COURSE OUTLINEI. HEALTH PERCEPTION HEALTH MANAGEMENT PATTERNA. Care of Clients with Cancer1. Incidence and Mortalitya. Risk factors. Pat!o"!ysiolo#ya. Nor$al cell #ro%t!&. T!e Cell Cycle'. Etiolo#ya. T!eories of Carcino#enesis&. (no%n Carcino#ensc. Ty"es of Neo"las$sd. C!aracteristics of $ali#nant cellse. T)$or in*asion and $etastasis+. Psyc!o"!ysiolo#ic E,ects of Cancera. -isr)"tion of .)nction&. He$atolo#ic Alterationsc. Infectiond. He$orr!a#ee. Anore/ia Cac!e/ia 0yndro$e f. Paraneo"lastic 0yndro$e#. Pain!. P!ysical 0tressi. Psyc!olo#ic 0tressB. Nursing Care of Clients with Cellular Aberration1. Assess$enta. 0)&1ecti*ea.1. Risk .actors !eredity2 a#e2 #ender2 "o*erty2 stress2 diet2 occ)"ation2 infection2 to&acco )se2 alco!ol )se2 recreational dr)# )se2 o&esity2 s)n e/"os)rea.. Healt! History&. P!ysical Assess$ent. N)rsin# -ia#nosisa. Risk for infection as e*idenced &y tiss)e tra)$a or i$"aired i$$)ne res"onse&. Ine,ecti*e Healt! Maintenance as e*idenced &y lack of "re*enti*e care or !ealt! screenin#c. Ine,ecti*e Protection as e*idenced &y i$"aired i$$)nity related to cancer t!era"y or HI3 diseased. Risk for tra)$a as e*idenced &y !i#! risk "ersonal &e!a*iors'. Plannin#a. Plannin# for Healt! Pro$otion and Maintenance Cancer Pre*ention and Control Pre*ention2 0creenin# and Early -etection A""roac!es to Cancer Pre*ention&. Plannin# for Healt! Restoration4 0)r#ery4 Radiation T!era"y4 C!e$ot!era"y4 I$$)not!era"y+. I$"le$entationa. P!ar$acolo#ical T!era"y anti neo"lastic dr)#s&. N)trition and -iet T!era"y AC0 -ietary G)idelines to Pre*ent Cancerc. Co$"le$entary T!era"ies 5otanical A#ents N)tritional 0)""le$ents -ietary Re#i$ens Mind 4 5ody Modalities Ener#y Healin# 0"irit)al A""roac!es Miscellaneo)s T!era"iesSHOC! S"STE#IC IN$LE##ATOR" RES%ONSE S"N&RO#E! AN& #ULTI%LE OR'AN &"S$UNCTIONSA. Shoc(1. Classi6cation of 0!ock. 0ta#es of 0!ock'. -ia#nostic 0t)dies+. Colla&orati*e Carea. General Meas)res4 O/y#en and 3entilation4 .l)id Res)scitation4 -r)# T!era"y4 N)tritional t!era"y&. 0"eci6c Meas)res7. N)rsin# Mana#e$enta. N)rsin# Assess$ent&. N)rsin# -ia#nosisc. Plannin#4 Healt! Pro$otion4 Restoration and Maintenanced. Ac)te Inter*entione. A$&)latory and Ho$e Care8. E*al)ationB. S"STE#IC IN$LA##ATOR" RES%ONSE S"N&RO#E AN& #ULTI%LE OR'AN &"S$UNCTION S"N&RO#E1. Etiolo#y. Pat!o"!ysiolo#y'. Clinical Manifestations of 0IR0 and MO-0+. N)rsin# and Colla&orati*e Mana#e$enta. Pre*ention and Control of Infection&. Maintenance of Tiss)e O/y#enationc. N)trition and Meta&olic -e$andsd. 