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Graduate Course Proposal Form Submission Detail - NGR6207C

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Current Status: Approved by SCNS - 2016-08-02
Campus: Tampa
Submission Type: Change
Course Change Information (for course changes only): Change course description to: This course focuses on the knowledge and skills required for assessment, diagnosis, and management of common acute health problems and initial management of selected common chronic health problems across the adult lifespan. Change objectives to The content and the didactic and clinical learning experiences in this course are designed to help students develop the Adult-Gerontology Primary Care Nurse Practitioner or the Family Nurse Practitioner role within the context of interdisciplinary teams and to demonstrate progress in advancing from the novice to the advanced beginner level (Benner, 1984). Students are expected to be able to assess and to begin to manage common acute and selected common chronic health problems in adult patients across the adult lifespan in the clinical setting in consultation with the clinical preceptor and to achieve the following objectives: 1. Integrate knowledge from physiological, psychological, health, business, and social sciences in the care of diverse adult primary care populations with common acute and selected chronic health problems 2. Synthesize information from the health history, physical examination, and diagnostic tests and procedures to inform differential diagnosis and care management decisions 3. Apply principles of diagnostic and clinical reasoning to select appropriate diagnostic tests, diagnostic procedures, and final diagnoses 4. Generate evidence-based management plans for health promotion, clinical prevention, and selected acute and chronic health problems common among adult primary care patients across the adult lifespan 5. Prescribe medications appropriately and within scope of practice for adult primary care patients across the adult lifespan 6. Perform appropriate procedures for adult primary care patients 7. Evaluate the effectiveness of management strategies relative to attainment of optimal health outcomes 8. Provide patient-centered care incorporating patients’ preferences, values, and beliefs and recognizing the patient as a full partner in decision making 9. Integrate the use of technology and information resources to deliver and improve patient care Change learning outcomes to At the conclusion of this course, students will be able to demonstrate knowledge and skills required for independent practice at the advanced beginner level in the evaluation and management of acute health problems and initial evaluation and management of selected chronic health problems common among adult primary care patients across the adult lifespan. Students are expected to be able to assess and to begin to manage common acute and selected chronic health problems in the clinical setting in consultation with the clinical preceptor by integrating and applying knowledge and skills gained in this course and in all previous courses in the care of adult primary care patients. Assessment of the following student learning outcomes may occur in the didactic and/or the clinical components of the course: 1. Integrate knowledge from physiological, psychological, health, business, and social sciences, including genetics, ethics, and population health, in the provision of care to adult primary care patients across the adult lifespan 2. Present patients to preceptor(s) in a concise and organized manner using a systematic and standardized approach 3. Obtain and accurately document relevant health history data for previously diagnosed and undiagnosed adult patients across the adult lifespan 4. Accurately perform and document the results of a comprehensive or problem-focused physical exam on adult patients 5. Identify health and psychosocial risk factors for adult patients across the adult lifespan 6. Select appropriate diagnostic tests and procedures for adult patients 7. Synthesize information from the health history, physical examination, and diagnostic test and procedures to inform differential diagnosis 8. Generate evidence-based management plans for adult patients across the adult lifespan with common acute health problems 9. Generate evidence-based initial management plans for adult patients across the adult lifespan with common chronic health problems 10. Identify and plan age and risk appropriate clinical prevention and health promotion interventions for adult patients across the adult lifespan 11. Prescribe medications appropriately and within scope of practice for adult patients across the adult lifespan 12. Perform appropriate procedures for adult patients 13. Adapt care management plans to account for the impact of aging and age-related functional, physiological, and psychological changes 14. Recognize indications for referral and follow-up care 15. Monitor and evaluate the effectiveness of management strategies relative to attainment of optimal health outcomes 16. Provide patient-centered care incorporating patients’ preferences, values, and beliefs and recognizing the patient as a full partner in decision making 17. Discuss business dimensions of primary care APN practice 18. Follow International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and