Download NUR 2211 - Illinois Valley Community College

ILLINOIS VALLEY COMMUNITY COLLEGE
Course Outline
Division:
Course:
HEALTH PROFESSIONS
NURS 2211 – Holistic Nursing III
Date: Spring,
Semester Hours: 5.0
Lecture hours per week: 3 hours per week
Clinical lab hours per week: 6 hours per week including clinical conference and
discussion of related topics
Prerequisite: Successful completion of NUR 1201, 1202, 1210, 1211, 2200, 2201, 2202
A-H 1000 & 1002, BIO 1007, 1008, & 1009,
PSY 1000, ENG 1001, SOC 1000
Completion of or concurrent enrollment in ENG 1002 & NURS 2210
Semester offered: Spring
Instructor(s):
A. Bruch, M. Francisco, N. Hamilton, E. Simons
I. CATALOG DESCRIPTION
The focus of this course is the nursing care of clients/patients throughout the life cycle
with neurological, endocrine, and musculoskeletal , sensory (NEMS) problems. Students are
provided the opportunity to utilize critical thinking, the nursing process, nursing skills,
theoretical knowledge and management skills in various health care settings.
II. GENERAL EDUCATION GOALS ADDRESSED
Upon completion of the course, the student will be able:
To apply analytical and problem solving skills to personal, social and
professional issues and situations.
To communicate successfully, both orally and in writing to a variety of audiences
√ To construct a critical awareness of and appreciate diversity.
√ To understand and use technology effectively and to understand its impact on the individual
and society.
√ To work and study effectively both individually and in collaboration with
others.
To understand what it means to act ethically and responsibly as an
individual in one’s career and as a member of society.
To develop and maintain a healthy lifestyle physically, mentally, and
spiritually.
To appreciate the ongoing values of learning, self-improvement, and
career planning.
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III. EXPECTED LEARNING OUTCOMES & RELATED COMPETENCIES:
Upon completion of the course, the student will be able to:
Outcome 1: Use the nursing process as a framework to critique formulated plans of
care and revise as appropriate.
Upon completion of the course, the student will be able to:
Competency 1.1 Demonstrate appropriate techniques used in the physical assessment of the
neurological, endocrine, musculoskeletal and sensory systems.
Competency 1.2 Identify assessment data which indicates complications or progression of
conditions including (but not limited to NEMS conditions
Competency 1.3 Utilize critical thinking and clinical reasoning to develop, implement, and
evaluate client care.
Competency 1.3 Analyze nursing assessments, formulate nursing diagnoses, develop goals,
implement interventions, and evaluate outcomes of clients with various
NEMS problems.
Competency 1.4
Competency 1.5
Competency 1.6
Competency 1.7
Follow institutional policies in the clinical setting.
Practice within the legal framework of the Nurse Practice Act and standards
of professional organizations.
Debate ethical issues relating to patients with chronic debilitating NEMS
diseases
Incorporate evidenced-based practice into clinical practice.
Outcome 2: Select the most effective communication techniques with the client, their
aggregates, and health care team members to meet the needs of the client(s) with
complex health problems.
Upon completion of the course, the student will be able to:
Competency 2.1 Utilize therapeutic communication techniques to establish and maintain
therapeutic relationships with clients and their aggregates giving
consideration to sociocultural differences.
Competency 2.2 Collaborate with other health care team members in meeting the needs of
clients and their aggregates.
Competency 2.3 Document all patient information sequentially, legally, concisely and
accurately.
Competency 2.4 Utilize nursing informatics in seeking knowledge to assist with the
formulation of clinical judgment and the delivery of safe, comprehensive
client care.
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Outcome 3: Evaluate knowledge of biopsychosocial adaptation of clients with complex
health problems to develop a plan for promotion, maintenance, and
restoration of health across the lifespan.
Upon completion of the course, the student will be able to:
Competency 3.1 Utilize critical thinking and clinical reasoning to develop, implement, and
evaluate care of a clients with NEMS problems.
Competency 3.2
Competency 3.3
Competency 3.4
Competency 3.5
Competency 3.6
Competency 3.7
Analyze lab values in relation to NEMS conditions
Interpret abnormal lab values, correlate with client symptoms, and identify
appropriate treatment modalities.
Incorporate the pathophysiology of disease processes with the clients’
assessment data; formulate and implement an appropriate safe plan of care.
Utilize the nursing process, legal/ethical guidelines, and evidenced based
practice to formulate, implement, and evaluate a plan of care for clients of
various ages with compromised health dealing with the NEMS.