0)""ort of .ailin# Or#ansRES%IRATOR" $AILURE AN& ACUTE RES%IRATOR" &ISTRESS S"N&RO#E1. Res"iratory .ail)rea. Etiolo#y and Pat!o"!ysiolo#y&. Clinical Manifestationsc. -ia#nostic 0t)diesd. N)rsin# and Colla&orati*e Care4 N)rsin# Assess$ent4 N)rsin# -ia#noses4 Plannin#94 Pre*ention4 RestorationRes"iratory T!era"y O/y#en T!era"y: $o&ili;ation of secretion: "ositi*e "ress)re *entilator4 -r)# T!era"y4 Medical s)""orti*e t!era"y4 N)tritional t!era"ye. E*al)ation. Ac)te Res"iratory -istress 0yndro$ea. Etiolo#y and Pat!o"!ysiolo#y&. Clinical Pro#ression and Manifestationc. Co$"licationsd. N)rsin# and Colla&orati*e Mana#e$ent4 N)rsin# Assess$ent4 N)rsin# -ia#noses4 Plannin#4Res"iratory T!era"y4 Medical 0)""orti*e T!era"yCritical CareA. He$odyna$ic Monitorin#1. Ter$inolo#y4 Cardiac O)t")t and cardiac Inde/4 Preload4 Afterload4 3asc)lar Resistance4 Contractility . Princi"les4 Referencin#4 %it! cell)lar a&erration2 t!e st)dents%ill &e a&le to )tili;e t!e n)rsin# "rocess to91. assessf)nctional stat)s of a client %it! cancer2. "rioriti;e n)rsin# dia#nosis &ased on assess$ent data2'. desi#n and "ro*e indi*id)ali;ed client andfa$ily teac!in# to restore2 "ro$ote2 and $aintain clientBs f)nctional !ealt! stat)s+. i$"le$ent a""ro"riate n)rsin# inter*entions d)rin# cancer dia#nosis2 treat$ent and re!a&ilitation27. ad$inister c!e$ot!era"e)tic $edications kno%led#ea&ly and safely28. incor"orate e*idence4&ased researc! into t!e "lan of n)rsin# care?. incl)de c)lt)ral I. HEALTH PERCEPTION HEALTH MANAGEMENT PATTERNA. Care of Clients with Cancer1. Incidence and Mortalitya. Risk factors. Pat!o"!ysiolo#ya. Nor$al cell #ro%t!&. T!e Cell Cycle'. Etiolo#ya. T!eories of Carcino#enesis&. (no%n Carcino#ensc. Ty"es of Neo"las$sd. C!aracteristics of $ali#nant cellse. T)$or in*asion and $etastasis+. Psyc!o"!ysiolo#ic E,ects of Cancera. -isr)"tion of .)nction&. He$atolo#ic Alterationsc. Infectiond. He$orr!a#ee. Anore/ia Cac!e/ia 0yndro$e f. Paraneo"lastic 0yndro$e#. Pain!. P!ysical 0tressi. Psyc!olo#ic 0tressB. Nursing Care of Clients with Cellular Aberration1. Assess$enta. 0)&1ecti*ea.1. Risk .actors !eredity2 a#e2 #ender2 "o*erty2 stress2 diet2 occ)"ation2 infection2 to&acco )se2 alco!ol )se2 recreational dr)# )se2 a. Lect)re -isc)ssion&. 3ideo cli" "resentationc. Pict)re Presentationd. Gro)" disc)ssionse. Read 5r)nner and 0)ddart!Bs Medical 4 0)r#ical N)rsin#2 "a#es ''8 '+8.f. Critical T!inkin# C)estionsT!e follo%in# *al)es s!all &e incor"orated91. Co$$it$ent to3incentian E/cellence. 0ocial Res"onsi&ility'. Res"ect for H)$an -i#nity+. Co$"assionate0er*ice7. Co$"etenceA !o)rs+ !o)rs1. Pa"er and "encil test. Graded recitation'. O)t")ts*ariation and di*erse *al)es in desi#nin# and i$"le$entin# indi*id)ali;ed "lans of careo&esity2 s)n e/"os)rea.. Healt! History&. P!ysical Assess$ent. N)rsin# -ia#nosisa. Risk for infection as e*idenced &y tiss)e tra)$a or i$"aired i$$)ne res"onse&. Ine,ecti*e