general billing guidelines in the provision of adult primary care services 19. Integrate the use of technology and information resources to deliver and improve patient care Change topical outline to: • Role and scope of practice for the Adult-gerontology Primary Care Nurse Practitioner and the Family Nurse Practitioner • Collaborative primary care practice • Culturally and patient responsive primary care practice • Practical epidemiology for primary care providers • Health promotion and clinical prevention for adults across the adult lifespan • Population-based care management for primary care providers • Genetic considerations in primary care • Clinical and diagnostic reasoning in primary care • Ethical considerations in primary care • Point of care evidence-based practice in primary care • Business dimensions of primary care APN practice • Use of technology in primary care and ambulatory care settings to improve health care delivery and health outcomes • Adult lifespan considerations in the management of common acute and common chronic adult health problems • Adolescent health care issues and considerations Assessment, diagnosis, and management of common acute adult health problems. The acute health problems listed in this syllabus will be emphasized in the course. Others will be covered in the course as time permits and / or through assigned course readings and self-directed study as necessary in order to optimize student learning outcomes and preparation for relevant national certification exams. All health problems covered in the course and in the assigned readings may be covered in course quizzes and exams. • Dermatologic o Principles of evaluation, diagnosis, and management of skin disorders o Skin cancer screening o Acne vulgaris o Cellulitis o Superficial fungal infections o Herpes zoster (shingles) o Paronychial infections • Eyes o Principles of evaluation, diagnosis, and management of eye disorders o Retinal detachment o Cataracts o Conjunctivitis o Foreign bodies • Ears o Principles of evaluation, diagnosis, and management of auricular disorders o Cerumen impaction o Impaired hearing o Inner ear disturbances o Otitis externa o Otitis media • Nose o Principles of evaluation, diagnosis, and management of nose disorders o Chronic nasal congestion and discharge o Epistaxis o Sinusitis • Oropharynx o Dental abscess o Epiglottitis o Parotitis o Pharyngitis and tonsillitis • Pulmonary o Principles of evaluation, diagnosis, and management of pulmonary disorders o Acute bronchitis o Evaluation and management of dyspnea o Hemoptysis o Pneumonia • Cardiovascular o Noninvasive assessment of coronary artery disease o Abdominal aortic aneurysm o Cardiac arrhythmias o Carotid artery disease o Evaluation of edema of the lower extremities • Gastrointestinal o Principles of evaluation, diagnosis, and management of gastrointestinal disorders o Evaluation of acute abdominal pain o Appendicitis o Abdominal aortic aneurysm o Hemorrhoids o Pruritis ani o Constipation o Diarrhea o Gastroesophageal reflux disease o Jaundice • Genitourinary o Principles of evaluation, diagnosis, and management of genitourinary disorders o Urinary tract infection o Prostatitis o Testicular disorders o Urinary calculi • Musculoskeletal/Arthritic o Evaluation and management of ankle and foot pain o Bursitis o Low back pain o Osteomyelitis o Sprains, strains and fractures • Neurologic o Principles of neurological evaluation o Bell’s Palsy o Delerium o Dizziness and vertigo o Headache • Infectious/Communicable Disease o Principles of evaluation, diagnosis, and management of infectious diseases o Acute repiratory diseases o Acute diarrheal Illnesses o Vector-borne diseases o Evaluation of fever without clear etiology o Influenza o Tick-borne illnesses • Psychosocial/Mental health o Mood disorders o Anxiety disorders Assessment, diagnosis, and initial management of common chronic adult health problems; ongoing management and evaluation of management of these conditions will be covered in NGR 6244. The chronic health problems listed in this syllabus will be emphasized in the course. Others will be covered in the course as time permits and / or through assigned course readings and self-directed study as necessary in order to optimize student learning outcomes and preparation for relevant national certification exams. All health problems covered in the course and in the assigned readings may be covered in course quizzes and exams. • Eyes o Glaucoma • Pulmonary o Asthma o Chronic obstructive pulmonary disease • Cardiovascular o Chest pain and coronary artery disease o Hypertension o Peripheral arterial and venous insufficiency • Genitourinary o Benign prostatic hyperplasia • Musculoskeletal/Arthritic o Gout o Osteoarthritis • Endocrine/Metabolic o Principles of evaluation, diagnosis, and management of patients with endocrine and metabolic disorders o Diabetes mellitus o Lipid disorders o Thyroid disorders o Thyroid function testing o Hypothyroidism • Rheumatic/Multisystem o Rheumatoid arthritis (focus on evaluation and diagnosis) o Systemic Lupus Erythematosus o Giant cell arteritis o Polymyalgia rheumatic
Comments: Required - Nursing - To GC 4/18/16. Says 6 credit hours for a MA course,is correct? YES add detail to grading policy (i.e., weighting). Emailed 5/6/16 Approved 5/20/16 To Sys 5/20/16. To SCNS after 5/27/16. Apprd eff 8/2/16