Compare the mechanisms of action, use, normal doses, side-effects, and
nursing considerations for medications used to treat clients with NEMS
problems
Compare and contrast the role of the nurse in promoting and maintaining
wellness, preventing illness, restoring health, and facilitating coping in
clients across the lifespan.
Outcome 4: Coordinates safe client care practices and incorporates quality improvement
measures to improve client care outcomes.
Upon completion of the course, the student will be able to:
Competency 4.1 Value the use of data to improve quality and safety of client care
outcomes.
Competency 4.2 Demonstrate safe client care practices in diverse settings.
Outcome 5: Integrate principles of management and leadership through coordination,
collaboration, delegation, and supervision of health care team members in the
planning and provision of nursing care.
Upon completion of the course, the student will be able to:
Competency 5.1 Implement the nursing process to establish priorities for organizing
nursing care among clients and their aggregates.
Competency 5.2 Demonstrate accountability for quality outcomes of client care.
Competency 5.3 Coordinate, collaborate, delegate, and supervise members of the health care
team.
Competency 5.4 Implement appropriate nursing management for clients with NEMS
problems.
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Outcome 6:
Collaborate with community resources to meet the needs of clients with health
care issues.
Upon completion of the course, the student will be able to:
Competency 6.1 Identify local and national support services available for clients and
their aggregates.
Competency 6.2 Integrate understanding of how diversity in clients affects their health care
needs.
Competency 6.3 Recognize the impact of socio-cultural and economic factors in the clients’
utilization of health care resources.
Competency 6.4 Implement safe client centered care with respect for the diversity of all
individuals.
Outcome 7: Exhibits professional qualities that are expected of a nurse.
Upon completion of the course, the student will be able to:
Competency 7.1 Deliver quality client centered care in a safe, conscientious, and
knowledgeable manner.
Competency 7.2 Conduct personal and professional life with integrity.
Competency 7.3 Demonstrate accountability to clients and professional peers.
Competency 7.4 Value characteristics of life-long learning.
IV.
INSTRUCTIONAL METHOD:
Lecture
Discussion
Audio-visual aids, including computer programs, and podcasting
Seminar
Case Studies
Demonstrations
Clinical practice
Written projects
Information quizzes
Simulation
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V. COURSE CONTENT
UNIT 1:
A. Musculo-Skeletal Assessment and Diagnostics
B. Structural Problems: Hip dysplasia, scoliosis, osteoporosis
Seminar1: talipes deformities, genu varum, genu valgus, Casts /Cast care
C. Repetitive Strain Injuries
D. Assessment and Complications of MS Trauma
E. Hip Fractures and Total Joint Replacements
F Seminar 2: Nursing of Clients in traction, and ambulatory aids (crutches, canes, walkers)
UNIT 2:
A. Connective Tissue Diseases:
Osteoarthritis vs Rheumatoid Arthritis
Steroids and Other Therapies
B. Diabetes Mellitus
UNIT 3:
A. Diagnostics and Neurological Assessment
B. Neck and Lower Back Pain, Herniated Nucleus Pulposus, Disc Surgeries
C. Spinal Cord Injuries
UNIT 4:
A. Head Injuries
B. Brain Tumors
C. TIAs, Strokes, and Rehabilitation
D. Seizure Disorders
E. Neuromuscular Infections: Meningitis, Encephalitis, Guillain-Barre, Lyme Disease,
UNIT 5:
A. Gout, Lupus Erythematosus
B. Fibromyalgia vs Chronic Fatigue Syndrome
C. Headaches
D. Trigeminal Neuralgia and Bell’s Palsy
E. Other Chronic NeuroMusculoSkeletal Problems:
Peds: Muscular Dystrophies
Adults: Parkinson’s Syndromes, Multiple Sclerosis, Myasthenia Gravis, ALS
D. Vision Problems:
Assessment, Warning Signs, Retinal Detachment
Seminar 7: Strabismus, Eye meds,
Common Eye Infections, Eye Traumas, Glaucoma, Cataracts, Macular Degeneration,
E. Ear Problems:
Assessment, Meniere’s Syndrome
Seminar 8: Noise Pollution, Hearing Losses, External Ear Problems,
Middle Ear Problems,
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VI. STUDENT REQUIREMENTS AND METHODS OF EVALUATION:
ATTENDANCE:
Students are to attend lecture, college lab, clinical lab, and/or alternative experiences promptly
as scheduled. Absenteeism and tardiness will be dealt with according to the nursing handbook
policies. If you are late for class, you are marked absent unless you inform the instructor of your
tardiness by the end of class time. Note: (from the nursing handbook) Students must inform the
clinical instructor by phone if a circumstance prevents attendance in the clinical experience.
