Idea Transcript
Lake-Sumter State College Course Syllabus Course Information: Course Prefix/Number: NUR2220 Course Title: Alterations in Health III CRN: 10178/10179 Credit Hours: 4 Semester: Fall 2017 Class Days, Location, Time: See Calendars in Blackboard: “Syllabus and Policies” as well as Master Calendar
Course Description: This course is the third in a series of courses and will focus on nursing care for clients with alterations in endocrine, renal, genitourinary, and gynecological function throughout the lifespan. Concepts of acid-base and fluids and electrolytes balances will be explored. Associated lab will afford experiential learning of cognitive and psychomotor skills related to care of clients with these alterations in health.
Instructor Information: See department directory – www.lssc.edu/academics/nursing (Current Students-Program Forms and Information) E-Mail: Varies by instructor Office Location: Leesburg or Clermont location Phone: See Faculty website Office Hours: See office schedule on Faculty Door
Vital Communication Information: For e-mail, please note that all students are required to use Lakehawk Mail for official college e-mail communications. See the college webpage for instructions on activating Lakehawk Mail (http://www.lssc.edu/lakehawk/Pages/default.aspx). Sending a private message using the MESSAGES tool in Blackboard is always the most secure method of contacting your Instructor. Please remember that any phone contact with your Instructor should be of a professional nature. Please always leave a clear, concise, but detailed message with your contact and class information. Always follow up a phone call with a written account via BB Message or e-mail.
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Prerequisites/Co-requisites: Prerequisites: NUR1242, NUR1242L, NUR1023, NUR1823 Co-requisites: NUR 2220L Clinical Nursing III NUR 2463
Maternal Child Health
Textbook & Other Course Materials: (Program Duration) REQUIRED: PEARSON
o
F.A. DAVIS o o
o o o o o o o
Pickar (2013) Dosage Calculations 9th ed. (May use currently owned, older edition)
LIPPINCOTT, WILLIAMS & WILKINS Ricci (2017) Essentials of Maternity, Newborn, & Women’s Health Nursing 4thed NCLEX REVIEW GUIDES- SELECT ONE w/COPYRIGHT NO OLDER THAN 2014 (Suggested Titles) o o
Yoost & Crawford (2016) Fundamentals of Nursing: Active Learning for Collaborative Practice Yoost & Crawford (2016) Fundamentals of Nursing: Active Learning for Collaborative Practice [eBook] Elsevier Adaptive Quizzing (2016) [Access for Fundamentals Text] Clinical Skills: Essentials Collection (2016) [Access Card] James, Nelson & Ashwill (2013) Nursing Care of Children: Principles and Practice 4th ed. James, Nelson & Ashwill (2013) Nursing Care of Children: Principles and Practice 4th ed. [eBook] Lilley (2017) Pharmacology and Nursing Process 8th ed. Lilley (2017) Pharmacology and Nursing Process 8th ed [eBook]
CENGAGE o
Townsend (2014) Essentials of Psychiatric Mental Health Nursing 6th ed. Doenges, Moorhouse and Murr (2013) Nurse’s Pocket Guide 13th ed.
ELSEVIER (LSSC CUSTOM PACKAGE) o
LeMone (2015) Medical Surgical Nursing: Critical Thinking in Patient Care 6th ed.
