Nursing Care of Adults with
Acute and Chronic Illness II
Course Description and Objectives
This course focuses on the inter-professional care of adult
patients experiencing acute and chronic health alterations that require medical
and/or surgical intervention. Emphasis is placed on the care of patients with
alterations in selected body functions: hematology, renal and genitourinary,
gastrointestinal, musculoskeletal, neurological systems, as well as fluid and
electrolyte balance, acid-base balance, and oncology care. Concepts of
patient-centered care, evidence based practice, informatics, safety, patient
education, teamwork and collaboration, leadership, systems-based practice, and
professionalism are integrated throughout the course. The Neuman Systems Model
and nursing process guide the student in holistic nursing practice for
achievement of optimal patient outcomes.
Prerequisites: NRS 220, 221; Corequisites: NRS 223
At the end of this course students will be able to:
1. Describe common health deviations from normal, in the adult patient, that contribute to complex alterations in health, and the stress reactions associated with the deviations.
2. Identify commonly prescribed nursing interventions that include cultural, spiritual, and developmentally appropriate considerations and health promotion recommendations for adult patients with complex medical-surgical health alterations.
3. Explain principles of nursing care related to adult patients and families of those experiencing moderate health care deficits in the renal, gastrointestinal, genitourinary, musculoskeletal, and neurological systems; and the patient with oncology and hematology related disorders.
4. Apply knowledge of pharmacology, pathophysiology, and nutrition in the provision of care for adult and older adult patients with common/uncomplicated alterations in health.
5. Apply the nursing principles utilizing the Neuman Systems Model, Quality and Safety in Nursing Education (QSEN) competencies to address common medical-surgical illnesses of the genitourinary, gastrointestinal, musculoskeletal, and neurological systems, and the patient with oncology and hematology related disorders.
Electrolytes, and Acid Base Imbalances
in Genitourinary and Renal Function
in Gastrointestinal System
in Neurological System
in Musculoskeletal System
in Hematology and Immunity
• Nursing Care
of the Oncology Patient
Technology is an essential part of our modern culture. Nursing is a blend of art and science, with change and advancements occurring constantly to improve patient outcomes. In this course you will be expected to expand your horizons, taking on new challenges, and begin the creation of your own digital identity through the use of CI Keys. You will be expected to regularly access our course site to follow our schedule, complete your weekly assignments, and read announcements. To complete the VoiceThread activities for this course, you will also log-in to CI Learn when instructed. It is my hope, and the goal of this course, that you leave with increased knowledge, skills, and attitudes you can apply in nursing practice as you continue to grow through this program
Key Course Assignments: (Described further on the course site)
- Student Contract/Survey (10 pt) (Due 9/2)
- CI Keys Domain (15; 15 pt) (Due 9/7; 12/08)
- 4 Exams (50 pt each) and Final (75 pt) (9/21, 10/12, 11/9, 11/30, 12/14)
- ATI Targeted Assessments Online x 5 (20 pt) (9/21, 10/12, 11/9, 11/30)
- PICO Paper (35 pt) (Due 11/2)
- Group Project/Presentation (50 pt) (Due: 12/02)
course includes ATI Targeted Assessments (6), but does not include a Proctored ATI
Exam. The points obtained will be based upon the first attempt of the ATI
Focused Review. Please see the student handbook for the ATI policy. You can earn up to 4 points per Targeted Assessment: 4 points for score >85%; 3 points for score 76-84%; 2 points for score < 76% with recommended focused review.
Hinkle, J.L. & Cheever, K. H. (2013). Brunner & Suddarth’s Textbook of Medical-Surgical Nursing (13th ed.). Philidelphia, PA: Lippincott, Williams, & Wilkins. ISBN 978-1451130607
ATI Fundamentals for Nursing Practice
Ackley, B. J. & Ladwig,
G. B. (2014). Nursing Diagnosis Handbook: An
Evidence-Based Guide to Care Planning, 10th ed. St. Louis, MO: Elsevier Saunders. ISBN 978-0323089210
Craven, R., Hirnle, C.,
& Jensen, S. (2013). Fundamentals of
Nursing: Human Health and Function, 7th ed. Philadelphia, PA: Wolters
Kluwer Health | Lippincott Williams & Wilkins. ISBN 978-1-60547-728-2
Neuman, B. & Fawcett, J. (2011). The Neuman Systems Model, 5th ed. Upper Saddle River, NJ: Pearson. ISBN 978-0135142776
Access regularly to computer with internet access and microphone. Computer and printing access is available in the library, or you can go to the library to request direction about accessible computer/printer resources available on campus.
Commitment to Integrity
As a student in this course
(and in this nursing program, at this university), you are expected to maintain
high degrees of professionalism, commitment to active learning and
participation in this class. You are also expected to maintain integrity in
your behavior in and out of the classroom.
Letter Grades are as follows:
(See Student Nurse Handbook)
F 64.9 and below
On a +/- grading scale C- is not considered passing the bottom of the scale is set at C 76% with no C- grades. There are no B+ or C+ grades.
- Assigned readings, discussions and challenges are to be completed in a timely manner prior to the due date/time.
- Students should attend all class sessions (unless there is an excused absence based on university policy).
- Students are expected to follow the Nursing Student Handbook guidelines and University Student Code of Conduct.
- We expect students to submit original work and adhere to the CSU Channel Islands Academic Dishonesty policy
- It is expected that you communicate with your instructor, especially if you have a concern, as early as possible.
Instructor Contact Information
Dr. Jaime Hannans, RN, PhD, CNE
1172 Solano Hall
Office Hours: (Online or In Person)
Wednesdays 1230-130 pm
or By Appointment
- Regular access to a computer (not a mobile device)
- Regular access to the internet
- A recently upgraded web browser
- Access to a computer with a microphone or webcam OR a smartphone (iOS or Android)
- Get more help through CI Technology and Communication Services
ATI has technology requirements as well.Please be sure to investigate the requirements for use prior to assignment due dates. You can find more information at the ATI website where there are also student tutorials under "How To"
If you run into technical problems in this course, you should do the following:
- Clear your browser’s cache
- Try a different browser (Internet Explorer, Firefox, Safari or Chrome)
- Shut down and restart your computer
CSU Channel Islands is
committed to equal educational opportunities for qualified students with
disabilities in compliance with Section 504 of the Federal Rehabilitation Act
of 1973 and the Americans with Disabilities Act (ADA) of 1990. The mission of
Disability Resource Programs is to assist students with disabilities to
realize their academic and personal potential. Students with physical,
learning, or other disabilities are encouraged to contact Disability
Resource Programs at (805) 437-3331 for personal assistance and accommodations.
If you are a student with a
documented disability who will require accommodations in this course, please
register with Disability Resource Programs located in the Educational Access
Center, Bell Tower 1541, or call (805) 437-3331 for assistance with developing a plan
to address your academic needs. Faculty, students and Disability Resource
Programs will work together regarding classroom accommodations. Please discuss
approved accommodations with faculty.