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Graduate Course Proposal Form Submission Detail - NGR6210C

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Current Status: Approved by SCNS - 2015-02-01
Campus: Tampa
Submission Type: Change
Course Change Information (for course changes only): Increase the credit hours from 3 to 7, with 1 additional credits of didactic instruction and 3 credits of clinical instruction. This need is necessitated by the removal of a 6 credit course, NGR 6244C, from the Adult-Gero Acute Care Concentration.
Comments: In review 9/4/14; to GC. Approved. To USF Sys 11/4; to SCNS 11/12. Apprd eff 2/1/15


  1. Department and Contact Information

    Tracking Number Date & Time Submitted
    5042 2014-07-15
     
    Department College Budget Account Number
    Nursing NR 620100020
     
    Contact Person Phone Email
    Dewel Lindsey 8133969978 jlindsey@health.usf.edu

  2. Course Information

    Prefix Number Full Title
    NGR 6210C Clinical Mgmt of Acute & Chronically Ill Adults & Older Adults

    Is the course title variable? N
    Is a permit required for registration? N
    Are the credit hours variable? N
    Is this course repeatable?
    If repeatable, how many times?

    Credit Hours Section Type Grading Option
    7 O - Other R - Regular
     
    Abbreviated Title (30 characters maximum)
    Cl Mgmt Acute & Chronic Ill Ad
     
    Course Online? Percentage Online
    B - Face-to-face and online (separate sections) 50

    Prerequisites

    NGR 6064C, NGR 6002C

    Corequisites

    Course Description

    Management of commonly encountered acute and chronic health problems in adults and older adults covering the spectrum of care from stabilizing the patient’s condition to preventing complications and restoring maximum health.


  3. Justification

    A. Please briefly explain why it is necessary and/or desirable to add this course.

    Needed for program/concentration/certificate change

    B. What is the need or demand for this course? (Indicate if this course is part of a required sequence in the major.) What other programs would this course service?

    Required course, taught twice a year

    C. Has this course been offered as Selected Topics/Experimental Topics course? If yes, how many times?

    D. What qualifications for training and/or experience are necessary to teach this course? (List minimum qualifications for the instructor.)

    A terminal degree in nursing and expertise in the field of Acute Care nursing.


  4. Other Course Information

    A. Objectives

    1. Assess the acute and chronically ill adult gerontology patient for comprehensive health needs and risk for life-threatening conditions using both physiologically and technologically derived data across systems, including genomics as a potential contributing factor.

    2. Identify underlying mechanisms for acute on chronic changes in health status, while formulating differential diagnoses of adult and gerontology patients with acute and chronic illnesses.

    3. Implement pharmacologic and non-pharmacologic interventions specific to acute & chronic disease processes.

    4. Incorporate health promotion and health education recommendations into adult and gerontology patient centered plans of care.

    5. Evaluate the effectiveness of interventions while addressing ongoing changes in physical and mental status.

    6. Demonstrate ability to function in a collaborative role as a student advanced practice nurse, while recognizing the need for coordination of care with other health care providers and community resources for adult and geriatric populations.

    B. Learning Outcomes

    At the conclusion of this course, students will be able to:

    1. Perform system focused patient assessments.

    2. Develop a comprehensive problem list to formulate final diagnoses for the management of acute and chronic illness.

    3. Differentiate normal aging from disease process in adults and older adults

    4. Implement patient management / treatment including pharmacologic therapies, nursing / supportive therapies, health promotion, health education, negotiation with patient and family, and client follow-up (referral or return).

    5. Incorporate the use of evidence-based practice guidelines in the acute and primary care clinical setting.

    6. Demonstrate competency in the utilization and integration of health information technology to transform health care.

    C. Major Topics

    1. Overview of primary care management and in-depth understanding of acute symptom exacerbation and management of chronic conditions in the adult and geriatric population, including, but not limited to:

    a. Cardiovascular Disorders: Hypertension, CAD, Heart Failure, Valvular

    Disorders, Arrhythmia, PVD, and Dyslipidemia.

    b. Pulmonary Disorders: COPD, Pneumonia, Pulmonary Fibrosis, Asthma, and Lung Cancer.

    c. Gastrointestinal/ Hepatic disorder: IBS, Crohn’s Disease, Colitis, Appendicitis, Ulcer, Hepatitis, Wilson’s Disease, Cirrhosis, Gallbladder Disease, Barrett’s, Colon Cancer, and GI bleeding.

    d. Renal & Genitourinary Disorders: Urinary Tract Infection, Chronic Kidney Disease

    e. Neurological Disorders: Stroke, Carotid Stenosis, Head Injury, Seizures, Multiple Sclerosis (MS), Parkinson’s Disease.

    2. Transitions of care.

    3. Use of technology and technologically derived data to improve quality, enhance safety, and monitor health.

    4. Mechanisms for acute changes in health status of adults and older adults.

    5. Pharmacologic, non-pharmacologic interventions and measures to prevent or minimize

    acute changes and progression of chronic diseases.

