Upon
completion of this course, the student will be able to:
1. Assess the developmental status and functional capacity adults
and older adults;
2. Formulate differential diagnoses to promote health, prevent
disease, and manage acute/chronic illness in adults and older adults
applying knowledge from related disciplines and nursing;
3. Develop advanced practice plans of care to manage the delivery
of health care to adults and older adults in diverse settings;
4. Evaluate the health status of adults and older adults;
5. Utilize
relevant research findings in the clinical management of adults and older
adults health;
6.
Analyze existing protocols using established standards of care for
intervention in health promotion and acute and chronic health alterations in adults and older adults;
7. Integrate legal, ethical, socioeconomic, psychosocial, and
cultural factors in delivery of health care to adults and older
adults;
8. Relate
the role and scope of practice of the family nurse practitioner to
health care situations of adults and older adults.
9. Evaluate
adequacy of health policies, health resources, community resources,
support networks and advocacy structures for the older adult. |
The
emphasis of this course is the care of adults and older adults. The
content will encompass those topics addressed in the companion
clinical course (NURS 5604). These will include:
I. Friedman’ s Family Theory – Part 2
II. Overview
of Issues related to the Care of Adults and Older Adults: Health Promotion, Wellness and Self
Care
III. Management of
Common Psychosocial Disorders – Violence and Dependency
IV. Management of
Common Acute and Chronic Problems of the Head, Eyes, Ears, Nose,
Throat and Neck.
V. Management of
Common Acute and Chronic Problems of the Integumentary System
VI. Management of
Common Acute and Chronic Problems of the Respiratory System
VII. Management of
Common Acute and Chronic Problems of the Cardiac System, PAD and PVD.
VIII. Management of
Common Acute and Chronic Problems of the Endocrine System
IX. Management of
Common Acute and Chronic Problems of the Renal and Male Reproductive
System
X. Management of
Common Acute and Chronic Problems of the Neuromusculoskeletal systems
XI. Management of
Common Acute and Chronic Problems of the GI system and Nutritional
Issues
XII. Management of
Common Acute and Chronic Problems of the Hematological, Immune, and
Lymphatic systems
XIII. Management of
Common Emergency Situations in Primary Care. |
Testing
Procedures: |
There
are quizzes and a final examination in this course |
Grading
Procedure: |
Grades
on the following assignments constitute the grade for
this course. Specific requirements for each assignment
are detailed at the end of this syllabus: |
Assessment
and Grading: |
|
The course grade is based on the following: |
|
Case Analysis with Clinical Research Documentation |
20% |
Quizzes |
20% |
Class Discussion and Participation |
20% |
Module Assignments |
20% |
Comprehensive Final |
20% |
| |
|
TOTAL |
100% |
|
Grading
Scale: |
A = 93-100
B = 85-92 C
= 77-84 D =
70-76 F = <70 |
Late
Assignments: |
Late
assignments will receive a 10% grade deduction for each day or
portion of a day that the assignment is late - even if the
portion of a day is only one minute. Central standard time
will be used as the standard in this course. |
Assignments
and Participation |
Assignments
and Projects: |
The
requirements for all assignments are detailed in the sections
that follow.
Each
module has an assignment component that should be submitted
through the Dropbox. All assignments must be submitted to the
Assignment Dropbox unless otherwise indicated. Other
assignments include the Case Analysis, Discussion Board
(Leadership component), Quizzes, and Final Examination. See
Calendar for dates due. |
CASE STUDY PAPER =
20%
Each student will develop a case study (approximately 10
pages) on a topic that is preapproved by the faculty. The student will select a topic for the case study that will
integrate nurse practitioner management.
Promoting Professional
Scholarship
Purpose: The
purpose of this paper is to promote scholarly thought and
writing. Writing this paper will increase your critical
thinking skills, you writing abilities and will encourage you
to incorporate published literature in your nursing practice.