Silvestri (2014) Saunders Comp Rev for NCLEX-RN 6th ed. Elsevier Rinehart, Sloan & Hurd (2014) NCLEX-RN Exam Prep 3rd ed. Pearson
CHOOSE YOUR OWN RESOURCE FROM EACH OF THESE CATEGORIES: Drug Guide
(Suggested Title) o Vallerand & Sanoski (2016) Davis's Drug Guide for Nurses 15th ed. Medical Dictionary
(Suggested Title) o Taber’s (2013) Cyclopedic Medical Dictionary 22nd ed. F.A. Davis Lab & Diagnostics Handbook
(Suggested Title) o Van Leeuwen (2015) Davis’s Comprehensive Handbook of Laboratory and Diagnostics Tests w/Nursing Implications 6th ed. F.A. Davis OPTIONAL:
Dunham (2008) How to Survive, Maybe Even Love Nursing School 3rd ed. F.A. Davis Nugent & Vitale (2015) Test Success: Test-Taking Techniques for Beginning Nursing Students 7th ed. F.A. Davis
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Technology Requirements: Blackboard is a required component of this course. Students unfamiliar with Blackboard are expected to complete the Blackboard Orientation from LSSC’s website (- Blackboard) within the first week of classes. Major writing assignments need to be created and saved in a file format that is compatible with Microsoft Word. If using a word processing program other than Word, it is the student’s responsibility to adhere to all formatting and submission requirements. Please ask for help if you are unsure how to save a file in a Word-compatible format. Please see the LSSC Lakehawk Page for information on how to obtain Microsoft Office 365 as an LSSC Student (http://www.lssc.edu/lakehawk/Pages/default.aspx). EVOLVE WEB TOOLS AND RESOURCES: Browsers: Internet Explorer 11; or Firefox latest version; or Chrome latest version; or Safari 9.0 - 10.0 Computer operating system: Windows and Mac Specific Elsevier products may work better in one environment than another. For specific product functioning, please see Elsevier’s Computer Requirements Page Elsevier Support Hub
End of Program Student Learning Outcomes: 1. Interact appropriately through verbal, nonverbal, and written communication with patients, families, and members of the health care team. 2. Coordinate and collaborate with the interdisciplinary healthcare team to assess and provide and direct nursing care that promotes optimal wellness of clients throughout the lifespan. 3. Demonstrate competent and safe implementation of clinical nursing skills in meeting clients' psychosocial and physiological needs. 4. Provide compassionate and culturally sensitive care to a diverse population that personifies the core values and ethics of the nursing profession. 5. Demonstrate effective clinical judgment and decision making utilizing critical thinking supported by scientific knowledge and evidence based practice. 6. Implement client/family centered teaching plans that promote self-care and optimal health.
Course Student Learning Outcomes: The following outcomes will be assessed in this course. An “outcome” is defined as something students take with them beyond this course. After successful completion of this course of study, the student will be able to: 1. Distinguish the best practices in caring for and educating clients with acute and chronic alterations in renal, fluid and electrolyte, endocrine, genitourinary, and gynecological function across the lifespan. 2. Utilize teaching learning strategies to promote and maintain client health and to reduce risks for potential complications. 3. Utilize the nursing process to make evidence based clinical decisions related to physiological and psychosocial alterations in health.
Institutional Policies & Procedures: Academic Integrity: The successful functioning of the academic community demands honesty, which is the basis of respect for both ideas and persons. In the academic community, there is an ongoing assumption of academic integrity at all levels. There is the expectation that work will be independently thoughtful and responsible as to its NU: ALT III FA 2017…2017………………………………………………………………
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sources of information and inspiration. Honesty is an appropriate consideration in other ways as well, including but not limited to the responsible use of library resources, responsible conduct in examinations, and the responsible use of the Internet. (See college catalog for complete statement).
Important Information for Students with Disabilities: Any student with a documented disability who requires assistance or academic accommodations should contact the Office for Students with Disabilities immediately to discuss eligibility. The Office for Students with Disabilities (OSD) is located on the Leesburg Campus, but arrangements can be made to meet with a student on any campus. An appointment can be made by calling 352-365-3589 and specific information about the OSD and potential services can be found at www.lssc.edu, then go to “Quick Links” click on Disability Services.
Privacy Policy (FERPA): The Family Educational Rights and Privacy Act (FERPA) (20 U.S.C. § 1232g; 34 CFR Part99) is a Federal law that protects the privacy of a student’s education records. In order for your information to be released, a form must be signed and in your records located in the Admissions/Registrar’s Office.
Zero-Tolerance for Violence Statement: Lake-Sumter State College has a policy of zero tolerance for violence as stated in College Board Rule 2.17. Appropriate disciplinary action will be taken in accordance with Board Rule 2.17.
Attendance/Withdrawal Policies: Institutional Information: Once the Add/Drop period passes, students deciding to discontinue class attendance and/or online participation have the responsibility for formal withdrawal by the withdrawal deadline.
Withdrawal Deadline: Monday. November 13, 2017 Voluntary Course Withdrawal: Students deciding to discontinue class attendance and/or online participation have the responsibility for formal withdrawal from class prior to the date published in the course syllabus. Withdrawal forms are available from Academic Advising. Failure to withdraw properly from class will result in a grade of “U” or “F” in the course.
Nursing Program Policies: Please refer to your ADN Student Policy Handbook for this information
Conduct Please refer to your ADN Student Policy Handbook for this information.