  1. Department and Contact Information

    Tracking Number Date & Time Submitted
    5259 2015-09-02
     
    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 6207C Health Management of Adults and Older Adults I

    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
    6 O - Other R - Regular
     
    Abbreviated Title (30 characters maximum)
    Hlth Mgt of Ad & Old Ad I
     
    Course Online? Percentage Online
    H - Face-to-face and blended (separate sections) 80

    Prerequisites

    NGR 6002C

    Corequisites

    Course Description

    COMPREHENSIVE EVALUATION AND TREATMENT OF COMMON ACUTE CONDITIONS AND ACUTE EXACERBATIONS OF COMMON CHRONIC CONDITIONS OF ADULTS AND OLDER ADULTS.


  3. Justification

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

    Needed to compete with national trends

    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 for all MS students. Offered twice per year.

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

    No

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

    Terminal degree in Nursing and knowledge of specific content area.


  4. Other Course Information

    A. Objectives

    1. FORMULATE A DIFFERENTIAL DIAGNOSIS BASED ON PATIENT HISTORY, SIGNS AND SYMPTOMS, EPIDEMIOLOGY, PATHOPHYSIOLOGY AND BEST PRACTICES. 3. DETERMINE APPROPRIATE DIAGNOSTIC EVALUATIONS TO REFINE DIFFERENTIAL DIAGNOSES. 4. DEVELOP A COMPREHENSIVE PLAN OF CARE IN COLLABORATION WITH THE PATIENT. 5. PRESCRIBE APPROPRIATE PHYSICAL, PHARMACOLOGIC AND NON-PHARMACOLOGIC THERAPIES FOR COMMON ACUTE CONDITIONS.

    B. Learning Outcomes

    DEMONSTRATE CRITICAL THINKING AND DIAGNOSTIC REASONING SKILLS IN ASSESSMENT AND CLINICAL DECISION-MAKING. 2. COMPETENTLY IMPLEMENT THERAPEUTIC NURSING INTERVENTIONS TO MAINTAIN/RESTORE HEALTH IN COLLABORATION WITH CLIENTS WITH COMMON ACUTE CONDITIONS AND ACUTE EXACERBATIONS OF COMMON CHRONIC CONDITIONS. 3. EVALUATE THE RESULTS OF INTERVENTIONS USING ACCEPTED OUTCOME CRITERIA AND PROFESSIONAL STANDARDS. 4. DEMONSTRATE LEADERSHIP IN COLLABORATION WITH OTHER HEALTHCARE PROFESSIONALS IN THE COORDINATION AND DELIVERY OF HEALTH CARE.

    C. Major Topics

    1. CLINICAL & DIAGNOSTIC REASONING A. TRANSITION TO THE APRN ROLE B. DIAGNOSTIC REASONING 2. SLEEP & REST A. ACTIVTY B. EXERCISE C. OBESITY 3. HEENT: A. CONJUNCTIVITIS B. CORNEAL ABRASION C. FOREIGN BODY D. HORDEOLUM E. OTITIS MEDIA F. HEARING LOSS 4. DERMATOLOGICAL: A. DERMATOLOGIC CONDITIONS B. SKIN CANCER C. RASH 5. RESPIRATORY DISORDERS: A. URI I. RHINOSINUSITIS II. ASTHMA III. BRONCHITIS B. LRI I. COUGH II. PNEUMONIA III. EFFUSION 6. CARDIOVASCULAR: A. HTN B. DYSLIPIDEMIA C. CORONARY ARTERY DISEASE (CAD) D. CHEST PAIN/ MI E. COMMON ARHYTHMIAS E. CHF/PVD/DVT 7. GASTROINTESTINAL (GI): A. ABDOMINAL PAIN B. UGI I. GERD II. PEPTIC ULCER DISEASE (PUD) III. GASTROENTERITIS IV. PANCREATITIS C. LGI I. IBD II. DIVERTICULITIS III. CONSTIPATION IV. DIARRHEA V. HEMORRHOIDS VI. FISSURES 8. GENITOURINARY (GU): A. UTI B. RENAL STONES 9. REPRODUCTIVE & GENDER HEALTH A. FAMILY PLANNING B. UNINTENDED PREGNANCY C. STI D. CERVICITIS E. VAGINITIS F. CERVICAL CANCER SCREENING G. BREAST HEALTH H. EPIDIDYMITIS 10. ENDOCRINE: A. METABOLIC SYNDROME B. DM 11. MUSCULOSKELETAL A. BACK/NECK PAIN B. KNEE PAIN C. HIP PAIN D. SHOULDER PAIN E. HAND PAIN 12. NEUROLOGICAL: A. HA/PAIN MANAGEMENT B. DIZZINESS C. VERTIGO D. BELLS PALSY 13. MENTAL HEALTH: A. THEORIES OF AGING B. PHYSIOLOGY OF AGING C. DEPRESSION D. ANXIETY E. GRIEF

    D. Textbooks

    Buttaro, T.M., Trybulski, J., Bailey, P.P., & Sandberg-Cook, J. (2013). Primary care: A collaborative practice (4th ed). St. Louis, MO: Elsevier Mosby.

    Uphold, C. R., & Graham, M.V., (2013). Clinical guidelines in family practice (5th ed). Gainesville, FL: Barmarrae Books, Inc.

    E. Course Readings, Online Resources, and Other Purchases

    F. Student Expectations/Requirements and Grading Policy

    Exams 60% (Exam 1 15%, Exam 2 15%, Final Exam 30%)

    Case Studies 10%

    Certification Review 10%

    Portfolio 20%

    G. Assignments, Exams and Tests

    Exams

    Papers

    Class Presentations

    Class Discussion

    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


  5. Course Concurrence Information

    None



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