NORTH CENTRAL TEXAS COLLEGE COURSE SYLLABUS

 

The North Central Texas College (NCTC) Course Syllabus provides the following as required by the Texas Higher Education Coordinating Board (THECB): (1) a brief description of the course including each major course requirement, assignment and examination; (2) the learning objectives for the course; (3) a general description of the subject matter of each lecture or discussion; and (4) any required or recommended readings.  Contact information for the instructor is also provided. The Course Syllabus also provides institutional information to indicate how this course supports NCTC’s purpose and mission. Information specific to a particular section of the course will be included in the Class Syllabus and distributed to enrolled students.

 

Course Title: Nursing Health and Illness II
Course Prefix & Number: VNSG 1509	Section Number: 100	Term Code: 162S
Semester Credit Hours: 5	Lecture Hours: 80	Lab Hours: 0
Course Description (NCTC Catalog): Introduction to common health problems requiring medical and surgical interventions.
Course Prerequisite(s): VNSG1420 Anatomy & Physiology for Allied Health 4 VNSG1323 Basic Nursing Skills 3 VNSG 1509 Nursing in Health and Illness I 4 VNSG1227 Essentials of Medication Administration   2 VNSG1360 Clinical I 3
Course Type: o - Academic General Education Course (from Academic Course Guide Manual but not in NCTC Core) o - Academic NCTC Core Curriculum Course x - WECM Course

 

 

 

 

 

Name of Instructor:	Dial Swofford M.Ed., BSN, RN
Campus/Office Location:	Gainesville  2411-I
Telephone Number:	940 668-7731  ext 4237
E-mail Address:	dswofford@nctc.edu

 

Name of Coordinator:	Theressa Borden RN
Office Location:	Gainesville – 2411B
Telephone Number:	940-668-4291, ext. 4330
E-mail Address:	tjborden@nctc.edu

 

 

REQUIRED OR RECOMMENDED COURSE MATERIALS

 

TEXTBOOKS and RESOURCE REQUIREMENTS Linton, A.D.  Introduction to Medical Surgical Nursing.  6^thed. ISBN # 978-1-4557-7641-2

 

 

COURSE REQUIREMENTS, EVALUATION METHODS AND GRADING CRITERIA

# of Graded Course Elements	Graded Course Elements	Percentage or Points Values
7	Unit exams	70%
multiple	daily	5%
1	Final exam	25%

 

 

INSTITUTIONAL LEARNING GOALS

 

o           A quality general education curriculum in all associate degree programs.

o           Quality freshman and sophomore level courses in arts and sciences which parallel the lower division offerings of four-year colleges and universities.

x          Quality technical programs leading directly to careers in semi-skilled and skilled occupations, and quality technical education programs up to two years in length leading to certificates and associate degrees.

o           Quality programs and services in support of adult literacy and basic skills development as a mean of workforce enhancement and expanding access to higher education.

 

 

 

 

PROGRAM PURPOSE STATEMENT

 

NCTC seeks to implement its goal of providing quality technical programs leading directly to careers in semi-skilled and skilled occupations, and quality technical education programs up to two years in length leading to certificates and associate degrees by offering a coherent sequence of courses with appropriate breadth and depth to prepare students for success in the workforce.

 

DEPARTMENTAL PURPOSE STATEMENT

 

To prepare Vocational Nursing students for licensure and advanced degrees in health sciences is the purpose of the department.

 

 

STUDENT LEARNING OUTCOMES

 

OVERALL COURSE OBJECTIVES

 

Upon successful completion of Health and Illness II, the student will be able to:

 

Member of the Profession (DEC I, 1)

-Function within nurse’s scope of practice and in accordance with the policies and procedures.

 

Provider of Patient-Centered Care (DEC II, 5, 6, 7)

-Use clinical reasoning/established evidence-based policies as the basis for decision making.

-Assist in determining physical and mental health status/needs/preferences of culturally/ethnically/socially diverse patients/families.

-Report data to assist identification of problems/formulation of goals/outcomes and plans of care patients/families/health care team.

 

Patient Safety Advocate (DEC III, 14, 15)

-Implement measures to promote quality/safe environment for patients/self/others.

-Assist in formulation of goals/outcomes to reduce patient risks.

 

Member of the Health Care Team (DEC IV, 19, 20, 21)

-Communicate/collaborate with patients/families/team.

