Alabama epartment of Postseondary Eduation Representing Alabama s Publi Two-Year ollege System NUR 203 Nursing Through the Lifespan III Plan of Instrution Effetive ate: 2007 Version Number: 2007-1 OURSE ESRIPTION This ourse builds upon previous instrution and provides additional opportunities to develop ompetenies neessary to meet the needs of individuals throughout the lifespan in a safe, legal, and ethial manner using the nursing proess. Students manage and provide ollaborative are to lients who are experiening seleted alterations in ardiovasular, respiratory, and neurologial systems in a variety of settings. Additional instrution is provided are for seleted mental health disorders, seleted emergenies, multiple organ dysfuntion syndrome and related disorders. Teahing/learning onepts, advaned dosage alulations, nutrition, pharmaology, ommuniation, ultural, and ommunity onepts are integrated. REIT HOURS Theory 4 redit hours Lab 0 redit hour linial 2 redit hours Total 6 redit hours Total ontat hours 10 NOTE: Theory redit hours are a 1:1 ontat to redit ratio. Lab redit is 3:1. linial redit is 3:1. The Alabama ollege System opyright 2007
PREREQUISITE OURSES SPH 106, 107, or 116 Speeh PSY 210 Human Growth and evelopment NUR 202 Nursing Throughout the Lifespan II O-REQUISITE OURSES NUR 204 Transition Into Nursing Pratie Humanities eletive INSTRUTOR NOTE: The previous Module E Multiple Organ ysfuntion Syndrome (MOS) was deleted and the information moved to Module Sepsis INSTRUTIONAL GOALS ognitive - omprehend foundational knowledge of the nursing proess to provide advaned nursing are for lients throughout the lifespan. Performane - Apply foundational knowledge of the nursing proess to provide advaned nursing are for lients throughout the lifespan. PROFESSIONAL OMPETENIES/ PERFORMANE OBJETIVES Unless otherwise indiated, evaluation of student s attainment of ognitive and performane objetives is based on knowledge and skills gained from this ourse. ompetenies speified for eah module may be set by ertifiation agenies, national and state odes, health are faility poliies, loally developed lab/linial assignments, or any ombination. Students are expeted to utilize relevant tehnology for lient are and doumentation. PROFESSIONAL OMPETENIES Provide and manage nursing are for lients experiening seleted system alterations. AS opyright 2007 2
MOULE A SELETE ARIOVASULAR ALTERATIONS PROFESSIONAL OMPETENIES A1.0 Provide and manage nursing are for lients experiening seleted system alterations. (3) LEARNING OBJETIVES A1.1.1 A1.1.2 A1.1.3 A1.1.4 A1.1.5 A1.1.6 A1.1.7 A1.1.8 A1.1.9 PERFORMANE OBJETIVES A1.1 Utilize the nursing proess to provide are for multiple lients with ardiovasular alterations. efine terms assoiated with seleted ardiovasular system alterations. esribe seleted ardiovasular system alterations. esribe legal and ethial onsiderations related to providing nursing are for seleted ardiovasular system alterations. esribe the impat of seleted ardiovasular system alterations on lients throughout the lifespan. Relate the pathophysiology assoiated with seleted ardiovasular system alterations to linial manifestations. esribe the role of the nurse in providing are for lients experiening seleted ardiovasular system alterations. Explain health promotion related to seleted ardiovasular system alterations. Interpret seleted diagnosti test for ardiovasular system alterations. Explain ompliations assoiated with seleted ardiovasular system alterations. A1.1.10 esribe the pharmaologial agents and/or treatments for seleted ardiovasular system alterations. A1.1.11 Evaluate nutritional onsiderations for lients experiening seleted ardiovasular system alterations. A1.1.12 Identify lient response to treatment modalities for lients experiening seleted ardiovasular system alterations. A1.1.13 Evaluate psyhosoial needs of lients, families, and/or support systems. A1.1.14 Use ritial thinking to prioritize nursing are for ulturally diverse lients experiening seleted ardiovasular system alterations. A1.1.15 esribe the delegation proess used to provide nursing are for lients experiening seleted ardiovasular system alterations. A1.1.16 Evaluate outomes of nursing are for lients experiening seleted ardiovasular system alterations. LINIAL SKILLS Legal and ethial onsiderations ritial thinking skills Management and prioritizing, delegation Use of relevant tehnology for lient are oumentation Hemodynami monitoring Interpret diagnosti data Psyhosoial support evelop/implement a teahing/learning plan Assist with treatment modalities alulate and administer mediations Adhere to poliies and safety requirements KSA Indiator A B d d AS opyright 2006 3
