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1. Patient-Centered Care NOF Competency: The Nurse of the Future will provide holistic care that recognizes an individual’s preferences, values, and needs and respects the patient or designee as a full partner in providing compassionate, coordinated, age and culturally appropriate, safe and effective care. Course SLO: Utilize the nursing process when providing basic care to culturally diverse adults with an emphasis on older adult patients. Course Outline: A. Nursing Process in the care of Adult and Geriatric Patients B. Wellness-Illness Continuum C. Bio-Psycho-SocialSpiritual, and Cultural Aspects D. Pathophysiology E. Comfort F. Health Promotion, Maintenance and Restoration Pain Review →Types: Chronic, Acute →Pathophysiology: Theories and Beliefs, physical links, autonomic responses, endorphins →Factors effecting pain →History, pain assessment tools, tolerance, dependence, withdrawal Selected Medications: Opioids(morphine), naloxone (Narcan) →Alternative/Complementary Therapies →Stress Reduction Abuse/Assault/Neglect of Adult and Geriatric Patients o Physical, Emotional, Financial/Exploitive, Sexual o Legal responsibilities o Theories and Concepts of Abuse o Collaborative Care and Management Normal Structure and Function and Pathophysiological concepts of selected disorders in Adult and Geriatric Patient Integumentary Disorders/Medications: →Inflammatory Response; Acute vs Chronic Inflammation →Skin Lesions →Candidiasis and Tinea(s) (Fungal Infections) →Primary and Secondary Skin lesions →Bedbugs, Scabies, Ticks →Ulcers: Venous/Arterial/Pressure/ Diabetic →Wounds: Types and Phases →Wound healing: Primary, Secondary, Tertiary →Staging Pressure Ulcers →Classification of Pressure Ulcers by Tissue Depth and Involvement (Partial/Full-Thickness) →Factors effecting/Risks for Pressure Ulcers →Body Image Changes →Treatments for Wounds and Pressure Ulcers Dressings Nutritional therapy →Complications from Impaired Skin Integrity o Assessment Patient health history Physical assessment Laboratory / Diagnostics o Nursing Diagnosis o Planning o Implementation Patient/Family Teaching Problem solving Wellness/Illness Continuum Lifespan development Alternative / Complimentary Therapies o Collaborative Care Mgt Evaluation Reporting (SBAR) Documentation Learning Assignment PRIOR to coming to class: Wilkinson Volume 1: Chapters 12, 31, 35 and accompanying Voice Over Power Points Wilkinson Volume 2: Chapter 12, 31, 35 Ignatavicius: Chapters 17 (pp. 277281), 25 (pp. 432-458), 2 (pp. 1819). Skyscape: Mosby’s Nursing Drug Reference 1.) morphine (MS Contin) 2.) naloxone (Narcan) ATI Modules: 1.)”Skills Modules”: a.) Wound Care b.) Pain Management 2.) “Pharmacology Made Easy 3.0” Pain and Inflammation: a.) Introduction b.) Drug Therapy for pain: Nonopioid analgesics- NSAID’s, acetaminophen and opioid analgesics - morphine and Opioids Antagonists - naloxone The Hematologic System: a.) Introduction b.) Drug Therapy to prevent and dissolve thrombiAnticoagulants: Factor Xa inhibitor- enoxaparin, Vitamin K inhibitor- warfarin, Salicylics, ADP inhibitors Clinical Activities: Journaling Focus on wounds and cardiac Care Planning Administration of oral, enteral, and parenteral medications Focused systems assessments Thursday 4/14: Final Skill Testing: Sterile technique via Catheter Insertion OR Sterile Wound Dressing Schedule provided by instructors