-Advocate activities that improve the health care of patients/families.

-Identify patient needs for resources of continuity of care, and ensure confidentiality.

 

 

 

 

 

 

 

GENERAL DESCRIPTION OF SUBJECT MATTER FOR EACH LECTURE/DISCUSSION

Topic	General Description of Subject Matter
Unit 1	Surgical Care-  Chapter 17
Unit 2	Respiratory Pathophysiology-  Chapters 30, 31
Unit 3	Cardiovascular Pathophysiology- Chapters  36,37,38
Unit 4	Fluid & Electrolytes, Shock- Chapters 14, 18, 19
Unit 5	Blood & Immune Pathophysiology- 33,34,35
Unit 6	Gastrointestinal Pathophysiology- 26, 39,40
Unit 7	Neurologic Pathophysiology - 27,28.29 Sensory Pathophysiology- 53,54

 

UNIT 1:

Surgical Care

Chapter Learning Outcomes:           By the end of this unit, the student will be able to:

1. Identify the purpose of each type of surgery: diagnostic, exploratory, curative, palliative, and cosmetic.
2. Describe the phases of perioperative care.
3. Describe the data to be included in the nursing assessment of the preoperative client, and how this information can help identify surgical risk factors.
4. Assist in identifying the nursing diagnoses, goals and outcome criteria, and interventions relevant to the Perioperative client.
5. Outline a teaching plan that addresses preoperative needs, postoperative care, and discharge planning needs.
6. Describe roles & functions of each member of the surgical team.
7. Compare common types of anesthesia and explain the nursing implications of each type.
8. Explain how the nurse can help prevent postoperative complications.
9. Discuss criteria used to evaluate & interventions used to provide care to the ambulatory surgical client.

Lecture Content Outline:

      -Purposes of surgery

-Variables affecting surgical outcome: age, nutritional status, fluid balance, medical diagnoses, drugs, habits

      -The preoperative phase

      -The intraoperative phase:  Surgical team, Anesthesia

      -The postoperative phase and surgical complications

      -The ambulatory surgical client

Student Learning Activities:

1. Attend & participate in class lectures
2. Read the chapter
3. Answer the review questions at the end of the chapter
4. Complete the chapter in the student study guide
5. Complete daily work as assigned
6. Review and answer questions in NCLEX-PN Review book: BLS, Perioperative Nursing Care

______________________________________________________________________

 

 

     

            UNIT 2:

RESPIRATORY DISORDERS

Chapter Learning Outcomes:           By the end of the unit, the student will be able to:

1. Describe the structures & normal physiology of the respiratory system.
2. Describe data to be collected in the nursing assessment of a client’s respiratory system, including a client with a respiratory disorder.
3. Identify the potential complications due to age-related changes in the respiratory system.
4. Describe the pathophysiology, signs and symptoms, complications, diagnostic measures, and medical treatment for selected acute & chronic respiratory disorders.
5. Assist in the development of a nursing care plan and concept map for the client with a respiratory disorder.
6. Describe diagnostic tests, therapeutic treatments, teaching needs and nursing interventions for patients undergoing respiratory procedures.
7. Explain the relationship between cigarette smoking and chronic respiratory disorders.
8. Explain the rationales for selected medical interventions, including endotracheal intubation, chest tube insertion, and tracheostomy, and be familiar with the related nursing care required.
9. Discuss applicable nursing care and treatment options for clients with short or long-term airway management problems.

Lecture Content Outline:

-Review anatomy and physiology of the respiratory system, including age-related changes

-Nursing assessment of the respiratory system:  Health history, Physical examination

-Diagnostic tests and procedures:  radiologic studies, imaging procedures, pulmonary function tests, pulse oximetry, sputum analysis, laryngoscopy, fiberoptic bronchoscopy, arterial blood gases, Mantoux test, endoscopic procedures

-Common therapeutic measures:  thoracentesis, breathing exercises, chest physiotherapy, suctioning, humidification and aerosol therapy, oxygen therapy, IPPB treatments, artificial airways,  chest tubes, thoracic surgery, video thoracoscopy, drug therapy, CPAP, BIPAP, APAP

