Philadelphia University Faculty of Nursing First Semester, 2009/2010. Course Syllabus. Course code:

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1 Philadelphia University Faculty of Nursing First Semester, 2009/2010 Course Syllabus Course Title: : Adult II Theory Course Level: 2nd year Lecture Time: 3 hrs/weeks Course code: Course prerequisite(s) and/or corequisite(s): All courses of 1 st year Credit hours: 3 credit hours Academic Staff Specifics Office Name Rank Number and Office Hours Address Location Assistant Dr. Amal Samir professor of Nursing, Adult hours / week Amal_abdmaqsoud@yahoo.com Nursing Course Description: This course is aiming at offering student nurses with relevant teaching learning opportunities that give them the chance to acquire the necessary knowledge and problem solving skills which assist them in planning comprehensive safe nursing care to patients. Who are suffering from medical surgical health problems in special areas? The nursing process is the theoretical frame work of this course. Promoting, and maintaining physical psychosocial integrity of patients is emphasized. Course Objectives By the end of this module, student will be able to: Recognize the impact of the specific medical surgical health problems on patient biopsychosocial condition. Demonstrate an understanding of assessment, nursing management of patients with selected special medical surgical health problems. Page 1 of 9

2 Employ knowledge in writing nursing care plan for patients with selected special medical surgical problems. Demonstrate an understanding of information needs of patients with specific medical surgical problems. Identify skills of effective communication with patient with special needs, family, colleagues and health care personnel. Course Components Musculoskeletal Care Modalities ( objectives ).Describe the preventive and health teaching needs of the patient with a cast. Apply the nursing process as a framework for care of the patient with a cast Describe the various types of traction and the principles of effective traction Recognize the preventive nursing care needs of the patient in traction. Apply the nursing process as a framework for care of the patient in traction. Recognize the nursing needs of the patient undergoing total hip replacement Apply the nursing process as a framework for care of the patient undergoing orthopedic surgery. (Contents) Cast care Traction care Total hip replacement surgery. Management of Patients with Musculoskeletal Trauma (Objectives) Differentiate between contusions, strains, sprains, and dislocation Specify the clinical manifestations of fracture and management of the patient with a fracture. Describe the principles and methods of fracture reduction, and management of open fractures. Apply the nursing process as a framework for care of patient with fracture. Describe the prevention and management of immediate complications of fractures. Apply the nursing process as a framework for care of the patient with an amputation. Page 2 of 9

3 ( contents ) contusions, strains, sprains, and dislocation Fractures Fracture healing and complications Management of Fracture Amputation Nursing process: the patient undergoing an amputation. Assessment and Management of Patient with arthritis (Objectives) Differentiate between osteoarthritis and rheumatoid arthritis Specify the clinical manifestations of osteoarthritis and management of the patient with osteoarthritis. Specify the clinical manifestations of gout and management of the patient with gout. Specify the clinical manifestations of rheumatoid arthritis and management of the patient with rheumatoid arthritis ( contents ) Osteoarthritis Rheumatoid arthritis Management of Patient with Renal Disorders ( objectives ) Identify factors contributing to upper and lower urinary tract infections. Apply the nursing process as a framework for care of the patient with a urinary tract infections. Identify potential causes of an obstruction of the urinary tract, and management of the patient with this condition. Develop a teaching plan for the patient undergoing treatment for renal calculi (kidney stones). Identify causes of bladder cancer, and management of the patient with this condition. Page 3 of 9

4 Formulate preoperative and postoperative nursing diagnoses for the patient undergoing surgery for urinary diversion. Describe the causes of acute and chronic renal failure and compare treatment options Peritoneal dialysis and hemodialysis. Describe the nursing management of the hospitalized patient on dialysis. Apply the nursing process as a framework for the care of patients chronic renal failure. Develop a postoperative plan of nursing care and teaching plan undergoing kidney surgery and transplantation. ( contents ) Upper and lower urinary tract infections. An obstruction of the urinary tract Renal calculi Bladder cancer Urinary diversion Acute and chronic renal failure Peritoneal dialysis and hemodialysis. Kidney transplantation Management of Patient With Burn Injury ( objectives ) Discuss the classification system used for burn injuries. Describe the local and systemic effects of a major burn injury. Describe the three phases of burn care and the priorities of care. Compare the potential fluid and electrolytes alteration of the emergent/resuscitative and acute phases of burn management. Describe the goals of the following aspects of burn wound care and the nurse's role in each: wound cleaning, topical antibacterial therapy, wound dressing. Describe the nurse s role in the following areas of management, restoration of function, psychological support. Page 4 of 9

5 Nutritional support, pulmonary care, and patient and family education. Apply the nursing process as a framework for care of the patient during the three phases of burn care. ( contents ) Classification of burn injuries. The local and systemic effects of a major burn injury. The three phases of burn care and the priorities of care. Fluid and electrolytes alteration of the emergent/resuscitative and acute phases of burn management. Management of burn injury (wound care, Psychological support) Care of the patient during the three phases of burn care. Management of Patient with Neurological Dysfunction (objectives ) Identify the early and late clinical manifestations of increase intracranial pressure. Use the nursing process as a framework for care of patient with increase intracranial pressure. Describe the needs of the patient undergoing intracranial surgery. Identify the various types and causes of seizures. Use the nursing process to develop a plan of care of patient with seizures. Identify the various types of brain tumors and predisposing factores Describe management of brain tumors Identify causes of low back pain. Describe management of low back pain. ( contents ) Increase intracranial pressure Nursing care of patient undergoing intracranial surgery. seizures. Page 5 of 9