MOULE A OUTLINE Terms Alterations ardiomyopathy o Hypertrophi o ilated o Restritive Inflammatory onditions o Endoarditis o Periarditis o Myoarditis o Rheumati heart disease Valvular onditions o Prolapse o Stenosis o Regurgitation Pediatri ardia alterations o Atrial septal defet o Ventriular septal defet o Patent dutus arteriosus o oartation of the aorta o Tetrology of Fallot o ongestive heart failure o Pulmonary stenosis o Aorti stenosis Hemodynami monitoring Pulmonary artery pressure Arterial pressure entral venous pressure ardia output Systemi vasular resistane Treatments Pharmaology Advaned ardia life support ardia surgeries o oronary artery bypass graft o Valve repair/replaement o ardia transplant Paemaker Intra-aorti balloon pump Ventriular assist devie Pathophysiology Role of the nurse Health promotion linial manifestations iagnosti tests Pharmaologial agents and treatments Nutritional onsiderations Nursing proess AS opyright 2006 4
MOULE B RESPIRATORY ALTERATIONS PROFESSIONAL OMPETENIES B1.0 Provide and manage nursing are for lients experiening seleted system alterations. (3) LEARNING OBJETIVES B1.1.1 B1.1.2 B1.1.3 B1.1.4 B1.1.5 B1.1.6 B1.1.7 B1.1.8 B1.1.9 PERFORMANE OBJETIVES B1.1 Utilize the nursing proess to provide are for multiple lients with respiratory alterations. efine terms assoiated with seleted respiratory system alterations. esribe seleted respiratory system alterations. esribe legal and ethial onsiderations related to providing nursing are for seleted respiratory system alterations. esribe the impat of seleted respiratory system alterations on lients throughout the lifespan. Relate the pathophysiology assoiated with seleted respiratory system alterations to linial manifestations. esribe the role of the nurse in providing are for lients experiening seleted respiratory system alterations. Explain health promotion related to seleted respiratory system alterations. Interpret seleted diagnosti test for respiratory system alterations. Explain ompliations assoiated with seleted respiratory system alterations. B1.1.10 esribe the pharmaologial agents and/or treatments for seleted respiratory system alterations. B1.1.11 Evaluate nutritional onsiderations for lients experiening seleted respiratory system alterations. B1.1.12 Identify lient response to treatment modalities for lients experiening seleted respiratory system alterations. B1.1.13 Evaluate psyhosoial needs of lients, families, and/or support systems. B1.1.14 Use ritial thinking to prioritize nursing are for ulturally diverse lients experiening seleted respiratory system alterations. B1.1.15 esribe the delegation proess used to provide nursing are for lients experiening seleted respiratory system alterations. B1.1.16 Evaluate outomes of nursing are for lients experiening seleted respiratory system alterations. LINIAL SKILLS Legal and ethial onsiderations ritial thinking skills Management and prioritizing, delegation Use of relevant tehnology for lient are oumentation Ventilator monitoring hest tube management Endotraheal tube management Traheostomy management KSA Indiator A B Administer mediations Adhere to poliies and safety requirements Psyhosoial support evelop/implement a teahing/learning plan Assist with treatment modalities Advaned dosage alulations Interpret diagnosti data d d AS opyright 2006 5
MOULE B OUTLINE Terms Alterations Pulmonary Edema Pulmonary Embolism hest trauma Aute Respiratory istress Syndrome (ARS) Hemothorax/pneumothorax Pleural Effusion Flail hest aners of the respiratory system Surgial interventions Lobetomy Pneumonetomy Segmental resetion are and treatment hest tubes Arterial blood gases (interpretation) Ventilators Endotraheal Tube and Trah management Pathophysiology Role of the nurse Health promotion linial manifestations iagnosti tests Pharmaologial agents and treatments Nutritional onsiderations Nursing proess AS opyright 2006 6
