Concepts in Caring for the Adult Client

Course Details

Course Number: NURS 3853  Section Number: 101

Fall 2015

Location: Dillard College of Business Administration

Classroom Number: 131

Days & Times:

Class meets every Tuesday afternoon @ 1400-1650 hours in Dillard Building, room 131.



Course Attachments

Textbooks

MSU Faculty Member
Mary  Jo Distel   
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Course Objectives

 

1. Apply professional knowledge to the nursing care of adult individuals experiencing an acute or chronic illness.

2. Integrate effective communication, research and teaching-learning principles in providing care to adult individuals experiencing an acute or chronic illness.

3. Use the nursing process to plan, implement and evaluate nursing care of adult individuals experiencing an acute or chronic illness.

4. Examine legal and ethical issues related to the care of adult individuals.

5. Examine social, cultural and economic issues related to the care of adult individuals.

6. Examine the impact an acute or chronic illness of an adult has on the individual’s family.

7. Evaluate professional accountability in the care of adults with acute and chronic illnesses and the impact these illnesses have on the individuals’ families.

 

Course Expectations

Learning Experiences:

 

Students are expected to be self-directed in the acquisition of nursing knowledge.  Learning activities available to students include:

 

1. Classroom activities (NURS 3853): Information relevant to each unit of study will be presented in class. Students should come to class prepared to participate using the various sources identified as course text/reference books or on-line sites.

 

2. Readings: Assigned readings are essential for each concept/unit of study.  Content included in assigned readings may not necessarily be discussed in class but will be testable material!

 

3. Desire 2 Learn (D2L) supplement is available for announcements, questions, and discussions.

Students are expected to check D2L daily for course announcements.

 

4.  The Elsevier/Evolve website is an on-line site available for extra study materials.  http://www.evolve.elsevier.com/Lewis/medsurg provides student resources specific to the course text.

 

5.  Evolve HESI patient reviews, case studies and RN practice quizzes/tests are available for your use.  Don’t forget to use your Evolve course code:  10358_rlockhart4_1006 to access this on-line information.  Completing the Practice Test exam at this site is a required component of this course.

 

6. Midwestern State University BSN Handbook found at:

http://www.mwsu.edu/Assets/documents/academics/hs2/nursing/pdf/BSN-handbook.pdf
 

Course Content:

 

See the calendar of events, attached to this syllabus, for the specific topics of class discussion (concepts and exemplars), and required readings for this course.

 

1.         General Concepts in Nursing Practice in the Care of Adults

 

            a.         Contemporary Nursing Practice

            b.         Nursing Process in Nursing Practice

            c.         Health Disparities and Culturally Competent Nursing Care

            d.         Community-Based Nursing and Home Care of the Adult Client

           

2.         Health Management of Adults with Acute and Chronic Illnesses

 

            a.         Common Health Problems of Older Adults

            b.         Rehabilitative Concepts for Chronic Disorders

           

3.         Management of adults with problems with elimination and exchange

 

            a.         Integumentary Disorders

            b.         Urinary Function Disorders

            c.         Gastrointestinal Disorders

            d.         Problems of Fluid and Electrolyte Balance in Adults

            e.         Problems of Oxygenation in the Adult

           

4.         Management of adults with problems with nutrition

 

            a.         Metabolic Disorders

            b.         Digestive Disorders

 

5.         Management of adults with problems with activity and rest

 

            a.         Mobility Disorders

            b.         Sleep Disorders

           

6.         Management of adults with problems with perception and cognition

 

            a.         Sensory and Communication Disorders

            b.         Acute and Chronic Pain Management

 

7.         Management of adults with problems with sexuality or reproduction

 

            a.         Breast Disorders

            b.         Gynecologic Disorders

            c.         Male Reproductive Disorders

 

 

Student Learning Outcomes and Assessment Methods:

 

1.         Graduates will administer medications using techniques that ensure patient safety. (Assessment method: 90% of the students will pass the dosage calculation competency with at least an 80% average.)

 

2.         Graduates will demonstrate understanding of the concepts of caring for adults. (Assessment method: 90% of the students will score at least a 74% on a nursing process assignment.)