Exam Policies Please refer to your ADN Student Policy Handbook for this information.
Grading Information: Grading Scale: NURSING COURSES REQUIRE FINAL GRADE OF “B” (80% OR 800 POINTS OF POSSIBLE 1000) IN ORDER TO CONTINUE IN THE PROGRAM. SEE GRADE BREAKDOWN BELOW FOR FINAL GRADE CALCULATION IN THIS COURSE:
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Grading Information: Grading Scale: 900 – 1000 points (90% - 100%)
=A
800 – 899 points (80% - 89.9%)
=B
750 – 799 points (75% - 79.9%)
=C
700 – 749 points (70% - 74.9%)
=D
000 – 649 points (00% - 69.9%)
=F
Course Project: Information related to the Alt. III project (Health Fair) will be handed out in class. You will also receive a rubric for this project. The project is worth 100 points or 10% of the final grade.
Assignment Overview & Grade Breakdown: Category
Description
Points or %
Exams
5 unit exams - 100 points each
500 points (50%)
HESI
Final HESI – 100 points each
100 points (10%)
Projects
Health Fair Project (information given in class)
100 points (10%)
Assignments
Varies with Weekly content – see Blackboard 15 assignments – 20 points
300 points (30%)
each
1000 points (100%)
Total Points
Course Calendar: See Calendars in Blackboard: “Syllabus and Policies”
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Course Objectives/Content: UNIT OUTCOMES FOR NURSING MANAGEMENT OF IV THERAPY AND BLOOD ADMINISTRATION Upon completion of this unit of study, the student will be able to:
Safe Effective Care Environment 1. Describe: butterfly needle, indwelling catheters, air embolism, phlebitis, infiltration, IV piggyback, controller pump, plasma, hemolytic reaction, Y-Set, hepatitis. 2. Discuss the rational for choosing the IV site for venipuncture. 3. Demonstrate the procedural steps to performing venipuncture, IV Insertion, and dressing application. 4. Identify the factors which can affect the IV flow rate. 5. Compare and contrast IV controllers, pumps, and syringe pumps. 6. Discuss the effect on the diet of the client with an IV and/or TPN.
Health Promotion and Maintenance 1. Discuss the most common complications of IV therapy.
Psychosocial Integrity 1. Discuss the psychosocial impact of IV therapy on a client and the family.
Physiologic Integrity 1. Identify the components of blood. 2. Discuss the nursing management of IV therapy and blood administration 3. Identify the factors which are important in documenting IV therapy and blood transfusions.
CONTENT FOR NURSING MANGEMENT OF IV THERAPY AND BLOOD ADMINISTRATION Safe Effective Care Environment: Content for Nursing Management of IV Therapy and Blood Administration 1. IV Therapy A. Preparing the equipment i. Choosing the site ii. Venipuncture devices a. Scalp vein needles/butterflies 2. Indwelling catheters (protectocath) A. Informing the client B. Preparation of the site i. Use of iodine ii. Alcohol swabs C. Vein entry procedure D. IV dressing E. Factors affecting flow of fluids F. Monitoring the flow rate NU: ALT III FA 2017…2017………………………………………………………………
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G. Complications i. Circulatory overload ii. Air embolism iii. Febrile reaction iv. Infection v. Infiltration vi. phlebitis H. Using an IV controller/pump I. Using an IV pump J. Using a syringe pump K. Discontinuing IV therapy 3. Transfusion Technique A. B. C. D. E. F. G.
Assessment of blood and client Needle selection when necessary Using a Y-Set Straight-line administration Precautions Flow rates Observation of complications i. Circulatory overload ii. Febrile reaction iii. Allergic reaction iv. Septic reaction v. Hemolytic reaction vi. Delayed hemolytic reaction vii. Diseases from transfusions
Health Promotion and Maintenance: Content for Nursing Management of IV Therapy and Blood Administration 1. Nursing management of complications
Psychosocial Integrity: Content for Nursing Management of IV Therapy and Blood Administration 1. Impact on IV therapy on the client.
Physiological Integrity: Content for Nursing Management of IV Therapy and Blood Administration 1. Blood Components A. B. C. D. E. F. G.