Healt! Maintenance as e*idenced &y lack of "re*enti*e care or !ealt! screenin#c. Ine,ecti*e Protection as e*idenced &y i$"aired i$$)nity related to cancer t!era"yor HI3 diseased. Risk for tra)$a as e*idenced &y !i#! risk "ersonal &e!a*iors'. Plannin#a. Plannin# for Healt! Pro$otion and Maintenance Cancer Pre*ention and Control Pre*ention2 0creenin# and Early -etection A""roac!es to Cancer Pre*ention&. Plannin# for Healt! Restoration4 0)r#ery4 Radiation T!era"y4 C!e$ot!era"y4 I$$)not!era"y+. I$"le$entationa. P!ar$acolo#ical T!era"y anti neo"lastic dr)#s&. N)trition and -iet T!era"y AC0 -ietary G)idelines to Pre*ent Cancerc. Co$"le$entary T!era"ies 5otanical A#ents N)tritional 0)""le$ents -ietary Re#i$ens.or$)lation of NCPRead "a#es '+8 '7D of 5r)nner+ !o)rs+ !o)rsA !o)rs Mind 4 5ody Modalities Ener#y Healin# 0"irit)al A""roac!es Miscellaneo)s T!era"iesGi*en an ad)lt client =yo)n#2 $iddle2 old2 old4old ad)lt> %it! ac)te res"onses to Ac)te 5iolo#ic Crisis2 t!e st)dents %ill &e a&le to91. a""ly kno%led#e of nor$al anato$y and "!ysiolo#y and assess$ent tec!niE)es in carin# for clients %it!ac)te &iolo#ic crisis2. assess t!e !ealt! stat)s of a client9a. cond)ct a !ealt! !istory and .)nctional Healt! 0tat)s of clients at risk for or %it! ac)te &iolo#ic crisis&. inter"ret de*iations fro$ nor$al 6ndin#s in "!ysical assess$ent2 and dia#nostic and la&oratory e/a$inations2 c. $onitor res)lts of dia#nostic tests andre"ort a&nor$al 6ndin#s'. )tili;e t!e assessed data to9SHOC! S"STE#IC IN$LA##ATOR" RES%ONSE S"N&RO#E! AN& #ULTI%LE OR'AN &"S$UNCTIONSA. Shoc(1. Classi6cation of 0!ock. 0ta#es of 0!ock'. -ia#nostic 0t)dies+. Colla&orati*e Carea. General Meas)res4 O/y#en and 3entilation4 .l)id Res)scitation4 -r)# T!era"y4 N)tritional t!era"y&. 0"eci6c Meas)res7. N)rsin# Mana#e$enta. N)rsin# Assess$ent&. N)rsin# -ia#nosisc. Plannin#4 Healt! Pro$otion4 Restoration and Maintenanced. Ac)te Inter*entione. A$&)latory and Ho$e Care8. E*al)ationB. S"STE#IC IN$LA##ATOR" RES%ONSE S"N&RO#E AN& #ULTI%LE OR'AN &"S$UNCTION S"N&RO#E1. Etiolo#y. Pat!o"!ysiolo#y'. Clinical Manifestations of 0IR0 and MO-0+. N)rsin# and Colla&orati*e Mana#e$enta. Pre*ention and Control of Infection&. Maintenance of Tiss)e O/y#enationa. Lect)re -isc)ssion&. 3ideo cli" "resentationc. Pict)re Presentationd. Gro)" disc)ssionse. Read "a#es '1' '' of 5r)nner.a. Lect)re -isc)ssion&. 