A goal of paper is to gain further understanding about how we
choose certain actions and why the patients and their families
respond the way they do. This paper will allow you to examine
that process based on a real person you have had the privilege
of interacting with in one of your clinical settings. You may
be frustrated with the amount of time and effort this paper
will take, but I think you will be proud of your
accomplishment upon its completion. You may submit this paper
to me twice. The first time I will provide you with feedback
if submitted by the date assigned. When you submit the final
paper, I will not provide you with any feedback. You are to
turn the final paper in to me on the due date. Your grade will
be based on the final paper.
I.
Introduction
Criteria |
Introduction
of client (anonymous name) and medical diagnosis
(Provide a synopsis of the client and the client's
context) |
A
short paragraph is written identifying the purpose
of the paper |
Pathophysiology
of diagnosis is clearly stated and has a reference
from a textbook or journal (potential pathology) |
Clearly
presented a brief discussion of treatments,
medications, diagnostic procedures, lab values and
other pertinent data (Describe the presenting issue, problem, or
symptoms and the implications of this problem or
topic.
a. Physiologically
(1) Developmental/Aging issues (if any) Theory of
aging
Psychologically
(1) Client (2) Family (3) Community
What,
if any, laboratory or diagnostic evaluations should
this topic or problem require, e.g., x-rays,
ultrasound? |
Identified
differential diagnoses and identified why they were
priorities. |
Identified
measurable, realistic and short term and long-term
outcomes. (How should a client presenting with this
problem or topic be managed) |
II. Review
of Related Literature
Criteria |
An
introductory paragraph is presented which discusses
how the review of literature was conducted |
Review
of literature: References are recent (within 5
years). Critically analyze the case and related
topic or problem chosen, using current and classic
research from varied disciplines. Research
sources should be cited in your paper and included
in your presentation. Note that a minimum of
ten citations of relevant literature must be
included, at least three of which must be
research-based. The presentation should only
include the most noteworthy citations. |
A
paragraph summarizing the literature is clearly
presented. A brief compare and contrast among
literature citations is presented. |
III.
Application and Evaluation
Criteria |
The client's
present clinical status is compared and contrasted
to the current pertinent literature Critically
analyze the case choosing three of the most salient
of the following areas: social, political,
ethical, legal, moral, feminist, spiritual, or
cultural influences.
a. What (if any) are the common and alternative
therapeutic management modalities that would be
appropriate in managing this clinical case?
b. Identify the appropriate anticipatory guidance.
c. Identify a plan for continuity of care for the
client. |
Evaluation of
expected outcomes is clearly presented. These
evaluations should be related to the data and
information in the introduction |
Included
a conclusion from each diagnosis identified in the
introduction. List
an ICD-9 code for the diagnosis you choose. Conclusion
demonstrates analysis and creativity |
IV.
Opportunities for Teaching and Quality of Care Improvement
Criteria |
Teaching
needs of the client and the family were clearly
presented. A brief rationale is provided for each
area of teaching need identified |
Actual
or potential referrals were identified with
rationales cited When or did consultation,
co-management, and/or referral become indicated?
a. Identify your plan if any for this collaboration.
b. Include provisions for collaboration with any
other disciplines. |
Identified
an aspect of management related to the client's care
Describe nurse practitioner care outcomes for this
woman and her family. |
V.
Technical Aspects of the Paper
Criteria |
Followed
APA format for the layout of the paper (Each paper is to be typed and double spaced
with appropriate margins. The pages of this paper
should be numbered. The title page should include
title of the paper, your name, course number, and
the date) |
Followed
APA format for references (citing and reference
list) |
No
spelling or grammatical errors (Proofread your paper
for typographical errors prior to turning in your
paper). |
Papers
are to be turned in on or before the due date.
Late papers are not accepted and will result in NO
POINTS. Course
faculty for emergencies may grant extensions. |
Failure
to follow the above guidelines will be reflected in
the paper grade. |
This assignment is based
upon:
Pullen,
R., Reed, K., & Oslar, K. (2001). Promoting
clinical scholarship through scholarly
writing. Nurse Educator. 26(2), 81-83 |
Guidelines
for Grading:
Points |
|
5
Exceptional |
Documentation
is clear and well organized.
Appropriate
medical terminology is used.
