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NUR 2110 Caring for Clients with Complex Alterations in Survival and Functional Needs and Their Significant others Unit] Caring for Clients with Altered Cell Growth Unit Obj ‘Vait Content 1. Review concepts of altered cell growth, Concepts: ‘A, Development of cancer 4, Intrinsi factors 2. Extrinsic factors B. Progression . Stage and grade 2, Deseribe the Pathophysiology of cancerous Pathophysiology related to ‘conditions, ‘A. Obstruction B Pressure C. Hemorrhage D. Infection E Uleeration 3. Describe assessment of clients with cancer. Nursing Process: 4, Discuss the nurse's caring role in maintaining A. ignity and integrity in clients with cancer. ‘5. Describe the purpose and nursing intervention B. for diagnostic studies related to cancer. 6, Select nursing diagnoses for clients with cancer. IL ‘Assessment: Clinical manifestations related to: 1 Disease process 2. Treatment disease Psychosocial assessment 1, Stages of grieving Diagnostic tests: 1. Laboratory findings 2. Radiographic findings gh isk frinfoton oO nical Objectives 1 Identify the risk factors in assigned clients with cancer. 2. Assess the clinical manifestations of cancer. 3. Use therapeutic communication ‘skills when assisting clients and their significant others to identify methods of effective coping. 4, Assess the outcomes of diagnostic testing in assigned clients, 5, Formulate nursing diagnoses for selected clients with cancer, [NUR 2110 Caring for Clients with Complex Alterations in Survival and Functional Needs and Their Significant others Unit Caring for Clients with Altered Cell Growth ‘Unit Objectives 17. Determine priorities of nursing care based client's biophysical, psychosocial, cultural, and spiritual needs, 8. Describe expected outcomes the client should eet the plan of nursing ear is effective, 9. Identify the collaborative ole ofthe nurse in proving a supportive, protective and corrective ‘environment for clients with cancer. 10, Analyze critical thinking behaviors when ‘resenting casestudies of clients with cancer 11. Identify nursing responsibilities inthe Performance of common treatment modalities C D. E F Bp 2 Bommpom> ‘Altered Nutrition ‘Altered bowel elimination Pain Body image disturbance Planning: Priorities ‘Outcome criteria Intervention/Rationale Protective Supportive Corrective Chemotherapy Extemal radiation therapy Internal radiation therapy Surgical management Pain management 6. Establish priorities when on the managing the care of selected clients ‘with cancer. 7. Modify the plan of nursing care ‘based on the changing assessment of the client's needs 8. Demonstrate the caring performance of nursing skills specific to selected clients with 9. Collaborate with members ofthe health care team while providing ‘culturally competent care to clients ‘with cancer 10, Analyze critical thinking ‘Behaviors in decision-making situations for clients with cancer. 11. Assist selected clients to achieve ‘outcomes related pain, [NUR 2110 Caring for Clients with Complex Alterations in Survival and Functional Needs and Their Significant others ‘Unit Caring for Clients with Altered Cell Growth Unit Objectives Unit Content 12, Design teaching plans which include 1. Cleat teaching: preventive health teaching and early 1. Screening procedures detection of cancer 2 Danger signals 3. Therapeutic regimen 13. Identify desired learning outcomes for 4. Discharge preparation clients with cancer and their significant others, 14, Evaluate expected outcomes for clients V. Evaluation with cancer, 15, Relate legal and ethical issues tothe care ‘Legal and Ethical Issues: if iets with cancer ‘Advanced directives Quality of Life Internal feedings Living wills Health care proxy moOE> 16. densify principles of accountability in ‘managing the nursing care of clients with cancer. 17, Apply the nursing process tothe care of _-—‘Selected Examples of Cancer: clients with selected cancers ‘Blood - Leukemia Bone - Osteosarcoma Skin - Melanoma ‘Reproductive ~ Breast, Cervix, Uterus, Prostate Urinary - Bladder mB p9m> ® Clinical Objectives 12 Implement health teaching for clients and significant others cof clients with eancer, 13, Determine if therapy is effective ‘Based on alterations in clinial manifestations, 14. Analyze specific legal and ethical esponsbilites inthe care of cients ‘with cancer. 