3ideo cli" "resentationc. Pict)re Presentationd. Gro)" disc)ssionsT!e follo%in# *al)es s!all &e incor"orated91. Co$"assionate. Co$"etence'. Co4res"onsi&ility+. Res"ect for H)$an -i#nity7.Co$$it$ent to 3incentian E/cellenceT!e follo%in# *al)es s!all &e incor"orated91. Co$"assionate. Co$"etence+ !o)rs+ !o)rsa. "rioriti;e n)rsin# dia#nosis&. disc)ss t!e "at!o"!ysiolo#ical res"onses to ac)te &iolo#ic crisisc. "lan of care of clients)tili;in# e*idence4&asedn)rsin# researc!d. ac!ie*e t!e &est clinical o)tco$es )tili;in# et!ico $oral and le#al "rinci"lese. "lan e,ecti*e caref. i$"le$ent indi*id)ali;ed n)rsin# care safely and kno%led#ea&ly ad$inister "rescri&ed $edications and treat$ents alternati*e and co$"le$entary treat$ents2 #. acti*ely "artici"ate in"lannin# and coordinatin# c)lt)rally sensiti*e interdisci"linary care!. "ro*ide a""ro"riate client ed)cation and !ealt! $aintenance andco$$)nity4&ased care of clients eFciently ande,ecti*ei. e,ecti*ely )tili;e a*aila&le reso)rces in c. N)trition and Meta&olic -e$andsd. 0)""ort of .ailin# Or#ansRES%IRATOR" $AILURE AN& ACUTE RES%IRATOR" &ISTRESS S"N&RO#E1. Res"iratory .ail)rea. Etiolo#y and Pat!o"!ysiolo#y&. Clinical Manifestationsc. -ia#nostic 0t)diesd. N)rsin# and Colla&orati*e Care4 N)rsin# Assess$ent4 N)rsin# -ia#noses4 Plannin#94 Pre*ention4 RestorationRes"iratory T!era"y O/y#en T!era"y: $o&ili;ation of secretion: "ositi*e "ress)re *entilator4 -r)# T!era"y4 Medical s)""orti*e t!era"y4 N)tritional t!era"ye. E*al)ation. Ac)te Res"iratory -istress 0yndro$ea. Etiolo#y and Pat!o"!ysiolo#y&. Clinical Pro#ression and Manifestationc. Co$"licationsd. N)rsin# and Colla&orati*e Mana#e$ent4 N)rsin# Assess$ent4 N)rsin# -ia#noses4 Plannin#4Res"iratory T!era"y4 Medical 0)""orti*e T!era"yCritical CareA. He$odyna$ic Monitorin#1. Ter$inolo#y4 Cardiac O)t")t and cardiac Inde/4 Preload'. Co4res"onsi&ility+. Res"ect for H)$an -i#nity7.Co$$it$ent to 3incentian E/cellence+ !o)rs !o)rs8 !o)rst!e care of clients to ac!ie*e o)tco$es.4 Afterload4 3asc)lar Resistance4 Contractility. Princi"les4 Referencin#4 Pa"er and "en E)i;D. for$)late a""ro"riate n)rsin# dia#noses for eac! disorder.1K. for$)late 0MART o&1ecti*es and o)tco$e criteria.11. en)$erate a""ro"riate n)rsin# inter*entions for eac! disorder.1. de6ne eac! "rinci"le of $odalities of $ana#e$ent.1'. cite e/a$"les of eac! "rinci"le.NON4IN3A0I3E4Hrinalysis4C and 04L4rayIN3A0I3E4C5C4Antistre"tolysin titer45io"sy45lood C!e$istry4L)$&ar ta"4ELI0A4@estern &lot4I$$)noelectro"!oresis&. N)rsin# -ia#noses Ta/ono$yI-e*elo"$ent of O)tco$e Criteria4I$"aired skin inte#rity4Acti*ity Intolerance4Potential for Infection4-ist)r&ances in 0elf4Conce"tGro)" for$)lation ofN)rsin# Care PlanIndi*id)al NCP $akin# %it! t!e 7 5E0T n)rsin# inter*entions1+. identify t!e "!ar$acolo#ic $ana#e$entfor i$$)nolo#ic disorders.17. identify t!e $ec!anis$ of action2 indication2 contraindication2 ad*erse e,ects and side e,ects of eac! dr)#.18. en)$erate t!e n)rsin# res"onsi&ilities a""ro"riate for eac! "!ar$acolo#ic $ana#e$ent1?. de6ne eac! ty"e