Course Outline Variations in Health 4 PNUR 232 Practical Nursing Diploma Program Campus: Term: Instructor: Office/Phone: Terrace Winter Chris Robberts Sabine Lundman Chris Robberts Office: 1100 E Phone: 250-635-6511 ext. 5355 Email: crobberts@nwcc.bc.ca Sabine Lundman Office: 1100 D Phone: 250-635-6511 ext. 5337 Email: slundman@nwcc.bc.ca Times: *TBA Credits: *1.5 PNUR 232 Course Outline Page 1 of 8
Course Content: This course focuses on pathophysiology as it relates to acute disease and illness of clients across the lifespan, specfically the care of the client experiencing acute illness including nursing interventions and treatment options. Implications of the acute exacerbation of chronic illness will be addressed. Cultural diversity in healing practices will be explored as well as evidenced informed research and practice.. Course Format: 51 hours Lecture Course Prerequisites: Successful completion of all Level 3 theory courses ( PNUR 211, PNUR 221, PNUR 231, PNUR 241, PNUR 261)and PNUR 271: Level 3 Consolidated Practice Experience. Course Co-requisites: PNUR 222: Professional Communication 4; PNUR 242: Health Promotion 4; PNUR 212: Professional Practice 4; PNUR 262: Integrated Nursing Practice 4. Transfer Credits: Refer to the BCCAT Website: www.bccat.bc.ca Learning Outcomes: Upon successful completion of this course, the learner will be able to: 1. Explain pathophysiology as it relates to selected common acute illness of clients across the lifespan. 2. Explain the pathophysiology and *nursing management of shock (cardiogenic, hypovolemic, neurogenic, anaphylactic and septic). 3. Recognise and explain the pathophysiology and *nursing management of fluid and electrolyte imbalances. 4. Explain *nursing management of common acute disease and acute exacerbations of acute illness of clients across the lifespan. 5. Identify traditional healing practices related to the acute illness experience. 6. Describe the impact of cultural diversity in health and healing. 7. Access relevant best practice information to support learning. PNUR 232 Course Outline Page 2 of 8
*Definition: Nursing Management Nursing management includes the following components: nursing process (assessment, diagnosis, planning, implementation and evaluation) real and potential nursing problems, nursing interventions, pharmacology, diagnostic studies, laboratory tests, health promotion, client teaching and inter-professional collaboration. Required Materials/Texts: Adams, M., Holland, L., Bostwick, P., King, S., (2010). Pharmacology for Nurses: A Pathophysiological Approach (Canadian Edition) Toronto: Pearson. Anderson, M.A. (2009). Nursing Leadership, Management, and Professional Practice for the LPN/LVN. (4th edition) Philadelphia: F.A. Davis Company. Fortinash, K. and Holoday Worret, P., (2011). Psychiatric Mental Health Nursing (5th Edition). Mosby Elsevier. Leifer, Gloria (2011) Introduction to Maternity & Pediatric Nursing (6th edition) Toronto: Mosby Inc Lewis, Sharon et al. (2010). in Canada: Assessment and Management of Clinical Problems. (2nd Canadian Edition) Toronto: Mosby Elsevier. Martini, F. & Nath, J.,(2010). Anatomy and Physiology with IP 10 (2nd edition). Pearson. Potter, P., Perry, A., Ross-Kerr, Janet & Wood, Marilynn (2010). Canadian (revised 4th edition) Toronto: Mosby Elsevier. Riley, Julia Balzer, (2012). Communication in Nursing (7th Edition). Mosby Elsevier. Deglin, J.H., & Vallerand, A.H. (2012). Davis Drug Guide for Nurses. (13 edition). St. Louise: F.A. Davis Company. Recommended Readings/Resources: As indicated by instructor Vaughn, L., Jacquez, F., Baker, R. (2009). Cultural health attributions, beliefs and practices: Effects on health care and medical education. The Open Medical Education Journal. (2). P64-67. Nursing Journals http://www.hc-sc.gc.ca/fniah-spnia/index-eng.php http://www.hc-sc.gc.ca/fniah-spnia/diseases-maladies/tuberculos/index-eng.php PNUR 232 Course Outline Page 3 of 8
Evaluation Profile: Exam 1 covers topics1-4... 30% Exam 2 covers topics 5-8... 35% Exam 3 covers topics 9-12... 35% TOTAL... 100% Grading Profile: A + = 95 100 B + = 80 84 C + = 65 69 P = 50 54 A = 90 94 B = 75 79 C = 60 64 F = 0 49 A - = 85 89 B - = 70 74 C - = 55-59 I = incomplete A minimum mark of 70% or B- in the course is required to continue in the program TOPIC CONTENT 1 Introduction to Variations in Health 4 and Fluid, Electrolyte and Acid-Base Imbalances 2 Cardiovascular System 3 Respiratory System 4 Shock Syndrome 5 Genitourinary System 6 Gastrointestinal System 7 Accessory Organs of Gastrointestinal System 8 Immune System 9 Nervous System 10 Hematological System 11 Integumentary System: Burns 12 Musculoskeletal System PNUR 232 Course Outline Page 4 of 8
