Miss: Iman alshaweesh Adult Health NSG 2 Al Najah University NSG Faculty

Second Years Students Second Semester January 2008

An Najah National University Faculty of Nursing

Adult Health Nursing Part Two Course outline Second Year Student Second Semester 3 credit hours 2008
Iman Ahmad Mohammad Al Shaweesh MCH

Miss: Iman alshaweesh Adult Health NSG 2 Al Najah University NSG Faculty

Second Years Students Second Semester January 2008

General objectives: By the end of this course, the student will be able to:
1. Define the concepts of health and illness in relation to adult health nursing. 2. Design health care through the use of holistic approach for hospitalized adults. 3. Utilize the nursing process when caring for adults& their families complaining from varies acute, chronic, major & minor conditions. 4. Develop the ability to provide the adults & their families with health education & counseling regarding various health problems.\ 5. Recognize health promotion & prevention of health problems as an important concept in the development of nursing care. 6. Integrate professional, ethical, legal aspect while providing nursing care. 7. Examine the concepts of older people & their families in the home & community, the acute care setting &in a protected environment.

Miss: Iman alshaweesh Adult Health NSG 2 Al Najah University NSG Faculty

Second Years Students Second Semester January 2008

Objectives
Unite one: Assessment of Digestive and Gastrointestinal Function On completion of this chapter 34, the learner will be able to: 1.1.1 Describe the structure and function of the organs of the gastrointestinal tract. 1.1.2 Describe the mechanical and chemical processes involved in digesting and
absorbing foods and eliminating waste products.

1.1.3 Use assessment parameters appropriate for determining the status of gastrointestinal function. 1.1.4 Describe the appropriate preparation, teaching, and follow-up care for patients who are undergoing diagnostic testing of the gastrointestinal tract.n 1.2 With Oral and Esophageal Disorders On completion of this chapter 35, the learner will be able to: 1.2.1 Use the nursing process as a framework for care of patients with conditions of the oral cavity. 1.2.2 Describe the relationship of dental hygiene and dental problems to nutrition. 1.2.3 Describe the nursing management of patients with abnormalities of the lips, gums, teeth, mouth, and salivary glands. 1.2.4 Use the nursing process as a framework for care of patients with cancer of the oral cavity. 1.2.5 Identify the physical and psychosocial long-term needs of patients with oral cancer. 1.2.6 Use the nursing process as a framework for care of patients undergoing neck dissection. 1.2.7 Use the nursing process as a framework for care of patients with conditions of the esophagus. 1.2. 8 Describe the various conditions of the esophagus and their clinical manifestations and manageme 1.3. Management of Patients With Gastric and Duodenal Disorders. On completion of this chapter 37, the learner will be able to:

Miss: Iman alshaweesh Adult Health NSG 2 Al Najah University NSG Faculty

Second Years Students Second Semester January 2008

1.31 Compare the etiology, clinical manifestations, and management of Acute gastritis, chronic gastritis, and peptic ulcer. 1.3.2 Use the nursing process as a framework for care of patients with gastritis. 1.3.3 Use the nursing process as a framework for care of patients with peptic ulcer. 1.3.4 Describe the dietary, pharmacologic, and surgical treatment of peptic ulcer. 1.3.5 Describe the nursing management of patients who undergo surgical procedures to treat obesity. 1.3.6 Use the nursing process as a framework for care of patients with gastric cancer. 1.3.7 Use the nursing process as a framework for care of patients undergoing gastric surgery. 1.3.8 Identify the complications of gastric surgery and their prevention and management. 1.3.9 Describe the home health care needs of the patient who has had gastric surgery. 1.4 Management of Patients With Intestinal and Rectal Disorders On completion of this chapter 38, the learner will be able to: 1.4.1 Identify the health care teaching needs of patients with constipation or diarrhea. 1.4.2 Compare the conditions of malabsorption with regard to their pathophysiology, clinical manifestations, and management. 1.4.3 Use the nursing process as a framework for care of patients with diverticulitis. 1.4.4 Compare regional enteritis and ulcerative colitis with regard to their pathophysiology, clinical manifestations, diagnostic evaluation, and medical, surgical, and nursing management. 1.4.5 Use the nursing process as a framework for care of the patient with an inflammatory bowel disease. 1.4.6 Describe the responsibilities of the nurse in meeting the needs of the patient with an ileostomy. 1.4.7 Describe the various types of intestinal obstructions and their management. 1.4.8 Use the nursing process as a framework for care of the patient with cancer of the colon or rectum. 1.4.9 Use the nursing process as a framework for care of the patient with 4

Miss: Iman alshaweesh Adult Health NSG 2 Al Najah University NSG Faculty an anorectal condition.

