It is the intent of the faculty to facilitate student learning, foster ways of knowing, and promote critical thought through a variety of teaching/learning methods including: lecture, laboratory, demonstration and return demonstration, group discussion, role-playing, case study analysis, computer assisted learning programs, audio visual aids, and group or individual research and presentation.
Content of this course will be evidenced based. Exemplars may vary.
I. VARIABLES
Physiological Variable
Metabolism
· alteration in metabolism (introduction)
Exemplar:
diabetes mellitus
Oxygenation
· alteration in respiratory functioning (introduction)
Exemplars:
COPD (emphysema, chronic bronchitis, asthma)
Pneumonia
Circulation
· alteration in circulatory functioning (introduction)
Exemplars:
angina
coronary artery disease
MI
CHF
Cellular Dynamics
· fluid and electrolytes, acid/base balance
Exemplar:
self induced water intoxication
Elimination
· alteration in urological/bowel functioning (introduction)
Exemplars:
glomerulonephritis
pyelonephritis
UTI
Mobility
· alteration in mobility (introduction)
Exemplar:
rheumatoid arthritis
Reproduction
Neuro-sensory
· alteration in neuro-sensory functioning (introduction)
Exemplars:
intro to dementia, delirium, cognitive impairment
CVA (focus on motor & sensory alterations)
chronic pain
Protection
· measures to prevent an alteration in skin integrity
Psychosocial Variable
Integration
· Assessment of self-concept (self-esteem, self-ideal, body-image, identity, sexuality),
emotions (affect, mood, patterns), & cognition (thought processes, insight, memory,
judgment).
Relatedness
· Roles (conflict, overload, expectations)
· Further discussion of problem-solving in psychiatric nursing
Exemplars:
withdrawal (schizophrenia)
hopelessness (depression)
grief
death & dying
powerlessness
special communication approaches for people with CVA, aphasia
MSE (as tool for assessment)
anxiety, stress
stigma
Cultural Variable
· Integration of culture of diversity into concept exemplar
· Continued awareness and development of cultural sensitivity
Spiritual Variable
Purpose - meaning
Interconnectedness
Faith
Forgiveness
Religion
Creativity
Transcendence
Developmental Variable
Growth
Lifespan
Transitions
II. CURRICULAR THREADS
Health Promotion
· preventive health practices related to various ongoing health challenges
· promoting health practices to enable the person to increase control over and enhance one’s
own health
Exemplar:
early psychosis intervention
Professionalism/Caring
· DCPN and College policies
· discussion in seminar: ethical issues, Mental Health Act, client's rights
· role of RPN
· documentation
· Standards of Practice
· caring attributes (6 “C”s)
· problem solving/rationale for decision-making
· legal aspects of psychiatric nursing practice
III. RELATED PHARMACOLOGY
· antidepressants }
· antipsychotics } Overview
· antiparkinsonians }
· antilipids
· bronchodilators
· diuretics
· cardiotonics
· insulins
· oral hypoglycemics
· anti-inflammatories (NSAID)
· anticoagulant
· antibiotics } Overview
IV. THERAPEUTIC RELATIONSHIPS
· links with philosophy/conceptual framework and related concepts
· documentation
· intro to interviewing
· review the nurse-client relationship
· Egan Model of communication
· links between the nurse-client relationship and the Egan Model
· probing and summarizing
· reluctant and resistant clients
· review assertiveness as necessary
· conflict resolution (review)
· theory/practice re: reporting off
· roleplaying and videotaping with/without actors using, as scenarios, a variety of lived
experiences discussed in Concepts as well as lived experiences from clinical
V. CARING PRACTICE
· positioning
· chest auscultation
· use of TED stockings/application of tensors
· measuring intake and output
· care of the indwelling urinary catheter
· application of condom drainage
· discontinuing a urinary catheter
· oxygen therapy (low-flow system: nasal -cannula, simple face mask, high-flow systems)
· administration of oral, topical, inhalant and nebulizing medications
· administration of enemas and rectal suppositories
· preparation and administration of subcutaneous injections, intradermal injections
· care of the body after death
· isolation techniques
· collecting specimens (sputum, stool, urine)
· glucometers
· pulse oximetry
· intradermal injections
In this course the student will use the Psychiatric Nursing curricular threads (professionalism, health promotion, and caring), concepts (crisis, comfort, hope, loss, power, resiliency, integrity) and variables (psychosocial, physiological, cultural, spiritual, developmental) to integrate knowledge, skills and attitudes related to nursing theory, therapeutic relationships, caring practice and pharmacological interventions when caring for the person experiencing ongoing health challenges.
The course evaluation is consistent with Douglas College evaluation policy. An evaluation schedule is presented at the beginning of the course.
This is a graded course.
Textbooks and Materials to be Purchased by Students
A list of required and optional textbooks and materials is provided for students at the beginning of each semester.