Course Name: Expanding and Developing Family and Community Course Number: NURS 206 Academic Program: Nursing Campus: Section A Instructor’s Name J. V. Cresencia, MSN, CPN, RN Christine L. Dyer, MSN, CPN, RN Elizabeth Hartman MSN, RNC-OB I. Instructor’s Contact Information, Course Pre and Co-Requisites Number: E-mail: climann@westcoastuniversity.edu Office location: Faculty Room 108 Office hours: Ms. Hartman: Weds 12-2pm; Thurs 12-1 pm; and by appt. Mr. Cresencia: by e-mail and appt. Mrs. Dyer: by e-mail and appt. Course Website: wcunurs206and216.pbworks.com Course Prerequisites: NURS 201, NURS 211L Course Co requisites: NURS 216L II. Mission and Outcomes University Mission At West Coast University, we embrace a student-centric learning partnership that leads to professional success. We deliver transformational education within a culture of integrity and personal accountability. We design market-responsive programs through collaboration between faculty and industry professionals. We continuously pursue more effective and innovative ways through which students develop the competencies and confidence required in a complex and changing world. College of Nursing Mission The mission of the College of Nursing is to provide evidence-based and innovative nursing education to culturally diverse learners; preparing nurses to provide quality and compassionate care that is responsive to the needs of the community and the global society. College of Nursing Philosophy The philosophy of the College of Nursing is the education of nurses who become lifelong learners and critical thinkers. The philosophy reflects beliefs that education is a continuous process, occurring in phases throughout an individual’s lifetime Program Learning Outcomes Synthesize knowledge derived from liberal arts and sciences with a conceptual framework as a basis for professional nursing practice.
Section B: Course Outline Week / Date Class Objectives Content Outline Specific Course Activity Student Assignments 1 CLO 1, 2, 6 CLO 1, 2 CLO 7, 9, 10 CLO 3, 4, 6 CLO 4, 6 CLO 9 Discuss theories of caring and holism as they to the nursing care of women as they transition through the life cycle. Discuss the social, political, economic, and cultural trends that impact women’s and newborns’ health. Identify and explore the role of the nurse as advocate, provider, manager, delegator and coordinator of therapeutic care for women, neonates and their families. Assess and provide patients contraceptive care. Analyze the nurse’s role in teaching and counseling clients about infertility and genetics. Identify potential alternatives to childbearing for the infertile couple. Contemporary nursing care and current health care issues - Family Centered Care -Complementary and Alternative - Health care/medicine (CAM) - Evidence-based nursing practice (EBPs) Healthy People 2010: Blueprint for Action -Increasing quality and years of healthy life -Eliminating health disparities (WIC, Medicaid, Newborn and Mothers Health Protection Act, Family and Medical Act) Sexuality and Fertility -Medication Free Contraception -Hormonal Methods -Sterilization -Surgical/Medical Termination of Pregnancy Assessments and Treatment Options for Infertility Surrogacy and adoptions health: Common infections Social issues in women’s health Violence against women Review of Syllabus, Learning Outcomes, and Assignments Ward &Hisley: Maternal-Child Nursing Care Chapter 1- 3 Chapter 5 & 6, Chapter 11, p. 315-322 Pearson Hall Real Nursing Skills Maternal-Newborn and Women’s Health Nursing Skills:: Health Assessment Teaching Self-Breast exam Birth Control Other student Resources include: Hesi Textbook Tests online at ATI or HesiEvlove ATI Unproctored Test Homework: (due on week 2 during class) Develop a concept map that shows how nurses can improve pregnancy outcomes
