Course Number:
NRS 236
Transcript Title:
Pathophysiological Processes for Nursing 3
Created:
Apr 30, 2024
Updated:
May 01, 2024
Total Credits:
2
Lecture Hours:
20
Lecture / Lab Hours:
0
Lab Hours:
0
Satisfies Cultural Literacy requirement:
No
Satisfies General Education requirement:
No
Grading Options
A-F
Default Grading Options
A-F
Repeats available for credit:
0
Prerequisites

NRS 235

Corequisites: NRS 112, NRS 239

Course Description

Explores pathophysiological processes that contribute to disease states across the lifespan and human responses to those processes. Develops skills for making clinical decisions using critical thinking in the context of nursing. Covers current, reliable sources of pathophysiology information, and the selecting and interpreting of focused nursing assessments based on knowledge of pathophysiological processes. Develops strategies for teaching individuals from diverse populations and communicating with other health professionals regarding pathophysiological processes. The third course in the three course Pathophysiological Processes for Nursing series. Prerequisite: NRS 235. Corequisite: NRS 112, NRS 239.

Course Outcomes

Upon successful completion of this course, students will be able to:

  1. Retrieve and interpret current, trustworthy information concerning chosen pathophysiological processes.
  2. Select and analyze targeted nursing assessments by integrating understanding of clinical presentations, developmental factors, relevant social determinants of health, and potential complications associated with specific pathophysiological conditions in patients of all age groups.
  3. Instruct individuals across different demographics and age groups about chosen pathological disorders: Neurological; Neuropsychological; Immune and Autoimmune; Neoplastic; Reproductive; and Musculoskeletal.
  4. Facilitate clear and comprehensive communication with peers in the healthcare field regarding targeted pathophysiological processes, centering on Neuropsychological Disorders; Immune and Autoimmune Disorders; Neoplastic Disorders; Reproductive Disorders; Musculoskeletal Disorders.

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: exams, case scenarios, concept maps

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: Retrieve and interpret current, trustworthy information concerning chosen pathophysiological processes.

  • Neurological Disorders
  • Neuropsychological Disorders
  • Immune and Autoimmune Disorders
  • Neoplastic Disorders
  • Reproductive Disorders
  • Musculoskeletal Disorders

Outcome #2: Select and analyze targeted nursing assessments by integrating understanding of clinical presentations, developmental factors, relevant social determinants of health, and potential complications associated with specific pathophysiological conditions in patients of all age groups.

  • Principles of neurological pathophysiology
    • Clinical effects of increased intracranial pressure
    • Primary and secondary neurological injury
    • Clinical effects of upper motor neuron versus lower motor neuron damage
    • Clinical effects of pyramidal versus extrapyramidal tract disorders
  • Brain disorders
    • epidural and subdural hematomas and subarachnoid hemorrhage (definitions only)
    • cerebrovascular disease and stroke (CVA)
      • transient ischemic attack (TIA)
      • ischemic stroke (thrombotic, embolic)
      • hemorrhagic stroke
    • seizure disorders
    • Parkinson disease
  • Spinal cord and peripheral nerve disorders
    • multiple sclerosis (MS)
    • amyotrophic lateral sclerosis (ALS)
    • spinal cord injury
    • peripheral neuropathies
  • CNS infection
    • meningitis
  • Neuropsychological:
    • Dementia
      • Definitions: delirium versus dementia
      • Alzheimer disease
    • Neurobiology of schizophrenia
    • Neurobiology of broad-spectrum mood disorders
      • Major depression
      • Bipolar disorder
  • Immune and Autoimmune Disorders
    • Deficient immune response (immunocompromise)
      • HIV infection and AIDS
        • Opportunistic infections and Kaposi sarcoma
    • Excessive or inappropriate immune response
      • Autoimmunity
        • Rheumatoid arthritis
        • Systemic lupus erythematosus
      • Hypersensitivity
        • Type 1 hypersensitivity: anaphylaxis
  • Characteristics of benign and malignant neoplasms.
    • Benign versus malignant growth
      • Characteristics of benign versus malignant tumors
      • Tumor nomenclature
    • Overview of genetic and epigenetic mechanisms of cancer
      • Proto-oncogenes and tumor suppressor genes
      • Genetic mutations that create oncogenes and disable tumor suppressor genes
      • Epigenetic mechanisms: definition, linkage to environmental and lifestyle risk factors
    • Invasion and metastasis
      • Grading and staging of cancers
    • Local and systemic effects of tumors
  • Reproductive Pathophysiology
    • Sexually transmitted infections (STI)
      • Herpes virus infection
      • Human papilloma virus (HPV) infection
      • Gonorrhea and pelvic inflammatory disease (PID)
      • Chlamydia infection
      • Syphilis
    • Preeclampsia and eclampsia (include endothelial and immune aspects)
    • Polycystic ovary syndrome (PCOS): Definition, signs and symptoms
  • Musculoskeletal
    • Disorders of joint function
      • Osteoarthritis
    • Alterations in bone mass
      • Osteoporosis
    • Infections of the bone
      • Osteomyelitis
    • Types of bone fractures
      • Transverse
      • Spiral
      • Longitudinal
      • Oblique
      • Comminuted
      • Impacted
      • Greenstick
      • Stress
      • Avulsion
    • Complications of bone healing
      • malunion
      • nonunion

Outcome #3: Instruct individuals across different demographics and age groups about chosen pathological disorders: Neurological; Neuropsychological; Immune and Autoimmune; Neoplastic; Reproductive; and Musculoskeletal.

  • explaining how the risk factors relate to specific pathophysiological processes,
  • describing selected pathophysiological processes in appropriate terms,
  • explaining how the signs and symptoms relate to specific pathophysiological processes,
  • explaining which signs and symptoms to report to a health professional, and
  • explaining how developmental factors relate to pathophysiology, symptom experience, symptom reporting, and symptom management.

Outcome #4: Facilitate clear and comprehensive communication with peers in the healthcare field regarding targeted pathophysiological processes, centering on Neuropsychological Disorders; Immune and Autoimmune Disorders; Neoplastic Disorders; Reproductive Disorders; Musculoskeletal Disorders.

  • using appropriate technical language
  • clarifying technical details of pathophysiological processes
  • reporting pertinent information about a patient’s status

Suggested Texts and Materials

  • Capriotti, T.M. (2020) Pathophysiology: Introductory concepts and clinical perspectives. (2nd ed.)