MOULE NEUROLOGIAL ALTERATIONS PROFESSIONAL OMPETENIES PERFORMANE OBJETIVES 1.0 Provide and manage nursing are for lients experiening seleted system alterations. (3) 1.1 Utilize the nursing proess to provide are for multiple lients with seleted neurologial alterations. LEARNING OBJETIVES KSA Indiator 1.1.1 efine terms assoiated with seleted neurologial system alterations. A 1.1.2 esribe seleted neurologial system alterations. B 1.1.3 esribe legal and ethial onsiderations related to providing nursing are for seleted neurologial system alterations. 1.1.4 esribe the impat of seleted neurologial system alterations on lients throughout the lifespan. 1.1.5 Relate the pathophysiology assoiated with seleted neurologial system alterations to linial manifestations. 1.1.6 esribe the role of the nurse in providing are for lients experiening seleted neurologial system alterations. 1.1.7 Explain health promotion related to seleted neurologial system alterations. 1.1.8 Interpret seleted diagnosti test for neurologial system alterations. 1.1.9 Explain ompliations assoiated with seleted neurologial system alterations. 1.1.10 esribe the pharmaologial agents and/or treatments for seleted neurologial system alterations. 1.1.11 Evaluate nutritional onsiderations for lients experiening seleted neurologial system alterations. 1.1.12 Identify lient response to treatment modalities for lients experiening seleted neurologial system alterations. 1.1.13 Evaluate psyhosoial needs of lients, families, and/or support systems. 1.1.14 Use ritial thinking to prioritize nursing are for ulturally diverse lients experiening seleted neurologial system alterations. 1.1.15 esribe the delegation proess used to provide nursing are for lients experiening seleted neurologial system alterations. 1.1.16 Evaluate outomes of nursing are for lients experiening seleted neurologial system alterations. LINIAL SKILLS Legal and ethial onsiderations ritial thinking skills Management and prioritizing, delegation Use of relevant tehnology for lient are oumentation Intraranial pressure monitoring Glasgow oma Sale Interpret diagnosti data Psyhosoial support evelop/implement a teahing/learning plan Assist with treatment modalities alulate and administer mediations Adhere to poliies and safety requirements d d AS opyright 2006 7
MOULE OUTLINE Terms Alterations Tumors Infetions o Meningitis o Enephalitis Head injury ontusions onussions Fratures Transient ishemi attaks erebrovasular aidents Thromboti Hemorrhagi Emboli Spinal ord dysfuntions Spinal ord injury Herniated dis Spinal shok Paralysis o Quadriplegi o Paraplegi Autonomi ysreflexia Spastiity Neurogeni bladder/bowel Respiratory Sexual Infetion ompliations Inreased intraranial pressure Unonsious Systemi infetions Neurogeni shok Seizure disorders (Epilepsy) Pathophysiology Role of the nurse Health promotion linial manifestations iagnosti tests Pharmaologial agents and treatments Nutritional onsiderations Nursing proess AS opyright 2006 8
MOULE SEPSIS, SEPTI SHOK, AN ISSEMINATE INTRAVASULAR OAGULATION (I) PROFESSIONAL OMPETENIES STUENT PERFORMANE OBJETIVES 1.0 Provide and manage are for 1.1 Utilize the nursing proess to provide are for a lients with sepsis, septi shok, lient with sepsis, septi shok, and/or I. and/or I. (3) KSA LEARNING OBJETIVES 1.1.1 1.1.2 1.1.3 1.1.4 1.1.5 1.1.6 1.1.7 1.1.8 1.1.9 efine sepsis, septi shok, and I. esribe the impat of sepsis, septi shok, and I on lients throughout the lifespan. esribe legal and ethial onsiderations related to providing nursing are for sepsis, septi shok, and I. Relate the pathophysiology assoiated with sepsis, septi shok, and/or I to the linial manifestations. Interpret seleted diagnosti test results for sepsis, septi shok, and/or I. Explain ompliations assoiated with sepsis, septi shok, and/or I. esribe the pharmaologial agents and/or treatments for sepsis, septi shok, and/or I. Evaluate nutritional onsiderations for lients experiening sepsis, septi shok, and/or I. Identify lient response to treatment modalities for lients experiening sepsis, septi shok, and/or I. 1.1.10 Evaluate the psyhologial are for lients, families and/or support systems. 