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

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

4 lecture hours 12 lab hours 8 credits
Course Description
This course focuses on care of critically ill clients across the lifespan. The interrelationship between physiological, psychological, and environmental factors impacting critically ill individuals and their families are examined. Using critical thinking skills, students interpret and respond to clients’ changing health patterns in complex technological settings. (prereq: NU 4700 )
Course Learning Outcomes
Upon successful completion of this course, the student will be able to:
• Provide competent, caring, holistic nursing care to critically ill individuals and their families through analytical use of the nursing process (Level 4, Nursing Care)
• Employ effective communication skills with client/family and healthcare providers in the critical care environment. (Level 4, Communication)
• Incorporate principles of health promotion, health maintenance, and health restoration to empower clients to achieve optimal health (Level 4, Health Concepts)
• Integrate how caring for clients with complex episodic health challenges has impacted his/her philosophy of nursing (Level 4, History)
• Demonstrate initiative to seek out new learning opportunities and expand knowledge base establishing a pattern for lifelong learning (Level 4, Life-long Learning)
• Integrate advanced technology when providing nursing care for clients in the critical care setting (Level 4, Technology)
• Collaborate with other health care team members to identify nursing care outcomes appropriate to the critical care environment (Level 4, Professional Role and Leadership)
• Integrate critical thinking skills in interpreting assessment data, interventions and evaluation of nursing care necessary in critical situations/settings (Level 4, Critical Thinking)
• Synthesize research findings and knowledge from the humanities and sciences into nursing practice within the critical care environment (Level 4, Knowledge Development)
Prerequisites by Topic
None appended.
Course Topics
• 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
Laboratory Topics
• 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)
Coordinator
Jane Paige


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