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

• Provide competent, caring, holistic nursing care for clients experiencing multiple chronic health challenges through analytical use of the nursing process (Level 4, Nursing Care)
• Consistently employ effective communication with clients and multidisciplinary teams in a variety of healthcare settings. (Level 4, Communication)
• Incorporate principles of health promotion, maintenance, and restoration to empower chronically ill clients and their families (Level 4, Nursing Care)
• Participates in the role of care coordinator and client advocate for clients experiencing multiple complex health challenges. (Level 4, Professional Role)
• Integrate how caring for clients with complex chronic health challenges has impacted his/her philosophy of nursing. (Level 4, Professional Role)
• Demonstrates initiative to seek out new learning opportunities and expand knowledge base establishing a pattern for lifelong learning. (Level 4, Professional Role)
• Employ technology to integrate care for clients with complex health challenges. (Level 4, Technology)
• Provide leadership when collaborating with multidisciplinary treatment team members, families and communities in assuming accountability for nursing care outcomes. (Level 4, Collaboration)
• Integrate critical thinking skills in developing, implementing and evaluating care for clients with multiple complex health challenges. (Level 4, Critical Thinking)
• Synthesize research findings and knowledge from the humanities and sciences into professional nursing practice that is appropriate for clients with complex health challenges. (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