16
contact hours |
Course
Description: |
This
course focuses on advanced practice nursing and healthcare management
of adults and older adults in diverse populations. Course content
includes developmental, physiological, pathological, and psychosocial
changes relative to health maintenance, acute and chronic illnesses
and life transitions |
Course
Objectives: |
Upon
completion of this course, the student will be able to:
1. Demonstrate appropriate and effective oral and written
communication with
adult and older clients, their families, and other health professionals;
2.
Perform comprehensive and
developmentally appropriate health assessments
on adults and older adults;
3. Develop management plans for health promotion, disease
prevention, and acute and chronic illnesses in adults and older
adults;
4. Manage the health care of adults and older adults, and their
families incorporating ethical, legal, cultural, economic, political
and psychosocial principles;
5. Evaluate the effectiveness of interventions and management
strategies in improving the health status of adults and older adults;
6. Collaborate with other health professionals to provide
comprehensive health services for adults and older adults;
7. Teach individuals, families, and groups skills and behaviors to
promote health, prevent disease, and manage acute and chronic
illnesses in adults and older adults; and
8. Implement current
research related to diagnostic and treatment protocols to improve the
delivery of health care to adults and older adults. |
Prerequisites
and Co-requisites: |
Admission
to the RODP MSN program or permission from the department chair.
Prerequisites: NURS 5101/5102 Advanced Health Assessment; NURS 5103 Advanced
Pathophysiology; NURS5104 Advanced Pharmacology
Co
requisite: NURS 5604 FNP II Clinical |
Course
Topics: |
The
emphasis of this course is the care of adults and older adults. The
content will encompass those topics addressed in the companion
didactic course (NURS 5603). These will include:
I. Friedman’ s Family Theory
II. Overview of Issues related to the
Care of Adults and Older Adults
III. Promotion and Wellness and Self Care of Adults and Older
Adults
IV. Comprehensive
Assessment and Screening of Adults and Older Adults
V. Management of Common Acute and Chronic Problems |
Specific
Course Requirements: |
Knowledge
and skill in WebCT
1. Students must complete a total of 240 clinical hours
over the course of the semester. In order that the student
will benefit from ongoing evaluation and feedback of SOAP
notes and progress, this experience must be spread out over
the course of the semester.
2. Preceptor licensure will be verified at http://www2.state.tn.us/health/licensure/index.htm.
Students are expected to verify current licensure of a
requested preceptor to make certain that information submitted
to faculty contains correct spelling, etc. in order to
expedite the verification process.
3. Submit the following:
* Name of preceptor
* Credentials of preceptor (FNP, MD)
* Vitae of Preceptor
* Name and Address of practice site
* Type of patients served at site (e.g., family practice, OB/GYN
practice, etc)
The
student CAN NOT begin the
clinical experience until approval is received from the
faculty and the preceptor agreement is signed. Students are
expected to contact faculty if difficulty is experienced
locating a preceptor.
4. Geriatric Assessment
5. Geriatric
Health Promotion Project.
6. Clinical
Reflections/Discussions
7. Every 2 weeks, turn in clinical logs for all practice
hours.
8. SOAP notes for
at least three clinical cases. (for review of documentation,
planning and decision-making). Three of these will be
graded (see evaluation methods below).
9. Clinical
Skills Inventory Sheets
10. Preceptor
evaluation. |
Preceptors: |
Students
will need to arrange for a nurse practitioner or physician to
precept this primary care adult and geriatric health
experience. Nurse practitioners must be minimally
prepared at the Master's level.
Clinical
practice experience with an approved NP or MD preceptor in a
community setting for 240 hours
during the term. A family / primary care practice is the preferred
clinical setting; however, a practice setting where providers
care for a high volume of adults (including geriatric care) is
acceptable. Specialty practices (ENT, Endocrinology, etc.) are
discouraged because they limit the student's exposure to a
diversity of experiences. This experience should include 90
(ninety) hours should be done with a geriatric population.
Preceptor
licensure will be verified at http://www2.state.tn.us/health/licensure/index.htm Students are expected to verify current licensure of a
requested preceptor to make certain that information submitted
to faculty contains correct spelling, etc. in order to
expedite the verification process.