Course Schedule: AM (morning) classes are routinely scheduled from 0900 1200, PM (afternoon) classes are routinely scheduled from 1300 1600. Due to the emphasis on independent study with in some courses, changes to the schedule daily sessions may occur. Course instructors will notify you in the class of upcoming changes. Class Topic 1 Topic 1: Fluid, Electrolyte and Acid-Base Imbalances Chapter 18: p. 362-392 Chapter 40: p. 933 986 2 Topic 2: Cardiovascular System Chapter 33: p. 800 821 Chapter 37: p. 904 928 Chapter 38: p. 929 957 Chapter 39: p. 880 902 3 Topic 3: Respiratory System Chapter 27: p. 576 598 Chapter 28: p. 609 624 Chapter 29: p. 625 669 Chapter 39: p. 902 932 4 Topic 4: Shock Syndrome Chapter 68: p. 1875-1903 5 Exam #1 6 Topic 5: Genitourinary System Chapter 46-48: p. 1050 1273 Chapter 44: p. 1133 1140 PNUR 232 Course Outline Page 5 of 8
7 Topic 6: Gastrointestinal System Chapter 40: p. 994 1014 Chapter 43: p. 1061 1108 Chapter 44: p. 1109 1161 Chapter 45: p. 1141 1184 8 Topic 7: Accessory Organs of the Gastrointestinal System Chapter 45: 1162-1209 9 Topic 8: Immune System Chapter 16: p. 291-322 10 Review: bring questions to class 11 Exam #2 12 Topic 9: Nervous System Chapter 57: p. 1536-1562 Chapter 58: p. 1563 1599 Chapter 62: p. 1681-1715 13 Topic 10: Hematological System Chapter 32: p. 743-799 14 Topic 11: Integumentary System: Burns Chapter 26: p. 549-574 15 Topic 12: Musculoskeletal System Chapter 64-65: p. 1731 1796 16 Review: bring questions to class 17 Final Exam PNUR 232 Course Outline Page 6 of 8
Operational Details: College Policies: Attendance: Late Assignments: Missed Exams: Cheating/Plagiarism: Incomplete Grades: Northwest Community College has policies on Academic Appeals (including appeal of final grades), Student Conduct, Cheating and Plagiarism, Academic Probation and other educational issues. Copies of these and other policies are available on the Colleges Website. Refer to the Practical Nursing Handbook for program policies and procedures. As adult learners, students are expected to attend all classes. Attendance will be taken. In the event of illness or other unavoidable cause of absence, the student is asked to notify the instructor. Students must give a reason for their absence. Students must attend all practicum/placement experiences. If an unavoidable absence occurs, the student must notify the agency and appropriate instructor, as soon as possible, prior to the time s/he is expected. Students absent for more than 10% of scheduled Integrated Nursing Practice theory/lab/clinical experience and consolidated practice experience may be asked to withdraw from the program.. Students asbsent for more than 10% of their preceptorship during the scheduled time frame may receive an incomplete. Students requiring an extension on the due date of an assignment should negotiate it with the instructor, at least 48 hours in advance of the due date. Assignments handed in late without an approved extension may not be accepted, and may be graded as a failed assignment. Students unable to write an exam on the scheduled day will need to discuss this with the instructor prior to the exam being written to make arrangements. Missed exams will be given a 0%. Plagiarism is the presentation of another person's words, ideas, interpretations, insights, or order of points as your own. All work submitted must be your own words and content, and not written by a tutor or friend. Whenever you use sources for an essay, or assignment, you must avoid plagiarism by documenting them. The College policy on Cheating and Plagiarism found on the college website establishes procedures for plagiarised assignments. All courses in the Practical Nursing Program must be successfully completed in order to obtain the Practical Nursing Diploma and be eligible to write the national licensing exam. A student who has already failed a course, re-entered the program, repeated it and passed, and then fails another course will be removed entirely from the program and can only re-enter by going through the admission process and beginning at term one. PNUR 232 Course Outline Page 7 of 8
Re-entering the program is dependent on an available seat and at the discretion of the practical nursing department. Students who fail a required course may be asked to complete a learning assessment and/or skills or written exam prior to being considered for readmission. The PN course work must be completed within 5 years of admission to the program. In the event of significant changes to courses, students may require to repeat a course. Students may be required to demonstrate that they have maintained their knowledge and skills for re-entry into the program. In the event that a student is unsuccessful in a consolidated practice experience they will be required to repeat the previous Integrated Nursing Practice course upon re-entry to the program. PNUR 232 Course Outline Page 8 of 8