 

Required Texts (Students already have most of these; used during summer courses)

Access code card for PEARSON’s The Neighborhood 2.0:  ISBN # 013341695X for the use of a 12-month access code OR 12-month on-line purchase with ISBN # 0133416933 (at www.MyPearsonStore.com).  Course ID is:  distel98888

            Doenges, M. E., Moorhouse, M. F. and Murr, A. C. (2013).  Nurse’s pocket guide:  Diagnoses, prioritized interventions, and rationales (13th ed.).  Philadelphia, PA:  F. A. Davis. ISBN #: 9780803627826.  (Same handbook used during summer 2015 courses)

            Exam Soft requires access to Softest for taking course exams (access must be purchased on-line and renewed every semester).  See course D2L site, Course Content section, Exam Soft tab for hyperlink.

            Gahart, B. & Nazareno, A. (2016).  Handbook of IV medications (32nd  ed.).  St. Louis, MO:  Mosby Elsevier.  ISBN #:   9780323296601.

            Giddens, J. F. (2013).  Concepts of nursing practice.  St. Louis, MO:  Mosby Elsevier. ISBN:  978-0-323-08376-8 (Used during summer 2015 courses).

            Karch, A. M. (2011).  Focus on nursing pharmacology (6th ed.). Philadelphia, PA:  Wolters Kluwer Health. ISBN #:  9781469873251 (Same pharm text used during summer 2015 course)

Lewis, S., Heithemper, M., et al. (2014).  Medical-surgical nursing:  Assessment and management of clinical problems (9th ed.)  St. Louis, MO:  Mosby/Elsivier. Accompanying study guide and clinical companion for this text are recommended and are available at the campus bookstore.  (Lewis text ISBN:  9780323086783)

            Pagana, K. and Pagana, T. (2014).  Mosby’s manual of diagnostic and laboratory tests (5th ed.). St. Louis, MO:  Mosby/Elsevier.  ISBN #:   9780323089494  (Same lab reference book used during summer 2015 courses)

            Personal laptop computer which meets Wilson SON system requirements for computer testing.  Refer to handout entitled “Technology Requirements” on course D2L site, Course Contents, Exam Soft tab.

            Stedman’s. (2012).  Stedman’s medical dictionary for the health professions and nursing (7th ed.).  Philadelphia, PA:  Lippincott Williams and Wilkins.  ISBN:  9781608316922 for hard copy

            OR

            Taber (2013).  Taber’s cyclopedic medical dictionary (22nd ed.). Philadelphia, PA:  F. A. Davis.  ISBN # for hard copy:  9780803629776

            Taylor, C. R. (2011).  Fundamentals of nursing:  The art and science of nursing care (7th ed.).   Philadelphia, PA:  Lippincott Williams and Wilkins.   (Same fundamentals text used during summer 2015)

            Vallerand, A. H., Sanoski, C. A., and Deglin, J. H. (2015) Davis’s drug guide for nurses (14th ed.).  Philadelphia, PA:  F. A. Davis. (ISBN 9780803639768 for hard copy of book (Same reference book used during summer 2015; may be a newer edition)

            Weber, J. R. & Kelley, J. H. (2014).  Health assessment in nursing (5th ed.). Philadelphia, PA:  Wolters Kluwer Health/Lippincott.  ISBN #:  9781469873176.  (Same assessment text used in summer 2015)

Recommended/optional texts

            Lewis, S., et al. (2014). Medical-surgical nursing study guide (9th ed.). St. Louis, MO:  Elsevier.  (ISBN:  9780323091473)

            Zerwekh, J., Claborn, J.C. and Miller, C.J. (2012). Memory notebook of nursing vol. 1 (5th ed.). Ingram, TX: Nursing Education Consultants.  ISBN#:   9781892155184

 

            Zerwekh, J., Claborn, J.C. and Miller, C.J. (2012). Memory notebook of nursing vol. 2 (4th ed.). Ingram, TX: Nursing Education Consultants.  ISBN #:   9781892155177


Grading Standards

Evaluation

Grading Scale

 

90 - 100........................................................................................................................................................ A

80 - 89........................................................................................................................................................... B

74 - 79........................................................................................................................................................... C

65 - 73.......................................................................................................................................................... D

64 & Below.................................................................................................................................................. F

 

Evaluation Methods for NURS 3853

 

*The final course grades will be calculated in the following manner:

 

**Unit 1 Exam………………………………………………………………………..………………17.5%

**Unit 2 Exam………………………..……………………………………….………….…….…….17.5%

**Unit 3 Exam ……………………………..……………..………………………………….……….17.5%

**Unit 4 Exam…………………….…………………………………………………..…..…….…….17.5%

***Medication Dosage Calculation Competency Quiz Average………………………………..……..10%

***Nursing Process (Care Plan) Assignment…………………………………………………..………10%

***Elsevier/Evolve HESI Practice Test Grade……..………………………………………….……….10%

Total……………………………………………………………………………………………..……100%

 

            *  There will be no rounding up of grades!

