N623: Unit Objectives/Readings

Unit I: Advanced nurse practitioner role and responsibility in chronic illness: Meaning and implementation

Objectives:
Upon successful completion of this unit, the student will be able to:

  1. Identify how the nursing model differs from the medical model in approach to health care.
  2. Describe how the four essential concepts of nursing (person, environment, health, and nursing) apply to the role of the advanced practice nurse.
  3. Describe components of professional development and socialization in advanced practice nursing.

Readings/References:
Tierney, McPhee, & Papadakis-
Chapter 41: Diagnostic testing & medical decision making;
Chapter 42: Informatics in patient care: The internet, telemedicine, & clinical decision making.

Unit II: Assessment and management modalities of the patient with stable, common chronic illness

Objectives:
Upon successful completion of this unit, the student will be able to:

  1. Identify the skills essential to the management of chronic disease.
  2. Describe the role of professionals with specialized training in providing coordinated team approach to client/patient care.
  3. Describe the advantages and disadvantages of the team approach from the client's/patient's perspective.
  4. Utilize formal and informal communication among team members to optimize the patient/client empowerment and active involvement in their care.

Readings/References:

*-Handout

Unit III: Assessment and management of patients with selected chronic illnesses
A. Cardiovascular system: Hypertension, hyperlipidemia, chest pain
Objectives:
Upon successful completion of this unit, as it relates to each specified cardiovascular disorders (hypertension, hyperlipidemia, chest pain), the student will be able to:

  1. Describe the pathogenesis and pathophysiology.
  2. Recognize the distinguishing features of each.
  3. Perform complete health assessments on clients/patients.
  4. Interpret health assessment data to establish the diagnosis (signs, symptoms, and clinical laboratory data).
  5. Identify management goals and general measures of treatment.
  6. Describe the efficacy of various drug regimens.
  7. Describe the role of nutrition.
  8. Identify the signs and symptoms of complications.
  9. Formulate a plan of care specific to the needs of clients/patients
  10. Analyze patient outcomes to identify the effectiveness of treatment, the need for change, and the health status of the client.

Readings/References:

B. Endocrine system: Type II diabetes, hyperthyroidism hypothyroidism
Objectives:
Upon successful completion of this unit, as it relates to each specified endocrine disorders (Type II diabetes, hypoglycemia, hyperthyroidism, hypothyroidism), the student will be able to:

  1. Describe the pathogenesis and pathophysiology.
  2. Recognize the distinguishing features of each.
  3. Perform complete health assessments on clients/patients.
  4. Interpret health assessment data to establish the diagnosis (signs, symptoms, and clinical laboratory data).
  5. Identify management goals and general measures of treatment.
  6. Describe the efficacy of various drug regimens.
  7. Describe the role of nutrition.
  8. Identify the signs and symptoms of complications.
  9. Formulate a plan of care specific to the needs of clients/patients .
  10. Analyze patient outcomes to identify the effectiveness of treatment, the need for change, and the health status of the client.

Readings/References

  1. Fischbach, C peptide, glucagon, FBS, 2-HR PPBS, glycosylated hemoglobin, insulin, OGTT); thyroid function tests; thyroid scan; radioactive iodine uptake test.
  2. Goroll, May, & Mulley, Unit 7: Endocrine problems: Chapters 93, 102, 103, 104.
  3. Dunphy, Chapter 15: Endocrine and metabolic disorders (selective reading: diabetes mellitus -- Type 1 & 2, thyroid imbalance -- goiter, hyper/hypothyroidism).
  4. Lumar, Cotran, & Robins, Chapter 17: The pancreas; Chapter 20: The Endocrine System.
  5. Tierney, McPhee, & Papadakis, Chapter 26: Endocrinology (selective reading: common presentations in endocrinology, diseases of the thyroid gland; the parathyroids); Chapter 27: Diabetes mellitus and hypoglycemia.

C. Neurological system: Headache, Alzheimer's disease dementia, Parkinson's disease, epilepsy
Objectives:
Upon successful completion of this unit, as it relates to each of the selected neurological disorders (headache, epilepsy, Parkinson's disease, and dementia), the student will be able to:

  1. Describe the pathogenesis and pathophysiology.
  2. Recognize the distinguishing features of each (differential signs and symptoms).
  3. Perform complete health assessments on clients/patients.
  4. Interpret health assessment data to establish a diagnosis.
  5. Identify management goals and general measures of treatment.
  6. Describe the efficacy of various drug regimens.
  7. Describe the role of nutrition and surgery.
  8. Identify the signs and symptoms of complications.
  9. Formulate a plan of care specific to the needs of clients/patients.
  10. Analyze patient outcomes to identify the effectiveness of treatment, the need for change, and the health status of the client.

Readings/References:

D. Gastrointestinal system: Gastroesopahageal reflux disease (GERD), peptic ulcer disease (PUD), inflammatory bowel disease (colitis, Crohn's disease, diverticulitis)
Objectives:
Upon successful completion of this unit, as it relates to each specified gastrointestinal disorders (GERD, PUD, and IBD), the student will be able to:

  1. Describe the pathogenesis and pathophysiology.
  2. Recognize the distinguishing features of each (differential signs and symptoms).
  3. Perform complete health assessments on clients/patients.
  4. Interpret health assessment data to establish a diagnosis.
  5. Identify management goals and general measures of treatment.
  6. Describe the efficacy of various drug regimens.
  7. Describe the role of nutrition and surgery.
  8. Identify the signs and symptoms of complications.
  9. Formulate a plan of care specific to the needs of clients/patients .
  10. Analyze patient outcomes to identify the effectiveness of treatment, the need for change, and the health status of the client.