-Disorders of the respiratory system:  Rhinitis (common cold), Sinusitis, Acute bronchitis, Pharyngitis, Laryngitis, Tonsillitis/Adenoiditis, Epistaxis, Influenza, Pneumonia, Airway obstruction, Airway Trauma, Pleurisy (pleuritis), Abscess, Empyema, Chest trauma, Pneumothorax, Hemothorax, Rib fractures, Flail chest, Pulmonary embolus, respiratory arrest, pulmonary HTN, pulmonary edema, ARDS, cancer, atelectasis, COPD:  Asthma, Chronic bronchitis, Emphysema, Bronchiectasis, Cystic fibrosis, TB, Sarcoidosis, occupational lung disease, diffuse interstitial fibrosis, Sleep Apnea

 

 

 

Student Learning Activities:

1. Attend & participate in class lectures
2. Read the chapter
3. Answer the review questions at the end of the chapter
4. Complete the chapter in the student study guide
5. Complete daily work as assigned
6. Review and answer questions in NCLEX-PN Review book on:

Adult Client with a Respiratory Disorder, Positioning Clients, & Care of a Client with a Tube

 

UNIT 3:

CARDIOVASCULAR DISORDERS

Chapter Learning Outcomes:           By the end of the unit, the student will be able to:

1. Describe the anatomy & physiology of the circulatory & cardiovascular systems, including normal blood flow.
2. Explain pathophysiology, risk factors, signs & symptoms, complications, medical & nursing treatment for selected cardiac disorders: including infectious & inflammatory disorders, valvular disorders, coronary artery disease, cardiac dysrhythmias, and heart failure.
3. State the pathophysiology, risk factors, signs & symptoms, complications, medical and nursing treatments for selected vascular disorders.
4. Define hypertension and discuss the physiology of blood pressure regulation
5. Name specific data to be obtained in assessing the client with a cardiac and/or vascular disorder and identify what are normal versus abnormal findings of a cardiovascular assessment.
6. Assist in the development of nursing care plans/concept maps specific to the client with cardiac disorders, vascular disorders, &/or hypertension.
7. Describe nursing implications for common therapeutic measures; include drugs, diet, oxygen therapy, EKG monitoring, telemetry, pacemakers, cardioverters, surgical procedures, and CPR.
8. Discuss the conduction system of the heart and the order of normal impulse conduction.
9. Identify EKG rhythms, including normal sinus rhythm, sinus bradycardia, sinus tachycardia, atrial fibrillation, PVC, ventricular tachycardia, and ventricular fibrillation.
10. State nursing implications related to common dysrhythmias.
11. Identify common procedures & tests utilized to diagnose cardiac disorders & the nursing implications of each.
12. Identify tests and procedures used to diagnose selected vascular disorders and the nursing considerations for each.
13. Identify risk factors, signs and symptoms, diagnosis, treatment, and complications of hypertension.
14. Describe the nursing considerations when administering selected antihypertensive drugs.
15. List the data to be obtained in the nursing assessment of a client with known or suspected hypertension.
16. Identify the nursing diagnoses, goals, interventions, and outcome criteria for the client with hypertension.
17. Identify the different types of shock and their associated signs and symptoms.
18. Discuss medical and nursing interventions for shock.

Lecture Content Outline:

-Review anatomy and physiology of the heart:  Chambers, valves, blood pathway, electrical conduction, cardiac function

      -Age-related changes of the CV system:  Heart, arteriosclerosis, atherosclerosis

      -Nursing assessment of cardiac function: Health history, physical examination, normal versus abnormal data

-Diagnostic tests and procedures:  ECG, ambulatory ECG (Holter monitor), echocardiogram (heart sonogram), Transesophageal echocardiogram (TEE), CT, EBCT, MRI, Multiple-gated acquisition scan (MUGA), Stress test (exercise or drug induced), Electrophysiology study (EPS), pulse oximetry, serum labs, Cardiac catheterization (cardiac angiography, coronary arteriography), CXR

-Common therapeutic measures:  Drug therapy, diet therapy, oxygen therapy, pacemakers, cardioversion, CPR (new guidelines released 2010), Enhanced external counterpulsation, Cardiac catherization with angioplasty, stent placement or atherectomy, CABG, transmyocardial revascularization

      -Cardiac surgery:  Perioperative care

-Cardiac disorders:  CAD, acute MI, CHF, infectious and inflammatory disorders, cardiomyopathy, cardiac transplantation, sudden cardiac death, valvular disease, aortic regurgitation