The
student will submit a practice site proposal to the course
faculty via email within four weeks of the beginning of the
course. In the subject of the email write "Preceptor
Information" In the body of the email include:
· Name
of preceptor (as officially listed on the verification site
above)
· Curriculum
Vitae and Credentials of preceptor (WHP, FNP, MD)
· Name
and address of practice
· Type
of patients served at practice site (e.g., primary care,
internal medicine, family practice.
THE STUDENT CANNOT BEGIN THE CLINICAL EXPERIENCE UNTIL APPROVAL IS RECEIVED FROM
FACULTY. STUDENTS ARE EXPECTED TO CONTACT FACULTY IF
DIFFICULTY IS EXPERIENCED LOCATING A PRECEPTOR. |
|
Textbooks,
Supplementary Materials, Hardware and Software Requirements |
Textbooks: |
Please
visit the Virtual Bookstore to obtain textbook information for this
course: http://rodp.bkstr.com |
Supplementary
Materials: |
Students
are expected to purchase their own lab coat(s), stethoscope with both
bell and diaphragm (or stethoscope with a floating diaphragm), goggles
and a watch with a second hand. Students may need to purchase an
otoscope/ophthalmoscope set or other equipment, if this is not
provided at the clinic site.
Students
may find a PDA with medical reference applications very helpful. This
is not mandatory. Two programs that may be particularly useful are
Epocrates DX for PDA (http://www2.epocrates.com)
and Merck Medicus for PDA (http://www.merckmedicus.com |
Hardware
Requirements: |
The
minimum requirements can be found at http://www.rodp.org/students/hardware_software.htm.
Specific hardware requirements for this course include... |
Software
Requirements: |
The
minimum requirements can be found at http://www.rodp.org/students/hardware_software.htm.
Specific hardware requirements for this course include...(A list of
software the student is required to purchase or download for the
course, Real Player, Media Player, Acrobat Reader, Microsoft Office,
etc). |
Instructor
Information |
Click
on the "Faculty" link located in the left frame of each page
inside this course to find instructor contact information. |
Assessment
and Grading |
Testing
Procedures: |
There
are no written tests in this clinical 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:
· Geriatric
assessment assignment 10%
· Geriatric
Health Promotion assignment 30% (10% for application; 10% for
presentation; 10% for write-up)
· SOAP
documentation 45% (15% each for 3 SOAP notes – one SOAP note on
individual on adult 20-40, one SOAP note on individual 41- 69 &
one SOAP note on individual above 70).
· Clinical
Reflection/Discussion 15%
(3% per entry)
In
addition, the student must maintain satisfactory clinical performance
as evidenced by preceptor evaluations of the student and must
participate in all scheduled asynchronous clinical conferences.
Clinical
log Pass / Fail
Clinical
Skills Inventory
Pass
/Fail
Clinical Evaluation by Clinical Preceptor Pass / Fail |
Grading
Scale: |
A
= 93-100
B
= 85-92
C
= 77-84
D
= 70-76
F
= <70 |
Assignments
and Participation |
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 |
Information
regarding assignments is detailed in the sections that follow.
All assignments must be submitted to the Assignment Dropbox
unless otherwise indicated.
Completion
of all graded assignments and projects (as mentioned above)
determines the course grade. Assignment guidelines and the
rubrics used for grading these assignments are provided at the
end of this document.
In
addition to graded assignments, there are other pass/fail
components, which must be completed as part of course
requirements. Failure to complete these requirements can
result in failure of the course. |
Geriatric
Assessment Assignment |
Identify
a patient with a suspected cognitive, neurological or
depressive disorder. The comprehensive psychological
assessment - cognitive, affective are found in your
geriatric book (Burke & Laramie pages 11-14).
Perform the assessment and ask the patient to complete
a Geriatric cognitive assessment form (the Geriatric
Depression Scale (GDS) or the Beck Depression
Inventory (BDI) or any other appropriate form in your
book or at your facility and the mini mental
scale (provided in forms) or any other affective
mental assessment form – available in the course or at your
preceptor facility). Please have the patient complete
both forms on the same day. Compare and contrast the
responses and scores. Present your findings as
an anonymous (or name changed) case study in the
Discussion Area.