Second Years Students Second Semester January 2008

(First Exam at 4th weeks)

Unite Two Assessment and Management of Patients With Hepatic Disorders. On completion of this chapter 39, the learner will be able to: 2.1.1 Identify the metabolic functions of the liver and the alterations in these functions that occur with liver disease. 2.1.2 Explain liver function tests and the clinical manifestations of liver dysfunction in relation to pathophysiologic alterations of the liver. 2.1.3 Relate jaundice, portal hypertension, ascites, varices, nutritional deficiencies, and hepatic coma to path physiologic alterations of the liver. 2.1.4 Describe the medical, surgical, and nursing management of patients with esophageal varices. 2.1.5 Compare the various types of hepatitis and their causes, prevention, clinical manifestations, management, prognosis, and home health care needs. 2.1.6 Use the nursing process as a framework for care of the patient with cirrhosis of the liver. 2.1.7 Compare the nonsurgical and surgical management of patients with cancer of the liver. 2.1.8 Describe the postoperative nursing care of the patient undergoing Liver transplantation. 2.2 Assessment and Management of Patients With Biliary Disorders On completion of this chapter 40, the learner will be able to: 2.2.1 Compare approaches to management of cholelithiasis. 2.2.2 Use the nursing process as a framework for care of patients with cholelithiasis and those undergoing laparoscopic or open cholecystectomy. 2.2.3 Differentiate between acute and chronic pancreatitis. 2.2.4 Use the nursing process as a framework for care of patients with acute pancreatitis. 2.2.5 Describe the nutritional and metabolic effects of surgical treatment of tumors of the pancreas. 2.3 Assessment and Management of Patients With Diabetes Mellitus 5

Miss: Iman alshaweesh Adult Health NSG 2 Al Najah University NSG Faculty

Second Years Students Second Semester January 2008

On completion of this chapter 41, the learner will be able to: 2.3.1 Differentiate between type 1 and type 2 diabetes. 2.3.2 Describe etiologic factors associated with diabetes. 2.3.3 Relate the clinical manifestations of diabetes to the associated pathophysiologic alterations 2.3.4 Identify the diagnostic and clinical significance of blood glucose tests. 2.3.5 2.3.6 2.3.7 2.3.8 2.3.9 2.3.10 2.3.11 2.3.12 2.3.13 Explain the dietary modifications used for management of people with diabetes Describe the relationship between diet, exercise, and medication (ie, insulin or oral hypoglycemic agents) for people with diabetes. Develop a plan for teaching insulin self-administration. Identify the role of oral antidiabetic agents in diabetic therapy. Differentiate between hypoglycemia and diabetic ketoacidosis, and hyperosmolar nonketotic syndrome. Describe management strategies for a person with diabetes to use during sick days. Describe the major macrovascular, microvascular, and neuropathic complications of diabetes and the self-care behaviors important in their prevention. Identify the teaching aids and community support groups available for people with diabetes. Use the nursing process as a framework for care of the patient with diabetes.