-ECG (EKG) monitoring:          12-Lead EKG, telemetry monitoring, interpretation of EKG rhythms, arterial line, hemodynamics

-Anatomy and physiology of the vascular system:  arteries, veins, lymph vessels, capillaries

      -Factors that affect blood flow

-Nursing assessment of the vascular system:  Health history, Physical examination, normal versus abnormal assessments

-Vascular diagnostic tests and procedures:  Doppler ultrasound, Plethysmography, Pressure measurement, Exercise           (treadmill) test, Angiography

-Common therapeutic measures for vascular problems:  Exercise, stress management, pain control, smoking cessation, ellastic stockings, intermittent pneumatic compression, positioning, thermotherapy, protection, patient teaching, surgical procedures, drugs, dietary interventions, topical hyperbaric oxygen (

-Disorders of the peripheral vascular system:  Thrombophlebitis, Thromboangiitis obliterans, Arteriosclerosis, Atherosclerosis, Arterial or Venous Thrombosis, Phlebothrombosis, and/or Embolism, Raynaud’s disease, Varicose veins, Chronic venous insufficiency, Aneurysms, Aortic dissection

-Anatomy and physiology of blood pressure regulation:  cardiac output, peripheral vascular resistance

      -Age-related changes affecting blood pressure

-Risk factors, signs & symptoms, complications, tests, procedures, & treatment of:  Primary (essential) & secondary hypertension, and hypertensive emergencies                 

Student Learning Activities:

1. Attend & participate in class lectures
2. Read the chapter
3. Answer the review questions at the end of the chapter
4. Complete the chapter in the student study guide
5. Complete daily work as assigned
6. Review and answer questions in NCLEX-PN Review book on:

            Adult Client with a Cardiovascular Disorder

______________________________________________________________________

 

UNIT 4:

FLUIDS & ELECTROLYTES AND IV THERAPY

Chapter Learning Outcomes:           By the end of the unit, the student will be able to:

1. Identify normal location, primary sources, function and recommended intake of fluid in the body.
2. Describe the mechanisms involved to regulate fluid & electrolyte balances in the body.
3. Describe and give examples of diffusion, osmosis, filtration, and active transport in the human body.
4. Detail the causes, assessment data (signs & symptoms), nursing interventions, and criteria for evaluating effectiveness of care for clients with a nursing diagnosis of Fluid Volume Deficit or Fluid Volume Excess.
5. Detail the causes, assessment data, nursing interventions, and criteria for evaluating effectiveness of nursing care for clients with electrolyte imbalances including: sodium, potassium, calcium, and magnesium imbalances.
6. Discuss the importance of pH regulation in the human body and identify the normal range of plasma pH.
7. Describe the two pH buffer systems that regulate acid-base balance in the human body.
8. Differentiate the causes, assessment data, and nursing interventions for metabolic and respiratory acidosis and alkalosis.
9. Discuss principles of nursing management for clients receiving fluids and electrolytes via oral supplements, IV solutions, enteral feedings, and TPN.
10. List the indications for IV therapy, including both crystalloid and colloid solutions.
11. Describe the types of fluids and venous access devices used for IV fluid therapy.
12. Accurately calculate hourly flow rates and drop rates.
13. Discuss the causes, signs and symptoms, and nursing implications for the complications of IV fluid or drug therapy, including blood or blood product transfusion.
14. Describe the nursing responsibilities when a patient is receiving IV therapy.
15. Assist in development of nursing care plans/concept maps for clients with selected fluid, electrolyte, and/or acid-base imbalances.
16. Assist in the development of concept maps for patients receiving IV therapy.

Lecture Content Outline:

-Assessment of fluid volume status and fluid volume imbalances:  hypovolemia vs. hypervolemia, third-spacing

      -Review of diffusion, osmosis, filtration, and active transport

-Assessment of electrolyte imbalances:  Hyponatremia vs. hypernatremia, hypokalemia vs. hyperkalemia, hypocalcemia vs. hypercalcemia, and hypomagnesemia vs. hypermagnesemia

      -Acid-Base Balance:  ABG interpretation, respiratory buffers, metabolic buffers

      -Interventions for acidosis and alkalosis

-Types and indications for IV solutions:  crystalloid (isotonic, hypotonic, and hypertonic), and colloids     

-Venous access devices: needles, catheters, implanted devices, intermittent infusion devices