Whole blood Packed red cells Frozen red cells Platelets Granulocytes Plasma Albumin
2. Documenting blood transfusions and IV therapies.
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UNIT OUTCOMES FOR RESPONSE TO ALTERED RENAL AND UROLOGIC FUNCTION AND FLUID AND ELECTROLYTES/ACID BASE IMBALANCE Upon completion of this unit of study, the student will be able to:
Safe Effective Care Environment 7. Identify subjective and objective data required for a complete health history and physical assessment. 8. Assess and interpret the diagnostics necessary for safe effective care of the client.
Health Promotion and Maintenance 1. Identify risk factors for disease/illness; e.g. medications, HTN, diabetes, diet, nephrotoxins.
Psychosocial Integrity 1. Assess client’s response to illness. 2. Identify barriers to client/family/significant other compliance with treatment plan. 3. Use cultural sensitivity to plan care.
Physiological Integrity 1. Identify information on foods and prescribed dietary modifications in relationship to disease (protein, etc.). 2. Demonstrate knowledge of commonly prescribed medications for renal/urologic disorders. 3. Discuss nursing implications for these commonly prescribed medications. 4. Use critical decision making/critical thinking when planning care for a client with a central VAD (vascular access device). 5. Initiate, monitor, maintain and discontinue intermittent parenteral fluid therapy. 6. Administer/maintain/discontinue total parenteral nutrition. 7. Use clinical decision making/critical thinking when caring for a client undergoing diagnostic testing. 8. Apply knowledge of the client’s pathophysiology to laboratory value findings. 9. Use clinical decision making/critical thinking when evaluating the client’s laboratory values. 10. Know lab values for ABG’s (pH, CO², SaO² and HCO³), Bun, Cr, K+, Na, CL, CO², urine sp. Gravity, U/A, magnesium, phosphorous, ammonia. 11. Modify the client care intervention based on a diagnostic test/lab test results. 12. Formulate a nursing care plan for a client undergoing peritoneal or hemodialysis. 13. Provide care for the client with vascular access for hemodialysis. 14. Identify signs and symptoms of client’s fluid and/or electrolyte imbalance. 15. Implement interventions to restore client’s fluid and/or electrolyte balance. 16. Evaluate client’s response to interventions to correct fluid or electrolyte imbalance. 17. Utilize the nursing process to assess needs, plan and implement individualized care, and evaluate response for the client with renal/urologic fluid and electrolyte/acid base disorders.
CONTENT FOR FLUID AND ELECTROLYTES IMBALANCE Safe Effective Care Environment: Content for Fluid & Electrolytes Imbalance 1. Subjective data, risk factors, history 2. Objective data, physical assessment 3. Diagnostics A. ABG’s B. Electrolytes NU: ALT III FA 2017…2017………………………………………………………………
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Health Promotion and Maintenance: Content for Fluid & Electrolytes Imbalance 1. Safety and preventive measures A. Lifestyle behaviors (fluid intake) B. Illness management (N/V/D, sweating) C. Prevention of complications (medications, etc.)
Psychosocial Integrity: Content for Fluid & Electrolytes Imbalance 1. 2. 3. 4.
Assess client’s response to illness. Identify barriers to client/family/significant other compliance with treatment plan. Use cultural sensitivity to plan care. Identify any diet therapy changes needed for this client.
Physiological Integrity: Content for Fluid & Electrolytes Imbalance 1. Nursing Implications of Pharmacologic Management A. Fluid management i. Intravenous (parenteral) fluids ii. Isotonic iii. Hypertonic iv. Hypotonic B. Regulation of electrolytes/acid base i. ii. iii. iv. v. vi. vii. viii. ix.
Calcium Salts Kayexalate Sodium bicarbonate Electrolyte replacements Furosemide (Lasix) Bumetanide (Bumex) Spironolactone (Aldactone) Hydrochlorothiazide (HydroDiuril) Magnesium Sulfate
2. Nursing Implications for Nonpharmacologic Management A. Rehydration salts B. Gatorade C. Pedialyte D. Nutrition/fluid intake 3. Nursing Management of Clients with: A. B. C. D. E. F. G. H. I.
Hypo/hyperkalemia Hypo/hypernatremia Hypo/hypercalcemia Hypo/hyperchloremia Hypo/hypermagnesemia Hypo/hyperphosphatemia Hypo/hypervolemia Dehydration Third Spacing
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CONTENT FOR ACID-BASE DISORDERS Safe Effective Care Environment: Content for Acid-Base Disorders 1. Diagnostics: A. Blood Tests 2. ABGs 3. Serum Electrolytes
Health Promotion and Maintenance: Content for Acid-Base Disorders 1. Diet therapy for the client with an Acid Base imbalance. 2. Health promotion teaching for the client with an acid base imbalance. 3. Prevention of complications related to acid base imbalances.
