvenile Rheumatoid Arthritis f. Torticollis g. Scoliosis h. Violence and Clinical Care Plan Infant

9 COURSE TITLE: Nursing of the Family-Life Cycle II Page Identify the various respiratory disorders in children and provide nursing care in the pediatric clinical setting The Child with a Respiratory Disorder. a. Pharyngitis a. Croup syndromes b. Bronchitis and Bronchiolitis c. RSV d. Asthma e. Cystic fibrosis f. Bronchopulmonary Dysplasia Handouts PowerPoint and Pediatric Clinical toddler 14. Define cardiovascular disorders in children and demonstrate knowledge of appropriate nursing care in care plan The Child with a Cardiovascular Condition a. Congenital Heart Defects b. CHF c. Rheumatic Fever d. System in Hypertension e. Hyperlipidemia f. Kawasaki Disease Clinical/Peds OR Test 6 Judy Miller DVD

10 COURSE TITLE: Nursing of the Family-Life Cycle II Page Identify gastrointestinal disorders in children and implements the nursing process The Child with a Gastrointestinal condition a. Congenital a. Disorders of Motility b. Failure to c. Kwashiorkor d. Rickets e. Scurvy f. Infections g. Worms h. Poisoning Handouts PowerPoint Schoolage Adolescent 16. Describe genitourinary conditions in children and list appropriate nursing actions and evaluations The Child with a Genitourinary Condition a. Abnormalities of the urinary tract b. Infection 17. Define metabolic conditions in children and verbalize understanding of diagnostic tests and associate nursing interventions and client teaching The Child with a Metabolic Condition a. Tay-Sacs Disease b. PKU c. Celiac Disease d. Cystic Fibrosis e. Lactose, Galactose and Fructose intolerance f. MSUD g. Diabetes Handout Test 7

11 COURSE TITLE: Nursing of the Family-Life Cycle II Page Identify emotional and behavioral conditions in children and implement appropriate nursing actions on the clinical setting 19. Describe signs and symptoms of conditions of the blood, blood forming organs and lymphatic system. Verbalize knowledge of the stages of grieving and voice awareness of communication skills in dealing with the chronically ill child The Child with an Emotional or Behavioral Condition a. Autism b. Obsessive Compulsive Disorder c. Behavior disorders 19. Anemias Bleeding Disorders Disorders of the white blood cells Care of the chronically ill child Video: The Child Who Couldn t Play Video: Dying to Be Thin Video: The Silent Hunger Anorexia and Bulemia Handouts PowerPoint Case Study and Care Plan Anxiety disorders Eating disorders Communication Activity on Death and Dying Final Exam

12 Bibliography Books Deglin, J. H. and Vallerand, A.H. (2011). Davis s Drug Guide for Nurses, 12 th Ed. F.A. Davis Company, Philadelphia, Pennsylvania. Desevo, M. (2009). Maternal and Newborn Success, 2 nd Ed., F.A. Davis Company, Philadelphia, Pennsylvania Durham, R and Chapman, L. (2014). Maternal-Newborn Nursing: The Critical Components of Nursing Care, 2 nd Ed, F.A. Davis Company, Philadelphia, Pennsylvania Hockenberry, M.J. (2005). Wong s Essentials of Pediatric Nursing. Mosby Inc., St. Louis, Missouri. Leifer, G. (2012). Introduction to Maternity and Pediatric Nursing, 7 th Ed., Mosby Elsevier, St. Louis, Missouri. McKinney, M.A. (2012) Comprehensive Review to NCLEX-PN, 2nd Ed. Pearson Education, Inc., Upper Saddle River, New Jersey McKinney, E.S. and Rosner, (2011) C. Leifer Introduction to Maternity and Pediatric Nursing Study Guide. Saunders Elsevier, St. Louis, Missouri. Rudd, K, Kocisko, D. (2014). Pediatric Nursing: The Critical Components of Nursing Care. F.A. Davis Company, Philadelphia, Pennsylvania. Towle, M.A. and Adams, E.D. (2008). Maternal-Child Nursing Care. Pearson Education, Inc. Upper Saddle, New Jersey. Williams, L.S., Hopper, P.D., (2011). Understanding Medical-Surgical Nursing, 4 th Ed. F.A. Davis Co., Philadelphia, Pensylvania Audiovisual (video, DVD, and C-D ROM) Hart, S. (2006). Newborn Physical Examination. 2 nd Ed. Home Box Office (2003). And the Band Played On. Time Warner Entertainment Company Lippincott s Pediatric Nursing Video Series. Volume 1: Growth and Development (2006). Lippincott, Williams and Wilkens. Learning Seed (2003). Is Baby OK? Assessing Development. Medcom Trainex (2006) Physical Assessment of a Child: Part I and II. Miller, J.C. (2014). Nurse Tutor Video: NCLEX-PN Review. Mosby s Nursing Video Skills (2008). Care of Infants and Children. Mosby, Inc. Mosby s Nursing Video Skills (2008). Maternal, Newborn and Women s Health. Mosby, Inc.

