Course

Living with Complex Ongoing Health Challenges

Important Notice

This course is not active. Please contact Department Chair for more information.

Course code
PNUR 2540
Credits
6.00
Semester length
15
Max class size
Lecture 32, Seminar 8, Laboratory 8
Typically offered
To be determined

Overview

Course description
This course examines a person’s lived experience with complex ongoing health challenges throughout the lifecycle and the impact on harmony and health within families, groups and community. This course integrates previously learned concepts of crisis, comfort, hope, loss, power, resiliency and integrity in relationship to complex ongoing health challenges of individuals within the context of family, group and community. Knowledge of group skills and techniques are applied through active participation and leadership opportunities. Legal/ethical issues and health care trends relevant to persons, families and groups within communities are critically examined. Experiential group 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 endocrine functioning - integration of previously learned knowledge re:

                                assessment

                ·               holistic history taking

                ·               client teaching

                Exemplars:

                                hepatitis

                                cirrhosis

                Oxygenation

                ·               alteration in respiratory functioning

                Exemplars:

                                TB

                Circulation

                ·               alteration in circulatory functioning

                Exemplars:

                                vascular dementia

                Cellular Dynamics

                ·               immune response

                ·               genetic disorders

                Exemplars:

                                HIV/AIDS

                                PKU

                                Trisomy - 21

                Elimination

                ·               alteration in urological/bowel

                Exemplars:

                                autonomic dysreflexia

                Mobility

                ·               alteration in mobility

                Exemplars:

                                chronic spinal cord injury

                                cerebral palsy

                Reproduction

                ·               peri/post natal health concerns

                Exemplars:

                                screening tests

                Neuro-Sensory

                ·               alteration in neuro-sensory functioning

                Exemplars:

                                dementia Alzheimer’s Type

                                delirium, cognitive impairment in the elderly

                                Multiple Sclerosis

                                Parkinson’s Disease

                Protection

                ·               substance abuse in youth and elderly

                ·               elder abuse

                ·               self-neglect

 

Psychosocial Variable

                Integration

                ·               assessment of self-concept, cognition, emotions

                Relatedness

                ·               communication, roles, relationships and social history

                ·               discussion in relation to the experience of living with a complex, ongoing health challenge in

                                the context of family, group and community

                Exemplars:

                                sexuality

                                elderly and depression

                                roles in relation to family, group, and community context

Cultural Variable

                ·               integration of cultural diversity into concepts

                ·               diversity within families: altered family functioning

                ·               social/political implications of diversity

                ·               community issues & assessments including aspects of cultural diversity

                Exemplars:

                                continued awareness and development of cultural sensitivity

Spiritual Variable

                Purpose & meaning

                Interconnectedness

                Faith

                Forgiveness

                Religion

                Creativity

                Transcendence

Developmental Variable

                Growth

                Lifespan

                Transition

II.            CURRICULAR THREADS

Health Promotion

                ·               levels of care/intervention (primary, secondary, tertiary)

                ·               risk management

                ·               epidemiology

Professionalism/Caring

·               DCPN & College policies

·               caring attributes (6 ‘C’s)

·               professional nurse-client relationships

·               legal issues of psychiatric nursing practice with youth and elderly

·               collaborative role of RPN in practice with colleagues, agencies, and consumer groups

·               evaluated re: professional growth development

·               case management model (r/t community)

·               Best Practices document

III.          RELATED PHARMACOLOGY

                ·               review previously learned medications

                ·               skeletal muscle relaxants

                ·               stimulants

                ·               TB agents

                ·               anti-retroviral agents

                ·               communicable agents

                ·               antiparkinsonian agents

                ·               polypharmacy in the elderly

                ·               pediatric medication administration

IV.          THERAPEUTIC RELATIONSHIPS

                ·               links with philosophy/conceptual framework

                ·               Egan model of communication

                ·               integration and application of health care team building skills and group work

                ·               integration and application of documentation and critical thinking skills

                ·               teaching and learning related to community resources

 

V.            CARING PRACTICE

                ·               oral airway insertion

                ·               oropharyngeal and nasopharyngeal suctioning

                ·               care of the permanent tracheostomy

                ·               care and maintenance of nasogastric feeding tube

                ·               providing nutrition and medication via feeding tubes (nasogastric, gastric)

                ·               use and care of feeding pumps

                ·               care of the unconscious patient

                ·               pediatric medication administration

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.

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.

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 complex, ongoing health challenges within the context of family, group, and community.

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.

Requisites

Course Guidelines

Course Guidelines for previous years are viewable by selecting the version desired. If you took this course and do not see a listing for the starting semester / year of the course, consider the previous version as the applicable version.

(Current)

Course Transfers to Other Institutions

Below are current transfer agreements from Douglas College to other institutions for the current course guidelines only. For a full list of transfer details and archived courses, please see the BC Transfer Guide.

Institution Transfer details for PNUR 2540
There are no applicable transfer credits for this course.

Course Offerings

There are no course offerings this semester.