Redundant
(repetitious) words, phrases, and other distracting
information are omitted.
Format
follows APA standard. Narrative has a logical flow. |
4.25
Above
Average |
Documentation
meets criteria for "exceptional" but there
is occasional redundant information. |
3.85
Average |
Documentation
meets criteria for clarity but needs to be better
organized.
Documentation
occasionally strays from standard format for SOAP
documentation.
Narrative
occasionally strays from logical sequence but the
reader is able to determine findings with minimal
difficulty. |
3.5
Below
Average |
Documentation
is not as clear or does not meet expectations for the
graduate level as evidenced by either of the
following.
Lay
terminology or slang is used rather than appropriate
medical terminology.
Misspelled
words and/or grammatical errors are present.
Sequencing
of documentation requires that the reader extract and
sequence information independent of the written record
in order to gain an adequate representation of
assessment and management. |
3.0
Unacceptable |
Documentation
is unclear and/or unorganized and/or inappropriate as
evidenced by any of the following.
Absence
of appropriate medical terminology
Frequent
use of lay terminology or slang
Misspelled
words and/or poor grammar are common (>2).
Contains
repetitious information that creates distractions.
Format
does not follow a standard format for SOAP
documentation.
Narratives
such as the HPI and Exam are haphazardly written. |
Points |
|
5
Exceptional |
Subjective
and objective assessments of health status are fully
explicated
without
the inclusion of extraneous information.
CC
is succinct.
HPI
is fully developed and includes location, duration,
timing, character, severity provocative/palliative
factors and/or other features appropriate for the
reason for presentation.
Physical
exam includes vital signs, height and weight as
appropriate, and any relevant developmental data
related to assessment of CC.
Elements
of the PMH, FH, and ROS that expand on the CC and HPI
are included yet irrelevant information is excluded.
Appropriate
diagnostic tests are performed/ordered. |
4.25
Above
Average |
Subjective
and objective assessments meet all criteria above.
Information
that is needed from the PMH, FH, and/or ROS is not
included |
3.85
Average |
Either
the subjective or objective assessment is missing an
element needed for adequate evaluation of the
patient's problem.
Includes
irrelevant information
Selection
of diagnostic tests is too broad or expensive for
evaluating the presenting problem OR
Selection
of diagnostic tests is inadequate to address the
presenting problem |
3.5
Below
Average |
Two
or more elements needed for adequate evaluation of a
patient's problem are missing from the subjective
and/or objective assessment. |
3.0
Unacceptable |
Either
the subjective or objective assessment is not
developed and/or the assessment is inappropriate for
the patient's age, gender, and/or inappropriate for
the presenting problem. |
Points |
|
5
Exceptional |
Diagnosis
has coherence, adequacy, and parsimony.*
Management
plan is appropriate for the diagnosis and accurately
addresses the problem identified.
Management
plan is economically sound.
Management
plan includes plans for evaluation/follow-up care (as
appropriate).
Management
plan is individualized to the patient's age and
development, culture, religion, family, environment,
education, and/or any other unique concerns uncovered
in assessment. |
4.25
Above
Average |
Diagnosis
has coherence, adequacy, and parsimony.*
Management
plan is appropriate and meets above criteria but is
"generic" rather than individualized to the
patient. |
3.85
Average |
Diagnosis
has coherence, adequacy, and parsimony.*
Management
plan is appropriate for diagnosis and addresses the
problem identified but has one of the following
problems:
Is
too expansive (thus expensive) or overwhelming for the
client or healthcare system OR
Needs
to consider alternative features for optimal outcomes |
3.5
Below
Average |
Diagnosis
lacks either coherence, adequacy, or parsimony.