1.1.11 Use ritial thinking to prioritize are for ulturally diverse lients experiening sepsis, septi shok, and/or I. 1.1.12 esribe the delegation proess used to provide are for lients with sepsis, septi shok, and/or I. 1.1.13 Evaluate outomes of nursing are for lients experiening sepsis, septi shok, and/or I. LINIAL SKILLS Legal and ethial onsiderations ritial thinking skills Management and prioritizing, delegation Use of relevant tehnology for lient are oumentation Interpret diagnosti data Psyhosoial support evelop/implement a teahing/learning plan Assist with treatment modalities alulate and administer mediations Adhere to poliies and safety requirements Indiator A AS opyright 2006 9
MOULE OUTLINE Terms Legal/ethial onsiderations Etiologies risk fators Pathophysiology linial manifestations Stages Systems Lab and diagnostis tests ollaborative are Oxygen/ventilation Fluid replaement Pharmaologial treatment Nutrition Multiple Organ ysfuntion Syndrome (MOS) ompliations Pathophysiology Role of the nurse Health promotion linial manifestations iagnosti tests Pharmaologial agents and treatments Nutritional onsiderations Nursing proess AS opyright 2006 10
MOULE E SELETE EMERGENIES PROFESSIONAL OMPETENIES STUENT PERFORMANE OBJETIVES E1.0 Provide and manage are for lients with seleted emergenies. (3) E1.1 Utilize the nursing proess to provide are for multiple lients experiening seleted emergenies. LEARNING OBJETIVES KSA Indiator E1.1.1 efine terms assoiated with seleted emergenies. A E1.1.2 esribe legal and ethial onsiderations related to providing nursing are for seleted emergenies. E1.1.3 esribe the impat of seleted emergenies on lients throughout the lifespan. E1.1.4 Relate the pathophysiology assoiated with seleted emergenies to the linial manifestations. E1.1.5 Interpret seleted diagnosti test results for seleted emergenies. E1.1.6 Explain ompliations assoiated with seleted emergenies. E1.1.7 esribe the pharmaologial agents and/or treatments for seleted emergenies. E1.1.8 Evaluate lient s ondition to determine nutritional needs. E1.1.9 Identify response to treatment for seleted emergenies. E1.1.10 Evaluate the psyhosoial needs for lients, families and/or support systems. E1.1.11 Use ritial thinking to prioritize nursing are for ulturally diverse lients d experiening seleted emergenies. E1.1.12 esribe the delegation proess used to provide are for lients with seleted emergenies. E1.1.13 Evaluate outomes of nursing are for lients experiening seleted emergenies. LINIAL SKILLS Legal and ethial onsiderations ritial thinking skills Management and prioritizing, delegation Use of relevant tehnology for lient are oumentation Triage/Primary/Seondary Survey Interpret diagnosti data Psyhosoial support evelop/implement a teahing/learning plan Assist with treatment modalities alulate and administer mediations Adhere to poliies and safety requirements First aid PR Obstrutive airway maneuvers Poison and overdose treatment Responding to odes AS opyright 2006 11
MOULE E OUTLINE Terms Legal/ethial onsiderations Triage Primary Seondary Heat related emergenies old related emergenies Submersion injuries Poisoning (adult/hildren) Bites and stings Violene/abuse Substanes Suiide Gunshots Stabbings omesti violene Rape isaster preparedness and response System infrastruture and proesses Mass asualty exerises Bioterrorism agents Emergent drugs Resusitative Tetanus lient eduation Pathophysiology Role of the nurse Health promotion linial manifestations iagnosti tests Pharmaologial agents and treatments Nutritional onsiderations Nursing proess AS opyright 2006 12