Guidelines
for Grading:
Criteria |
Points
Possible |
Points
Earned |
Documentation
is clear. Appropriate medical
terminology is used. Irrelevant and
redundant words, phrases, and other
distracting information are omitted. (course
objective #1) |
1 |
|
Documentation
is well organized. Format follows the
standard. Narratives such as the HPI
and Exam have a logical flow. (course
objective #1) |
1 |
|
Subjective
and objective assessment of health
status is complete and appropriate for
age and presenting problem(s). (course
objectives #2) |
1 |
|
Management
plan addresses age-appropriate health
promotion, disease prevention, and/or
acute and chronic illnesses. (course
objective #3) |
1 |
|
Current
(less than 3 years old) research
articles and references are used to
guide decisions regarding diagnosis
and treatment. (course
objective #8) |
1 |
|
Total
Points |
5 |
|
Conversion
for percentage of grades is as follows:
5
points = 100%; 4 points = 80%; 3 points = 60%;
2 points = 40%; 1 point = 20% |
|
Geriatric
Health Promotion Assignment |
Geriatric
Health Promotion Project
GUIDELINES:
Purpose:
To
provide an integrative, holistic approach
project that benefits a group of older adults.
Method:
The
student will develop a holistic community
service project to be used for health
promotion, health prevention, or health
education.
Process:
The
student will identify a problem in their
community setting related to older adult
health. The problem will be clearly identified
and the best solution of the problem will be
described. The project will include an
interactive time with the group of older
adults (no more than 4 –6 hours). The
project will be implemented utilizing teaching
tools, such as a brochure or handout as part
of the intervention. The intervention will
include teaching about health promotion,
health prevention, or health education.
The
student will present the problem and solution.
The student will answer the following about
the problem and the solution.
Proposal
Assessment
I.
What is the problem and how is it determined
to be a problem?
II. How
does this problem affect the group of older
adults? Describe the participants.
III.
What are the possible solutions to the
problem?
IV.
How will the solution reach these older
adults?
V. What is the best content and design to
implement the solution?
VI. Describe in detail what the project
will involve.
THE
PROPOSAL WILL BE SENT TO THE FACULTY MEMBER
FOR PERMISSION BY THE SECOND WEEK OF THE
SEMESTER FOR APPROVAL BEFORE PROCEEDING.
The student will implement the project
in the clinical setting during the semester.
Implementation
I. Implement
and evaluate the community service project
that addresses an identified need;
II. What
was the service provided by you as an advanced
practice nurse?
III. What will the impact be on the overall
population being served?
Evaluation
I. Develop a program evaluation
plan for the service project.
The
student will present the project to the class
on-line and turn in a written paper using APA
(5th edition) guidelines describing the
project (4-6 pages). The presentation and
paper will address the questions about the
problem, the solution and an evaluation
of the project after implementation.
Guidelines for Grading:
Criteria |
Points
Possible |
Points
Earned |
Project
development and implementation: |
|
|
· Proposal
of project submitted on time |
2 |
|
· Definition
and description of the problem -- Address
and describe the geriatric health
problem to
address (course
objective # 2, #3, #6) |
2 |
|
· Description
of possible solutions – Identify
alternatives to address the problem (course
objective #2, #3) |
2 |
|
· Description
of implementation -- Collaborate
with other health professionals to
provide a community health project for
a group of older adults (course objective #1, #6) |
2 |
|
· Design
of the project -- Management
plan addresses health promotion,
disease prevention, and/or acute and
chronic illnesses. (course objective #1, #3) |
2 |
|
· Delivery
of the project -- Teach
individuals, families, and groups
skills and behaviors to promote
health, prevent disease, and manage
acute and chronic illnesses that
affect older adults (course
objective # 7) |
2 |
|
· Evaluation
of the problem Evaluate
the effectiveness of the project (course
objective #5) |
2 |
|
Written
Presentation |
|
|
· Written
skills -- Documentation
is clear. Appropriate medical
terminology is used. Irrelevant and
redundant words, phrases, and other
distracting information are omitted. (course objective #1) |
2 |
|
· Organization Documentation
is well organized. Format follows a
standard and has
a logical flow (course objective #1, #3) |
2 |
|
· APA
format and references Current (less than 3 years old)
research articles and references are
used to guide decisions regarding
diagnosis and treatment (course objective #1, 8) |
2 |
|
On-line presentation |
|
|
· Presentation -- Professionally
present your community service
project, make sure that documentation
is clear, appropriate medical
terminology is used, irrelevant and
redundant words, phrases, and other
distracting information are omitted. (course
objective # 1, # 3) |
10 |
|
Total
Points |
30 |
|
|
Conversion
for percentage of grades is as follows:
30points
= 100%; 28 points = 90%; 26 points = 80%; 24
points = 70%; 22 points = 60%;
20
points = 50% 18 points = 40%; 16 points = 30
%; 14 points = 12 points; 10 point = 10%
<
10 points = 0% |
Clinical
Hours |
Students
who want to meet the certification
requirements for family nurse practitioner
need to complete the required number of
practicum hours. These hours are distributed
throughout each semester. The breakdowns of these hours are as
follows: FNP I Clinical - 120 hours; FNP II Clinical - 240 hours, FNP III
Clinical -120 hours & FNP IV 240 - hours. If the student has declared the
intent to be certified as a family nurse
practitioner, all clinical hours must be
completed during the semester enrolled in that
specified course. Hours may not be accumulated between
semesters or after completion of the clinical
courses. Ninety (90) of the hours must be with
pediatric patients. Ninety (90) of the
hours need to be with geriatric patients. |
|
SOAP
Documentation Assignment |
The
SOAP documentation assignment directly addresses
course objective 1, 2, 3, and 8.