The classroom door will be locked at the designated class start time. If a student is late, they
will not be admitted to the classroom until the classroom is opened for break.
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PARTICIPATION:
Students are expected to attend class/lab/seminar prepared with reading assignments, podcasts
reviewed, and/or written assignments completed. Active participation in class discussions, lab
activities, and clinical experiences are expected.
Due to the vast amount of information to be learned, not all unit objectives may be addressed in
class and labs. However, since the content most likely will be tested, the student is responsible
to complete those objectives. Students are responsible for all materials covered during their
absence.
IMPORTANT: The lecture notes serve as an outline for the lecture material. Students are
expected to bring the COMPLETED lecture notes to class. The student must read and fill in
the lecture notes PRIOR to class. Students who present to class unprepared will jeopardize
their success because they will find it very difficult to follow the lecture, discussion, and
classroom activities.
GRADING POLICIES:
1. 80% of CLASSROOM THEORY:
Your grade is based on cumulative total points, which is then recorded as a percentage of
the total points for the course:
# of SN test points
= SN percentage (course grade)
# of total test points
(Do not average the percentages of each test!)
The grading scale is in accordance with the Nursing Handbook.
Test questions may be generated from any component of this course.
Please note: The grade for this theory course with a clinical component is based only on the
five exam scores. No other assignments for this course will be used to determine grade.
Students are expected to take all tests/quizzes on the designated days. When missing a test/quiz,
the SN must notify the lecture instructor within 24 hours about a make-up test/quiz and make an
appointment with the Learning Center to take the test/quiz, failure to do so will result in a zero
(0). Failure to take the test/quiz on the designated day will result in a zero (0) for the test/quiz.
Therefore if you change your appointment, then you must notify the instructor of the change.
These missed tests/quizzes need to be completed before the next scheduled test/quiz. Students
who missed more than one scheduled exam date will be held to the policy outlined in the
Nursing Handbook.
If a student prematurely ends the exam, the grade computed is the final grade. Students will not
be allowed to retake the exam or complete the test items not answered. No exceptions will be
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made. Dishonesty/cheating are not accepted.
dishonesty/cheating will be followed.
The college policy regarding academic
Grades will be posted ASAP in Blackboard grade book.
Grades will not be given out over the phone or via e-mail.
Student Enrichment Plan:
To maximize student success, a student enrichment plan has been put into place for each unit
exam. Please review these guidelines carefully as they will apply following each exam.
a. Any student receiving an 80% or below on any unit exam is required to meet with an
instructor to review the exam. The lecture instructor will notify the students by e-mail
with who the student is to meet with (Dr. Francisco or Mrs. Bruch). The test review must
be completed within three (3) school days of the exam.
b. During the exam review, the student will complete a test analysis to identify any patterns
or concerns with testing or content.
c. Any student not successful on the exam (below 80%) a prescribed content enrichment
activity may be assigned. This must be completed with 48 hours of assignment. This
completion will be the ‘ticket to test’ for the next exam.
d. Failure to complete any step of this enrichment plan will result in a Need for Professional
Development and an assignment of further enrichment activities.
Test reviews will not be conducted during class time. Students wanting to review their exam
will need to make an appointment with the lecture instructor. Note taking or recording is not
allowed during the test review. Review is to be done within one week of the test after all SN
have taken the test. When challenging answers to test questions, the SN must present written
support from three recent professional sources. This must be given to the instructor for review
within one week following the exam review.
2. Passing grade (100%) on a MATH QUIZ.
3. Satisfactory WRITTEN PAPERS: (As designated by portfolio grid)
All course papers must be completed in order to achieve a passing course grade. Papers
designated for this course include:
Non-Preceptor Clinical Rotations:
a. Clinical Correlation Project:
 Needs to be written on a patient with a health problem in this course.
 Must have the instructor's approval prior to writing the assignment.
 Due the 4th school day after the clinical day caring for the patient.
b. Leadership / Management Papers for clinical: Due as designated by clinical
instructors.
c. Diagnostic Analysis and care plan for clinical: Due as designated by clinical
instructors.
d. One Diabetic Diet project. TBA in class.
e. Weekly Reflective Journals
If the above papers are not handed in on the designated day, they will not be accepted.
Assignments should be submitted as clinical instructor requires. The SN is ultimately
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responsible for papers that get lost or that pass the hands of people in between the SN and
instructor.
4. Passing (satisfactory) evaluation of clinical performance:
The student nurse must meet the standards of this course in order to attain a passing
grade. This includes completing ALL patient care assignments on time, correctly
demonstrating all nursing skills presented in all previous nursing courses, etc. (See
clinical evaluation form for competencies required.)