MOULE F BURNS PROFESSIONAL OMPETENIES STUENT PERFORMANE OBJETIVES F1.0 Provide and manage are for lients with burns. (3) F1.1 Utilize the nursing proess to provide are for a lient with burns. LEARNING OBJETIVES KSA Indiator F1.1.1 efine terms assoiated with burns. A F1.1.2 Explain teahing and learning ativities for prevention of burns. F1.1.3 esribe legal and ethial onsiderations related to providing nursing are for burns. F1.1.4 esribe the impat of burns on lients throughout the lifespan. F1.1.5 Relate the pathophysiology assoiated with burns to the linial manifestations. F1.1.6 Explain ompliations assoiated with burns. F1.1.7 Interpret diagnosti tests for lients with burns. F1.1.8 esribe the pharmaologial agents and/or treatments for burns and ompliations. F1.1.9 Evaluate nutritional onsiderations for lients with burns and ompliations. F1.1.10 Identify lient s response to treatment modalities for burns. F1.1.11 Evaluate psyhosoial needs of lients, families and/or support systems. F1.1.12 Use ritial thinking to prioritize nursing are for ulturally diverse lients d with burns. F1.1.13 esribe the delegation proess used to provide are for lients with burns. F1.1.14 Evaluate outomes of nursing are for lients with burns. F1.1.15 esribe the ollaborative proess of the rehabilitation phase for burn lients. LINIAL SKILLS Legal and ethial onsiderations ritial thinking skills Management and prioritizing, delegation Use of relevant tehnology for lient are oumentation Interpret diagnosti data Psyhosoial support evelop/implement a teahing/learning plan Assist with treatment modalities alulate and administer mediations Adhere to poliies and safety requirements AS opyright 2006 13
MOULE F OUTLINE Terms Legal/ethial onsiderations linial overview Types of burns Predited effets on body systems Risk fators linial manifestations iagnosti and lab tests Rule of Nines Pediatris Therapeuti management Minor Moderate Major burns Prehospital treatment Emergeny Treatment o Airway management o Shok o Fluid resusitation Aute are o Shok o Fluid resusitation Rehabilitation o Skin graft o Wound management Pharmaology Nutrition ompliations o ardiovasular o Gastrointestinal o Aute renal failure o Respiratory o Psyhologial o Eletrolytes o eath Age related hanges Pathophysiology Role of the nurse Health promotion linial manifestations iagnosti tests Pharmaologial agents and treatments Nutritional onsiderations Nursing proess AS opyright 2006 14
MOULE G SELETE MENTAL HEALTH ISORERS PROFESSIONAL OMPETENIES STUENT PERFORMANE OBJETIVES G1.0 Provide and manage are for lients with seleted mental health disorders. (3) G1.1 Utilize the nursing proess to provide are for lients experiening seleted mental health disorders. LEARNING OBJETIVES KSA Indiator G1.1.1 efine terms assoiated with seleted mental health disorders. A G1.1.2 Explain seleted mental health disorders throughout the lifespan. B G1.1.3 esribe legal and ethial onsiderations related to providing nursing are for seleted mental health disorders. G1.1.4 Explain therapeuti relationships and ommuniation as applied to lients with seleted mental health disorders. G1.1.5 Explore etiologies related to seleted mental health disorders. G1.1.6 Explain therapies for seleted mental health disorders. G1.1.7 Explain health promotion related to seleted mental health disorders. G1.1.8 esribe the role of the nurse in providing nursing are for lients experiening seleted mental health disorders. G1.1.9 Interpret linial manifestations of seleted mental health disorders. G1.1.10 Interpret diagnosti tests for seleted mental health disorders. G1.1.11 esribe the pharmaologial agents and/or treatments for seleted mental health disorders. G1.1.12 Evaluate nutritional onsiderations for lients experiening seleted mental health disorders. G1.1.13 Identify expeted outomes of treatment modalities for lients experiening seleted mental health disorders. G1.1.14 Evaluate psyhosoial needs of lients, families, and/or support systems. G1.1.15 Use ritial thinking to manage nursing are for ulturally diverse lients experiening seleted mental health disorders. G1.1.16 Evaluate the outomes of are provided for lients experiening seleted mental health disorders. LINIAL SKILLS Legal and ethial onsiderations ritial thinking skills Management and prioritizing, delegation Use of relevant tehnology for lient are oumentation Interpret diagnosti data Psyhologial support evelop/implement a teahing/learning plan Assist with treatment modalities alulate and administer mediations Adhere to poliies and safety requirements Interpersonal Proess Reording (IPR) Assessment Instruments AS opyright 2006 15