Readings/References:

E. Oncological problems: Assessment and referral
Objectives:

Upon successful completion of this unit, as it relates to oncological problems, the student will be able to:

  1. Describe the pathogenesis and pathophysiology of cancer.
  2. Identify primary and secondary prevention (early detection).
  3. Perform health assessments on clients/patients.
  4. Interpret health assessment data (signs, symptoms, and clinical laboratory data) indicative of undetected cancer and indicators of a need for referral.
  5. Identify management goals and general measures of treatment.
  6. Describe the efficacy of various treatment regimens.
  7. Describe the role of nutrition in treatment.
  8. Identify the signs and symptoms of complications and need for referral.

Readings/References:

F. Psychiatric disorders: Depression, anxiety/stress, and substance abuse
Objectives:
Upon successful completion of this unit, as it relates to each of the selected psychiatric disorders (depression, anxiety, stress and adjustment disorders, and substance abuse), the student will be able to:

  1. Differentiate between pathogenesis of each.
  2. Recognize the distinguishing features of each (differential signs and symptoms).
  3. Perform health assessments on clients/patients.
  4. Identify management goals and general measures of treatment.
  5. Describe the efficacy of various drug regimens.
  6. Describe the general principles of psychotherapy, psychosocial treatment techniques, and forms of counseling.
  7. Formulate a plan of care specific to the needs of clients/patients .
  8. Analyze patient outcomes to identify the effectiveness of treatment, the need for change, and the health status of the client.

Readings/References:

G. Musculoskeletal system: Rheumatoid arthritis (juvenile/adult), osteoarthritis, gout, systemic lupus erythematosus (SLE)
Objectives:
Upon successful completion of this unit, as it relates to each of the selected musculoskeletal disorders (rheumatoid arthritis, osteoarthritis, gout, systemic lupus erythematosus, osteoporosis), the student will be able to:
  1. Describe the pathogenesis and pathophysiology.
  2. Recognize the distinguishing features of each (differential signs and symptoms).
  3. Perform complete health assessments on clients/patients.
  4. Interpret health assessment data to establish a diagnosis.
  5. Identify management goals and general measures of treatment.
  6. Describe the efficacy of various drug regimens.
  7. Describe the role of nutrition and surgery.
  8. Identify the signs and symptoms of complications.
  9. Formulate a plan of care specific to the needs of clients/patients .
  10. Analyze patient outcomes to identify the effectiveness of treatment, the need for change, and the health status of the client.

Readings/References

H. Immunological disorders: Asthma/allergy
Objectives:
Upon successful completion of this unit, as it relates to allergic and immunological disorders, the student will be able to:

  1. Describe the pathogenesis and pathophysiology.
  2. Recognize distinguishing features of each disorder.
  3. Perform complete health assessments on clients/patients.
  4. Interpret health assessment data to establish the diagnosis (signs, symptoms, and clinical laboratory data).
  5. Identify management goals and general measures of treatment.
  6. Describe the efficacy of various drug regimens.
  7. Describe the role of nutrition.
  8. Identify the signs and symptoms of complications.
  9. Formulate a plan of care specific to the needs of clients/patients .
  10. Analyze patient outcomes to identify the effectiveness of treatment, the need for change, and the health status of the client.

Reading assignments

I. Pulmonary system: COPD, asthma
Objectives:
Upon successful completion of this unit, as it relates to each of the specified pulmonary disorders (COPD and asthma), the student will be able to:

  1. Describe the pathogenesis and pathophysiology.
  2. Recognize the distinguishing features of each .
  3. Perform complete health assessments on clients/patients.
  4. Interpret health assessment data to establish the diagnosis (signs, symptoms, and clinical laboratory data).
  5. Identify management goals and general measures of treatment.
  6. Describe the efficacy of various drug regimens.
  7. Describe the role of nutrition.
  8. Identify the signs and symptoms of complications.
  9. Formulate a plan of care specific to the needs of clients/patients .
  10. Analyze patient outcomes to identify the effectiveness of treatment, the need for change, and the health status of the client.

Readings/References

J. Genitourinary system: Chronic urinary tract infection, benign prostatic hypertrophy/prostatitis, early renal failure, impotence, stress incontinence
Objectives:
Upon successful completion of this unit, as it relates to each of the selected genitourinary disorders (chronic urinary tract infection, benign prostatic hypertrophy, prostatitis, renal failure, impotence, and stress incontinence), the student will be able to:

  1. Describe the pathogenesis and pathophysiology.
  2. Recognize the distinguishing features of each (differential signs and symptoms).
  3. Perform health assessments on clients/patients.
  4. Interpret health assessment data to establish a diagnosis.
  5. Identify management goals and general measures of treatment.
  6. Describe the efficacy of various drug regimens.
  7. Describe the role of nutrition and surgery.
  8. Identify the signs and symptoms of complications.
  9. Formulate a plan of care specific to the needs of clients/patients .
  10. Analyze patient outcomes to identify the effectiveness of treatment, the need for change, and the health status of the client.

Readings/References:


J. Robinson/March 2000