15, Demonstrate accountability in the cae if clients with cancer, 16. Beamine own limitations when caring for clients with selected 17. Individualie client care based on assessment and nursing diagnosis. [NUR 2110 Caring for Clients with Complex Alterations in Survival and Functional Needs and Their Significant others Unit Caring for Clients with Complex Nutritional/Elimination Alterations ‘Unit Objectives 1. Review the anatomy and physiology of gastrointestinal (GD system. 2, Describe the Pathophysiology of complex alterations in nutrition and elimination. 3. Describe the assessment of clients with alteration in nutrition and elimination Clinical Objectives 1 Inegrate knowledge and skills Gained from the biological sciences into mursing practice ‘Selected Examples of Alterations ‘A. Esophageal atresia with tracheoesophageal fisula B. Intestinal cbstruction 1. Pediatric ‘2. Intussusception ’b Malrotation and Volvulus c, Anceectal malformation 2, Adult ‘Small Bowel », Large Bowel ©. Cancer: 1. Gastric 2. Colorectal 3. Pancreatic 4, Liver D. Peritonitis E, Abdomina Trauma Hi, Pancreatitis L Hepatitis ‘Nursing and Collaborative 2, Assess cients with complex ‘Management: ‘elected complex alterations in A. Assessment: sutrtion and elimination 1, Clinical manifestations related to: Pain ®@ [NUR 2110 Caring for Clients with Complex Alterations in Survival and Functional Needs and Their Significant others Unit Caring for Clients with Complex Nutitional/Elimination Alterations Unit Obiestives 4. Discuss the nurse's caring role in maintaining Aignity and integrity in clients with cancer. 5, Describe the purpose and nursing intervention for diagnostic studies related to assessment of @). Constipation ¢. Nausea/vomiting £ Flatulence 8 Distention bh. Anorexia i, Jaundice 2. Psychosocial Assessment 3. Diagnostic stadies: '. Endoscopyltiberoscopy Colonoscopy «. Biopsy 4. Barium swallow © Air contrast barium enema £. Abdominal x-rays 4 Utrasound 1. Liver function tess 3, Use therapeutic communication slalls when assisting clients and their significant others to identify methods of coping with body image and lifestyle changes 4, Assist clients undergoing selected iagnostic studies. (1), Total protein and A/G ratio (©), Tota bilirubin © NUR 2110 Caring for Clients with Complex Alterations in Survival and Functional Needs and Their Significant others Unit Caring for Clients with Complex Nutrtional/Elimination Alterations Unit Objectives Unit Content Clinical Objectives @). Protein electrophoresis @), Prothrombin ime/partial thromboplastin time (6) Serum amylase (©) Serum cholesterol (), Serum lipase (8), Enzymes: (@).SGOT/AST 5, Assess the outcomes of disgnostic (©) SGPTALT testing in assigned cleats. (©. LDH (©). Alkaline phosphatase 6, Select nursing diagnoses for clients with B. Nursing Diagnoses: 6, Formulate nursing diagnoses for ‘complex alterations in nutrition and 1 Altered nutrition: less than body selected clients with complex elimination requirements alterations in nutrition and 2. Pain elimination. 3. Impaired skin imtegity 4 Fuid volume excess 5 Fluid volume deficit 6. High ris fr injury 1. High ris for altered thought processes 7. Determine pros of musing carebased on Cs Planning: 1. Banblish rots when Gens bopiysiel,pyehorocl, cultura and! 'A. Protos managing he care of eee ints spiritual needs. 3 Outeome ceria bith complex elterons of ution and elimination NUR 2110 Caring for Clients with Complex Alterations in Survival and Funetional Needs and Their Significant others Unit Caring for Clients with Complex Nutrtional/Elimination Alterations Unit Objective 8. Describe expected outcomes the client should meet ifthe plan of nursing care is effective. 9. Identity the collaborative role ofthe nurse in providing a supportive, protective and corrective ‘environment For clients with complex alterations {in nutrition and elimination. 