Dec 27, 2024  
2014-2015 Undergraduate Academic Catalog 
    
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2014-2015 Undergraduate Academic Catalog [ARCHIVED CATALOG]

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

3 lecture hours 12 lab hours 7 credits
Course Description
The emphasis of this course is the application of the nursing process with individuals and families experiencing multiple chronic health concerns. The impact of developmental issues, the cumulative effects of chronic health challenges, and nursing care of clients and families at end-of-life are explored. The role of the professional nurse as coordinator of care is developed. (prereq: NU 3400 ; coreq: NU 4600 )
Course Learning Outcomes
Upon successful completion of this course, the student will be able to:
• 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, Health Concepts)
• 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, History and Professional Role)
• Demonstrates initiative to seek out new learning opportunities and expand knowledge base establishing a pattern for lifelong learning. (Level 4, Life-long Learning)
• 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, Leadership)
• 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, Knowledge Development)
Prerequisites by Topic
None appended.
Course Topics
• 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
Laboratory Topics
• 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
Coordinator
Jane Paige


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