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Graduate Course Proposal Form Submission Detail - NGR6244C

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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 Focuses on the knowledge and skills required for assessment, diagnosis, and management of common chronic health problems across the adult lifespan and the unique care needs of selected adult patient populations. Change Objectives to The content and the didactic and clinical learning experiences in this course are designed to help students achieve the following objectives: 1. Develop the Adult-Gerontology Primary Care Nurse Practitioner or the Family Nurse Practitioner role at the intermediate beginner level within the context of interdisciplinary teams; students are expected to be able to assess and begin to manage or manage common chronic health problems in adult patients across the adult lifespan in the clinical setting in consultation with the clinical preceptor 2. Integrate knowledge from physiological, psychological, health, business, and social sciences in the care of diverse adult primary care populations with common chronic health problems including acute and chronic complications 3. Analyze the biopsychosocial alterations associated with common chronic health problems, including acute and chronic complications, in adult primary care patients across the adult lifespan 4. Synthesize information from the health history, physical examination, and diagnostic tests and procedures to inform differential diagnosis 5. Apply principles of diagnostic and clinical reasoning to select appropriate diagnostic tests, diagnostic procedures, and final diagnoses 6. Generate evidence-based management plans for chronic health problems, including acute and chronic complications, common among adult primary care patients across the adult lifespan 7. Prescribe medications appropriately and within scope of practice for adult primary care patients across the adult lifespan 8. Accurately perform appropriate procedures for adult primary care patients 9. Recognize the impact of aging and age-related functional, physiological, and psychological changes relevant to management of health problems 10. Recognize indications for referral and follow-up care 11. Select age and risk appropriate health promotion and clinical prevention strategies for adult primary care patients across the adult lifespan 12. Formulate strategies to monitor and evaluate the effectiveness of management strategies relative to attainment of optimal health outcomes 13. Provide patient-centered care incorporating patients’ preferences, values, and beliefs and recognizing the patient as a full partner in decision making 14. 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 1. Demonstrate knowledge and skills required for independent practice at the intermediate beginner level in the evaluation and management of chronic health problems, including acute and chronic complications, common among adult primary care patients across the adult lifespan; students are expected to be able to assess and to begin to manage or manage common chronic health problems, including acute and chronic complications, in the clinical setting in consultation with the clinical preceptor. Students are also expected to integrate and apply previously acquired knowledge and nurse practitioner competencies in the care of adult primary care patients. 2. Integrate knowledge of genetics, ethics, and population health in the provision of care to adult primary care patients across the adult lifespan 3. Present patients to preceptor(s) in a concise and organized manner 4. Obtain and accurately document relevant health history data for previously diagnosed and undiagnosed adult patients 5. Accurately perform and document the results of a comprehensive or problem-focused physical exam on adult patients 6. Identify health and psychosocial risk factors for adult patients across the adult lifespan 7. Select appropriate diagnostic tests and procedures for adult patients 8. Synthesize information from the health history, physical examination, and diagnostic test and procedures to inform differential diagnosis 9. Generate evidence-based management plans for adult patients across the adult lifespan with common chronic health problems including acute and chronic exacerbations 10. Identify and generate evidence-based management plans for common geriatric syndromes 11. Identify and plan age and risk appropriate clinical prevention and health promotion interventions for adult patients across the adult lifespan 12. Accurately perform pre-participation sports physicals, identify athletes at risk for adverse events, and consult or refer for follow-up when appropriate 13. Identify and manage the unique health problems common among young adult college students 14. Assess and manage the unique health promotion and clinical prevention care needs of adult international travelers 15. Assess and manage health emergencies occurring in the office or ambulatory care setting 16. Evaluate and manage sexually transmitted diseases 17. Prescribe medications appropriately and within scope of practice for adult patients across the adult lifespan 18. Accurately perform appropriate procedures for adult patients 19. Adapt care management plans to account for the impact of aging and age-related functional, physiological, and psychological changes 20. Recognize indications for referral and follow-up care 21. Monitor and evaluate the effectiveness of management strategies relative to attainment of optimal health outcomes 22. Provide patient-centered care incorporating patients’ preferences, values, and beliefs and recognizing the patient as a full partner in decision making 23. Integrate the use of technology and information resources to deliver and improve patient care Change Topical Outline to • Aging and common geriatric syndromes • Sleep disorders • College health • Health care of the international traveler • Pre-surgical clearance • Pre-participation sports physical • Office emergencies Evaluation and management of common chronic health problems among adult primary care patients across the adult lifespan including management of acute and chronic complications of chronic health problems The specific 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 Macular degeneration o Retinopathy • Pulmonary o Asthma o Differential diagnosis and management of chest pain o Chronic obstructive pulmonary disease • Cardiovascular o Heart failure o Chest pain and coronary artery disease / angina o Cardiac arrhythmias o Hypertension o Peripheral arterial and venous insufficiency • Gastrointestinal o Gastroesophageal reflux disease o Cholelithiasis and cholecystitis o Diverticular disease o Hepatitis o Peptic ulcer disease o Inflammatory bowel disease o Irritable bowel syndrome • Genitourinary o Incontinence o Benign prostatic hyperplasia o Sexual dysfunction (male) • Gynecologic o Breast disorders o Dysmenorrhea o Dysfunctional uterine bleeding o Fertility control o Pap smear abnormalities o Menopause o Vulvar and vaginal disorders • Musculoskeletal/Arthritic o Metabolic bone disease: Osteoporosis and Paget’s Disease o Gout o Osteoarthritis • Neurologic o Movement disorders/ essential tremor o Parkinson’s disease o Seizure disorder o Chronic headaches (migraine, cluster) o Transient ischemic attacks • Endocrine/Metabolic o Diabetes mellitus o Lipid disorders o Metabolic syndrome o Obesity and weight management o Thyroid disorders  Thyroid function testing  Hypothyroidism  Hyperthyroidism  Thyroid nodule o Polycystic ovarian syndrome • Hematologic o Anemia • Rheumatic/Multisystem o Ankylosing spondylitis and related disorders o Rheumatoid arthritis o Systemic Lupus Erythematosus • Multisystem disorders o Fatigue o Unintended weight loss • Infectious/Communicable Disease o Principles of antimicrobial therapy o HIV o Community acquired MRSA o Sexually transmitted infections • Collaborative management of the oncology patient • Psychosocial/Mental health o Mood disorders o Anxiety disorders o Bipolar disorder o Substance use disorders o Tobacco use and smoking cessation o Narcolepsy o Attention deficit disorder o Domestic violence o Elder abuse and neglect
Comments: Required - Nursing - To GC. 4/18/16. OGS fixed form (proposed info in form). Need more detail in grading policy; verify hours correct for MA. Yes. 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
    5260 2015-09-03
     