Psychosocial Integrity: Content for Acid-Base Disorders 1. Effect of Acid Base disorders on the client.
Physiological Integrity: Content for Acid-Base Disorders 1. Nursing Management of Clients with: A. Metabolic Acidosis B. Metabolic Alkalosis C. Respiratory Acidosis D. Respiratory Alkalosis
CONTENT FOR RENAL/UROLOGIC FUNCTION Safe Effective Care Environment: Content for Renal/Urologic Function 1. Subjective data, risk factors, history 2. Objective data, physical assessment 3. Diagnostics A. Cystoscopy/cystogram B. KUB (kidney, ureter, bladder) C. Intravenous pyelogram D. Ultrasound E. Bladder scan F. Urinalysis G. Blood Tests i. Creatinine clearance ii. BUN iii. Uric acid iv. ABG’s
Health Promotion and Maintenance: Content for Renal/Urologic Function 1. Safety and preventive measures A. Lifestyle behaviors (diet, med use, nephrotoxins) B. Disease management (co-morbid, HTN, diabetes, treatment, UTI) C. Prevention of complications/disease progression D. Diet therapy
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Psychosocial Integrity: Content for Renal/Urologic Function 1. 2. 3. 4.
Genetic influence Co-morbid conditions Lifestyle impact Transplants
Physiological Integrity: Content for Renal/Urologic Function 1. Acid Base Balance and ABG Interpretation 2. Nursing Implications for Pharmacologic Management A. antispasmodic/anticholinergic B. vasopressin C. muscarinic antagonist D. urinary alkalinizers/acidifiers E. urinary tract analgesics F. adrenergic antagonists 3. Nursing Implications for Nonpharmacologic Management A. continuous bladder irrigation B. nutrition/fluid management C. peritoneal/hemodialysis 4. Nursing implications for Surgical Management A. Kidney transplants B. Lithotripsy C. ileostomy, ureterostomy (urinary diversions) 5. Nursing Management of Clients with: A. Infections/inflammatory disorders i. UTI ii. pyelonephritis iii. urethritis iv. interstitial cystitis B. Acquired disorders i. glomerulonephritis ii. nephritic syndrome C. Obstructive disorders i. urinary calculi ii. ureteral strictures D. Renal Vascular disorders i. renal artery disease E. Polycystic Disease F. Renal Failure i. acute/chronic renal failure ii. chronic kidney disease/ESRD iii. acute tubular necrosis
UNIT OUTCOMES FOR RESPONSE TO ALTERED MALE AND FEMALE REPODUCTIVE FUNCTION Upon completion of this unit of study, the student will be able to:
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Safe Effective Care Environment 9. Report a client with a communicable disease. 10. Inform staff and client/family/significant other of appropriate infection control procedures.
Health Promotion and Maintenance 1. Evaluate incorporation of age specific healthy behaviors into lifestyle by client/family/significant other (e.g., screenings, self-exams, SBE, STE, limiting risky behaviors (condoms). 2. Identify risk factors for disease/illness (lifestyle, ethnicity, STD’s, etc.). 3. Participate in disease prevention activities relative to client’s risk factors. 4. Evaluate client’s acceptance of body image relative to developmental or interventional changes. 5. Apply knowledge from biologic/social sciences when discussing family planning with client/family/significant other. 6. Recognize expected outcomes for family planning methods. 7. Counsel client/family/significant other on sexuality issues (e.g., family planning, safe sex, menopause, impotence).
Psychosocial Integrity 1. Use cultural sensitivity to plan care. 2. Identify factors for disease/illness. 3. Assess client’s response to illness. 4. Identify barriers to client/family/significant other compliance with treatment plan.
