Download Concept Analysis Diagram

RNSG 1324
Concept-Based Transition to Professional Nursing Practice
Concept – IMMUNITY
Concept Definition
Immunity is a physiologic process that provides an individual with protection or defense from disease.
Exemplars
Vaccines
Otitis media
Urinary Tract Infection
Cellulitis
Osteomyelitis
Pneumonia
Appendicitis
Trauma-sprain
Objectives
1. Explain the correlation between the listed exemplars and the concept of Immunity (including
compromised antecedents, deficit measurement in attributes, a list of negative consequences,
and the interrelated concepts which may be involved).
2. Describe the optimal human body immune response.
3. Identify the pathophysiology of suppressed or exaggerated immune responses.
4. Analyze conditions that place a patient at risk for suppressed or exaggerated immune function,
acute and chronic inflammation, or localized and systemic infection.
5. Identify conditions that place an individual at risk for a compromise in Immunity that can be
resolved with immunizations.
6. Correlate the administration of Immunizations (Vaccines) to the concept of Immunity including:
a. A description of the antecedents of active and passive immunity
b. The promotion of attributes of immunity by immunizations,
c. The positive outcome of protection from microorganisms with immunizations, and
d. The relationship of the sub-concepts of Immune response and Infectious response with
immunizations.
7. Discuss assessment data used for planning and implementing nursing care for individuals
experiencing health problems related to immunity.
8. Apply the nursing process with collaborative interventions for individuals experiencing the listed
exemplars including individuals receiving immunizations.
Assignments
Review the following from previous course(s)
 Normal physiologic immune function
 Acute and chronic immune response
 Acute and chronic inflammatory process
 Common pathogens
 Infection process
Prior to class
 Follow the “Read Me” File under the Immunity Module on Canvas
 Review the Immunity Concept Analysis Diagram with explanation
 Complete the assigned readings
*Page numbers, assignments, and other lecture information will be posted on blackboard.
 Giddens (2017) Chapters 23, 24 & 25
 Lewis (2014) Chapters 22, 24, 28, 43, 45, 46, 63
 McKinney (2013) Chapter 41
 Burchum & Rosenthal (2015) & Lehne Online Pharmacology Chapters 67, 68, 70, 83, 84, 85,
86, 88, 89, & 91
Concept Content Outline:
Attributes of Intact Immunity
Immune System
 Innate/Natural Immunity
 Adaptive/Acquired Immunity
Parts of the Immune System
 Lymphatic System
 Complete Blood Count with Differential
WBC Count
 Lymphocytes (B cells and T Cells)
Antigens
Adaptive (Acquired) Immune Response
Immune Response Continuum
 Suppressed Immune Response/Immunocompromised
 Exaggerated Immune Response
Risk Factors: Immunity/Infection
Prevention: Infection/Immunity
 Primary Prevention
 Secondary Prevention
Inflammatory Response
Risk factors for Inflammation
Inflammation Prevention
Nursing Process: Assessment
 Skin
 Diagnostics
Planning
Implementation
 Primary Prevention
 Secondary Prevention
 Tertiary Prevention
Across the Age Span
 Very Young
 Elderly
For Each Exemplar:
 Pathophysiology




Risk Factors
Nursing Process
o Assessment:
 Comprehensive history
 Physical assessment
 Cultural, behavioral, social assessment
 Physical and psychological clinical manifestations
 Diagnostic tests
o Planning
o Implementation
 Nursing; Primary, Secondary, & Tertiary
 Teaching
 Collaborative
 Pharmacological therapy
 Non-Pharmacological therapy
 Procedural therapies
Positive Outcomes
Negative Outcomes
N:ADN Syllabus/CBC Curriculum/Transition Summer 2017/RNSG 1324/Immunity
Revised 3/17