University of Puerto Rico Medical Sciences Campus School of Nursing Undergraduate Program Course Overview

Course Number Course Title

Nursing 4150 The Nursing Process with the Adult and Families confronting Normal Crisis and Disruptions of Health

Number of credits

6 credits semester, includes: Theory: 2 hours weekly Laboratory Skills: 2 hours weekly Clinical Practice: 8 hours weekly Seminar: 2 hours weekly First Semester, Fourth Year

Placement in curriculum

Pre-requisite courses

All First and Second Year require courses NSG 4125-Principles of Pharmacotherapy NSG 4006-Alterations in Normal Physiology NSG 4136-The Nursing Process with the Human Being in Primary Care NSG 4137-The Nursing Process with the Families in Normal Crisis of Pregnancy and Disruptions of Health of Children and Adolescent NSG 4147-The Nursing Process with Individuals, Families and Groups with Mental Health the Interferences

Faculty Justification of the course

As assigned according to area of clinical specialty. This course was designed to provide learning experiences that develop intellectual, interpersonal skills and nursing techniques essential for therapeutic interventions with adults. The location of this course will facilitate the integration of knowledge and nursing principles previously acquired in other courses. The student will be able to apply nursing process and utilize critical judgment in decision making to solve problems when

caring adults in medical surgical area at primary, secondary and tertiary levels. Course Description In this course the student utilizes the cognitive, affective and psychomotor skills required for the ministering of comprehensive nursing care to the adult. Learning experiences are geared towards the integration of knowledge about the structural and physiological alterations that interfere with adult homeostasis during the sub-stages that comprise adulthood. Learning experiences are provided so that the student develops: acknowledgment in the application of the nursing process, communication skills, critical thinking and therapeutic interventions in the ministration of care.

The student examines the biological, physiological, spiritual and social changes characteristic to this stage of growth and development as the basic elements in the therapeutic intervention. Ethical and legal aspects to be considered throughout the intervention are also examined, as well as the need for emphasis on self-care especially during the middle years and late adulthood.

Course contents in organized around theory, skills laboratory, clinical seminars and clinical experience. Second and tertiary level health agencies are used as laboratory for clinical experience. Competence and Terminal Objectives C1 Integrate the knowledge of the process of life. T1 Analyzes adulthood as a phase of growth and development of the human being. T2 Examines the physiological, social, psychological and spiritual changes of the adult as part of the process of aging. T3 Valorize ethical and legal aspects to be considered in the ministering of nursing care. C2 Utilize effectively the nursing process in the ministering of care to the adult. T4 Utilize the principles of the therapeutic communication in the nurse client interaction.

T5 Assesses the problems that threaten the integrity of the adult patient which demands nursing intervention. T6 Develop the nursing care plan according to the identified nursing diagnosis. T7 Implement the nursing care plans based on the scientific, humanistic nursing knowledge and relevant research when intervenes as a generalist nurse with adult client. T8 Evaluate the effect of nursing interventions in the client health states. C3 Assumes the leadership role when making decision in the management of direct care for the adult. T9 Identify alternatives of nursing care when analyze critically selected clinical nursing situations. T10 Demonstrate leadership skills when offering direct care to the adult. T11 Performs functions inherent to the role of the nurse generalist in the ministering of care. Topical Outline Unit I Holistic Dimension of the Adult as Result of the Aging Process A. Adult, Growth and Development Tasks. B. Comprehensive Evaluation of the Adult. C. Physical, Psychological, Social Spiritual Aspects. D. Dealing with the Process to Accept Dying. E. Ethical Legal Issues in Caring for the Adult. Unit II Essential Elements of Nursing Intervention with the Adult A. Intervention Goals. B. Discharge Plan. C. Continuity of Care (Hospice). D. Documentation of Care. Unit III Application of Nursing Process in the Adult with: A. Interferences in the Cardiovascular System. B. Management of the Client with Cardiorespiratory Arrest. C. Interferences in the Respiratory System. D. Interferences in Balance of Body Fluids. E. Interferences in the Gastrointestinal System. F. Interferences in the Endocrine System. G. Interferences in the Defense Mechanism (Burn Patient). H. Interferences in the Musculoskeletal System. I. Interferences in the Immunological System. J. Interferences in the Cellular System. K. Interferences in the Nervous system. L. Interferences in the Reproductive System.

Resources and teaching Strategies: Conferences Seminars Small groups discussions Clinical practice Independent study Films Demonstrations Video cassette Lectures Oral presentation Skills laboratory Study guides Modules ENUNCIADO DE ACOMODO RAZONABLE Espaol Todo estudiante que presente una condicin o situacin de salud que lo cualifique ante la ley para recibir acomodo razonable, tiene el derecho de hacer su solicitud por escrito al Decano, Decano Asociado o Decano Auxiliar de Asuntos Estudiantiles de su Facultad, siguiendo el procedimiento establecido en el documento Proceso de Tramitacin de Acomodo Razonable del Recinto de Ciencias Mdicas. Copia de este documento se obtiene en el Decanato de Estudiantes del RCM localizado en el segundo piso del edificio de Farmacia, en cada Facultad, y en la pgina ciberntica del RCM. La solicitud no exime al estudiante de cumplir con los requisitos acadmicos de los programas de estudio. Ingls Students with a health condition or situation that, according to the law, makes them eligible for reasonable accommodation have the right to submit a written application to the Dean, Associate Dean or Assistant Dean for Students Affairs of their Faculty, according to the procedure established in the document Submittal Process for Reasonable Accommodation of the Medical Sciences Campus. This document may be obtained at the Deanship of the Dean for Student Affairs of the MSC, at each Faculty, and the MSC web page. The application does not exempt students from complying with the academic requirements pertaining to the programs.