      -Initiation of IV therapy:  equipment, site selection, procedure, documentation

      -Maintaining IV therapy:  Factors affecting flow, calculating rate, infusion control devices, IV infusion of medications

      -Changing the venous access devices and administration sets

      -Termination of IV therapy

      -Precautions and complications of IV therapy, including the older adult patient

Student Learning Activities:

1. Attend & participate in class lectures
2. Read the chapter
3. Answer the review questions at the end of the chapter
4. Complete the chapter in the student study guide
5. Complete daily work as assigned
6. Review and answer questions in NCLEX-PN Review book on:

      Medication & IV Administration, Acid-Base Balance, Fluids and Electrolytes

______________________________________________________________________

 

UNIT 5:

Hematologic & Immunologic Pathophysiologies

Chapter Learning Outcomes:  By the end of the unit, the student will be able to:

1. Describe the anatomy & physiology of the hematopoietic, lymphatic & immune systems.
2. Describe the data collection when assessing a client with a hematopoietic disorder.
3. Discuss tests and procedures used to diagnose hematopoietic disorders and the nursing implications for each.
4. Describe the signs & symptoms, medical diagnoses, and medical treatment for selected hematopoietic disorders.
5. Describe the nursing care for clients undergoing common therapeutic measures for disorders of the hematopoietic system.
6.       Describe the data collection necessary when assessing a client with a disorder of the immune system.
7. Discuss tests and procedures used to diagnose immune disorders and the nursing implications for each.
8. Describe the signs & symptoms, medical diagnoses, and medical treatment for selected immune disorders.
9. Describe the nursing care for clients undergoing common therapeutic measures for disorders of the immune system.
10. Differentiate between active & passive immunity & define related terms: innate immunity, actively acquired immunity, naturally acquired immunity, immunological tolerance, and anergy.
11. Describe the signs & symptoms, medical diagnoses, and medical treatment for immune disorders.
12. Assist in the development of nursing care plans/concept maps and teaching plans for clients with hematopoietic, lymphatic, and/or immune disorders.

Lecture Content Outline:

-Review anatomy and physiology of the hematopoietic and immunologic systems, including age-related changes, and types of immunity

-Nursing assessment of the hematopoietic and immunologic systems:  Health history, Physical examination

-Defining characteristics of disorders of the hematopoietic and immunologic systems, including HIV & AIDS

-Diagnostic tests and procedures:  Blood tests, Bone marrow biopsy, Schilling test, lymph node or tissue biopsy, ultrasound, lymphangiography, xrays, CT, bone scans, MRI, surgical procedures, urine tests, skin tests, C&S of blood, urine, sputum, and stool, Gallium scan, PET scan

-Common therapeutic measures for hematopoietic and immunologic disorders: Reverse isolation, neutropenic precautions, blood product transfusions, Colony-stimulating factors, bone marrow transplant, peripheral blood stem cell transplant, chemotherapy, drug therapy, dietary supplements or modifications, TED hose, exercise regimen or activity restrictions, visitor restrictions

-Nursing interventions for the patient diagnosed with anemia, erythrocytosis, leukocytosis, agranulocytosis, pancytopenia, and/or coagulopathies, and patients diagnosed with immune system disorders, including HIV infection, AIDS

-Nursing actions for the patient diagnosed with occlusive, inflammatory and/or infectious disorders of the lymph system, and/or lymphoma

 

Student Learning Activities:

1. Attend & participate in class lectures
2. Read the chapter
3. Answer the review questions at the end of the chapter
4. Complete the chapter in the student study guide
5. Complete daily work as assigned
6. Review and answer questions in NCLEX-PN Review book on:

            Adult with an Immune Disorder

______________________________________________________________________

 

UNIT 6

GASTROINTESTINAL DISORDERS

Chapter Learning Outcomes: By the end of the chapter, the student will be able to:

1. Describe the normal anatomy & physiology of the gastrointestinal system & accessory structures.
2. Describe the signs & symptoms, complications, and medical treatment of selected upper and lower GI disorders.
3. List the data to be collected when assessing the client with a digestive disorder.
4. Identify nursing assessment data related to the functions of the liver, gallbladder, and pancreas.
5. Discuss the nursing responsibilities in the care of clients undergoing diagnostic tests and procedures for GI, liver, gallbladder and pancreatic disorders.
6. Describe the nursing care of clients undergoing the following therapeutic measures: drug therapy, GI intubation and decompression, tube feedings, TPN, EGD, injection sclerotherapy, variceal banding, colonoscopy, digestive tract surgery, and balloon tamponade.
7. Assist in the development if nursing care plans/concept maps and teaching plans for clients receiving treatment for GI, liver, gallbladder, and pancreatic disorders.
8. Explain the pathology, signs & symptoms, diagnoses, complications, and medical treatment of selected disorders of the liver, gallbladder, and pancreas.

