CAREER TECHNOLOGY CENTER OF LACKAWANNA COUNTY PRACTICAL NURSING PROGRAM Course Title: Nursing in the Family Life Cycle I Description: This course is to introduce the practical nursing student to family structure and normal reproduction, growth and development. Placement: Level III Total Hours: 50 Parallel Courses: Medical Surgical Courses (Urology, Neurology, Sensory, Nursing Skills III) Objectives: At completion of the course, the student will: 1. Utilize the nursing process in providing care and promoting health for members of the childbearing and growing family. 2. Demonstrate skills necessary to provide safe, effective nursing care for members of the childbearing and growing family. 3. Effectively apply the problem solving process in making decisions about the plan of care for the childbearing family patients. 4. Communicate effectively with childbearing and growing family patients, coworkers 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 making in all areas of the family life cycle. 7. Adhere to the nursing code of ethics in providing care for members of the childbearing and growing family. 8. Correlate theoretical knowledge of the family structure, human development and the childbearing process of planning care for patients. 9. Support patients psychosocial, spiritual and cultural values in planning care for members of the Childbearing and growing family. Unit Outline: 1. Family Foundations 2. The Childbearing Family 3. The Growing Family 4. Family Relationships Requirements:, G. (2011), Introduction of Maternity and Pediatric Nursing & Study Guide, 7 th Ed. Mosby Elsevier, St. Louis, Missouri Williams, L.S., Hopper, P.D. (2011) Understanding Medical-Surgical Nursing, 4 th Ed. F.A. Davis Co., Philadelphia, Pennsylvania McKinney, M.A. (2012) Comprehensive Review to NCLEX-PN, 2 nd Ed. Pearson Education, Inc., Upper Saddle River, New Jersey PrepU. NCLEX-PN. Kluwer-Lippincott, Williams, & Wilkins. Web. 2009-2014 Evaluation: Average of tests, Comprehensive, Final (Must be present for scheduled Comp/final) Final average of 80% is minimum passing grade and a satisfactory clinical evaluation is required. Family Life Cycle I 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 patients. 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 III the student is expected to take responsibility for research and performance with minimal guidance. Instructor: Janet Yontas, MSN RN Date: AUGUST 2015
COURSE TITLE: Nursing in the Family LCI Page 1 The student will: EVALUATION 1. Verbalize understanding of objectives and requirements of Family Life I and identify changes in trends in Maternal and Pediatric Nursing 2.00 1. Introduction a. Objectives 3. Requirements 4. The past, present and future of maternal and pediatric nursing Course Outline Group Activity /Discussion 2. Identify the anatomy and functions the male and female reproductive systems. Apply knowledge of human reproduction in a plan of care for the childbearing patient. 5.00 2. Human Reproduction a. Anatomy & Physiology 1) male 2) female b. Menstrual cycle Group Discussion Communication Group Activity Student oral review /Powerpoint Handouts Models of Pelvis Williams & Hopper Small Group Discussion Student oral review J.Miller DVD
COURSE TITLE: Nursing in the Family-LCI Page 2 3. Define methods and concepts of family planning. Identify the nurse role as a health educator. Recognize and support patient values. 4. Discuss states of prenatal development and identify environmental hazards to normal pregnancy 5. List goals of prenatal care and identify characteristic changes and adaptations occurring with pregnancy; Assess physical and psychological effects of pregnancy on the childbearing patients general health state; Apply knowledge of nutritional needs for health promotion of the pregnant patient; Discuss developmental tasks of the pregnant woman incorporate teaching need of the pregnant woman into plan of care 4.00 4.00 4.00 3. Family Planning a. nurse role b. factor s influencing choice c. contraceptive methods and types 4. Prenatal Development and the role of the Environment a. cell division b. genetogenesis c. fertilization d. development multifetal pregnancy 5. Prenatal Care and Adaptations to pregnancy a. Goals of prenatal care b. Indications of pregnancy c. Normal physiologic changes in pregnancy d. Nutrition for pregnancy and lactation e. Common discomforts in pregnancy f. Psychological adaptations in pregnancy /Handouts - -Discussion - J. Miller-DVD /Handouts Coloring page for Fetal circulation -Cell to embryo video - -Case study -Group activy -/Handouts -Powerpoint -Discussion Videos: Invasion of the Embryo, The Miracle of Life EVALUATION Student oral review Test 1 PrepU- NCLEX-PN (quiz 1)- Antepartum Test 2
COURSE TITLE: Nursing in the Family-LCI Page 3 6. Describe process of normal labor; Identify patient and family needs throughout the birth process; Incorporate the patient s and family s attitudes, values and beliefs into the plan of care. 7. Describe methods of pain control and the nurse s role in pain management; Identify teaching and support needs of the laboring patient; Correlate knowledge of analgesic/anesthetic drugs with assessment of fetal well-being. 4.00 2.00 6 Process of normal labor and birth a. Components of the birth process (includes fetal positions b. Normal child birth 1. signs of impending labor 2. mechanisms of labor 3. stages-phases of labor 4. VBAC c. Settings of child birth d. Nursing care during the stages of labor 7. Pain management during Labor and Birth a. Non-pharmacologic b. Pharmacologic - -PowerPoint -Pelvis & Fetus Model Poster: Mechanism of Labor /Handout Class participation in breathing and relaxation techniques Group activity Labor/Delivery Simulation J. Miller Pharmacology Review EVALUATI ON Written L&D Care Plan Prep U-(quiz #2) NCLEX-PN Mastery Level 4 (intrapartum) Test 3
