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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