13 . NCLEX-PN Kluwer-Lippincott, Williams, & Wilkins. Web. Journal Articles Alderman, J. (2012). Using Simulation to teach nursing students and licensed clinicians obstetric emergencies. Lippencott Williams & Wilkins, November/December, Volume 37 (1). Doi10.197/NMC. Averbuch, T. and Spatz, D. (2009). Breastfeeding mothers and violence: What nurses need to know. MCN, September/October, Volume 34, (5). Barbel, P., Peterson, K. (2015). Recognizing subtle signs and symptoms of pediatric cancer, Nursing2015, April. Beauchesne, M. (2011). Simulation: Enhancing Pediatric, Advanced, Practice Nursing Education. Newborn and Infant Nursing Reviews, March Doi: /j.nainr Beaulieu, M.J. (2009). Failure to rescue as a process measure to evaluate fetal safety during labor. MCN, January/February, Volume 34 (1). Bircher, H. (2009). Prenatal care disparities and the migrant farm worker community. MCN, September/October, Volume 34, (5). Brown-Trask, B., VanSell, S., Carter, S. and Kindred, C. (2009). Circumcision care. RN, February. Canady, R.B. and Lauber, C. (2008). Preconception care and pregnancy planning: Voices of African American women. MCN, March/April, Volume 33 (2). Cappiello, J. et al. (2014). Women s experience of decision-making with medication abortion. MCN. September/October. 39(5) Carlton, T. Callister, L.C., Christiaens, G. and Walker, D. (2009). Nurses perceptions of caring for childbearing women in nurse-managed birthing units. MCN, January/February, Volume 34 (1). Cass, G., Crofts, J., Draycott, T. (2011). The use of Simulation to teach clinical skills in obstetrics. Elsevier, doi: /j.semperi Convery, K.M. and Spatz, D.L. (2009). Sexuality and breastfeeding: What do you know? MCN, July/August, Volume 34 (4). Corwin, E.J. and Arbour, M. (2007). Postpartum fatigue and evidence-based interventions. MCN, July/August, Volume 32 (4). Fehring, R.J., Schneider, M., and Barron, M.L. (2008). Efficacy of the Marquette method of natural family planning. MCN, November/December, Volume 33 (6). Goldbort, J.G.(2009). Women s lived experience of their unexpected birthing process. MCN, January/February, Volume 34 (1). Hedberg, I. (2013). Barriers to Breastfeeding in the WIC population. MCN, July/August, Volume 38 (4).

14 Logsdon, M., et al. (2015). Acceptability and initial efficacy of Education for teen mothers. MCN, May/June, Volume 40(3). Rizzo, R. et al. (2014). Parenting and concerns of pregnant woman in buprenophrine treatment. MCN, September/October, 19(5) Simpson, K., Knox, G. (2009). Oxytocin as a high-alert medication: Implications for perinatal patient safety. MCN, January/February, 34(1) Wells, C., Ahmed, A., Musser, A. (2013). Strategies for Neonatal Hyperbilirubinemia: A Literature review. MCN, November,December. 38(6) Woodgate, R. (2009). The experience of dyspnea in school-age children with asthma. MCN, May/June, 34(3),