NU 4710 - Nursing Care of Clients with Complex Episodic Health Challenges

• Provide safe, effective, compassionate, and holistic nursing care incorporating clinical nursing standards to prioritize and respond to the fluctuating health conditions experienced by critically ill clients (Level 4, Nursing Care)
• Provide nursing care to critically ill clients in a simulated environment and facilitate class discussion on the trajectory of the critical illness and nursing care needed (Level 4, Nursing Care, Critical Thinking)
• Integrate pharmacological principles into the care of critically ill clients (Level 4, Nursing Care)
• Demonstrate critical thinking skills in analyzing the interrelationship between physiological, psychological, and environmental factors when providing nursing care to critically ill clients (Level 4, Critical Thinking)
• Incorporate effective communication skills with critically ill clients and their families (Level 4, Communication)
• Demonstrate a pattern of personal responsibility, professionalism, and accountability for life-long learning (Level 4, Professional Role)
• Discuss how caring for critically ill clients has affected one’s philosophy of nursing and future professional nursing practice (Level 4, Professional Role)
• Select, operate, monitor, and evaluate the accuracy of biomedical technologies and the role of the nurse in ensuring quality and safe delivery of nursing care (Level 4, Technology)
• Collaborate with the interprofessional health care team to provide coordinated care with the goal of improving health care outcomes for critically ill clients (Level 4, Collaboration)
• Retrieve, synthesize, and discuss evidence from best practices that support clinical decisions for care of critically ill clients (Level 4, Evidence Based Practice)

• None 

• Value-Belief Pattern: Introduction to Critical Care Nursing
• Activity-Exercise Pattern: Care of Client requiring Hemodynamic Monitoring - Risk for Infection
• Activity-Rest Pattern; Health-Management Pattern: Care of the client (adult and child) with Shock/Sepsis - Fluid balance, deficient and excess, Risk for Injection and PC: decreased cardiac output, cardiac/vascular dysfunction, Sepsis
• Activity-Exercise-Pattern: Care of the Patient (adult and child) with Acute Respiratory Failure/ARDS - Airway Clearance, Ineffective; Confusion, Breathing Patterns, Altered; Ventilatory weaning response, Dysfunctional, Parent-infant attachment, Risk for impaired; PC: hypoxemia, acidosis, alkalosis
• Activity-Exercise Pattern - Care of the adult/child with Cardiac Alterations: Acute Myocardial Infarction (AMI), Pulmonary Edema, PTCA with thrombolytics - Fluid balance, excess, anxiety, Tissue perfusion (cardiac), Tissue perfusion (peripheral), PC: decreased cardiac output, dysrhythmias, pulmonary edema
• Cognitive-Perceptual Pattern: Care of patient (adults and child) with Increased Intracranial Pressure/Head Injury, neurological alterations and complications of prematurity. - Confusion, Acute; Dyreflexia, autonomic; Sensory Perception, Disturbed; Thought Processes, Disturbed; Tissue Perfusion (cerebral), Impaired; Infant behavior, Disorganized; Infant feeding pattern, Ineffective; Thermoregulation, Ineffective; and PC: neurologic/sensory dysfunction, PC: Increased intracranial pressure, seizures
• Cognitive-Perceptual Pattern; Nutritional-Metabolic Pattern: Care of Children with Growth and Development Dysfunctions - Growth and Development, Delayed
• Sleep-Rest Pattern: Care of the clients receiving Sedation and Anxiolysis, Care of adults with Sensory Overload/Deprivation - Anxiety; Comfort; Confusion, Acute; Sensory Perception, Disturbed; Thought Processes, Altered; Diversional Activity Deficient;
• Nutritional-Metabolic Pattern - Care of patients with Acute Renal and Liver Failure, Drug Overdose - Fluid Balance, Excess; Tissue Perfusion (renal), Ineffective; Poisoning, Risk for
• Nutritional-Metabolic Pattern - Care of patients (adult and child) with life threatening Fluid and Electrolyte Imbalances, DKA/SIADH/DI - Blood glucose, Risk for unstable; Confusion, Acute; Fluid volume, Deficient and excess, Infant Feeding Pattern, Ineffective; Nutrition, Imbalanced, Readiness for Enhanced; PC: hyperbilirubinemia
• Nutritional-Metabolic Pattern: Care of patients with Acute GI Bleed/Pancreatitis - Fluid Volume Deficient; Pain, acute, PC: paralytic ileus, GI bleeding, hepatic dysfunction
• Nutritional-Metabolic Pattern: Care of patients’ nutritional needs in critical care - Interrupted Breast-Feeding, Risk for Imbalanced Fluid Volume, Nutritional, Imbalanced: Less than body requirements, PC: Negative nitrogen balance, Paralytic Ileus
• Coping-Stress-Tolerance Pattern and Value-Belief Pattern: Family Process/Family Coping/Individual Stress Ethical/Legal Issues in Critical Care - Anxiety; Anxiety, Death; Communication; Coping; Decision-making; Family Processes, Interrupted; Hopelessness; Knowledge, Readiness for enhanced; Post-trauma syndrome; Stress overload
• Activity-Rest Pattern and Health-Management Pattern: Care of patients with Immunological Function/Bleeding Disorders/Blood Dyscrasias - Infection, Risk for; Protection, Ineffective; and PC: Thrombocytopenia
• Nutritional-Metabolic Pattern; Activity-Exercise Pattern: Care of the Client with Complications of Pregnancy - PC: Pregnancy-associated hypertension, postpartum hemorrhage

• Psychomotor Skills: Hemodynamic Monitoring; ICP monitoring; Mechanical ventilation; neonatal assessment
• Simulations: In-Class Simulations - Hemodynamic and shock focus; cardiac and respiratory focus; infant, GI, growth and development focus; multi-system organ failure and family stress/coping focus; termination of life support focus; Lab Simulations - Skills verification; Care of patient with hemodynamic and cardiac rhythm instability; Code Four
• Clinical Focus: Critical care (adult and child/neonatal)