Maricopa Community Colleges  NUR206   19956-20032 
Official Course Description: MCCCD Approval: 06/17/03
NUR206 19956-20032 LEC
LAB
6 Credit(s)
4 Credit(s)
6 Period(s)
14 Period(s)
Nursing Concepts IV
Further development of nursing knowledge and complex skills. Focus on the care of patients having complex, high risk, and acute nursing problems. Provides further experience in management of nursing care of groups of adult patients. Clinical settings utilized to assist students in applying the nursing process, with emphasis on implementation and evaluation. Prerequisites: NUR205.
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MCCCD Official Course Competencies:
 
NUR206   19956-20032 Nursing Concepts IV
1. Assess biopsychosociocultural needs of adult patients, with emphasis on acute health problems. (I-IV)
2. Use the nursing process to individualize care for selected adult patients and groups of patients, with emphasis on implementation and evaluation. (I-IV)
3. Implement effective therapeutic communication skills with adult patients, families, and members of the health care team. (I-V)
4. Implement and evaluate teaching-learning plans for the adult patient and family. (I-IV)
5. Apply concepts of pharmacology and nutrition when caring for an individual or groups of adult patients, with emphasis on acute health problems. (I-IV)
6. Demonstrate accountability for own nursing practice and professional development. (I-V)
7. Use the computer to enhance decision-making through simulated patient vignettes. (I-IV)
8. Describe the therapeutic nursing interventions for adult burn patients. (I)
9. Use the nursing process to individualize nursing care for adult patients with acute cardiovascular disorders. (II)
10. Use the nursing process to individualize nursing care for adult patients with acute neurological disorders. (IV)
11. Use the nursing process to individualize nursing care for adult patients with acute respiratory disorders. (IV)
12. Use the nursing process in setting priorities and managing nursing care of a group of adult patients, with minimal assistance from the experienced staff nurse. (V)
13. Initiate referrals to community agencies based on the needs of adult patients and their families. (V)
14. Demonstrate accountability for aspects of nursing care provided by other health team members. (V)
15. Describe strategies for professional success in nursing. (V)
16. Describe major nursing issues which impact the professional nurse. (V)
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MCCCD Official Course Outline:
 
NUR206   19956-20032 Nursing Concepts IV
    I. Burns
        A. Burn injuries
          1. Incidence
          2. Cause
          3. Prevention
        B. Factors determining severity of burns
          1. Depth
          2. Percentage of body surface
          3. Location
          4. Age
          5. Past medical history
          6. Cause of burn
        C. Treatment of burns
          1. First aid
          2. The immediate treatment
        D. Burn shock
          1. Signs/symptoms
          2. Fluid replacement therapy
        E. Burn complications
          1. Infection
          2. Sepsis
          3. Respiratory complications
          4. Curling's ulcer
        F. Burn therapy
          1. Hydrotherapy
          2. Topical therapy
          3. Subeschar clysis
          4. Biological dressing
        G. Biological dressing
          1. Xenograft
          2. Homograft
          3. Synthetic dressing
          4. Amnion
        H. Debridement
          1. Primary
          2. Homograft
          3. Synthetic dressing
          4. Enzymatic
        I. Burn grafts
          1. Thiersch graft
          2. Split-thickness graft
          3. Wolfe graft
          4. Pinch graft
          5. Tanner Vanderput mesh graft
        J. Grafting procedure
          1. Donor site
          2. Dressing
        K. Nutritional needs
          1. Caloric intake
          2. Nutrients
          3. Hyperalimentation
          4. Intra lipids
        L. Psychosocial impact
          1. Stage 1 - physiological emergency
          2. Stage 2 - psychological emergency
          3. Stage 3 - social emergency
        M. Reconstructive procedures
          1. Functional
          2. Cosmetic
          3. Types
        N. Teaching-learning needs related to burns
          1. Patient
          2. Family
      II. Cardiovascular system
          A. Shock
            1. Hypovolemic
            2. Cardiogenic
            3. Vasogenic
            4. Anaphylactic
          B. Commonly used drugs
            1. Antiarrhythmias
            2. Calcium blocker
            3. Analgesics
            4. Diuretics
            5. Vassopressors
            6. Cardiac stimulants
            7. Digitalis
            8. Drugs used in code arrest situations
          C. Stresses
            1. Patient
            2. Family
            3. Nurse
            4. ICU psychosis
          D. Review of cardiac anatomy and physiology
            1. Musculature
            2. Chambers
            3. Valves
            4. Arteries/veins
          E. Effect of fluid and electrolyte imbalances on cardiovascular functioning
            1. Potassium
            2. Sodium
            3. Calcium
            4. Magnesium
          F. Coronary circulation
            1. Right coronary artery
            2. Left coronary
            3. Oxygen requirements of the myocardium
          G. Assessment of the cardiovascular patient