            **  Students must score at least a 74% average on the four exams by the end of  the course.  If

            students score less than  a 74% average on the four course exams, the actual average earned will

            be the final course grade at the end of the semester.

            ***  Once the student has earned at least a 74% exam average for the semester, then the grades of

            the additional assignments will be factored in to calculate the student’s final course grade.

 

Grades will not be rounded to the next highest score.

Students will be held responsible for lecture/discussion content, all assigned readings, and audiovisual materials on written exams.  When the lecture material is more current than the textbook, lecture material takes precedence.

Grading Criteria

Unit Exams (17.5% each= 70% of total course grade)

 

One hour will be provided to complete each unit exam.  Each unit exam will be comprised of 50  questions and will be worth 100 points.  Unit exams will be taken on the student’s personal laptop using Exam Soft and Softest.  Cell phones must be turned off and placed in a location away from the student during exam administration. 

 

 

Any student who scores less than a 74% on an exam is required to meet with the course faculty member for remediation.  The student must meet with the professor prior to the date of the next exam or will be ineligible to take subsequent exam.  Should the student miss an exam due to failing to meet this requirement, the student will be required to take the next exam during a make-up session with the faculty member.

 

As well, students must earn an exam average of at least 74%, before additional grades are added, to successfully complete this course.

 

Medication Dosage Calculation Quizzes (Quiz average= 10% of total course grade)

 

During each exam administration, twenty minutes will be allotted for completion of a paper medication calculation quiz.  Each medication dosage calculation assessment will consist of five (5) mathematical problems to calculate and each quiz will be worth a maximum of 25 points. At the end of the semester, this quiz average (the total of the four highest quiz grades) will be factored into the course grade. (The Wilson SON dosage calculation competency for this course states:  Students must score an average of at least 80% on calculation quizzes administered throughout the course.  Failure to do so will result in failure of the course.)

Students should bring a laptop computer and a four-function calculator to the course exams/dosage calculation sessions.  If a calculation is required on an Exam Soft test, the drop-down calculator will be used.  A four-function calculator may be used only on the paper quizzes.  You may not use your cell phone, PDA, programmable or statistics calculator during exams. Students may not share calculators.

 

MISSED EXAMS

 

If a student is to be absent from an exam, he/she must notify the course instructor at least two

hours prior to the exam.  Failure to comply with this policy will result  in an "0" for the exam.

Make-up exams may be constructed differently from the unit test.  The student must email, or

call, the course faculty to  schedule a make-up exam.

 

Nursing Process  (Care Plan) Assignment  (10% of course grade)

 

Develop a care plan, using the nursing process, for Mrs. James of the Neighborhood, focusing on her visit to Karen Williams at the Senior Center in Season 1, Episode 3.  Use the client database and nursing care plan forms posted on D2L for completing this assignment.

 

            1.  Start with performing a client assessment by completing the database form.  This

            information can be found in Mrs. James’ weekly stories and in her biographical information on-

            line by accessing TheNeighborhood 2.0.

 

            2.  After completing the database on Mrs. James, then list and prioritize her problems on      the

            “Problem List”, then identify  four nursing diagnoses for her.

 

            3.  Write at least one client goal for each nursing diagnosis and two expected/desired client

            outcomes for each identified goal .

 

            4.  List nursing interventions/activities needed to assist the client in meeting her outcomes and

            goals identified.

 

            5.  Write evaluation statements as to whether or not each desired outcome and goal was met,

            partially met, or not met and why.

 

This assignment will be posted in the course Drop Box labeled Care Plan Assignment by midnight on Friday, September 25, 2015.

 

The care plan will be graded using the rubic posted for this assignment in the “Course Content” section on D2L.

 

Evolve/HESI RN Practice Test (10% of total course grade)

 

Students are required to take the HESI Practice Test for Medical-Surgical nursing on the Elsevier/Evolve (in course 10358_rlockhart4_1006) site before midnight on Tuesday, December 1, 2015.

 

The percentage score posted for this exam in the Elsevier/Evolve gradebook will be posted as 10%  of the student’s course grade.