.
Three
SOAP Notes will be submitted over the course of the
semester. For each, the student will write up– one
SOAP note on individual on adult 20-40, one SOAP note
on individual 41- 69 & one SOAP note on individual
above 70). patient encounter using the SOAP
Documentation Form. The SOAP Documentation Form and
instructions for its completion are found in the
Assignment section of this course.
Guidelines
for Grading:
Criteria |
Points
Possible |
Points
Earned |
Documentation
is clear. Appropriate medical terminology is
used. Irrelevant and redundant words, phrases,
and other distracting information are omitted. (course
objective #1) |
1 |
|
Documentation
is well organized. Format follows a standard.
Narratives such as the HPI and Exam have a
logical flow. (course
objective #1) |
1 |
|
Subjective
and objective assessment of health status is
complete and appropriate for age and
presenting problem(s). (course
objectives #2) |
1 |
|
Management
plan addresses age-appropriate health
promotion, disease prevention, and/or acute
and chronic illnesses. (course
objective #3) |
1 |
|
Current
(less than 3 years old) research articles and
references are used to guide decisions
regarding diagnosis and treatment. (course
objective #8) |
1 |
|
Total
Points |
5 |
|
Conversion
for percentage of grades is as follows:
5
points = 100%; 4 points = 80%; 3 points = 60%; 2
points = 40%; 1 point = 20% |
|
|
Clinical
Log |
Students
are required to log all patient encounters using the Clinical Log
tool. All encounters must be submitted to WebCT within 24 hours of
each day or portion of a day spent in the clinic. The clinical log is
located under forms within the course.
General
Clinical Guidelines |
| CONDUCT
Professional
conduct in the clinical site is expected.
Problem/disagreements
are to be handled in a quiet, professional manner, away from
the patient.
If
any problem arrives, you MUST contact the clinical faculty in
a timely manner.
Professional
dress (usually a lab coat) and visible identification badge is
required. There
may be certain sites/situations where white lab coats may not
be desired (i.e. pediatrics). No sandals, or open toe shoes, or jeans should be worn
to clinical.
ABSENCES/DELAYS
Arrive
on time at all clinical sites. If there is an unanticipated delay call the preceptor
as soon as possible. Notify
the preceptor of
any anticipated absence prior to the start of the clinical
day. Failure to
notify the preceptor of any delay or absence as stated above
may result in an unsatisfactory grade for the clinical
experience. Arrangements
must be made with the clinical coordinator for any make-up
time for absences.
EQUIPMENT
Students
are expected to bring any equipment not supplied by the
clinical site (i.e. stethoscope, otoscope/opthalmascope, pen
light, percussion hammers, etc.). VALUABLES
Avoid
bringing valuables into the clinical site. Neither the home
school nor the clinical site is responsible for valuables.
MEDICATIONS/MEDICAL
PROCEDURES
Students
may not administer medications or perform medical procedures
without prior approval of the preceptor. |
|
Class
Participation: |
Students
are expected to participate in all interactive aspects of the course.
Students should check the course bulletin board at least twice a week
for any announcements and ongoing discussions. It
is especially important for students in an on-line course to maintain
contact with their instructor. The
instructor must hear from every student at least once a week; if
during a given week, a student fails to make contact in some way (by
submitting an assignment or participating in a chat or discussion), he
or she must email the instructor, even if the student is sick or out
of town. A student who fails to contact the instructor on a regular
basis may miss important updates or even fail the course |
Clinical
Conferences |
Students
are expected to participate in all scheduled clinical conferences.
