Nursing Management of Postpartum Complications Powerpoint by zxb18105

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									                                                                                      CCRI - NURSING PROGRAM
                                                                               LPNU 1030: NURSING III - SUMMER 2009
                                                                                  SYLLABUS C: LEARNER ACTIVITIES

 TEST                        CLASS CONTENT                             HOURS              INTERACTIVE LEARNING STRATEGIES                           READING ASSIGNMENT                 RESOURCE TECHNOLOGY

                                                                                                                                                                                    NOTE: Except where noted, all
                                                                         1                                                                                                          titles are video cassettes.
   1    Introduction to LPN Nursing – Professor Clifton
                                                                                                                                                                                    CS– Clinical simulations
                                                                         2                                                                                                          American Cancer Society:
   1    Medical-=Surgical Nursing: Care of the Patient with Sexually                                                                            Leifer, Ch 11, p254-261
        Transmitted Diseases                                                     Care for patients with exposure/potential exposure to STD’s                              
                                                                                                                                                Brunner, p. 2504-2509, 1834-5,
                                                                                 Discuss nursing care strategies for selected NANDA             1817                                New Mexico Aids Info Net:
                                                                                 diagnoses related to sexually transmitted diseases                                       
                                                                                 Reflect on the effect of infectious diseases on the                                                Videocassettes
                                                                                                                                                Karch, p117-120, 132-144
                                                                                 adolescent.                                                                                        OB-089V Pelvic Inflammatory
                                                                                 Develop a plan of care for a patient with a STD using                                              Disease– A pregnancy complicated
                                                                                 NIC/NOC interventions                                                                              by a STD

   1                                                                                                                                                                                PD 056 & 057: Growth &
        Growth & Development Review                                      1                                                                      Leifer, Ch 15, 16, 17, 18, 19, 20   Development
                                                                                 Identify growth and development milestones.

   1    Maternity Nursing: Prenatal Development
                                                                         1            •     Reflect on:                                         Leifer                              OB 23 Miracle of Life – video
                                                                                      The positive and negative factors of the mother’s         Chapter 3                           CAI:CD’s)
                                                                                      health as having an impact on the developing fetus.       Grodner, Ch 11, to p 251            Maternity Nursing Simulations
                                                                                      Discuss adequate folic acid intake before conception.
                                                                                      View reproductive models: uterus, pelvis, fetal head                                          OB 121-123 Pregnancy, Labor, &
                                                                                      and developing stages of the fetus.                                                           Delivery
                                                                                      •     Discuss the environmental factors which may
                                                                                            influence the health of the developing fetus.

                                                                         4                                                                                                          “Mrs. Kathy Shaw, antepartal care
   1    Maternity Nursing: Care of the Antepartal Patient                                                                                                                           for a primigravida client
                                                                                                                                                Liefer, Ch 4
                                                                                      •     Calculate the expected date and duration of
                                                                                            pregnancy for selected patients.
                                                                                 Interview a pregnant patient about her physiological changes
                                                                                 during pregnancy
                                                                                 Discussion questions:
                                                                                      •     What are the special nutritional considerations
                                                                                            for the pregnant adolescent?
                                                                                      •     Why is adequate weight gain and eating
                                                                                            wellbalanced meals important for the pregnancy?
                                                                                      Design a sample menu for a pregnant woman. Interview
                                                                                      patients concerning the impact of culture on food
                                                                                 Demonstrate by the use of Models, the relationship between
   1    Maternity Nursing: Care of the Intrapartal Patient                       the fetal head and the maternal pelvis during the birth
                                                                                 process                                                                                            OB-085V “Family/child Providing
                                                                                                                                                Leifer, Ch 6, 7
                                                                                 Discuss psychological support of the mother and significant                                        Care During Delivery (65 min)

Nursing III                           Syllabus C                                 Summer, 2009
 TEST                        CLASS CONTENT                             HOURS            INTERACTIVE LEARNING STRATEGIES                             READING ASSIGNMENT          RESOURCE TECHNOLOGY
                                                                               other during the labor process.
                                                                               Identify different cultural and religious beliefs regarding      Karch, Chapter 40            Maternity Nursing (CD) 4
                                                                               childbirth                                                                                    programs
                                                                               Discuss the theoretical basis of such techniques as massage,
                                                                               stroking, music, and imagery to reduce sensation of pain
                                                                               during childbirth