Lecture Content Outline:

-Review the anatomy and physiology of the digestive tract, and expected age-related changes

-Nursing assessment of the digestive tract and accessory organs:  Health history, Physical examination

-Diagnostic tests and procedures:  Radiographic studies, US, MRI, biopsy, Endoscopy, Laboratory studies

-Common therapeutic measures: GI intubation, TPN, GI surgery, Drug therapy, EGD with or without dilatation, injection sclerotherapy, variceal banding, colonoscopy

-Disorders affecting ingestion:  anorexia, N/V, Stomatitis, Dysphagia, Dyspepsia, Cheilosis, dental problems, esophagitis, esophageal varicies, pyloric stenosis, anorexia nervosa, CA

-Disorders affecting digestion and absorption:  GI ulcers, dumping syndrome, perforated bowel, gastritis, hiatal hernia, GERD, diverticulosis, diverticulitis, bulimia nervosa, gastrectomy, N/V/D, CA

-Disorders affecting absorption and elimination:  Diarrhea, constipation, IBS, IBD,  Chrohn’s, steatorrhea, Valsalva Maneuver, megacolon, inguinal hernia, ulcerative colitis, ileus, intestinal obstruction

      -Nursing assessment and care of the patient with a gastrointestinal disorder  

      -Patient education to promote normal bowel function

      -Anatomy and physiology of the liver:  Bile production and excretion, Metabolism

-Diagnostic tests and procedures:  Laboratory studies, Imaging studies, Liver Biopsy, surgery

      -Disorders of the liver:  Hepatitis, cirrhosis, tumors, cancer

      -Anatomy and physiology of the biliary tract

-Diagnostic tests & procedures:  lab testing, HIDA scan, cholangiography, Laparoscopic or open Cholecystectomy, lithotripsy

-Disorders of the gallbladder:  Cholecystitis and cholelithiasis, Cancer of the gallbladder

-Anatomy and physiology of the pancreas:  Exocrine function, Endocrine function

-Diagnostic tests and procedures:  lab studies, radiographic studies, MRI, surgery with irrigation and/or drain tubes

.     -Disorders of the pancreas:  Pancreatitis, pancreatic cysts, abscesses, pseudocysts, cancer of the pancreas

-Nursing assessment and care of the patient with a liver, gallbladder or pancreatic disorder

Student Learning Activities:

1. Attend & participate in class lectures
2. Read the chapter
3. Answer the review questions at the end of the chapter
4. Complete the chapter in the student study guide
5. Complete daily work as assigned
6. Review and answer questions in NCLEX-PN Review book on:

            Adult with a Gastrointestinal Disorder          

______________________________________________________________________

 

UNIT 7:

NEUROSENSORY PATHOPHYSIOLOGIES & NEUROLOGICAL DISORDERS

Chapter Learning Outcomes: By the end of the unit, the student will be able to:

1.              Describe the normal anatomy & physiology of the neurological system.
2. Identify common neurologic changes in the older person and the implication of these for nursing care.
3. List the components of the nursing assessment of the client with a neurologic disorder.
4. Discuss the diagnostic tests and procedures used to evaluate neurologic dysfunction and the nursing responsibilities associated with each.
5. Identify the uses, side effects, and nursing interventions associated with common drug therapies used to treat clients with neurologic disorders.
6. Describe the signs & symptoms associated with, and medical treatment of, increased intracranial pressure.
7. Describe the pathophysiology, signs and symptoms, complications, and medical or surgical treatment for clients with neurologic disorders, including: HA, infectious/inflammatory disorders, TIA, CVA, aneurism, traumatic injuries, auto-immune disorders, seizures, cranial nerve and extrapyramidal disorders, tumors,neurological deficits
8. Discuss nursing interventions used in the care of clients with the neurological disorders listed.
9. Discuss the risk factors for CVA and identify the types of CVA.
10. Discuss care of a CVA client during the acute and rehabilitation phases and specify criteria used to evaluate the outcomes of nursing care for the CVA client.
11. Identify resources for the CVA client and family.
12. Explain the impact and potential effects of spinal cord injury.
13. Describe the diagnostic tests used to evaluate spinal cord injuries and related nursing responsibilities.
14. Describe the medical and surgical treatment during the acute phase of spinal cord injury.
15. Identify nursing diagnoses, goals, interventions, and outcome criteria for the client with a spinal cord injury.
16. Assist in the development of a nursing care plans/concept maps and teaching plans for the client with a neurological disorder.