    Department College Budget Account Number
    Nursing NR 620100020
     
    Contact Person Phone Email
    Chelsey Bevel 8139749068 cbevel@health.usf.edu

  2. Course Information

    Prefix Number Full Title
    NGR 6244C Health Management of Adults and Older Adults II

    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? 0

    Credit Hours Section Type Grading Option
    6 O - Other R - Regular
     
    Abbreviated Title (30 characters maximum)
    Hlth Mgmt of Ad & Old Ad II
     
    Course Online? Percentage Online
    H - Face-to-face and blended (separate sections) 80

    Prerequisites

    NGR 6207C

    Corequisites

    Course Description

    FOCUSES ON PREVENTION AND MANAGEMENT OF COMMON CHRONIC CONDITIONS AND THE SYMPTOMS THAT ACCOMPANY THESE CONDITIONS


  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. INCORPORATE HEALTH PROMOTION AND HEALTH EDUCATION RECOMMENDATIONS INTO CLIENT-CENTERED PLANS OF CARE. 2. SYNTHESIZE DATA FROM A VARIETY OF SOURCES TO MAKE CLINICAL DECISIONS REGARDING MANAGEMENT, CONSULTATION AND/ OR REFERRAL. 3. RECOGNIZE THE PRESENCE OF CO-MORBIDITIES, THEIR IMPACT ON PRESENTING HEALTH PROBLEMS, AND THE RISK FOR IATROGENESIS. 4. EFFECTIVELY MANAGE PATIENTS WITH CHRONIC HEALTH PROBLEMS. 5. DEMONSTRATE INITIAL COMPETENCE IN THE ADULT-GERONTOLOGICAL NURSE PRACTITIONER ROLE. 6. PROVIDE LEADERSHIP IN PROMOTING CARING, ADVOCACY, CULTURAL SENSITIVITY, AND PROFESSIONAL ETHICS IN THE HEALTHCARE SETTING.

