Course Description:

This course focuses on the management of common, self-limiting health problems seen in individuals and families throughout the lifespan. Applications of current research and theory based interventions appropriate for protocol based management by advanced registered nurse practitioners will be stressed. Strategies to manage common and self-limiting problems, in urban and rural patients, interventions to restore individual and family levels of pre-illness health, and positive health behaviors will be emphasized.

Relations with Other Content/Courses:

Admission to Graduate Nursing Program; Nurse Practitioner major; completion of NRSG 810 & 811. Advanced Assessment and NRSG 809, Health Promotion; and co-requisite enrollment in NRSG 815 practicum. Other prerequisite (or Co-requisite) courses include NRSG 750/751, Theory I and NRSG 812, Advanced Pathophysiology

Objectives:

  1. Apply assessment results, differential diagnosis techniques, and pathophysiological processes to the management of patients with common health problems.
  2. Develop protocols for management of common health problems across the lifespan.
  3. Establish priorities for management of common health problems.
  4. Synthesize components of problem solving and scientific method of inquiry as related to management of common health problems.
  5. Construct models for management of common health problems, including plan for referrals utilizing appropriate specialties, allied health, social/cultural, and community resources.
  6. Synthesize theory and research findings relevant to the implementation and evaluation of collaborative care for urban and rural populations of various cultures in ambulatory settings.

Class Format:

Teaching methods this class include case studies, readings with study questions, use of The Virtual Classroom, discussion, and various written assignments. Students are expected to complete the indicated preparatory activities for each module and come to the related class ready to actively participate in and contribute to discussion of cases. Punctuality to class meetings is also expected.

Assessment of Achievement:

  1. Attendance and Classroom Participation (5%)
  2. Protocols (20%)
  3. Case Studies (20%)
  4. Exam #1 (25%)
  5. Exam #2 (30%)

It is expected that all students will actively contribute to discussions and the learning process both in class and on-line. A grade of "U" for participation will lower your total percentage grade.

The Grading Scale for the course follows:

89.5-100 % A
79.5-89.4 % B
69.5-79.4 % C
59.5-69.4 % D
<59.5 % % F

Incomplete Grade: Generally, students in the NP major are unable to progress if an incomplete is assigned. For other students, a grade of "I" may be awarded at the discretion of the Graduate School guidelines. An incomplete grade must be removed within one semester following enrollment, excluding summer, for assignments to be accepted and credit awarded. If an "I" is assigned, a contract is to be presented to the instructor for approval no later than the last scheduled class stipulating the manner the course will be completed.

Assignments:

1. Two exams will be given throughout the semester. The two exams are weighted equally. The first exam will occur at mid-term and will be a short answer, take-home exam. The second exam will occur during final week and will be an objective test. More detailed information will be given in the weeks prior to each exam .

2. Case studies for selected age groups (pediatrics, pregnant woman, men's health, and elderly female) will be provided. Students will be given questions for analyses. These on-line case studies should be completed prior to the appropriate class period and submitted on-line for evaluation. A hard copy should be brought to the class for the purpose of class discussion. Further directions will be distributed at the appropriate time.

The following activities are to be completed in small groups of two students each. Students are expected to remain in the same group for the semester unless permission is obtained from the instructor. All assignments should list the names of both students in the group. Both students in each group will receive the same grade for these activities. It is up to the members of the group, using principles of collaboration, to assure that both members contribute to the activities.

4. Protocols will be required for selected common problems throughout the lifespan. Students in each group will prepare one written protocol and submit two copies to the faculty for evaluation. Algorithms may be a part of the protocol. Protocols should not exceed 4 pages in length. If all students give permission, copies of each protocol will be shared with the members of the class for use in their future practice.

5. Class Participation consists of preparation of study questions and participation in class by each student. Evaluation will be based on completion of study questions and discussion in class. In addition, one class presentation of an assigned subject will be completed by each group. Topics and dates will be assigned during the second class period. The presentation will be graded on how well the study questions are answered and presented by each group. Both students in each group will receive the same grade.

Students are responsible for all content and handouts from classes and other learning activities. Assignments are due on the dates assigned by the instructor. Late assignments will receive a 10% penalty in grade for each day late.

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PROFITS PLEDGE: (From KUMC student Planner and Handbook, 1997-1998, pgs 111-119.)

"I pledge that I will not give, receive, nor tolerate unauthorized aid, nor will I abuse academic resources while I am a member of this academic community." The School of Nursing at the University of Kansas Medical Center has adopted a professional integrity system (PROFITS) that guides student and faculty academic behavior. PROFITS upholds behavior reflective of individual responsibility, mutual trust, professional values, and standards. PROFITS values an academic environment free of academic misconduct or abuse of academic resources. When in doubt, the student must clarify with the instructor, the appropriateness of behaviors that may violate PROFITS. The following are examples of non-acceptable behaviors in NRSG 810:

  • Tests: Misconduct includes positioning an examination paper so that others can see the answers or passing or sharing answers during the exam, as well as using unauthorized resources during the exam.

    Clinical Practice: Misconduct includes breaking confidentiality of patient information/records, fabricating write-ups such as history and physicals, documentation of actions not performed, photocopying patient records for personal use without client permission, or knowingly performing skills for which you do not know the proper technique.

    Papers/Write-ups: Plagiarizing (e.g., copying from original source, not giving appropriate citation for original source or presentation of another's work as your own) or allowing others to do your work for you.

    Offenses against persons: Verbally or physically threatening behavior directed toward patients, faculty, other students, staff.

    Other: Abuse of academic resources includes copying academic software from a KUMC computer for personal use, failure to return equipment checked out from the lab, removing lab equipment from the Learning Lab complex for personal use, failure to return equipment checked out from the lab, removing lab equipment from the Learning Lab complex for personal use, or not reporting damage to equipment at the time it occurs.

  • How Will PROFITS Fulfill These Purposes? To fulfill these purposes the PROFITS Committee will provide education for all continuing and new students, faculty, and staff. You will receive information about the PROFITS philosophy, purposes, and procedures, including the definitions of academic misconduct and abuse of academic resources and examples of both; student, faculty, and staff responsibilities under PROFITS; and a description of the procedures that the PROFITS Committee will follow when carrying out its functions. In addition, the PROFITS Committee will investigate and hear instances of suspected misconduct.

    DISABILITY STATEMENT:

    Any student in this course who has a disability that may prevent him/her from fully demonstrating his/her abilities should contact me personally as soon as possible so we can discuss accommodations necessary to ensure full participation and facilitate the educational opportunity.