            1. Cardiac
            2. Pulmonary
            3. Vascular
            4. Circulatory
            5. Neurological systems effects
            6. Related responses
            7. Diagnostic assessment
            8. Conduction system
            9. Basic E.C.G. interpretation
            10. Cardiac arrhythmias
            11. Treatment modalities
            12. Effects of dysrrhythmias
            13. Nursing responsibilities
            14. Therapeutic communication
          H. The cardiovascular patient
            1. Introduction
            2. Inflammatory problems of the heart
            3. Effects of ischemia on myocardial functioning
            4. Causes of ischemia
            5. Patient teaching
            6. Differentiating between angina and myocardial infarction
            7. Therapeutic intervention on preinfarction angina
            8. Cardiac surgery
            9. Myocardial infarction
            10. Therapeutic interventions
            11. Anticoagulants
            12. Mechanical interference with oxygen need
        III. Neurological disorders
            A. Anatomy and physiology of the nervous system
              1. General functions
              2. Central nervous system
              3. Peripheral nervous system
              4. Autonomic nervous system
            B. Neurological assessment
              1. General assessment
              2. Medical history/neurological history
              3. Physical examination/neurological examination
              4. Nursing assessment
            C. Nursing assessment/interventions
              1. Lumbar punctures
              2. Cisternal angiogram
              3. Cerebral angiogram
              4. Ventricular puncture
              5. Myelogram
              6. Electroenchalogram
              7. Electromyography
              8. Computerized tomography
              9. Brain scan
            D. Neurological problems
              1. Changes in perception
              2. Loss of motor facility
              3. Changes in communication process
              4. Changes in state of consciousness
              5. Sudden, unexpected change in health status
              6. Pain
              7. Nutritional/metabolic
              8. Behavioral changes
              9. Emotional and mental changes
              10. Specific body function changes
              11. Changes in body image
            E. Altered states of consciousness
              1. Conscious to unconscious continuum
              2. Arousal techniques
              3. Behavioral responses
              4. Neurological checks
            F. Consciousness levels
              1. Confusion/disorientation
              2. Hallucinations/illusions/delusional thinking
              3. Delirium
              4. Alert
              5. Lethargic
              6. obtunded
              7. Stuporous
              8. Unresponsive
            G. Neurological checks
              1. Respiratory pattern
              2. Pupillary reaction
              3. Eye movements
              4. Motor responses
              5. Vital signs
              6. Reflexes
            H. Posturing
              1. Decerebrate rigidity
              2. Decorticate rigidity
            I. Nursing interventions in care of an unresponsive patient
              1. Treatment of life threatening emergencies
              2. Air way maintenance
              3. Circulatory maintenance
              4. IV therapy
              5. Neuro assessment
              6. Safety and protective measures
              7. Communication methods
              8. Teaching-learning needs
              9. Patient
              10. Maintaining fluid and nutrition balance
              11. Maintaining fluid and electrolyte balance
              12. Maintaining elimination
              13. Returning to oral feedings
              14. Psychological support of family
            J. Increased intracranial pressure
              1. Causes/Mechanisms
              2. Signs/symptoms
              3. Herniation of brain
              4. Monitoring of intracranial pressure
            K. Treatment of ICP
              1. Direct
              2. Indirect
            L. Body temperature alterations
              1. Hyperthermia
              2. Hypothermia
            M. Seizures and convulsion
              1. Nursing intervention during seizures
            N. Neurogenic shock
              1. Cause
              2. Signs/symptoms
              3. Treatment
              4. Nursing intervention
            O. Common problems
              1. Shock
              2. Respiratory failure
              3. infection
            P. Spinal cord injuries
              1. Level of injury
              2. Extent of injury
              3. Mechanism of injury
            Q. Types of spinal cord injuries
              1. Cervical spine
              2. Thoracic spine
              3. Lumbar spine
              4. Nursing interventions
            R. Psychological adjustment to spinal cord injury
              1. Changes in self-image
              2. Grief reaction
            S. Language disorders
              1. Aphasia
              2. Dysarthria
              3. Nursing intervention
            T. Infections of the nervous system
              1. Bacterial meningitis
              2. Brain abcess
              3. Viral infections
              4. Fungal infections