Lecture Content Outline:

-Review anatomy and physiology of the nervous system, including the cerebrum, brain stem, cerebellum, circulation, spinal cord, impulse conduction

      -Age-related changes in the nervous system

-Diagnostic tests and procedures:  neurological exam, CT, MRI, Brain scan, angiography, lumbar puncture, EEG

      -Common therapeutic measures:  Drug therapy, Surgery, rehabilitation

-Pathophysiology of the following disorders of the nervous system:  Headache, seizure disorder, traumatic injury, brain tumors, infection and inflammatory conditions, Guillain-Barré syndrome, Parkinson’s syndrome, multiple sclerosis, amyotrophic lateral sclerosis (ALS – Lou Gehrig’s Disease), Huntington’s disease, myasthenia gravis, trigeminal neuralgia (Tic Douloureux), neurofibromatosis, Bell’s palsy, Cerebral palsy, post-polio syndrome

-Developing and implementing the nursing care plan for a patient with a selected neurological disorder

-Precursors and types of stroke:  Transient ischemic attack, hemorrhagic, thrombotic, & embolic CVA

-Diagnostic tests and procedures RT stroke:  neurologic examination, lab, imaging studies, lumbar puncture, EEG, barium swallow

      -Types & effects of spinal cord injuries

-Spinal injury treatment in the acute phase:  saving the client’s life; preventing further cord injury; preserving cord function; rehabilitation

 

UNIT 7 (continued):

SENSORY DISORDERS

Chapter Learning Outcomes:  By the end of the unit, the student will be able to:

1. Discuss normal versus abnormal anatomy & physiology of the sensory system.
2. Identify common sensory changes in the older person and the implication of these for nursing care.
3. Describe the diagnostic tests and procedures used to evaluate sensory dysfunction and the nursing responsibilities associated with each.
4. Identify the uses, side effects, and nursing interventions associated with common drug therapies used to treat clients with sensory deficits.
5. Describe the pathophysiology, signs and symptoms, complications, and medical or surgical treatment for clients with the following sensory disorders: impaired vision, blindness, traumatic injuries, infectious and inflammatory disorders, macular degeneration, glaucoma, cataracts, retinal detachment, hearing loss, disorders of the external, middle, and inner ear
6. Assist in the development of a nursing care plans/concept maps and teaching plans for the client with a sensory deficit or disorder.

Lecture Content Outline:

-Review anatomy & physiology of the tongue (taste buds), including age-related changes

      -Nursing interventions & care planning for clients experiencing taste deficits

-Anatomy & physiology of the nose / olfactory receptors, including age-related changes

-Nursing interventions & care planning for clients with smell deficits, including fire hazard, food poisoning

-Anatomy & physiology of the peripheral touch sensations, including age-related changes

-Nursing interventions & care planning for clients with touch / sensation deficits (DM, PVD, Raynaud’s)

      -Anatomy & physiology of the eye, including age-related changes

      -Pathophysiologies of the eye

      -Diagnostic testing, medical treatments / surgeries for vision deficits

-Nursing interventions, care planning, and precautions for clients with vision deficits

      -Anatomy & physiology of the ear, including age-related changes

      -Pathophysiologies of the ear

      -Nursing interventions & care planning for clients with hearing deficits

      -Diagnostic testing, medical treatments / surgeries for hearing deficits

Student Learning Activities:

1. Attend & participate in class lectures
2. Read the chapter
3. Answer the review questions at the end of the chapter
4. Complete the chapter in the student study guide
5. Complete daily work as assigned
6. Review and answer questions in NCLEX-PN Review book on:

            Adult with a Neurological Disorder   

 

 

 

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