Living with Episodic Health Challenges II

Curriculum guideline

Effective Date:
Course
Discontinued
No
Course code
PNUR 2440
Descriptive
Living with Episodic Health Challenges II
Department
Douglas
Faculty
Douglas
Credits
8.00
Start date
End term
201330
PLAR
No
Semester length
15
Max class size
Lecture 32, Seminar 8, Laboratory 8
Contact hours
Lecture 8.0 Laboratory 1.5 Seminar 2.0
Learning activities

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.

Course description
This course continues examination of a person’s lived experience with episodic health challenges throughout the life cycle and the impact on harmony, healing and health within families, groups and communities. Emphasis is on the integration and application of the concepts related to episodic health challenges on previous concepts and patterns to broaden the scope of practice. Professional relationships, ethical and legal issues and trends in health care will be critically examined. Experiential communication and caring practice labs will be a component of this course.
Course content

The content of this course will be evidence based.  Exemplars may vary.

I.             VARIABLES

Physiological Variable

                Metabolism

                ·               alteration in metabolism

                Exemplars:

                                pancreatis

                                cholecystitis

                                gastric ulcer

                                appendicitis

                                hypo/hyperthyroidism

                Oxygenation

                Circulation

                ·               alteration in circulatory functioning

                Exemplars:

                                shock

                                DVT

                                PVD

                                hypertension

                Cellular Dynamics

                ·               alteration in cellular dynamics

                Exemplars:

                                hysterectomy

                                bowel cancer

                                prostate cancer

                Elimination

                ·               alteration in urological/bowel functioning

                Exemplars:

                                benign prostatic hypertrophy

                Mobility

                ·               alteration in mobility

                Exemplars:

                                spinal cord injury

                Reproduction

                ·               alteration in reproductive functioning

                Exemplars:

                                STDs/birth control

                                developmental, structural & hormonal difficulties related to reproduction (menopause)

                Neurosensory

                ·               alteration in neuro-sensory functioning (CNS & peripheral)

                Exemplars:

                                headache

                                head injury/increased ICP

                                seizure disorders

                Protection

Psychosocial Variable

                Integration

                ·               discussion of self-concept (self-esteem, self-ideal, body-image, identity, sexuality), emotions

                                (affect, mood, patterns), & cognition (thought processes, insight, memory, judgment).

               

Relatedness

                ·               discussion of roles (conflict, overload, expectations)

                ·               discussion of problem-solving in psychiatric nursing

                Exemplars:

                                sexual disorders

                                altered eating patterns

                                suspiciousness

                                anger and aggression

                                elation

                                altered personality patterns

                                family violence/abuse

Cultural Variable

                ·               integration of cultural diversity into concepts as it relates to psychiatric nursing practice

                Exemplar:

                                continued awareness and development of cultural sensitivity

Spiritual Variable

                Purpose & meaning

                Interconnection

                Faith

                Forgiveness

                Religion

                Creativity

                Transcendence

Developmental Variable

                Growth

                Lifespan

                Transitions

II.            CURRICULAR THREADS

Health Promotion

                ·               preventive health practices related to various episodic health challenges

                ·               promoting health practices to enable the person to increase control over and improve one’s                             own health

Professionalism/Caring

                ·               DCPN and College policies

                ·               professional nurse-client relationship

                ·               Standards of Practice

                ·               ethical and legal issues, advocacy and client rights

III.          RELATED PHARMACOLOGY

                ·               anticonvulsants

                ·               mood stabilizers & adjunctives

                ·               gastric-acid inhibitors

                ·               endocrine-related agents

                ·               hormonal replacement therapy

                ·               anticoagulants

                ·               antihypertensives

                ·               corticosteroids

                ·               antimigraine

IV.          THERAPEUTIC RELATIONSHIPS

                ·               links with philosophy/conceptual framework and related concepts

                ·               Egan Model of communication

                ·               problem-solving (interpersonal and situational)

                ·               advanced empathy

                ·               immediacy

V.            CARING PRACTICE

                ·               preparation and administration of intravenous medications via a secondary infusion set

                ·               use and maintenance of intravenous locks

                ·               converting an intravenous infusion to an intravenous lock device

                ·               use and maintenance of intravenous pumps

                ·               care of a client in seclusion/restraints

                ·               neurological assessment

                ·               care of the unconscious client

                ·               urinary catheterization

                ·               nasogastric insertion, maintenance and removal

                ·               enterostomal therapy

                ·               sterile dressing change (complex)

                ·               oxygen administration

Learning outcomes

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 episodic health challenges.

Means of assessment

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.

Textbook materials

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.

Prerequisites
Corequisites
Which prerequisite