Physiological Integrity 1. Apply knowledge of alternative/complementary therapies R/T reproduction. 2. Demonstrate knowledge of commonly used prescription medications for reproductive disorders. 3. Discuss nursing implications for these commonly prescribed medications. 4. Use clinical decision making/critical thinking when caring for a client undergoing diagnostic testing. 5. Utilize the nursing process to assess needs, plan and implement individualized care, and evaluate responses for the client with a reproductive disorder. 6. Determine appropriate nursing care for patients undergoing surgical and nonsurgical procedures for male and female reproductive disorders
CONTENT FOR ALTERED FEMALE REPRODUCTIVE FUNCTION Safe Effective Care Environment: Content for Altered Female Reproductive Function 1. Subjective data, risk factors, history 2. Objective data, physical assessment 3. Diagnostics A. Ultrasound B. CT/MRI C. Colposcopy NU: ALT III FA 2017…2017………………………………………………………………
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D. PAP smear E. Wet prep, (KOH) smears, cervical scrapings, microscopic examinations, cultures of secretions. F. Laparoscopy G. Mammogram H. Breast Biopsy I. Endometrial biopsy J. Fertility testing K. Serology i. VDRL/RPR ii. FTA-ABS iii. DFA (direct fluorescent antibody) iv. HCG v. Hormone levels
Health Promotion and Maintenance: Content for Altered Female Reproductive Function 1. Safety/preventive measures A. Breast Self-Exam (BSE) B. Lifestyle behaviors i. Family planning ii. High risk behavior (substance abuse, sexual) C. Education D. Vaccinations – Hepatitis A & B
Psychosocial Integrity: Content for Altered Female Reproductive Function 1. Lifestyle impact 2. Body image changes
Physiological Integrity: Content for Altered Female Reproductive Function 1. Nursing Implications for Pharmacologic Management A. B. C. D. E. F.
Hormone replacement (HRT/ERT) Antibiotics (specific. PCN, Doxycycline, PO) Antivirals/antifungals/antiprotozoal PO Contraceptives Topicals (antifungal, antibacterial, antibiotic) NSAIDS (for dysmenorrhea, PMS)
2. Nursing Implications for Nonpharmacologic Management A. Pessary B. Diet/fluids C. Phytoestrogens D. Kegel exercises E. Exercise F. Radiation therapy G. Education – hygiene
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3. Nursing Implications for Surgical Management A. Herniorrhaphy B. Cryosurgery C. Dilation & curettage D. Hysterectomy E. Mastectomy F. Salpingo-oophorectomy G. Rectocele, cystocele repair H. Tubal sterilization I. Endometrial ablation Nursing Management of Clients with: J. Functional menstrual disorders i. normal physiology ii. dysmenorrhea iii. premenstrual syndrome iv. amenorrhea K. Menopause i. Bartholin’s Cysts L. Cervicitis M. Vaginitis N. candidiasis O. bacterial vaginosis P. Pelvic support disorders Q. uterine prolapse R. cystocele S. rectocele T. Uterine disorders i. leiomyomas (fibroids) ii. dysfunctional uterine bleeding (DUB) iii. endometriosis U. STD’s/PID V. gonorrhea W. syphilis X. genital herpes (HSV) Y. cytomegalovirus Z. chlamydia AA. trichomonas vaginitis BB. ..genital lice CC. ..human papillovirus (HPV) DD. Diseases of Breast EE. ...cancer FF. …fibrocystic GG. female reproductive malignancies i. cervical ii. uterine iii. ovarian .
CONTENT FOR ALTERED MALE REPRODUCTIVE FUNCTION Safe Effective Care Environment: Content for Altered Male Reproductive Function 1. Subjective data, risk factors, history 2. Objective data, physical assessment NU: ALT III FA 2017…2017………………………………………………………………
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3. Diagnostics A. Digital rectal exam B. Ultrasound i. TRUS C. CT/MRI D. Prostate Biopsy E. Serology i. PSA ii. Hormone levels iii. CBC iv. DHT v. AFP vi. HCG vii. LDH viii. Creatinine levels
Health Promotion and Maintenance: Content for Altered Male Reproductive Function 1. Safety/preventive measures A. Health Promotion B. Testicular Self-Exam (TSE)
Psychosocial Integrity: Content for Altered Male Reproductive Function 1. Lifestyle impact 2. Sexual Function 3. Fertility
Physiological Integrity: Content for Altered Male Reproductive Function 1. Nursing Implications for Pharmacologic Management A. Phosphodiesterase Type 5 Inhibitor (Cialis) B. Alprostadil (Caverject) C. 5-a-reductase inhibitors (Proscar) D. Alpha-adrenergic antagonist E. Others: Viagra, Levitra 2. Nursing Implications for Nonpharmacologic Management A. Radiation therapy B. Chemotherapy C. Cryotherapy D. Alternative Therapy/Complimentary i. Saw Palmetto Extract ii. Lycopene 3. Nursing Implications for Surgical Management A. Epididymectomy B. Prostatectomy C. Orchiectomy D. Vasectomy 4. Nursing Management of Clients with: A. Disorders of the prostate i. Benign Prostatic Hyperplasia (BPH) ii. Prostate Cancer iii. Prostatitis B. Disorders of the Testes i. Testicular Cancer NU: ALT III FA 2017…2017………………………………………………………………
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ii. Orchitis iii. Epididymitis C. Disorders of the Penis i. Erectile Dysfunction/Impotence ii. Priapism iii. Penile Cancer
UNIT OUTCOMES FOR RESPONSE TO ALTERED ENDOCRINE FUNCTION: Upon completion of this unit of study the student will be able to:
Safe Effective Care Environment 11. Identify risk factors for disease/illness. 12. Perform health history/health and risk assessments.