MOULE G OUTLINE Terms Legal/ethial onsiderations Vitimization hild abuse Abused adults Rape Lifespan issues hildhood disorders Attention efiit isorder ondut disorders Impulse ontrol Oppositional defiane Eating disorders Behavioral aspets of mental retardation Personality disorders Odd Eentri behaviors ramati emotional errati behaviors Anxious fearful behaviors Paraphilias Pathophysiology Role of the nurse Health promotion linial manifestations iagnosti tests Pharmaologial agents and treatments Nutritional onsiderations Nursing proess AS opyright 2006 16
Learning Objetives Table of speifiations The table below identifies the perentage of ognitive objetives for eah module. Instrutors should develop suffiient numbers of test items at the appropriate level of evaluation. Fats/ Nomenlature Priniples/ Proedures Analysis/ Operating Priniples Evaluation/ omplete Theory A/a B/b / /d Module A 6% 6% 56% 32% Module B 6% 6% 56% 32% Module 6% 6% 56% 32% Module 8% - 62% 30% Module E 8% - 54% 38% Module F 6% - 47% 47% Module G 7% 7% 55% 31% AS opyright 2006 17
Performane Ability Knowledge of Skills Knowledge Affetive Knowledge, Skills, and Attitudes (KSA) Indiators Value Key Word(s) efinition 4 Highly Performs ompeteny quikly and aurately. Instruts others how to do Profiient the ompeteny. 3 Profiient Performs all parts of the ompeteny. Needs only a spot hek of ompleted work. 2 Partially Profiient Performs most parts of the ompeteny. Needs help only on hardest parts. 1 Limited Profiieny Performs simple parts of the ompeteny. Needs to be told or shown how to do most of the ompeteny. d omplete Theory Predits, isolates, and resolves problems about the ompeteny. Operating Identifies why and when the ompeteny must be done and why eah step Priniples is needed. b Proedures etermines step-by-step proedures for doing the ompeteny. a Nomenlature Names parts, tools, and simple fats about the ompeteny. Evaluation Evaluates onditions and makes proper deisions about the subjet. Analysis Analyzes fats and priniples and draws onlusions about the subjet. B Priniples Identifies relationship of basi fats and states general priniples about the subjet. A Fats Identifies basi fats and terms about the subjet. *5 haraterization by Value *4 Organization Ating onsistently with the new value Integrating a new value into one's general set of values, giving it some ranking among one's general priorities *3 Valuing Showing some definite involvement or ommitment *2 Responding Showing some new behaviors as a result of experiene *1 Reeiving Being aware of or attending to something in the environment Alpha Sale Values - Any item with an upper ase letter (A, B,, ) by itself is taught as general information on a topi. This information may be related to the ompeteny or enompass multiple ompetenies. Examples might inlude mathematial omputations or knowledge of priniples suh as Ohm s Law. A lower ase letter indiates a level of Knowledge of Skills." Individuals are taught information pertaining to performing a ompeteny. These may be indiated alone or in onjuntion with a numerial sale value. A lower ase letter by itself indiates the individual is not required to perform the task-just know about the task. (Example: an state or explain proedures for doing a task). Numerial Sale Values - The numbers reflet the levels the individual will be able to perform a ompeteny. Number values are always aompanied by lower ase letters (i.e. 1a, 2b, 3...et.) in order to speify the level of knowledge of skills assoiated with the ompeteny. Example: An individual with a ompeteny with a sale indiator of 3b has reeived training of knowledge of skills whereby he or she an determine the orret proedures and perform with limited supervision; only requiring evaluation of the finished produt or proedure. Asterisk items indiate desired affetive domain levels and are used to indiate the desired level for a given ompeteny. They may be used independently or with other indiators (i.e. 1a-*1, 2-*3). If used with another indiator, separate with a hyphen. NOTE: odes indiate terminal values. AS opyright 2006 18