 


Final Exam12/8/2015  5:45- 7:45 PM

Submission Format Policy

See course syllabus for submission instructions specific to each assignment.



Note: You may not submit a paper for a grade in this class that already has been (or will be) submitted for a grade in another course, unless you obtain the explicit written permission of me and the other instructor involved in advance.

Late Paper Policy

Late papers will be accepted but the grade will be affected; points will be deducted for each day late.


Plagiarism Policy Plagiarism is the use of someone else's thoughts, words, ideas, or lines of argument in your own work without appropriate documentation (a parenthetical citation at the end and a listing in "Works Cited")-whether you use that material in a quote, paraphrase, or summary. It is a theft of intellectual property and will not be tolerated, whether intentional or not.

Student Honor Creed

As an MSU Student, I pledge not to lie, cheat, steal, or help anyone else do so."

As students at MSU, we recognize that any great society must be composed of empowered, responsible citizens. We also recognize universities play an important role in helping mold these responsible citizens. We believe students themselves play an important part in developing responsible citizenship by maintaining a community where integrity and honorable character are the norm, not the exception. Thus, We, the Students of Midwestern State University, resolve to uphold the honor of the University by affirming our commitment to complete academic honesty. We resolve not only to be honest but also to hold our peers accountable for complete honesty in all university matters. We consider it dishonest to ask for, give, or receive help in examinations or quizzes, to use any unauthorized material in examinations, or to present, as one's own, work or ideas which are not entirely one's own. We recognize that any instructor has the right to expect that all student work is honest, original work. We accept and acknowledge that responsibility for lying, cheating, stealing, plagiarism, and other forms of academic dishonesty fundamentally rests within each individual student. We expect of ourselves academic integrity, personal professionalism, and ethical character. We appreciate steps taken by University officials to protect the honor of the University against any who would disgrace the MSU student body by violating the spirit of this creed. Written and adopted by the 2002-2003 MSU Student Senate.

Students with Disabilities The Americans with Disabilities Act (ADA) is a federal anti-discrimination statute that provides comprehensive civil rights protection for persons with disabilities. Among other things, this legislation requires that all students with disabilities be guaranteed a learning environment that provides for reasonable accommodation of their disabilities. If you believe you have a disability requiring an accommodation, please contact the Disability Support Services in Room 168 of the Clark Student Center, 397-4140.

Safe Zones Statement The professor considers this classroom to be a place where you will be treated with respect as a human being - regardless of gender, race, ethnicity, national origin, religious affiliation, sexual orientation, political beliefs, age, or ability. Additionally, diversity of thought is appreciated and encouraged, provided you can agree to disagree. It is the professor's expectation that ALL students consider the classroom a safe environment.

Contacting your Instructor All instructors in the Department have voicemail in their offices and MWSU e-mail addresses. Make sure you add your instructor's phone number and e-mail address to both email and cell phone lists of contacts.

Attendance Requirements

Classroom attendance is strongly recommended but not required.


Other Policies

Failure Policy/Cheating Policy:

 

 A student who receives a "D" or lower in an ACCEL-RN course will not be permitted to continue in the accelerated BSN program.  In the event of course failure, the student may contact the BSN coordinator for consideration in enrolling in the 28-month prelicensure BSN program.

 

The faculty reserves the right to recommend to the Program Chairs, Graduate Coordinator, Department Chair, and College Dean withdrawal of a student from the nursing program for health, legal, or academic reasons, particularly if patient care is jeopardized.  In addition, the student must perform within the ANA standards of practice and code of ethics.

If student performance falls below acceptable standards of practice, then the student will NOT successfully complete the clinical component of this course.  Certain aspects of these standards directly relate to safety in patient care and professionalism in practice.  If student performance drops below the standard in these two areas, then the possibility of successful completion of the clinical component of the course is unlikely.  The faculty recognizes that the issues of patient safety and professional standards cannot be compromised; therefore, any student who does not meet these standards will immediately receive a failing clinical evaluation.  The severity of these infractions warrants immediate failure of the clinical component of this course. The ANA standards of practice and code of ethics are posted in the Undergraduate and Graduate Student Handbooks.