of s)r#ical and s"ecial "roced)re.1A. en)$erate a""ro"riate n)rsin# res"onsi&ilities "erio"erati*ely.4Ine,ecti*e .a$ily Co"in#40ocial Isolationc. Princi"les of 3ario)s Modalities of Mana#e$ent4!ealt! "ro$otion4disease "re*ention4c)rati*e4restorati*e5. Inter-entiona. P!ar$acolo#ic Actions4T!era"e)tic )se2side e,ects2 indications2 contraindication2 n)rsin# res"onsi&ilitiesGAnti&ioticsGAntif)n#al a#entsGAntic!oliner#ic a#entsGAdrener#ic a#entsGAnti4inJa$$atory a#entsGCorticosteroids1 *ers)s +7 =fro$ 1 *ers)s 1 $illion #a$e>P!oto "resentation of n)rsin# "roced)resPa"er and "en E)i;1D. de6ne t!e follo%in#9a. Hni*ersal Preca)tion&. Re*erse Isolationc. Medical Ase"sisd. 0)r#ical Ase"sisK. de$onstrate t!e "ro"er tec!niE)e of eac! "roced)re.GI$$)nolo#ic a#entsG3accines&. N)rsin# Res"onsi&ilities for s"eci6c s)r#ical and s"ecial "roced)res4T!yroidecto$y4Incision and -raina#e2 etc.4 0afe and co$"re!ensi*e "erio"erati*e n)rsin# careGAssess$ent and care d)rin#t!e "erio"erati*e "eriodGTec!niE)es in assistin# t!e s)r#ical tea$ d)rin# t!e o"erationGPrinci"les of safety2 co$fortand "ri*acy d)rin# t!e "erio"erati*e "eriodGN)rsin# res"onsi&ilities d)rin# t!e "erio"erati*e "eriod 0)r#ical Proced)res4de&ride$ent2 incision and draina#e2 e/cision0"ecial Proced)res0i$)lationLect)re de$onstrationPa"er and "en E)i;Ret)rn de$onstration1. identify t!e di,erent et!ical concerns in "atient care.. for$)late a disc!ar#e "lan s"eci6c for eac! disorder.'. identify t!e #)idelines in acc)rate recordin# and doc)$entation.4Hni*ersal Preca)tion4Re*erse Isolation4Medical Ase"sis40)r#ical Ase"sis6. Ste1s31ointers in 2ecision .a(ing an2 1rioriti7ation with client3s ha-ing 1roble.s in in8a..ator/an2 i..unologic reaction9. Client! fa.il/! co..unit/ e2ucationa. 5ioet!ics9 Princi"les and a""lication of &ioet!ics in t!e care of t!e clients4PatientBs ri#!ts4Con6dentiality4T!e Infor$ed Consent4Ad*ance -irecti*e4Iss)es in "atients %it! AI-0Role4"lay&. A""ro"riate disc!ar#e "lan incl)din# !ealt! ed)cationc. Acc)rate recordin# and doc)$entationRE$ERENCESConte$"orary Medical40)r#ical N)rsin# &y Rick -aniels2 La)rel Nosek and Leslie Nicol O KK?Medical40)r#ical N)rsin# Critical Thinking in Client Care &y Priscilla LeMone and (aren 5)rke +t! edition O KKAMedical40)r#ical N)rsin# Assessment and Management of Clinical ProblemsMedical40)r#ical N)rsin# &y 5r)nner and 0)ddart! KKAMedical40)r#ical N)rsin# Critical Thinking for Collaborative Care &y I#nata*ici)s and @ork$an Pre"ared &y9 Ma. Et!el 5. 5er#antinos2 RNRo& Ryan T. -)a#2 RNHa;el Roda A. EstorE)e2 RNNi$$ellee Ellen P. Olilan#2 RNEdrelyn A. 3ent)ran;a2 RNCLINICAL INSTRUCTORS Recei*ed and A""ro*ed &y9Sr. E2itha A. Baga/aua! &C! RN! #AN-ean2 Colle#e of N)rsin#