Health Promotion and Maintenance 1. Evaluate incorporation of healthy behaviors into lifestyle by client/family/significant other. 2. Evaluate Diet therapies related to Endocrine disorders.
Psychosocial Integrity 1. Assess the client/family/significant other’s reactions to body image changes.
Physiological Integrity 1. Demonstrate knowledge of commonly prescribed medications for the endocrine system. 2. Discuss nursing implications for these commonly prescribed medications. 3. Use clinical decision making/critical thinking when evaluating the client’s laboratory and diagnostic values. 4. Provide the client/family/significant other with methods to prevent complications associated with illness/disease/diagnostic tests/treatments/procedures. 5. Compare and differentiate common disorders of the endocrine system. 6. Compare and contrast assessment findings of a healthy client versus one with an endocrine disorder/disease. 7. Utilize the nursing process to assess needs, plan and implement individualized care and evaluate responses for the client with an endocrine disorder.
CONTENT FOR ALTERED ENDOCRINE FUNCTION Safe Effective Care Environment 1. Subjective data, risk factors, history 2. Objective data, physical assessment 3. Diagnostics A. thyroid scan B. blood tests i. ii. iii. iv. v.
thyroid stimulating hormone (TSH) thyroxin (T4) triio dothyronine (T3) growth hormone cortisol vi. adrenocorticotropic hormone (ACTH)
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Psychosocial Integrity 1. Decreased energy level 2. Mood swings 3. Cognitive changes
Physiological Integrity 1. Nursing Implications for Pharmacologic Management A. antithyroid agents B. thyroid agents C. pituitary agents D. adrenal agents E. corticosteroids F. Insulin and oral antidiabetics 2. Nutritional / Natural / Herbal 3. Nursing Implications for Nonpharmacological Management A. radiation therapy B. radioactive iodine therapy 4. Nursing Implications for Surgical Management A. Thyroidectomy B. Parathyroidectomy C. Adrenalectomy 5. Nursing Management of Clients with: A. Hypothyroidism B. Hyperthyroidism i. Graves’ Disease ii. Toxic goiter iii. thyroid storm C. Hyperparathyroidism D. Hypoparathyroidism E. Cushing’s Syndrome F. Addison’s Disease G. Acromegaly H. Cretinism I. Hypopituitarism J. Pituitary adenoma K. Syndrome of Inappropriate Antidiuretic Hormone L. Diabetes Insipidus M. Diabetes Mellitus i. Type 1 ii. Type 2
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Syllabus Disclaimer: Information contained in this syllabus is, to the best knowledge of this instructor, considered correct and complete when distributed to the student. The instructor reserves the right, acting within policies and procedures of Lake-Sumter State College, to make necessary changes in course content or instructional techniques without prior notice or obligation to the student.
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SYLLABUS RECEIPT ACKNOWLEDGEMENT
COURSE NUMBER: COURSE NAME:
STUDENT:
NUR2220
TERM - YEAR:
Fall 2017
Alterations in Health III
Complete and return to instructor on day of syllabus review.
My instructor reviewed the content of this syllabus. I understand course requirements. I understand Nursing Student Handbook and Syllabi guide progression through the nursing program. I understand declining signature indicates my decision to withdraw from course and program.
PRINT NAME:
SIGNATURE:
INSTRUCTOR:
XID#:___________________
DATE: ________________
Collect and forward to support staff on your campus.
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