2.4 Assessment and Management of Patients With Endocrine Disorders. On completion of this chapter 42, the learner will be able to: 2.41 Describe the functions of each of the endocrine glands and their hormones. 2.4.2 Identify the diagnostic tests used to determine alterations in function of each of the endocrine glands. 2.4.3 Compare hypothyroidism and hyperthyroidism: their causes,clinical manifestations, management, and nursing interventions. 2.4.4 Develop a plan of nursing care for the patient undergoing thyroidectomy. 2.4.5 Compare hyperparathyroidism and hypoparathyroidism: their causes, clinical manifestations, management, and nursing interventions. 2.4.6 Compare Addisons disease with Cushings syndrome: their causes, clinical manifestations, management, and nursing interventions. 6

Miss: Iman alshaweesh Adult Health NSG 2 Al Najah University NSG Faculty

Second Years Students Second Semester January 2008

2.4.7 Use the nursing process as a framework for care of patients with adrenal insufficiency. 2.4.8 Use the nursing process as a framework for care of patients with Cushings syndrome. 2.4.9 Identify the teaching needs of patients requiring corticosteroid therapy. (Second Exam at 12th weeks)

Unite Three: Assessment of Renal and Urinary Tract Function On completion of this chapter 43, the learner will be able to:
3.1.1 Describe the anatomy and physiology of the upper and lower urinary tracts. 3.1.2 Identify the assessment parameters used for determining the status upper and lower urinary tract function. 3.1.3 Describe the diagnostic studies used to determine upper and lower urinary tract function. 3.1.4 Initiate education and preparation for patients undergoing assessment of the urinary system. 3.1.5 Discuss the role of the kidney in regulating fluid and electrolyte balance, acidbase balance, and blood pressure. 3.2 Management of Patients With Upper or Lower Urinary Tract Dysfunction. On completion of this chapter 44, the learner will be able to: 3.2.1 Explain the different types of urinary incontinence and their causes. 3.2.2 Compare and contrast urinary retention and urinary incontinence in terms of their clinical manifestations, complications, and medical and nursing management. 3.2.3 Describe the sequence of events leading to urinary tract infection in a patient with an indwelling urinary catheter. 3.2.4 Outline the principles of management of a patient with an indwelling urinary catheter. 3.2.5 Compare and contrast hemodialysis and peritoneal dialysis in terms of underlying principles, procedures, complications, and nursing considerations. 3.2.6 Describe nursing management of the hospitalized dialysis patient. 3.2.7 Use the nursing process as a framework for care of patients undergoing 7

Miss: Iman alshaweesh Adult Health NSG 2 Al Najah University NSG Faculty kidney surgery.

Second Years Students Second Semester January 2008

3.3 Management of Patients With Urinary Disorders On completion of this chapter 45, the learner will be able to: 3.3.1 Identify factors contributing to urinary tract infections. 3.3.2 Develop a teaching plan for the patient with urinary tract infection. 3.3.3 Compare and contrast pyelonephritis, glomerulonephritis, and the nephrotic syndrome: causes, pathophysiologic changes, clinical manifestations, management, and nursing care. 3.3.4 Describe causes of acute and chronic renal failure. 3.3.5 Use the nursing process as a framework for the care of patients with acute renal failure 3.3.6 Use the nursing process as a framework for the care of patients with chronic renal failure. 3.3.7 Develop a postoperative plan of nursing care and teaching plan for the patient undergoing kidney transplantation. 3.3.8 Describe management strategies for renal calculi (kidney stones). 3.3.9 Develop a teaching plan for the patient undergoing treatment for renal calculi (kidney stones). 3.3.10 Formulate preoperative and postoperative nursing diagnoses for the patient undergoing surgery for urinary diversion. 3.3.11 Describe interstitial cystitis and its physical and psychological effects on the patient. (Final Exam at 16th weeks) Methodology: Learning methods 1. Lectures 2. Group Discussion- Problem based Learning. 3. Home Assignments Audio Visual Aids 1. Blackboard 2. Overhead projector 3. LCD, Computer presentation, power point.

Evaluation:
1- First Exam 2- Second Exam 3- Third Exam 4- Daily activity&

15% 15% 10%

Miss: Iman alshaweesh Adult Health NSG 2 Al Najah University NSG Faculty Group Discussion& Quizzes 10% 5- Final Exam 50% (Written 45% + 5 % Oral Exam) Total 100%

Second Years Students Second Semester January 2008

Reference:
Suzanne C.Smeltzer, Brenda G.Bare. Textbook of Medical-Surgical Nursing. Lippnncot Williams & Wilkins, 11th edition 2008. ISBN 13-978-0-7817-5978-6