Integridad Acadmica La Universidad de Puerto Rico promueve los ms altos estndares de integridad acadmica y cientfica. El Artculo 6.2 del Reglamento General de Estudiantes de la UPR (Certificacin JS 13 2009-2010) establece que la deshonestidad acadmica incluye, pero no se limita a: acciones fraudulentas, la obtencin de notas o grados acadmicos valindose de falsas o fraudulentas simulaciones, copiar total o parcialmente la labor acadmica de otra persona, plagiar total o parcialmente el trabajo de otra persona, copiar total o parcialmente las respuestas de otra persona a las preguntas de un examen, haciendo o consiguiendo que otro tome en su nombre cualquier prueba o examen oral o escrito, as como la ayuda o facilitacin para que otra persona incurra en la referida conducta. Asimismo, la conducta fraudulenta se refiere a la conducta con intencin de defraudar, incluyendo pero sin limitarse a, la alteracin maliciosa o falsificacin de calificaciones, expedientes, tarjetas de identificacin u otros documentos oficiales de la UPR o de cualquier otra institucin. Cualquiera de estas acciones estar sujeta a sanciones disciplinarias en conformidad con el procedimiento disciplinario establecido en el Reglamento General de Estudiantes de la UPR vigente.

Academic Integrity The University of Puerto Rico promotes the highest standards of academic and scientific integrity. Article 6.2 of the UPR Student Bylaws (Certification JS 13 20092010) states that "academic dishonesty includes but is not limited to: fraudulent actions, obtaining grades or academic degrees using false or fraudulent simulations, copying totally or partially academic work from another person, plagiarizing totally or partially the work of another person, copying totally or partially responses from another person to examination questions, making another person to take any test, oral or written examination on his/hers behalf, as well as assisting or facilitating any person to incur in the aforementioned conduct". Fraudulent conduct refers to "behavior with the intent to defraud, including but not limited to, malicious alteration or falsification of grades, records, identification cards or other official documents of the UPR or any other institution." Any of these actions shall be subject to disciplinary sanctions in accordance with the disciplinary procedure, as stated in the existing UPR Student Bylaws.

Rev. NM/IR/SP/ND/MA/LF/2010 Rev. IR/NM/CMA/mre/2011 Rev. NMJ/MAH/RBRL/LIL/LFH/lil/2013

References Books: Bickley L.S. & Szilargyi. P.G.(2009). Bates guide to physical examination and history tacking (10 ed.). Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins. Carpenito, L.J. (2013). Nursing diagnosis: Application to clinical practice (14 ed.). Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins. Daniels, R. & Nicoll, L. (2012). Contemporary medical-surgical nursing (2 ed.). New York: Cengage. Fischbach, F. & Dunning III, M.B. (2009). A manual of laboratory and diagnostic tests (8 ed.). Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins. Holloway, N. (2004). Medical surgical care planning (4 ed.). Philadelphia: Lippincott Williams & Wilkins. Honan, L. (2013). Focus on adult health medical surgical nursing. Philadelphia: Wolters Kluwer/Lippincott William & Wilkins Kee, J.L., Paulanka, B.J., Polek, C. (2010). Fluids and electrolytes with clinical applications: A programmed approach (8 ed.). New York: Delmar-Cengage Learning. Lewis, S., Dirksen, S., Heitkemper, M., Bucher, L., & Camera, I. (2011). Medical-Surgical Nursing: Assessment and Management of Clinical Problems (8 ed.). St. Louis: ElsevierMosby. Lynn, P. (2011). Taylors Clinical nursing skills: A nursing process approach (3 ed.). Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins. McQuillan, K.A., Flynn Makic, M.B., & Whalen, E. (2009). Trauma nursing: From resuscitation through rehabilitation (4 ed.). St. Louis: Saunders-Elsevier Nursing 2012 Drug Handbook (32 ed.). Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins. Rinehart, W., Sloan, D. & Hurd, C. (2011). NCLEX-RN exam prep. U.S.A.: PearsonEducation Inc. Smeltzer, S.C., Bare, B.G., Hinkle,J.L., & Cheever, K.H. (2010). Brunner and Suddarths textbook of medical-surgical nursing (12th ed.). Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins. Smith, S.A., Duell, D.J., & Martin, B.C. (2012). Clinical nursing skills: Basic to advanced skills (8 ed.) Boston: Pearson Education Inc.
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Taylor, C.R, Lillis, C., LeMone, P., & Lynn, P. (2011). Fundamentals of nursing: The art and science of nursing care (7 ed.). Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins. Electronic References Guideline Ostomy care and management. Registered Nurses' Association of Ontario (RNAO). Ostomy care and management. Toronto (ON): Registered Nurses' Association of Ontario (RNAO); 2009 Aug. 115 p. [101 references]. Retrieved from: http://guidelines.gov/content.aspx?id= 15613&search=Preoperative+care Sherman, R.O. (2012, July 23). Why Teams Fail? Retrieved from http://www.emergingrnleader.com/whyteams-fail/ Sherman,R.O. (2012, July 19). How to do Nursing Presentations like a Pro. Retrieved from http://www.emergingrnleader.com/how-to-do-nursing-presentations-like-apro/
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