Behaviors that detract from the learning process will not be tolerated. Tardiness will not be tolerated. Excessive talking to classmates during class time will not be tolerated. Beepers and cellular phones should be turned off during all class sessions. Text messaging during lectures is considered unacceptable behavior.  Children are not to be brought to class per University policy. Students who demonstrate distracting behaviors will be asked to leave the classroom. If a student demonstrates continuing behaviors that are distracting to his/her classmates, the student will be administratively dropped from the course IAW the 2012-2014 MSU undergraduate catalog, page 76, which reads:

 

            Instructor Drop. An instructor may drop a student any time during the semester for

            excessive absences, for consistently failing to meet class assignments, for an indifferent

            attitude, or for disruptive conduct. The instructor must give the student a verbal or written

            warning prior to being dropped from the class. An instructor’s drop of a student takes

            precedence over the student-initiated course drop of a later date. The instructor will assign

            a grade of either WF or F through the 8th week of a long semester, the 6th week of

            a 10 week summer term, or the 11th class day of a 4 or 5 week summer term consisting

            of 20 days. After these periods the grade will be an F. The date the instructor drop form

            is received in the Office of the Registrar is the official drop date

Americans with Disabilities (ADA) Statement & Disability Support Services (DSS)

Midwestern State University does not discriminate on the basis of an individual’s disability and complies with Section 504 and the Americans with Disabilities Act in its admission, accessibility, and employment of individuals in programs and activities.

MSU provides academic accommodations and auxiliary aids to individuals with disabilities, as defined by law, who are otherwise qualified to meet academic employment requirements. For assistance, call (940) 397-4140 or come by Disability Support Services in Clark Student Center room 168. Please see the instructor outside of class to make any arrangements involving special accommodations.

It is the student’s responsibility to declare any disabilities. After declaration, preferably at the beginning of each semester, the student needs to contact individual instructors to determine any reasonable accommodations that may be required.

Cheating policy

The Wilson School of Nursing and Midwestern State University do not condone cheating in any form and considers it a serious offense. Cheating is defined by the faculty to include dishonesty on examinations, providing testing information that would advantage another student, and plagiarism. Specifics are to be found in the Undergraduate and Graduate Student Handbooks and the MSU Student Handbook. Offending material that may constitute plagiarism includes, but is not limited to, the following: Bibliography cards, formal papers, book reports, written nursing care plans, etc. Cheating may include, but is not limited to: removing quiz or exam content, disseminating quiz/exam content, sharing quiz/exam information, being in possession of or using electronics during testing.

For further information regarding cheating and any subsequent actions to be taken, please refer to the policy statement in the MSU Student Handbook.

By enrolling in this course, the student expressly grants MSU a “limited right” in all intellectual property created by the student for the purpose of this course. The “limited right” shall include but shall not be limited to the right to reproduce the student’s work product in order to verify originality, and for educational purposes.

University Student Honor Creed (Written and adopted by the 2002-2003 MSU Student Senate)

MIDWESTERN STATE UNIVERSITY STUDENT HONOR CREED

“As an MSU Student, I pledge not to lie, cheat, steal, or help anyone else to do so.”

As students at MSU, we recognize that any great society must be composed of empowered, responsible citizens. We also recognize universities play an important role in helping mold these responsible citizens. We believe students themselves play an important part in developing responsible citizenship by maintaining a community where integrity and honorable character are the norm, not the exception.

Thus, we, the Students of Midwestern State University, resolve to uphold the honor of the University by affirming our commitment to complete academic honesty. We resolve not only to be honest but also to hold our peers accountable for complete honesty in all university matters.

We consider it dishonest to ask for, give, or receive help in examinations or quizzes, to use any unauthorized material in examinations, or to present, as one’s own work, work or ideas which are not entirely one’s own. We recognize that any instructor has the right to expect that all student work is honest, original work. We accept and acknowledge that responsibility for lying, cheating, stealing, plagiarism, and other forms of academic dishonesty fundamentally rests within each individual student.

We expect of ourselves academic integrity, personal professionalism, and ethical character. We appreciate steps taken by University officials to protect the honor of the University against any who would disgrace the MSU student bo


Writing Proficiency Requirement All students seeking a Bachelor's degree from Midwestern State University must satisfy a writing proficiency requirement once they've 1) passed English 1113 and English 1123 and 2) earned 60 hours. You may meet this requirement by passing either the Writing Proficiency Exam or English 2113. Please keep in mind that, once you've earned over 90 hours, you lose the opportunity to take the $25 exam and have no option but to enroll in the three-credit hour course. If you have any questions about the exam, visit the Writing Proficiency Office website at http://academics.mwsu.edu/wpr, or call 397-4131.