Department of Nursing
Spring Quarter 2000
N623: Assessment and Management of Family Health Care II

1. Course Description
2. Prerequisite
3. Course Objectives
4. Teaching Strategies
5. Credit
6. Evaluations
7. Required Textbooks
8. Topical Outline

Course Description:

Family Nurse Practitioner concepts, skills, and care in assessment, intervention and management of individuals in primary care and community based settings. Health promotion, disease prevention, and management of care of individuals with chronic health needs across the life span. Development of protocols and algorithms for intervention and management with emphasis on health maintenance. Application of pathophysiological concepts to clinical practice. Supervised clinical practice in primary care settings with emphasis on care of clients/patients of all ages.

Prerequisite:

Classified status in the MS degree program in nursing and the nurse practitioner option or post-master's certificate classification. Nursing 605.

Credit:

Lecture: 4 units; Laboratory: 4 units (120 clinical hours)*

Course Objectives:
Upon successful completion of N623, the student will:

1. Assess the health needs of individuals with chronic illnesses in various stages of the life cycle.
2. Demonstrate critical thinking skills in diagnosing and managing clients/patients with chronic illness.
3. Perform complete health assessments on clients/patients with chronic health problems.
4. Interpret health assessment data to establish nursing/medical diagnoses.
5. Formulate a plan of care specific to the needs of clients/patients with chronic illness.
6. Decide on the most effective and therapeutic treatment intervention.
7. Use the principles of case management process to coordinate effective therapeutic interventions, referrals, and collaboration with other health care providers for clients/patients with chronic illness.
8. Analyze client and patient outcomes to identify the effectiveness of treatment, the need for change, and the health status of client/patient.

Teaching Strategies:

Lecture/group discussion
Clinical laboratory practice (clinics, physician's office)
Audio-visual

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*Eight of the 120 hours are designated for clinical conference; 112 hours of on-site clinical practice hours are required.

Evaluations:

Journal article review (9) (1 per week prior to lecture)	18%
SOAP note (1) (case presentations based on SOAP note)	10%
Case study analysis (5)	30%
Unit Study Guides (3)	12%
Written tests (2)	30%
Clinical journal entries (9)	P/F*
Preceptor Evaluation (preceptor -> student); Site Evaluation; Evaluation of Preceptor (student -> preceptor)	P/F**

Required Textbooks:

Colyar, M., & Ehrhardt, C. (1999). Ambulatory care procedures for the nurse practitioner. Philadelphia: Davis.***

DiGuiseppi, C., Atkins, D., & Woolf, S. (Eds.) (1996) Clinical preventive services: Report of U.S. Preventive Services Task Force (2nd ed.). Philadelphia: Williams & Wilkins.***

Dunphy, L. M. (1999). Management guidelines for adult nurse practitioners. Philadelphia: Davis.*

Feldman, M. D., & Christensen, J. F.(1997). Behavioral medicine in primary care: A practical guide. Stamford, CT: Appleton & Lange.

Fischbach, F. T. (1999). A manual of laboratory & diagnostic tests (6th ed.). Philadelphia: Lippincott.***

Fitzpatrick, T., Johnson, R., Polano, M., Surmond, D., & Wolff, K. (1998). Color atlas and synopsis of clinical dermatology . (3rd ed.). New York: McGraw-Hill.

Goroll, A. H., May, L. A., & Mulley, A. G. (1995). Primary care medicine: Office evaluation and management of the adult patient (3rd ed.). Philadelphia: Lippincott.

Hill, N. L., & Sullivan, L. (1999). Management guidelines for pediatric nurse practitioners. Philadelphia: Davis.***

Kumar, V., Cotran, R. S., & Robbins, S. L. (1997). Basic pathology. (6th ed.). Philadelphia: Saunders.

Tierney, L. M., McPhee, S. J., Papadakis, M. A. (2000). Current medical diagnosis and treatment. Stamford, CT: Appleton-Lange.***

*In addition to a log of clinical hours, the patient log, and a journal note (in SOAP format) students must submit a copy of a clinical documentation of a patient encounter (one/week of clinical documentaton for a total of 9)
**Must be submitted before course grade is posted.
***Required textbook in a previous course.

Topical Outline:

Unit I:		Advanced nurse practitioner role and responsibilities in chronic illness: Meaning and implementation
Unit II:		Assessment and management of the patient with stable, chronic illnesses
Unit III:		Assessment and management of patients with selected chronic illnesses

1. Cardiovascular system: Hypertension, hyperlipidemia, chest pain
2. Endocrine system: Type 2 DM, hyperthyroidism, hypothyroidism
3. Neurological system: Headache, dementia, seizure disorders
4. Gastrointestinal system: GERD, peptic ulcer disease, inflammatory bowel disease (colitis, Crohn's disease, diverticulitis/diverticulosis)
5. Oncological problems: Assessment and referral
6. Chronic depression, stress, substance abuse
7. Musculoskeletal system: Rheumatoid arthritis (juvenile/adult), osteoarthritis, gout, systemic lupus erythematosus, osteoporosis
8. Immunological disorders: Asthma/allergy
9. Pulmonary system: COPD
10. Genitourinary system: Chronic urinary tract infection, benign prostatic hypertrophy/prostatitis, early renal failure, impotence, stress incontinence