These will take place on the Discussion Board after the clinical
preceptorship begins. |
Clinical
Skills Inventory |
Students
are required to use the clinical skills inventory to track procedures
performed in the clinical setting. Students are expected to seek out
opportunities to develop all skills listed. The clinical skills
inventory is located under forms within the course. |
Clinical
Performance Evaluation |
The
preceptor will use the Clinical Performance Evaluation Tool to
evaluate clinical competence. Because this tool measures competency,
criteria are evaluated as pass/fail. All items must be passed for the
student to satisfactorily complete this course and advance in the
program. The clinical performance evaluation is located below and
under forms within the course |
Clinical
Performance Evaluation |
The
Clinical Performance Evaluation is an evaluation of competency
based on the National Organization of Nurse Practitioner
Faculty (NONPF) Competency Guidelines. It addresses course
objectives 2, 3, 4, 5, 6, and 7.
.
The
Clinical Performance Tool is use to evaluate student
competence. This will be evaluated by the clinical preceptor. .
Guidelines
for Evaluating Competence:
.
Met |
Not
Met |
Assessment |
| |
|
1.
Obtains accurate health history. |
| |
|
2.
Completes a problem focused physical exam. |
| |
|
3.
Completes a comprehensive well child or adult physical
exam. |
| |
|
4.
Recognizes age, gender and cultural differences. |
| |
|
5.
Assesses support resources for patient and/ or
caregiver. |
| |
|
6.
Selects age and condition specific diagnostic
tests and screening procedures. |
Met |
Not
Met |
Diagnosis |
| |
|
1.
Identifies signs and symptoms of common physical and
emotional illnesses. |
| |
|
2.
Appropriately analyzes collected historical, physical
and diagnostic data. |
| |
|
3.
Differentiates relevant from irrelevant diagnostic
cues. |
| |
|
4.
Formulates differential diagnoses. |
Met |
Not
Met |
Plan
and Implementation |
| |
|
1.
Identifies interventions based on select patient
outcomes. |
| |
|
2.
Plans appropriate non-pharmacological interventions. |
| |
|
3.
Prescribes appropriate medication therapy- properly
written and legible. |
| |
|
4.
Therapeutic plan allows for differences in age, gender
and culture. |
| |
|
5.
Plans care in the context of safety, cost, and
appropriateness. |
| |
|
6.
Promotes self-care for individuals as appropriate. |
| |
|
7.
Initiates referrals to other disciplines based on
patient’s need. |
| |
|
8.
Implements the therapeutic plan for the assigned
patient(s). |
Met |
Not
Met |
Evaluation |
| |
|
1.
Uses outcome measures to evaluate effectiveness of
therapeutic plan. |
| |
|
2.
Follow-up calls and visits documented. |
| |
|
3.
Modifies plan of care based on evaluation. |
Met |
Not
Met |
Patient
Relationship |
| |
|
1.
Establishes therapeutic rapport with patient/ family. |
| |
|
2.
Assists patient in resolving troubling issues. |
| |
|
3.
Assists patient with health promotion decision making. |
Met |
Not
Met |
Teaching |
| |
|
1.
Provides anticipatory guidance, teaching, counseling,
and information to patients. |
| |
|
2.
Provides patient specific educational materials, as
appropriate. |
| |
|
3.
Identifies learning needs of high-risk clients. |
Met |
Not
Met |
Professional
Role |
| |
|
1.
Demonstrates commitment to caring for patient and
family. |
| |
|
2.
Maintains standards of professional behavior and
decorum. |
| |
|
3.
Relates well to patients, staff and preceptors/
faculty. |
| |
|
4.
Accepts responsibility for own actions and learning. |
Met |
Not
Met |
Communications |
| |
|
1.
Language is appropriate for client’s age and
culture. |
| |
|
2.
Oral report to preceptor is effective and accurate. |
| |
|
3.
Written record is complete, organized, and legible. |
|
|
Portfolio: |
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. |
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. Be a lurker then a discussant.
- 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.
|
Chat: |
- 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
|
|
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 left 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 |
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 Eduprise Help Desk by calling 1-866-550-7637 (toll free) or go to their website at: http://askrodp.custhelp.com |