Note:
Evidence of unsafe, ineffective, or unreliable nursing care will result in failure of the course
regardless of exam scores or written assignments.
Failure to attain any one of the above criteria will result in failure of the course
Critical Incident
A critical incident should not be viewed only as a punitive activity, rather as a learning
experience and a way to improve clinical performance. To provide fair judgment on this process,
the following should occur:
 SN should review the nursing handbook regarding Critical Incident citations.
 SN should understand a Critical Incident may be given at any time during the clinical day
or at the conclusion of the clinical day
 Once the SN is informed by the instructor that he/she is receiving a Critical Incident, the
following is the student's responsibility:
o Retrieve a copy of the Critical Incident form (In Blackboard under Second Year
Nursing Course or in Nursing Handbook).Complete the Student sections of the
form and return to the instructor on the next school day or designated date by
instructor
o Schedule an appointment with the clinical instructor to discuss Critical Incident
report
Need for Professional Development
Professional development is a key component of any nursing curriculum. One goal of the IVCC
nursing program is to assist students in developing behavior and qualities that are professional
and collegial. A Need for Professional Development is a reporting system that identifies areas of
student concerns, weaknesses, or need. This report should be viewed as a learning experience
and an opportunity to develop professionally. Please refer to the Nursing Handbook for further
description of this report.
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ILLINOIS VALLEY COMMUNITY COLLEGE
Course Syllabus
Division:
Course:
HEALTH PROFESSIONS
NURS 2211 – Holistic Nursing III
INSTRUCTOR INFORMATION:
Lecture instructors: Ann Bruch & Margie Francisco
Clinical instructors: Ann Bruch, Margie Francisco, Nora Hamilton, Ania Peek
Contact information and office can be found on instructor’s website.
CLASS MEETING TIMES/LOCATIONS & SCHEDULE OF TOPICS:
Please refer to course calendar given to you by your individual instructor. A copy is also found in
your Blackboard course. PLEASE NOTE: Calendars are subject to change. Students will be
notified in class, announcement in Blackboard, and/or via IVCC student e-mail of any calendar
revisions.
ASSIGNMENTS & TEST DATES:
Please refer to lesson plan given to you for due dates for assignments and exams.
CLASSROOM RULES:
In order to provide a learning environment conducive for all, the following classroom rules will
be enforced:
 Drinks may be brought into the classroom only if there is a lid/cover. No eating in class is
allowed.
 Cell phones are to be on silent/off. Do not put the phone on vibrate.
 No use of iPods, headphones during class time.
 No texting or picture taking with cell phones.
 Recording of classroom meetings can be done with permission of the instructor. If asked
to turn off the recording, the student will oblige.
 Children may not be brought to class, lab, or seminar.
 It is expected students will return from breaks before class reconvenes.
 Side-bar conversations are disruptive to those around you and to the instructor. Be
respectful to all.
 The classroom door will be locked at the start of class and following any breaks. If
students are not present at the start of class, they must wait until break when the
classroom door is opened.
 Students are discouraged from leaving the classroom during the class period unless it is
of urgent need.
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EMERGENCY / SAFETY:
In the event of a fire, inclement weather, and/or intruder, remain calm and follow the instructions
of your instructor or designated IVCC personnel. Please be aware of exits from the building
nearest your classroom as well as exit to the tunnel in case of tornado. DO NOT USE THE EXIT
TO THE COURTYARD IN CASE OF FIRE.
WEATHER-RELATED CLASS CANCELLATIONS / COLLEGE CLOSURE:
Notification for class cancellations will be via the IVCC website, email to your student account,
and/or announcement in Blackboard.
For college closure, check the IVCC website for an announcement as well as listen to local radio
stations. You may also sign up for text-message alerts (see the IVCC webpage for instructions).
ADDENDUM:
1. Papers that need to be signed by individual students are to be done on a daily basis.
Otherwise an instructor can refuse to sign them.
2. Academic dishonesty will not be tolerated. Please see the Nursing Handbook regarding
cheating, plagiarism, and academic dishonesty.
3. Anyone who has a special learning need must present the documentation to the lecture
instructor on the first day of class (or as soon as it has been documented).
4. Anyone involved in the honors program must present their contract within the first 2
weeks of the course.
5. You may be eligible for academic accommodations if you have a documented physical,
psychiatric (anxiety, depression, bipolar disorder, AD/HD, post-traumatic stress, or
others) or cognitive disability such as a learning disability. If you have a disability and
need more information regarding possible accommodations, please contact Tina Hardy at
([email protected], 224-0284) or stop by office C-211.