COURSE TITLE: Nursing of the Family-LCI Page 4 8. Discuss care of patient during the post partum; Describe normal physiologic adaptation in the post partum period; Develop a plan of care to promote the patients parenting skills. 9. Identify the characteristics and development of the normal newborn; plan nursing actions to foster the newborns physiologic adaptation to the extra-uterine environment. 10. Discuss concepts of growth and human developmental stages 2.00 2.00 3.00 8. The Family after Birth and Nursing Care during the P.P. Period a. adapting care to specific groups and cultures a. immediate P.P. period b. normal post partum physiologic changes and related nursing care c. patient education 9. The Term Newborn a. adjustment to extra-uterine life b. Physical characteristics and nursing assessment, nursing care, client teaching 10. An Overview of Growth, Development and Nutrition a. comparison of theorists b. overview of nutrition and play Clinical care of Post partum client Nursery & NICU Clinical observation Visual aids Open book quiz DVD Newborn Physical exam Visual-Lippincott Growth & Development Throughout Childhood NCLEX Review J. Miller MTH clinical conference Lactation Consultant Infant Assessment Simulation EVALUATION Written P.P. care plan Written care Plan --newborn PrepU PostPartum (quiz #3) PrepU Neonate (quiz#4) Test 4 Growth & Development Projects and Clinical Growth & Development correlation Comprehensive Examination (Tests 1 through 4)
COURSE TITLE: Nursing of the Family-LCI Page 5 11. Describe characteristics behavior and development tasks from birth to adolescence. Identify nursing role in health promotion for the growing child Plan nursing actions appropriate to the needs of the child and family 3.00 3.00 3.00 11. Growth and Development from Birth to Adolescence a. Infant 1. general characteristics 2. development and care 3. health maintenance b. Toddler 5. general characteristics 6. guidance & discipline 7. daily care 8. toilet independence 9. nutrition counseling 10. day care 11. injury prevention 12. toys and play c. The Preschool Child 1. general characteristics 2. physical, mental, emotional and social development 3. guidance 4. nursery school 5. daily care Video: The First Years Last Forever Handouts J. Miller-DVD Growth/ Development Video EVALUATION Written care plan on Infant Prep U-infant (Quiz #6) Clinical Day care PrepU-toddler (Quiz #7) G&D assessment of Preschool PrepU-Preschool (Quiz #8) Test 5
COURSE TITLE: Nursing of the Family-LCI Page 6 11. Continued.. 5. play in health and illness 6. nursing implications of pre-school growth and development d. The School Age Child 3.00 1. general characteristics 2. influences from the wider world Open book quiz 3. physical, mental, emotional and Handouts social development 4. guidance and health supervision /Handouts e. The Adolescent 3.00 1. general characteristics 2. growth and Open book quiz development 3. parenting 4. health education and guidance 5. the common problems of adolescence 6. the nursing approach to adolescents EVALUATION Growth & Development Project PrepUschoolAge (Quiz #9) PrepU- Adolescent (Quiz #10) Test 6
COURSE TITLE: Nursing of the Family-LCI Page 7 12. Discuss the process of development as the individual ages and changing family relationships 3.00 12. The Process of Development as the Individual Ages and Changing Family Relationships a. Launching young adults 2. higher education 3. employment 4. marriage 5. new-in-law relationships 5. the couple alone Discussion J. Miller Clinical EVALUATION Geriatric Assessment Final Exam on Childhood Growth & Development (must be present for Final Examination)
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., 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. 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) Discovery Channel: Body Story. Invasion of the Embryo. (2002). Films for the Humanities and Science, Princeton, New Jersey. Hart, S. (2006). Newborn Physical Examination. 2 nd Ed. 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). A Comprehensive Geriatric Assessment. 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. PrepU. NCLEX-PN. 2009-2015. Kluwer-Lippincott, Williams, & Wilkins. Web. Reiner, R. (n.d.) I Am Your Child: The First Years Last Forever. Stiers, D.O., Moller, B., Wigzell, H., Renner, K. (2000). The Miracle of Life. 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). Beauchesne, M. (2011). Simulation: Enhancing Pediatric, Advanced, Practice Nursing Education. Newborn and Infant Nursing Reviews, March 2011. Doi:10.1053/j.nainr.2010.12.009 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). 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:10.1053/j.semperi.2011.01.005 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). Logsdon, M., et al. (2015). Acceptability and initial efficacy of Education for teen mothers. MCN, May/June, Volume 40(3).