10, Analyze critical thinking behaviors when presenting case studies of cients with complex alterations in nutrition and elimination, Unit Content ‘D. Antervention/Rationale: 1. Protective 2. Supportive 3. Conective 4. Surgery: b 4 £ Repair of congenital anomalies Bowel resection Exploratory laparotomy Intestinal resection Abdominal perineal resection ‘Whipple procedure 5. Decompression therapy Gastric Intestinal 6, Nutritional therapy a. TPN 7. Drug therapy ‘Antacids Hydrogen ion receptor blockers Antiemetics Anticholinergies ‘Cholinergies Vitamins and minerals Anti-nflammatory Anti-infective @ Glinical Objectives 8. Modify the plan of nursing care ‘based on the changing assessment of the cliont's neods 9, Demonstrate the caring performance of nursing skills specific to selected clients in acute care settings 10. Collaborate with members of the healthcare team while providing culturally competent care to selected clients, 11 Analyze critical thinking behaviors in decision-making situations for clients with complex alterations in nutrition and climination, 12. Determine if nutritional therapy is effective based on changes in clinical manifestations, 13. Recognize untoward side effects of drug therapy in selected clients ‘NUR 2110 Caring for Clients with Complex Alterations in Survival and Functional Needs and Their Significant others Unit Caring for Clients with Complex Nutritional/Elimination Alterations 11, Design teaching plans, which include preventive health teaching based on ‘identified risk factors. 12, entify desired earning outcomes for clients with complex alterations in nutrition ‘and elimination and their significant others. 13, Evaluate expected outcomes for clients with complex alterations in nuttion and elimination 14, Relate legal and ethical issues to the care ‘of clients with complex alterations in rutytion and elimination. 15, Discuss accountability in managing nursing care of clients with complex alterations in nutrition and elimination Uni it Client teaching: 1. Therapeaticregimen 2.Risk factor!prevention ‘3 Discharge preparation F. Legal and Ethical Issu A Bill of Rights B Client advocacy bjectives 14, Determine if drug therapy is effective based on changes in clinical manifestations 15, Implement heath teaching for cients and families of clients with complex alterations in nutrition and elimination, 16, Evaluate expected outcomes for assigned clients 17. Analyze specific legal and ethical responsibilities inthe care of clients with complex alterations in nutrition and elimination 18, Demonstrate accountability in the care of clients with complex alterations in nutrition and limination [NUR 2110 Caring for Clients with Complex Alterations in Survival and Functional Needs end Their Significant others Unit I Caring for Clients with Complex Alterations in the Need for Oxygenation Unit Objectives 1. Review the anatomy and physiology of cardiopulmonary system 2, Describe selected examples of complex. alterations in the need for oxygenation. 43. Describe the assessment of clients with alterations in the need for oxygenation Unit Content nical Objectives ‘A. Overview of cardiopulmonary system 1 Integrate knowledge and skills, ‘eained from the biological sciences into nursing practice. Selected Examples of Alterations in Cardiac Output: (Oxygen transport) A Dysthythmias B. Post cardiac arest- ACLS C. Cardiomyopathy D. Cardiogenic shock Selected Examples of Alterations in Abs ‘Sudden Infant Death Syndrome (SIDS) Respiratory failure Lang cancer (Chest trauma/Paeamothorax ‘Adult Respiratory Distress Syndrome (ARDS) Laryngeal cancer mmgoE> ‘Nursing Process: 2. Assess cents with selected A Assessment complex alterations in the need 1, Clinical manifestations related to: for oxygenation, 4. Chest pain b. Arythmias: (1), Sinus tachycardia @), Sinus Bradycardia G), Heart block @), Premature atral/venricular beats (6), Atrial futterfibrillation (©). Ventricular futterfibrillation ©) NUR 2110 Caring for Clients with Complex Alterations in Survival and Functional Needs and Their Significant others Unit IIT Cating for Clients with Complex Alterations in the Need for Oxygenation Unit Objectives 4, Discuss the nurses caring roe in maintaining

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