6. Students have the ability to initiate a withdrawal from classes. By completing the form in
the Records Office or at www.ivcc.edu/withdraw, the student is authorizing IVCC to
remove him/her from the course. Entering the student ID number serves as the student’s
electronic signature. IVCC has the right to rescind a withdrawal in cases of academic
dishonesty or at the instructor’s discretion.
Students should be aware of the impact of a withdrawal on full-time status for insurance
purposes and for financial aid. It is highly recommended that students meet with their
instructor or with a counselor before withdrawing from a class to discuss if a withdrawal
is the best course of action for that particular student.
7. NOTE: Withdrawals are different from drops. For students who drop classes before the
tenth day of a regular 16-week Fall or Spring semester, a full refund less the registration
fee will be generated. For drops taking place during the summer semester or for classes
of varied lengths, the refund period varies according to the length of the class.
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8.
VI. REFERENCES:
REQUIRED:
Ackley, B. J., & Ladwig, G.B. (2014). Nursing Diagnosis Handbook (10th ed.). St. Louis:
Elsevier
Elsevier Adaptive Quizzing for NCLEX-RN Online program
Gasper, M.L., & Dillon, P.M. (2012). Clinical Simulations for Nursing Education. Philadelphia:
FA Davis
Harding, M., Snyder, J. S., & Preusser, B.A (2016). Winningham‘s Critical Thinking
Cases in Nursing: Medical-Surgical, Pediatric, Maternity, & Psychiatric (6th ed.). St.
Louis, MO: Elsevier Mosby
HESI/Saunders Online Review for the NCLEX-RN Examination
Hockenberry, M.J., & Wilson, D. (2013). Wong’s Essentials of Pediatric Nursing (9th ed.) St.
Louis: Elsevier-Mosby
Josephson, D.L, (2004) Intravenous Infusion Therapy for Nurses (2nd ed.). Clifton Park, NY:
Thomson Delmar
LaCharity, L.A., Kumagai, C.K., , & Bartz, B. (2014) . Prioritization, Delegation, and
Assignment: Practice Exercises for the NCLEX® Examination (2nd ed), St. Louis:
Elsevier.
Lewis, S. L, Dirksen, S. R., Heitkemper, M. M., Bucher, L, & Camera, I. M. (2014).
Medical-Surgical Nursing, Assessment and Management of Clinical Problems (9thth ed).
St. Louis, MO: Elsevier Mosby
Lewis, S. L, Dirksen, S. R., Heitkemper, M. M., Bucher, L, & Camera, I. M. (2014). Adaptive
Quizzing for Medical-Surgical Nursing, Assessment and Management of Clinical
Problems (9thth ed). St. Louis, MO: Elsevier Mosby
Lilley, L.L., Rainforth-Collins, S. & Snyder, J.S. (2014). Pharmacology and the Nursing Process
(7th ed.) St.Louis:Elseiver-Mosby
Pagana, K. D., & Pagana, T. J. (2013). Manual of Diagnostic & Laboratory Tests (5th
ed). St. Louis, MO: Elsevier Mosby
Wilson, S.F, & Giddens, J.F. (2013). Health Assessment for Nursing Practice (5th ed.).
St. Louis, MO: Elsevier Mosby
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HELPFUL TEXTS IN LIBRARY OR BOOKSTORES:
A recent medical/nursing dictionary.
A recent nursing care drug reference
A nursing board review book.
A recent nutrition textbook.
A nursing diagnosis handbook
Jacobs Library
The library hours are posted on the library web page. Please plan your work on research
assignments accordingly. Many library resources are available online with your IVCC student ID
at https://www.ivcc.edu/library. Chat online or text the library at 1-815-605-0482 for assistance.
The mission of Jacobs Library is to provide resources to enhance the IVCC learning programs,
and services that enable our community to seek, evaluate, and use information. To fulfill that
mission the library promotes an environment for quiet reading, study, research, and computer
access by individuals, as well as small group work in designated areas. Students need to be
respectful of this mission and of other students using the library for quiet reading, study and
research. Failure to abide by the rules of the library and failure to follow directions of staff will
subject students to the Student Code of Conduct. If you, or a group you are with, are
disruptive you will be asked to leave the library.
Jacobs Library (located on the main campus) helps you get to know your college library’s
collections and services. A self-guided orientation is available whenever the library is open for
you to learn about the library at your own pace. Allow about 20 minutes and bring your IVCC
student ID to the library service desk in A-201 to get started. If you prefer to participate in a
guided orientation with a library staff member, please bring your IVCC student ID to the library
at one of the scheduled times posted at https://www.ivcc.edu/libraryorientation.
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