and reduce maternal mortality. 1(cont) CLO 4 CLO 1, 3,4 CLO 3, 4 CLO 4, 5 CLO 4, 8 Discuss fetal growth & development. Understand the role in minimizing threats to the developing fetus. Discuss developmental stages of adapting to pregnancy and the taking on of parenting within the family. Identify the importance of assessment, history taking and establishing a therapeutic relationship in providing care to women in the prenatal care setting. Describe physiologicalchanges that occur during pregnancy and their etiologies Conception and development of the embryo and fetus Preparation for Parenthood Nurse’s Role in Prenatal Evaluation Physiological Changes During Pregnancy Self Care during Pregnancy 2 CLO 1, 2, 4, 5 CLO 1, 7, 8, CLO 4, 5, 6, 7, 8 CLO 7,8,9 Outline a prenatal schedule and describe the importance of prenatal care. Describe holistic approaches to achieve optimal healthy pregnancy. Identify the of pregnancy and methods to manage the common associated discomforts. Discuss the special considerations in giving care to the pregnant adolescent. Prenatal Assessment and Care Promoting a Healthy Pregnancy Signs & Anticipatory Teachings Adolescent Pregnancy and Nutritional Needs ASSIGNMENT: Homework Case Study #1 Due by time Evolve online : Gestational Diabetes Ward &Hisley: Chapter 7- 11 Maternal Tasks and Role Transition (pg. 208- Table 8-5) Paternal Adaptation to Pregnancy (pg. 209) Review Table 10-6 (pg. 282)-Example of a Prenatal Care Map 2 (Cont) CLO 4,5,8 Maternal Nutrition Clinical Group 1: Other student Resources include:
CLO 3, 5, 6 CLO 4, 6 CLO 5, 7, 9 Describe nutritional requirements for during pregnancy, identify clients with special nutritional needs and discuss strategies for effective client teachings. Recognize of impending complications of pregnancy and discus interventions to decrease morbidity and mortality. Identify complications of pregnancy and describe fetal surveillance tests to evaluate fetal well being. Plan nursing assessments and interventions for the woman experiencing complications of pregnancy. Recognizing Signs and Symptoms of Danger During Pregnancy Caring for the Woman Experiencing Complications During Pregnancy -Prenatal Loss -Hemorrhagic Disorders -Preterm Labor -Premature Rupture of Membranes -Hypertensive Disorders of Pregnancy DIC -Multiple Gestation -Infections -Inflammatory Diseases -Rh Isoimmunization -Cardiovascular -Diabetes Psychiatric Complications During Pregnancy Substance Abuse Antepartum Nursing Assessment -Chorionic Villus Sampling -Percutaneous Umbilical Sampling -Amniocentesis -Ultrasonography Describe prenatal tests done and rationale for test: (When are done?) -Alpha FetoProtein -Ultrasound -Glucose screen -Fetal fibronectin Describe the following tests, when they are done, and the significance of the results. -Kick Count -NST -BPP Hesi Text book ATI Videos Case studies online at Evlolve.com ATI unproctored test Pearson Hall Real Nursing Skills Maternal-Newborn & Women’s Health Nursing Skills: Prenatal Care Videos 2 (cont) -Kick Counts -Fetal Biophysical Profile Homework Reflection:
CLO 4, 5 CLO 2, 4,5, 7, 10 Identify assessment modalities for evaluating fetal well-being. Discuss partner common during pregnancy and plan nursing interventions when abuse is suspected. -Nonstress Test -Acoustic Stimulation -Contraction Stress Test Intimate Partner Violence During Pregnancy What are the characteristics of reassuring and FHR patterns by EFM? 3 CLO 3, 4 CLO 3, 4 CLO 4, 5 CLO 4, 5 CLO 4, 9, 10 CLO 4, 6 Discuss normal physiological processes of and birth. Discuss the stages of labor and birth and common responses of women to the birthing process. Identify nursing interventions and patient teachings to facilitate the birthing process. Recognize reassuring and non-reassuring FHR patterns, and provide appropriate nursing interventions. Discuss the nurse’s role in conjunction with other care providers in providing care for women in labor and during obstetric emergencies. Analyze concepts and research findings in regards to ensuring maternal-fetal safety while promoting labor and comfort during labor and birth. The Experience: Intrapartum Nursing Care Labor & Birth Processes (Four Stages of Labor) Nursing Care During Labor Ensuring Culture-Centered care Assessment of Fetal Heart Rate