6 Brain tumour low back pain. Assessment and Management of Patients With Eye and Vision Disorders (objectives ) identify significant eye Structures and describe their functions. Textbook: Title: Brunner and Suddarth's textbook of Medical Surgical Nursing (2006). Author(s)/Editor(s): Smeltzer S, Bare B. Publisher: J.B. Lippincott Co. In addition to the above, the students will be provided with handouts by the lecturer. Module References Students will be expected to give the same attention to these references as given to the Module textbook(s) 1. Lewis S, Heitkemper M, Dirksen S, Medical Surgical Nursing: Assessment and Management of Clinical Problems, 7 th ed. Mosby, Timby Barbara K, Smith Nancy E. Introductory Medical Surgical Nursing, Philadelphia, Lippincott Williams and Wilkins, Teaching Methods: Lecture discussion, written simulated clinical situations quizzes and / or internet assignment. Learning Outcomes: Knowledge and understanding - Recognize patients' bio psychosocial responses to actual and or potential health problems. - Describe the risk factors, path physiology, medical, surgical management and nursing considerations for specific medical surgical health problems. Cognitive skills (thinking and analysis). - Integrate knowledge from the biophysical sciences, adult 1and development to the practices of adult 11 nursing. -Discuss ways to assess adult patient with specific medical surgical health problems. - Discuss nursing care of patient with musculoskeletal trauma, renal disorders, burn injures, neurological dysfunction, eye disorders and ear disorders Page 6 of 9

7 Communication skills (personal and academic). - Value the importance of utilizing communication skills in providing quality nursing care. - Use therapeutic communication techniques when working with adult patients. Practical and subject specific skills (Transferable Skills). - Working effectively with others. - Use computers for research & written case study. Course Evaluation Allocation of Marks Assessment Instruments First examination Second examination Final Exam (written unseen exam) Reports, Quizzes, Home works,..est. Total Mark % * Make-up exams will be offered for valid reasons only with consent of the Dean. Make-up exams may be different from regular exams in content and format. Course Academic Calendar Week Content Instruct (1) -Nursing management for patients with the musculoskeletal Disorders Fracture (Cast & Traction) (2) (3) Osteoarthritis Rheumatoid Arthritis & Gout. Orthopedic Surgery ( Amputation & Total Hip Replacement) (4) - Nursing Management of Patient with Urinary & Renal Disorders Urinary Tract Infections Urinary Calculi. Kidney Surgery. (5) Cancer Bladder & Urinary Diversion. Renal Failure. Page 7 of 9

8 (6) Peritoneal dialysis & Hemodialysis. Kidney Transplantation. (7) First Exam Revision (8) Nursing Management of Patient with Neurological Disorders. Lumbar Disc Prolapse. Convulsive Disorder. (9). Brain Tumor. Intracranial Surgery (10) Nursing Management of Patient with Burn. Burn Injury (11) Revision Second Exam (12) Phases of Burn Management (13) Nursing Management of Patient with Eye Disorders Intraocular Disorder (Cataract & Glaucoma).. (14) Nursing Management of Patient with Cancer Larynx- Otitis Media (15) Final Examination Revision Attendance Policy: (Example to be adopted & modified.) Absence from lectures and/or tutorials shall not exceed 15%. Students who exceed the 15% limit without a medical or emergency excuse acceptable to and approved by the Dean of the relevant college/faculty shall not be allowed to take the final examination and shall receive a mark of zero for the course. If the excuse is approved by the Dean, the student shall be considered to have withdrawn from the course. Documentation and Academic Honesty (Example to be adopted & modified.) Submit your home work covered with a sheet containing your name, number, course title and number, and type and number of the home work (e.g. tutorial, assignment, and project). Any completed homework must be handed in to my office (room IT ) by 15:00 on the due date. After the deadline zero will be awarded. You must keep a duplicate copy of your work because it may be needed while the original is being marked. Page 8 of 9

9 You should hand in with your assignments: 1- A printed listing of your test programs (if any). 2- A brief report to explain your findings. 3- Your solution of questions. Protection by Copyright (Example to be adopted & modified.) 1. Coursework, laboratory exercises, reports, and essays submitted for assessment must be your own work, unless in the case of group projects a joint effort is expected and is indicated as such. 2. Use of quotations or data from the work of others is entirely acceptable, and is often very valuable provided that the source of the quotation or data is given. Failure to provide a source or put quotation marks around material that is taken from elsewhere gives the appearance that the comments are ostensibly your own. When quoting word-for-word from the work of another person quotation marks or indenting (setting the quotation in from the margin) must be used and the source of the quoted material must be acknowledged. 3. Sources of quotations used should be listed in full in a bibliography at the end of your piece of work. Avoiding Plagiarism. (Example to be adopted & modified.) 1. Unacknowledged direct copying from the work of another person, or the close paraphrasing of somebody else's work, is called plagiarism and is a serious offence, equated with cheating in examinations. This applies to copying both from other students' work and from published sources such as books, reports or journal articles. 2. Paraphrasing, when the original statement is still identifiable and has no acknowledgement, is plagiarism. A close paraphrase of another person's work must have an acknowledgement to the source. It is not acceptable for you to put together unacknowledged passages from the same or from different sources linking these together with a few words or sentences of your own and changing a few words from the original text: this is regarded as over-dependence on other sources, which is a form of plagiarism. 3. Direct quotations from an earlier piece of your own work, if not attributed, suggest that your work is original, when in fact it is not. The direct copying of one's own writings qualifies as plagiarism if the fact that the work has been or is to be presented elsewhere is not acknowledged. 4. Plagiarism is a serious offence and will always result in imposition of a penalty. In deciding upon the penalty the Department will take into account factors such as the year of study, the extent and proportion of the work that has been plagiarized, and the apparent intent of the student. The penalties that can be imposed range from a minimum of a zero mark for the work (without allowing resubmission) through caution to disciplinary measures (such as suspension or expulsion). Page 9 of 9