                                                                               Utilizing the Nursing Process construct a patient care plan
                                                                               for the Labor Patient

   1    Maternity Nursing: Care of the Postpartal Patient                      While in a postpartum setting, provide care for a postpartum
                                                                               mother/infant couplet                                            Chapter 9 p 203-216          Video –– Feeding Your Baby
                                                                               For students who have experienced birth, share their                                          Video cassettes:
                                                                               physiological experiences during their postpartum
                                                                                                                                                                             OB-086 “Family/child Care:
                                                                               Describe the routine postpartum assessment and apply these                                    Providing Care During Post Partum”
                                                                               skills on the post partum unit
                                                                               Develop a discharge teaching plan for the postpartum family
                                                                               Outline a teaching plan for the (a) breast feeding mother
                                                                               and (b) formula feeding mother.
        Pediatric Nursing: Safety/Health Risk Identification: Injury     1     Research in text and/or in nursing journals what types of                                     PD 060 Children as Accident
        Prevention                                                             accidents are most common in children between the ages of        Leifer, 16, 17, 18, 19       Victims (40 min)
                                                                               five and nine years. List measures to prevent injury.                                         PD 79-81 Rapid Assessment of the
                                                                                                                                                Grodner, p 270
                                                                               Discuss the dangers of trampoline use as a recreational form                                  Ill or Injured Child
                                                                               of exercise for children.                                                                     PD 75-76 Physical Assessment of

   2    Pediatric Nursing: Care of the Patient with Musculoskeletal      3     Determine appropriate NOC and NIC labels and specific            Leifer
        Disorders                                                              nursing interventions for the Nursing Diagnosis: Deficient       Chapter 24
                                                                               Diversional Activity, related to immobilization and
                                                                               hospitalization, secondary to skeletal traction. (age 10)
                                                                         1                                                                      Leifer, p. 565-570
                                                                               Discuss the nurse’s role in child abuse, including prevention,
   2    Pediatric Nursing: Care of the Abused Child                                                                                             Videbeck, p 193-195
                                                                               advocacy, and treatment.

   2    Maternity Nursing: Care of the Newborn                           5     Complete a Newborn Assessment and perform newborn Care           Liefer, Intro to Maternity   OB-160 Assessment of a Newborn
                                                                               in the Clinical Setting                                          Pediatric Nursing            Video:
                                                                               Complete a newborn admission to the nursery with faculty         Leifer, Chapter 6, p 151     “Physical Assessment of the
                                                                               supervision.                                                     Ch 9 p 215-235               Neonate: Physical Exam” (28 mins)
                                                                               Detail methods used to prevent heat loss                         Chapters 12 & 13             OB116
                                                                               Discuss problem solving skills to maintain newborn’s             Grodner, Ch 11, p 251-256    “Physical Assessment of the
                                                                               temperature.                                                                                  Neonate: Gestational Age
                                                                               Observe the newborn in the periods of adaptation to extra                                     Assessment” (24 mins)
                                                                               uterine life.                                                                                 PowerPoint Presentation
                                                                               Linkage – compare vital signs of the newborn with the adult

Nursing III                            Syllabus C                              Summer, 2009
 TEST                        CLASS CONTENT                        HOURS             INTERACTIVE LEARNING STRATEGIES                                READING ASSIGNMENT   RESOURCE TECHNOLOGY
   2    Maternity Nursing: Care of the Antepartal Patient:          3     Explain the use of fetal diagnostic tests in women with
        Antepartal Complications                                          complicated pregnancies
                                                                          Describe antepartal complications, treatment, and nursing
                                                                          Observe patients in a prenatal outpatient setting
                                                                                                                                               Leifer, Chapter 5
                                                                          Discuss ethical and legal issues of prenatal testing.
                                                                                                                                               Grodner, p 438-439
                                                                          Care for a patient with a specific disorder during pregnancy
                                                                          and discuss the testing, results, and nursing care as a clinical
                                                                          conference. Investigate resources available to families who
                                                                          have experienced grief or loss during a pregnancy.
                                                                          Discuss maternal and fetal disorders that place the mother
                                                                          and baby at risk