    6. Application of evidence-based practice protocols and guidelines.

    7. Screening and health maintenance of chronic diseases in adults and older adults.

    8. Collaboration with formal and informal caregivers.

    9. Coordination of comprehensive care.

    10. Adult Gerontology Acute Care NP scope of practice.

    D. Textbooks

    Capezuti, E., Zwicker, D., Mezey, M., Fulmer, T.T., Gray-Micell, D., & Kluger, M. (2012).

    Evidence-based geriatric nursing protocols for best practice. Springer, New York.

    Longo, D.L., Fauci, A.S., Kasper, D.L., Hauser, S.L., Jameson, L., Loscalzo, J. (2012).

    Harrison’s Principles of Internal Medicine (18th ed). The McGraw-Hill Companies.

    Stern, S., Cifu, A., & Altkom, D. (2006). Symptom to diagnosis: An evidence based guide (2nd ed). The McGraw-Hill Companies.

    E. Course Readings, Online Resources, and Other Purchases

    Capezuti, E., Zwicker, D., Mezey, M., Fulmer, T.T., Gray-Micell, D., & Kluger, M. (2012).

    Evidence-based geriatric nursing protocols for best practice. Springer, New York.

    Longo, D.L., Fauci, A.S., Kasper, D.L., Hauser, S.L., Jameson, L., Loscalzo, J. (2012).

    Harrison’s Principles of Internal Medicine (18th ed). The McGraw-Hill Companies.

    Available online from USF Health Shimberg Library at

    http://library.hsc.usf.edu

    Stern, S., Cifu, A., & Altkom, D. (2006). Symptom to diagnosis: An evidence based guide (2nd ed). The McGraw-Hill Companies.

    Wyckoff, M., Houghton, D., & LePage, C.(2009). Critical Care Concepts, Role, And Practice For The Acute Care Nurse Practitioner. Springer Publishing Company. ISBN: 978-0-8261-3827-9

    American Association of Critical Care Nurses and American Nurses Association. (2012). Scope and Standards for Acute Care Nurse Practitioner Practice. Available at

    http://www.aacn.org/wd/practice/docs/acnp-scope-and-standards.pdf

    NONPF. ACNP Competencies. Available at the NONPF website: http://www.nonpf.com.

    F. Student Expectations/Requirements and Grading Policy

    1. Case study on chronic disease management and addressing poly pharmacy

    2. Hemodynamic monitoring, Self Study

    3. Case study on Diagnostic Testing: The search for current evidence for better management.

    4. Paper on health promotion and education for a given scenario.

    5. EBP paper on effectiveness intervention from clinical practice.

    6. Practical application of Synergy model; give examples of dimensions of AGACNP role observed & related sphere of influence.

    G. Assignments, Exams and Tests

    1. Case study on chronic disease management and addressing poly pharmacy

    2. Hemodynamic monitoring, Self Study

    3. Case study on Diagnostic Testing: The search for current evidence for better management.

    4. Paper on health promotion and education for a given scenario.

    5. EBP paper on effectiveness intervention from clinical practice.

    6. Practical application of Synergy model; give examples of dimensions of AGACNP role observed & related sphere of influence.

    H. Attendance Policy

    Course Attendance at First Class Meeting – Policy for Graduate Students: For structured courses, 6000 and above, the College/Campus Dean will set the first-day class attendance requirement. Check with the College for specific information. This policy is not applicable to courses in the following categories: Educational Outreach, Open University (TV), FEEDS Program, Community Experiential Learning (CEL), Cooperative Education Training, and courses that do not have regularly scheduled meeting days/times (such as, directed reading/research or study, individual research, thesis, dissertation, internship, practica, etc.). Students are responsible for dropping undesired courses in these categories by the 5th day of classes to avoid fee liability and academic penalty. (See USF Regulation – Registration - 4.0101,

    http://usfweb2.usf.edu/usfgc/ogc%20web/currentreg.htm)

    Attendance Policy for the Observance of Religious Days by Students: In accordance with Sections 1006.53 and 1001.74(10)(g) Florida Statutes and Board of Governors Regulation 6C-6.0115, the University of South Florida (University/USF) has established the following policy regarding religious observances: (http://usfweb2.usf.edu/usfgc/gc_pp/acadaf/gc10-045.htm)

    In the event of an emergency, it may be necessary for USF to suspend normal operations. During this time, USF may opt to continue delivery of instruction through methods that include but are not limited to: Blackboard, Elluminate, Skype, and email messaging and/or an alternate schedule. It’s the responsibility of the student to monitor Blackboard site for each class for course specific communication, and the main USF, College, and department websites, emails, and MoBull messages for important general information.

    I. Policy on Make-up Work

    J. Program This Course Supports

    Nursing MS


  5. Course Concurrence Information

    None



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