              5. Neurosyphillis
              6. Treatment of infection
              7. Nursing interventions
            U. Tetanus
              1. Cause
              2. Signs/symptoms
              3. Treatment/prevention
              4. Nursing intervention
            V. Nervous system tumors
              1. Intracranial tumors
              2. Spinal cord tumors
            W. Vascular lesions of the nervous system
              1. Cerebral lesions
              2. Spinal cord vascular lesions
              3. Treatment
              4. Nursing interventions
            X. Degenerative disorders of the nervous system
              1. Extrapyramidal disorder
              2. Amyotrophic sclerosis
              3. Myasthenia gravis
              4. Progressive muscular dystrophies
              5. Multiple sclerosis
              6. Meniere's disease
            Y. Seizure disorders
              1. Generalized seizures
              2. Petit mal
              3. Minor motor seizures
              4. Status epilepticus
            Z. Headaches
              1. Migraine
              2. Cluster
              3. Tension
              4. Nursing interventions
              AA. Cranio-cerebral trauma
              1. Scalp injuries
              2. Skull injuries
              3. Brain injuries
              4. Neurological events
              5. Brain swelling/edema
              6. Infections
              7. Complications
              BB. Clinical care
              1. Airway
              2. Prevention of aspiration
              3. Prevention of infection
              4. Maintaining normal temperature
              5. Assessing for additional injuries
              6. Maintaining fluid and electrolyte balance
              7. Controlling restlessness and pain
              CC. Spinal injuries
              1. Ruptured intervertebral disk
              2. Lumbar-sacral strain
              DD. Peripheral nerve injuries
              1. Carpal tunnel syndrome
              2. Sciatic nerve injury
              EE. Cranial nerve diseases
              1. Trigeminal neuralgia
              2. Bell's palsy
              FF. Guillain-Barre' syndrome
              1. Etiology
              2. Clinical manifestation
              3. Nursing intervention
              GG. Neurosurgery
              1. Craniotomy
              2. Spinal cord
              3. Peripheral nerves
              HH. Neurosurgery
              1. Pre-operative care
              2. Post-operative care
              3. Post-operative complications
              4. Teach-learning needs
          II. Disturbances of cerebral function
                1. Increased introcranial pressure
                2. Altered states of consciousness
                3. Craniocerebral trauma
                4. Intracranial infections
            IV. Respiratory disorders
                A. The respiratory system
                  1. Introduction
                  2. Review of anatomy
                  3. Review of physiology
                B. Assessment of the respiratory patient
                  1. Nursing assessment
                  2. Effect of electrolytes on respiratory functioning
                  3. Diagnostic assessment
                C. Problems of the respiratory system
                  1. Inflammatory and infectious conditions of the respiratory system
                  2. Traumatic problems of the respiratory system
                D. Classification of lung disorders
                  1. Obstructive disorders
                  2. Restrictive disorders
                  3. Oncological problems of the respiratory system
                  4. Health problems related to the respiratory system
                  5. Respiratory failure - insufficiency
                E. Ventilators
                  1. Types
                  2. Pressure controlled
                  3. Volume controlled
                  4. Communication needs
                F. Surgical intervention with related nursing implications for patients with problems of the respiratory system
                  1. Laryngectomy
                  2. Tracheostomy
                  3. Thoracotomy
                G. Teaching-learning needs
                  1. Patient
                  2. Family
              V. Preparation for employment
                  A. Management of patient care
                    1. The management role of the new nurse
                    2. Communication in complex organizations
                    3. Leadership and motivation
                    4. Decision making
                    5. Conflict management and change
                    6. Time management
                    7. Nurse's role in financial management
                    8. The nurse's professional responsibility
                  B. Focus on employment
                    1. Becoming a successful employee
                    2. Strategies for professional success
                    3. Networking strategies for the new nurse
                  C. Focus on contemporary nursing issues
                    1. Licensure, legislature, and health policy
                    2. Legal and ethical issues
                    3. Labor relations in union and non-union
                    4. Overcoming sex-role stereotyping in nursing
                    5. Professional organizations
                    6. Future trends in nursing
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