Management
plan is appropriate but inadequate to fully address
the identified problem. |
3.0
Unacceptable |
Diagnosis
and/or management plan is inappropriate. |
Points |
|
5
Exceptional |
Authoritative
and peer-reviewed references are used to guide
decisions regarding diagnosis and treatment. All
research articles and references are less than five
years old. |
4.25
Above
Average |
Authoritative
and peer-reviewed references are used to guide
decisions regarding diagnosis and treatment. Some
research articles and references are greater than five
years old but less than eight years old. |
3.85
Average |
Relies
on nursing journal articles that are not
"scholarly" and/or are written for nurses
not in advanced practice (includes articles from AJN,
RN, and similar journals) and/or relies on unreliable
research. |
3.5
Below
Average |
Majority
references are from a consumer, nonprofessional, or
non-authoritative website or magazine, or are not
peer-reviewed. |
3.0
Unacceptable |
All
references are from
consumer, non-professional, or non-authoritative
websites or magazines, or are not-peer reviewed or are
less than the required minimum. |
_____ |
Total
Points |
______ |
Grade
= Total Points Earned ÷ Total Points Possible x 100 =
grade (example
20 ÷ 20 = 1 x 100 = 100) |
|
Students are expected to:
· Check the
course calendar for the due dates of assignments.
· Check the
course bulletin board frequently for announcements. |
Course
Ground Rules |
Students
are expected to:
- Learn
how to navigate and use tools in WebCT
- Keep
abreast of course announcements
- Use
WebCT for all communication UNLESS problems occur with
online delivery of the WebCT course
- Contact
technical support for any WebCT problems (number provided
below)
- Notify
faculty of any difficulties related to the preceptor,
clinical issues, or other factors affecting participation
or performance in this course
|
Guidelines
for Communications |
Email: |
- Always
include a subject line.
- Remember
without facial expressions some comments may be taken the
wrong way. Be careful in wording your emails. Use of
emoticons might be helpful in some cases.
- Use
standard fonts.
- Do
not send large attachments without permission.
- Special
formatting such as centering, audio messages, tables,
html, etc. should be avoided unless necessary to complete
an assignment or other communication.
- Respect
the privacy of other class members
|
Discussion
Groups: |
- Review
the discussion threads thoroughly before entering the
discussion.
- Try
to maintain threads by using the "Reply" button
rather starting a new topic.
- Do
not make insulting or inflammatory statements to other
members of the discussion group. Be respectful of
other’s ideas.
- Be
patient and read the comments of other group members
thoroughly before entering your remarks.
- Be
cooperative with group leaders in completing assigned
tasks.
- Be
positive and constructive in-group discussions.
- Respond
in a thoughtful and timely manner.
See
Guidelines For Participation in Threaded Discussion and
Guidelines for Leadership in Threaded Discussion below for
more information about assignment. |
- Introduce
yourself to the other learners in the chat session.
- Be
polite. Choose your words carefully. Do not use derogatory
statements.
- Be
concise in responding to others in the chat session.
- Be
prepared to open the chat session at the scheduled time.
- Be
constructive in your comments and suggestion
|
Library |
The Tennessee
Virtual Library is available to all students enrolled in
the Regents Degree Program. Links to library materials (such
as electronic journals, databases, interlibrary loans, digital
reserves, dictionaries, encyclopedias, maps, and librarian
support) and Internet resources needed by learners to complete
online assignments and as background reading must be included
in all courses. |
Students
With Disabilities |
Qualified
students with disabilities will be provided reasonable and
necessary academic accommodations if determined eligible by
the appropriate disability services staff at their home
institution. Prior to granting disability accommodations in
this course, the instructor must receive written verification
of a student's eligibility for specific accommodations from
the disability services staff at the home institution. It is
the student's responsibility to initiate contact with their
home institution's disability services staff and to follow the
established procedures for having the accommodation notice
sent to the instructor. |
Syllabus
Changes |
The
instructor reserves the right to make changes as necessary to
this syllabus. If changes are necessitated during the term of
the course, the instructor will immediately notify students of
such changes both by individual email communication and
posting both notification and nature of change(s) on the
course bulletin board. |
Technical
Support |
Telephone and
Online Support: |
If
you are having problems logging into your course, timing out
of your course, using your course web site tools, or other
technical problems, please contact the RODP Help Desk by
calling 1-866-550-7637 (toll free) or go to their
website at:http://askrodp.custhelp.com |
|