Foundations of Nursing in Chronic Illness I

Course Number:

NRS 111

Transcript Title:

Foundations of Nursing in Chronic Illness I

Created:

Aug 15, 2022

Updated:

May 01, 2024

Total Credits:

6

Lecture Hours:

20

Lecture / Lab Hours:

20

Lab Hours:

90

Satisfies Cultural Literacy requirement:

No

Satisfies General Education requirement:

No

Grading Options

A-F

Default Grading Options

A-F

Repeats available for credit:

0

Suggested Outcome Assessment Strategies

The determination of assessment strategies is generally left to the discretion of the instructor. Here are some strategies that you might consider when designing your course: writings (journals, self-reflections, pre writing exercises, essays), quizzes, tests, midterm and final exams, group projects, presentations (in person, videos, etc), self-assessments, experimentations, lab reports, peer critiques, responses (to texts, podcasts, videos, films, etc), student generated questions, Escape Room, interviews, and/or portfolios.

Department suggestions: Clinical evaluation, Papers, Multiple choice exams, Lab performance evaluation, Group Case Study, Patient Teaching Project

Course Activities and Design

The determination of teaching strategies used in the delivery of outcomes is generally left to the discretion of the instructor. Here are some strategies that you might consider when designing your course: lecture, small group/forum discussion, flipped classroom, dyads, oral presentation, role play, simulation scenarios, group projects, service learning projects, hands-on lab, peer review/workshops, cooperative learning (jigsaw, fishbowl), inquiry based instruction, differentiated instruction (learning centers), graphic organizers, etc.

Course Content

Outcome #1: Perform a comprehensive health assessment that prioritizes patient- family- centered care, integrates developmental and cultural sensitivities and effectively utilizes the derived data for interpretation and action.

• mental and functional status, ADLs and IADLs,
• coping/adaptive strategies used by patient/family,
• lived experience of chronic illness, including recognition of stigma and its impact on vulnerability, and maintaining health,
• impact of the condition on family functioning, and
• specific lab value interpretation and medication concerns such as polypharmacy.

Outcome #2: Identify and use safe, effective, developmental, and patient care preference interventions for patients with chronic illness, including:

• safely and effectively assisting patients with ADLs & IADLs,
• identifying and providing for comfort needs (physical and emotional),
• teaching patients/families about interventions for managing symptoms, and;
• teaching patients about self-assessment and self-management in highly prevalent chronic conditions.

Focus on Chronic illness

• Asthma 
• Chronic Obstructive Pulmonary Disease (COPD)
• Hypertension
• Coronary Heart Disease
• Heart Failure
• Post-acute stroke
• Alzheimer’s and other dementias
• Parkinson’s Disease
• Multiple sclerosis
• Arthritis
• Osteoporosis
• Post-trauma chronic alterations e.g., spinal cord injuries
• Diabetes mellitus - Type I & II
• Obesity

Outcome #3: Develop, implement, and evaluate a patient-centered plan of care for a patient with a chronic illness that incorporates assessment data, patient care preference, evidence-based intervention strategies, patient developmental/cognitive considerations, and demonstrates a deep understanding of the patient’s perspective and illness experience within the framework of exacerbation, trajectory, and plateau.

• Multidimensional aspects of chronicity, including aspects of health promotion and quality of life
• Body image, stigma, social isolation, chronicity vs. acute illness
• Illness differentiated from disabling condition
• Progressive & stable conditions, including transitions across the lived experience
• Concepts of medication administration
  • Medication reconciliation
  • Polypharmacy
• Health disparities
• Family coping, adaptation, caregiver burden/stress
• Family members with special health care needs
• Planning within the patient, family context
• Case Management/Coordination
• Implications of the environment in the delivery of care
• Use of health care system or resources
• Community resources
• Care assignment
• Age and culturally sensitive health teaching
• Wellness and health promotion activities
• Assessment and skills to teach individuals with low health literacy

Outcome #4: Identify the ANA Code of Ethics and nursing values in the care of persons with a chronic illness.

•  

Outcome #5: Identify roles and functions of members of the health care team in order to provide care for the chronically ill.

Review the roles and responsibility of:

• Care Provider- medical specialist.
• Family member
• Home Health Aid
• Home Health Nurse
• Hospice Nurse
• Social worker
• Care Giver
• Spiritual support

Outcome #6: Identify and utilize therapeutic communication skills in the development of therapeutic relationships with patients and their support system.

Professional interactions:

• Techniques of interviewing
• Confidentiality
• Legal responsibility to report
• Professional Boundaries

Outcome #7: Recognize potential legal and ethical issues related to patient care across the lifespan.

• Pain management with medications and alternative treatment.
• Health care decision making - health care team vs family rights.
• Legal age of consent
• Health care providers legal responsibility regarding “end of life” documents.
• Death with Dignity- assisted suicide and Oregon Law

Suggested Texts and Materials

• Makic, M. B. F. & Martinez-Kratz, M. (2023). Nursing diagnosis handbook: An evidence-based guide to planning care (13th ed.). St. Louis, MO: Elsevier. 
• Treas, L. S., Wilkinson, J. M., Barnett, K. L., & Smith, M. H. (2018). Basic nursing: Thinking, doing, and caring (3rd ed.). Philadelphia, PA: F. A. Davis.

Department Notes

• See OCNE Megacase List and Minimum Skill Set by end of Year 1 List
• See OCNE universal CCOG for additional information on course content