Complex Health Care Concepts - NSG 252
https://courses.vccs.edu/courses/NSG252-ComplexHealthCareConcepts
Effective: 2016-08-01
Course Description
Focuses on nursing care of diverse individuals and families integrating complex health concepts. Emphasizes clinical judgment, patient-centered care and collaboration.
Lecture 4 hours. Total 4 hours per week.
4 credits
The course outline below was developed as part of a statewide standardization process.
General Course Purpose
The purpose of this course is to apply complex health concepts that relate to the client and family across the lifespan.
Course Prerequisites/Corequisites
Prerequisites: NSG 210 and NSG 211
Course Objectives
- Provide patient-centered care promoting therapeutic relationships, caring behaviors, and self-determination across the lifespan for diverse populations of individuals with complex health needs
- Practice safe nursing care that minimizes risk of harm across systems and client populations with complex health needs
- Demonstrate nursing judgment through the use of clinical reasoning, the nursing process, and evidence-based practice in the provision of safe, quality care for clients with complex health needs
- Practice professional behaviors that encompass the legal/ethical framework while incorporating self-reflection, leadership and a commitment to recognize the value of life-long learning
- Manage client care through quality improvement processes, information technology, and fiscal responsibility to meet client needs and support organizational outcomes
- Demonstrate principles of collaborative practice within nursing and interdisciplinary teams fostering mutual respect and shared decision-making to achieve optimal outcomes of care
Major Topics to be Included
- Fluid & Electrolyte Concept
- Fluid and electrolyte principles
- Risk factors related to altered fluid and electrolyte levels
- Prevention of altered fluid and electrolyte levels
- Fluid and electrolyte diagnostic testing
- Nursing process related to altered fluid and electrolyte levels
- Exemplars: acute kidney injury & chronic renal failure
- Acid-Base Concept
- Acid-base principles
- Risk factors related to altered acid-base balance
- Prevention of altered acid-base balance
- Acid-base diagnostic testing
- Nursing process related to altered acid-base balance
- Exemplars: metabolic acidosis and alkalosis, respiratory acidosis and alkalosis
- Intracranial Regulation Concept
- Intracranial regulation principles
- Risk factors related to altered intracranial regulation
- Prevention of altered intracranial regulation
- Intracranial regulation diagnostic testing
- Nursing process related to altered intracranial regulation Pharmacological interventions: anti-epileptic drugs, anti-Parkinson drugs
- Exemplars: Cerebral Vascular Accident (CVA), seizures: child & adult
- Mobility Concept
- Mobility principles
- Risk factors related to altered mobility
- Prevention of altered mobility
- Mobility diagnostic testing
- Nursing process related to altered mobility
- Exemplars: spinal cord injury (adult), spina bifida (pediatric), Parkinson?s disease
- Inflammation Concept
- Inflammatory principles
- Risk factors related to altered inflammation
- Prevention of altered inflammation
- Inflammation diagnostic testing
- Nursing process related to altered inflammation
- Exemplars: hepatitis, cirrhosis, pancreatitis, cholecystitis
- Infection Concept
- Infection principles
- Risk factors related to infection
- Prevention of infection
- Infection diagnostic testing
- Nursing process related to infection
- Exemplars: Sepsis across the lifespan
- Tissue Integrity Concept
- Tissue integrity principles
- Risk factors related to altered tissue integrity
- Prevention of altered tissue integrity
- Tissue integrity diagnostic testing
- Nursing process related to altered tissue integrity
- Pharmacological interventions: topical treatment of burns
- Exemplars: burns
- Perfusion Concept
- Perfusion principles
- Risk factors related to altered perfusion
- Prevention of altered perfusion
- Perfusion diagnostic testing
- Nursing process related to altered perfusion
- Hemodynamic monitoring
- Chest tube management
- Pharmacological interventions: anti-arrhythmic drugs, thrombolytic drugs,
- Exemplars: shock/Multiple Organ Dysfunction Syndrome (MODS), arrhythmias, congenital defects (infant/child)
- Gas Exchange Concept
- Gas exchange principles
- Risk factors related to altered gas exchange
- Prevention of altered gas exchange
- Gas exchange diagnostic testing
- Nursing process related to altered gas exchange
- Ventilation: mechanical, continuous positive airway pressure, bilevel airway pressure
- Exemplars: Acute Respiratory Distress Syndrome (ARDS), pneumothorax