    B. Learning Outcomes

    1. COMPETENTLY PERFORM AGE-SPECIFIC COMPREHENSIVE AND/OR FOCUSED HEALTH HISTORIES AND PHYSICAL EXAMINATIONS. 2. ACCURATELY IDENTIFY NORMAL AND ABNORMAL FINDINGS IN CLIENT CLINICAL DATABASES. 3. SELECT APPROPRIATE LABORATORY AND DIAGNOSTICS TESTS BASED ON CLINICAL GUIDELINES, COSTS AND BENEFITS. 4. DEVELOP COMPREHENSIVE CLIENT PROBLEM LISTS, AND FORMULATE AND PRIORITIZE DIFFERENTIAL DIAGNOSES. 5. DEVELOP PLANS OF CARE ADDRESSING RISK MODIFICATION AND PATIENT- CENTERED HEALTH CARE GOALS

    C. Major Topics

    1. SLEEP & REST A. SLEEP DISORDERS 2. HEENT: A. GLAUCOMA B. MACULAR DEGENERATION C. RETINOPATHY D. UVEITIS E. CATARACT F. VERTIGO G. MENIERES DISEASE 3. RESPIRATORY A. CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) B. CHRONIC BRONCHITIS C. SMOKING CESSATION D. LUNG CANCER 4. CARDIOVASCULAR A. CONGESTIVE HEART FAILURE (CHF) B. PERIPHERAL VASCULAR DISEASE (PVD) I. WOUND CARE 5. GASTROINTESTINAL (GI) A. IBS B. CROHNS C. COLITIS D. APPENDICITIS E. ULCER F. HEPATITIS G. WILSONS DISEASE H. CIRRHOSIS I. GALLBLADDER DISEASE J. BARRETTS K. COLON CANCER 6. GENITOURINARY (GU) A. PROSTATITIS B. BPH C. ERECTILE DYSFUNCTION (ED) 7. REPRODUCTIVE & GENDER HEALTH A. MENOPAUSE I. HORMONE THERAPY (HT) B. POLYCYSTIC OVARIAN SYNDROME (PCOS) C. ENDOMETRIOSIS D. ATROPHIC VAGINITIS E. ABNORMAL UTERINE BLEEDING (AUB) 8. MUSCULOSKELETAL A. OSTEOARTHRITIS (OA) B. OSTEOPOROSIS C. GOUT D. BURSITIS E. REITERS SYNDROME 9. NEUROLOGICAL A. SEIZURES B. CONCUSSION C. MULTIPLE SCLEROSIS (MS) D. PARKINSONS DISEASE E. TRANSIENT ISCHEMIC ATTACKS (TIA) F. CEREBROVASCULAR ACCIDENTS (CVA) G. CLOSED HEAD INJURY (CHI) 10. HEMATOLOGIC & NEOPLASTIC A. ANEMIAS B. COAGULOPATHIES C. VIT DISORDERS D. LEUKEMIA E. LYMPHOMAS 11. IMMUNOLOGICAL A. RHEUMATOID ARTHRITIS (RA) B. SLE C. FOOD ALLERGIES I. GLUTEN 12. MENTAL HEALTH A. DEMENTIA B. DELIRIUM C. INTIMATE PARTNER VIOLENCE (IPV) D. BIPOLAR DISEASE E. SCHIZOPHRENIA 13. PAIN MANAGEMENT A. SOMATIC B. VISCERAL C. NEUROPATHIC D. PALLIATIVE CARE 14. ENDOCRINE A. THYROID B. PARATHYROID DISORDERS C. GOUT 15. SAFETY A. FALL ASSESSMENT B. FATIGUE

    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

    Three exams at 20% each (60% total)

    Final exam at 30%

    Weekly quizzes at 10%

    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



- if you have questions about any of these fields, please contact chinescobb@grad.usf.edu or joe@grad.usf.edu.