NU 4700 - Nursing Care of Clients with Complex Chronic Health Challenges

• Provide safe, effective, compassionate, and holistic nursing care taking into account developmental and cumulative effects on clients with multiple chronic health concerns (Level 4, Nursing Care)
• Integrate critical thinking and reflective practice when applying the nursing process to care of clients experiencing multiple chronic health concerns (Level 4, Critical Thinking)
• Incorporate effective communication and health education skills when addressing the cumulative effects on clients with multiple chronic health concerns (Level 4, Communication)
• Demonstrate a pattern of personal responsibility, professionalism, and accountability for life-long learning (Level 4, Professional Role)
• Deliberate ethical dilemmas faced by clients, their families, and healthcare providers and the effect on one’s philosophy of nursing and future practice (Level 4, Professional Role)
• Select, analyze, and use health information technology and biomedical technologies to ensure the quality and safety of nursing care (Level 4, Technology)
• Participate in the role of care coordinator with other healthcare team members to advocate for and improve health care outcomes for clients experiencing multiple chronic health concerns (Level 4, Collaboration)
• Retrieve and synthesize evidence from best practices to ensure the quality and safety of nursing care for clients experiencing multiple chronic health concerns (Level 4, Evidence Based Practice)

• None 

• Activity-Exercise Pattern & Nutritional-Metabolic Pattern: Care of clients (adult and child) with chronic lung disorders COPD, asthma, cystic fibrosis - Altered Breathing Patterns; Impaired Gas Exchange; Ineffective Airway Clearance; Nutrition, Less than body requirements; Activity Intolerance
• Nutritional-Metabolic Pattern & Elimination Pattern: Nursing Care of clients (adult and child) with chronic renal failure and dialysis- Tissue Perfusion: Renal Ineffective; Imbalanced Fluid Volume; Knowledge (specify), Readiness for Enhanced; Therapeutic Regimen Management Ineffective
• Activity-Exercise Pattern & Nutritional-Metabolic Pattern: Care of the patient with chronic hypertension, coronary artery disease and heart failure - Tissue Perfusion, Ineffective: cardiopulmonary; Activity Intolerance; Decreased Cardiac Output, Fluid Volume Excess; Knowledge (cardiac), Readiness for Enhanced
• Nutritional-Metabolic Pattern & Health Perception-Health Management Pattern: Care of the clients (adult and child) with chronic GI and hepatic dysfunction - Inflammatory bowel disorders, hepatitis, cirrhosis, - Injury, Risk for; Thought Processes, Disturbed; Family Processes, Dysfunctional: Alcoholism; Infection Transmission, Risk for; Tissue Perfusion, Ineffective: Gastrointestinal, Nutrition; Readiness for Enhanced
• Activity-Exercise Pattern & Nutritional-Metabolic Pattern: Care of the Patient with peripheral (arterial and venous) vascular disease (PVD) - Tissue Perfusion, Ineffective peripheral; Peripheral Neurovascular Dysfunction Risk for; Pain
• Value-Belief Pattern & Cognitive-Perceptual Pattern: End of Life Care of clients (adult and child).- Caregiver Role Strain; Grieving; Oral Mucous Membrane, Risk for Impaired; Impaired Comfort; Compromised Family Coping
• Nutritional-Metabolic Pattern: Care of the client with burns - Comfort, Readiness for Enhanced; Disuse Syndrome; Fluid Volume, Deficient; Injury, Risk for; Post-Trauma Syndrome, Risk for; Protection, Ineffective; Skin Integrity, Impaired
• Health-Perception/Management Pattern & Nutritional-Metabolic Pattern: Nursing Care of clients (adult and child) with Chronic Endocrine Disorders - thyroid, growth, adrenal dysfunction - Risk for Noncompliance; Ineffective Health Management; Self-Concept, Disturbed; Therapeutic Regimen Management, Readiness for Enhanced; Knowledge (specify), Readiness for Enhanced; Blood Glucose, Risk for unstable
• Health Perception/Management Pattern & Cognitive-Perceptual Pattern: Nursing Care of clients (adult and child) Cancer. - Risk for Noncompliance; Ineffective Management of Therapeutic Regimen; Risk for Infection; Caregiver role Strain; Impaired Comfort; Nausea
• Cognitive-Perceptual Health Pattern & Activity-Exercise Pattern: Care of the client (adult and child) with chronic degenerative neurological disorders - MS, GB, ALS, Parkinson, cerebral palsy - Communication, Impaired Verbal; Self-Care Deficit; Sensory Perception, Disturbed; Adjustment, Impaired; Dysreflexia, Autonomic; Physical Mobility, Impaired
• Health Perception-Health Management Pattern: Nursing Care of clients (adult and child) with AIDS/HIV - Protection, Ineffective; Injury Risk for; Risk for; Knowledge (specify), Readiness for Enhanced; Infection Transmission, Risk for; Tissue Perfusion, Ineffective (specify)
• Health-Perception/Management Pattern: Nursing Care of clients (adult and child) with immunosuppressant conditions: Transplants. - Infection, Risk for; Protection, Ineffective; Injury Risk for; Ineffective tissue perfusion

• Psychomotor Skills: Skill Review
• Simulations: Care of patient with acute coronary syndrome, Care of patient with decompensated heart failure, Care of patient in home hospice
• Clinical Focus: Pediatrics, Mental Health