Birth-Related Procedures and Cesarean Section Uterine Medications: Oxytocics&Tocolytics Pain Management During labor -Nonpharmacological Measures -Pharmacological Measures ASSIGNMENT: *Homework Case Study #2 Due Evolve online: Pre-Eclampsia Clinical Group 2: Describe labor pain relief options, rationale for use, and contraindications for each. -Epidural &Spinal -General -Local -IV Medication Describe the medication, it’s indication, and contraindications: -Cervidil -Pitocin -Methergine -Hemabate -Duramorph Exam#1(covers week 1 & 2 lectures) Ward &Hisley: Chapter 12, 13, 14 ATI Content Mastery Series Nursing ATI Other Student Resources Include: HESI Textbook ATI Videos: Intrapartum Case Studies online at EVOLVE.com ATI unproctored test Newborn
CLO 4, 5 Provide nursing interventions during postpartum emergencies. Newborn metabolic screen Hearing screen Describe the following community resources: WIC Early Intervention Programs Pearson Hall Real Nursing Skills Maternal-Newborn & Women’s Health Nursing Skills: Videos 4 (cont) CLO 4, 5, 7,9, 10 CLO 8 CLO 8, 9,10 CLO 4, 5 CLO 4, 5 CLO 4,5, 6 CLO 4, 5 Plan a holistic nursing care for the postpartal woman and her family including strategies for home follow-up care. Implement nursing plan to promote optimal breastfeeding or formula feeding outcomes for the mother and her infant. Design comprehensivepostpartal discharge planning and teaching. Identify and describe physical assessment norms for neonates. Discuss normal neonatal patterns of behavior during the first several hours after birth. Identify the components of the immediate newborn care to promote bonding and prevent neonatal complications. Provide nursing care for high-risk newborns and newborn complications. Postpartum Hemorrhage, Hematomas and Infection Recovery and Self-care During Puerperium Postpartum Depression/Psychosis Facilitating Infant Nourishment: Making Informed Choices Community Resources for the New Family Newborn Physiologic Responses to Birth Nursing Assessment of Newborn Newborn Care: Normal Newborn Care: High Risk Other Student Resources Include: ATI Videos Tests online at ATI or HESI EVOLVE
5 CLO 1 CLO 9 CLO 4, 5,9 CLO 7 Interpret how the Healthy People 2020 Objectives will improve the health and welfare of the pediatric population and their families. Describe the role of the nurse, using Gordon’s 11 Functional Health Patterns, in the care of the pediatric client and the expanding family. Analyze the central role of therapeutic care relationship in providing nursing care to pediatric clients in all care settings and situations. Evaluate the impact of cultural, ethical, legal, gender, and economic issues related to the health care of pediatric populations and their families. PEDS Using Gordon’s conceptual framework, the nursing process, evidenced based practice, therapeutic communication, teaching/learning and role development in the therapeutic care of pediatric patients: Developing Child Child in Hospital and Community Family across care setting with Psychosocial or Cognitive Condition Ward &Hisley Chapters 20, 21, 22 and 23 Other Student Resources Include: HESI Textbook Evolve Elsevier Case Studies and Practice Tests Pearson Real Nursing Clinical Videos Clinical Companion Resource 6 CLO 4, 5 CLO 1, 7 Analyze potential and actual problems to the health and well being of children and families and plan age-appropriate nursing interventions for selected cases, including high risk cases. Describe major health promotion and disease prevention concepts for children and families across the life cycle. Using Gordon’s conceptual framework, the nursing process, evidenced based practice, therapeutic communication, teaching/learning and role development in the therapeutic care of pediatric patients: Child with a respiratory condition Child with gastrointestinal condition with immunological or infectious condition Child with cardiovascular condition Ward &Hisley Chapters 24, 25, 26 and 27 HESI Case studies on : Cystic Fibrosis RSV Bronchiolitis lip and cleft palate Congenital heart disease