Health Care Concepts I - NSG 210 at Virginia Western Community College
https://courses.vccs.edu./colleges/vwcc/courses/NSG210-HealthCareConceptsI
Effective: 2023-08-01
Course Description
Focuses on care of clients across the lifespan in multiple settings including concepts related to physiological health alterations and reproduction. Emphasizes the nursing process in the development of clinical judgment for clients with multiple needs. Provides supervised learning experiences in college nursing laboratories, clinical/community settings, and/or simulated environments. Part I of II.
Lecture 3 hours, Laboratory 6 hours. Total 9 hours per week.
5 credits
The course outline below was developed as part of a statewide standardization process.
General Course Purpose
The purpose of this course is to introduce competent learner to concepts of nursing practice across the lifespan.
Course Prerequisites/Corequisites
Prerequisites: BIO 150 (or BIO 205), NSG 152 and NSG 170
Course Objectives
- Apply principles of patient-centered care across the lifespan.
- Incorporate factors for improvement of client safety for clients across the lifespan.
- Apply clinical judgment when prioritizing the delivery of care to clients with multiple needs and in various clinical settings as related to course concepts.
- Incorporate legal/ethical principles and professional nursing standards in the care of patients across the lifespan.
- Examine the impact of quality improvement processes, information technology and fiscal resources in the provision of nursing care.
- Participate as a member of the health care team in the delivery of nursing care across the lifespan.
- Integrate the principles of pharmacology to the identified concepts for all client populations across the lifespan.
- Integrate pathophysiology and principles of pharmacology in the delivery of client care in a variety of populations.
Major Topics to be Included
- Reproduction Concept:
- Reproduction principles
- Risk factors related to reproductive complications
- Prevention of reproductive complications
- Reproductive diagnostic testing
- Clinical judgment related to reproductive complications
- Pharmacology: Uterine stimulants, Misoprostol, Prostaglandin E2, Beta Adrenergic agonist -Tocolytics (Terbutaline), Opioids, Epidural (administration of medication during labor and post-partum), Corticosteroids (betamethasone), RhoGAM; Newborn medications: Vitamin K, Hepatitis B vaccine, Erythromycin ophthalmic ointment
- Exemplars: intrapartum, postpartum, newborn assessment
- Addiction Concept:
- Addiction principles
- Risk factors related to addiction
- Prevention of addiction
- Addiction diagnostic testing
- Clinical judgment related to addiction
- Use of interdisciplinary team in delivery of health care
- Pharmacology: Benzodiazepines and reversal agent (flumazenil), Opioid agonist (methadone), Opioid antagonist (ex. naloxone, suboxone), Nicotine, Thiamine, Folic Acid, Disulfiram
- Exemplars: alcoholism, substance abuse, prenatal substance abuse
- Clotting Concept:
- Clotting principles
- Risk factors related to altered clotting
- Prevention of altered clotting
- Clotting diagnostic testing
- Clinical judgment related to altered clotting
- Pharmacology: Aspirin, Magnesium, Methergine, Cytotec, Heparin/Low Molecular weight (reversal: Protamine sulfate), Warfarin (reversal: Vitamin K, Kcentra, FFP), Factor 10A Inhibitor, Direct thrombin inhibitors, Thrombolytics
- Exemplars: Deep Vein Thrombosis (DVT), disseminated intravascular coagulation, HELLP Syndrome, Postpartum hemorrhage/ placenta previa/ placental abruption
- Metabolism Concept:
- Metabolism principles
- Risk factors related to altered metabolism
- Prevention of altered metabolism
- Metabolism diagnostic testing
- Clinical judgment related to altered metabolism
- Pharmacology: Synthetic thyroid hormone (ex. Levothyroxine), Anti-thyroid drugs (ex. Propylthiouracil (PTU), Potassium Iodine, Corticosteroids (prednisone), Mineralocorticoid, Desmopressin (DDAVP), Calcium gluconate, Methimazole, Radioactive iodine
- Exemplars: thyroid dysfunction, adrenocortical dysfunction, pituitary dysfunction
- Gas Exchange Concept:
- Gas exchange principles
- Clinical judgment related to altered gas exchange
- Pharmacology: Anti-tubercular drugs: Isoniazid, Rifampin, Pyrazinamide, Ethambutol, Streptomycin; Pancreatic Enzymes, Bronchodilators, Mucolytics, Antibiotics, CFTR modulators
- Exemplars: tuberculosis, cystic fibrosis (pediatric)
- Perfusion Concept:
- Perfusion principles
- Risk factors related to perfusion alterations
- Prevention of perfusion alterations
- Perfusion diagnostic testing
- Clinical judgment related to perfusion alterations
- Pharmacology: Antianginal (Nitrates); Antilipemic: Bile acid sequestrants, Fibrates, HMG CoA reductase inhibitors, Nicotinic acid, Cholesterol absorption inhibitors, Omega 3; Cardiac glycoside (ex. Digoxin), Dioxin immune fab, ASA, Beta Blockers, Calcium channel blockers, Thrombolytics, AngiotensinConverting Enzyme Inhibitors, Angiotensin II Receptor Blockers, Calcium Channel Blockers, Vasodilators, Diuretics (Loop, Potassium Sparing, Thiazide), Morphine Sulfate
- Exemplars: coronary artery disease, congestive heart failure
- Mobility Concept:
- Mobility principles
- Risk factors related to mobility alterations
- Prevention of mobility alterations
- Mobility diagnostic testing
- Clinical judgment related to mobility alterations
- Pharmacology: Calcitonin, Phosphate Binders (sevelamer), Bisphosphonates (Alendronate), Selective Estrogen Reuptake Modulators (Tamoxifen), Muscle Relaxant (cyclobenzaprine), Benzodiazepines
- Exemplars: fractures, osteoporosis, osteoarthritis, hip and knee replacement, hip dysplasia (infant), multiple sclerosis, unintentional injury across the lifespan
- Nutrition Concept
- Principles of nutrition
- Risk factors related to altered nutrition
- Prevention of nutritional alterations
- Nutrition diagnostic testing
- Nursing process related to nutrition alterations
- Pharmacology: Selective Serotonin Reuptake Inhibitors (SSRI), Total Parenteral Nutrition (TPN)