                                                                          Assess patient in Labor for S & S of various complications
        Maternity Nursing: Care of the Intrapartal Patient:         2
                                                                          including fetal distress. Hemorrhage, dystocia and
   2    Intrapartal Complications                                                                                                              Leifer, Chapter 8
                                                                          Premature rupture of membranes
                                                                          Observe an ultra-sound for an amniotic fluid index
                                                                          Discuss the nurse’s role for a laboring patient who
                                                                          experienced a prolapsed cord
                                                                          Discuss the methods used for induction and augmentation of
                                                                          Explain the benefits of tocolytic agents used for preterm
                                                                          Discuss the early S & S of preterm labor you would teach
                                                                          pregnant women
                                                                          Describe the nursing care of a Post-C-Section Birth

                                                                    2     Discuss Postpartum complications such as Hemorrhage,
   2    Maternity Nursing: Care of the Postpartal Patient:                puerperal infection, mastitis and thromboembolic disorders           Leifer, Ch 10
        Postpartal Complications
                                                                          Review signs and symptoms of infection and develop a care
                                                                          plan utilizing critical thinking skills to care for a patient with
                                                                          a postpartum infection
                                                                          Discuss normal copying mechanisms utilized by the New
                                                                          Mother and Family
                                                                          Relate symptoms of Postpartum Mood disorders.
                                                                          Identify symptoms that may indicate depression
                                                                          Identify community – based resources for patients
                                                                          experiencing postpartum depression
   3    Pediatric Nursing: Care of the Patient with Respiratory     4     Utilizing the nursing process, discuss the care of a child with
        Disorders and Ear, Nose, and Throat Disorders                     Croup.                                                               Leifer Ch 25 p 590-595
                                                                          Discuss the nurse’s role in sudden infant death syndrome,            Ch 23 p 519-524
                                                                          include psychosocial needs of the family, effect on sexuality,
                                                                          and psychological support of the family.
                                                                          Describe assessments for child with a hearing problem

Nursing III                           Syllabus C                          Summer, 2009
 TEST                           CLASS CONTENT                          HOURS            INTERACTIVE LEARNING STRATEGIES                               READING ASSIGNMENT                   RESOURCE TECHNOLOGY
                                                                               List points to be emphasized in developing a teaching plan to
   3    Pediatric Nursing: Care of the Patient with Gastrointestinal     3     prevent salmonella-caused gastroenteritis.                         Leifer, Ch 27
   3    Pediatric Nursing: Care of the Patient with Neurological         3     Develop a nursing care plan for a child with Cerebral Palsy,
        Disorders, and Disorders of the Eye                                    utilizing nursing process and Maslow’s Hierarchy of Needs          Leifer Ch 23 p. 525-548
                                                                               List 3 primary health promotion strategies to prevent

   3    Medical-Surgical Nursing: Care of the Female Patient with        4     Discuss previously learned anatomy and physiology of the                                                 The National Women’s Health
        Reproductive Disorders                                                 female reproductive system                                         Leifer                                Information Center
                                                                               Prepare a presentation on topics pertinent to women’s health       Chapter 11                  
                                                                               care issues: abortion, infertility, contraception, gynecologic                                           Patient care:
                                                                                                                                                  Brunner, Ch 46, 47, 48
                                                                               and breast problems                                                                            
                                                                               Prepare a NCP for common gynecological and breast                                                        Videocassettes:
                                                                               problems, including emotional, cultural and social issues, using   Karch, Chapter 40
                                                                                                                                                                                        OB-090V Menopause and Hormone
                                                                               NANDA, NIC/NOC interventions
                                                                               Care for patients with women’s health issues in various
                                                                                                                                                                                        OB-100V Gynecological cancer
                                                                               inpatient and outpatient settings
                                                                                                                                                                                        OB-101V Uterine Surgery
                                                                                                                                                                                        OB109V, OB-110V, OB-111V, OB-
                                                                                                                                                                                        112V Journey to Recovery Breast
   3    Pediatric Nursing: Care of the Patient with Infectious           3     Describe nursing actions which prevent or decrease skin            Leifer Ch 31                          PD 051 Before It’s Too Late:
        Disease and Skin Disorders                                             irritation                                                         Ch 29                                 Vaccinate
                                                                               State NIC based interventions to provide comfort for a                                                   PD 062 Oncological/Infectious
                                                                               child experiencing pruritis associated with a skin rash.                                                 Diseases
                                                                               Discuss the psychosocial needs of the child with a congenital      Leifer Chapter 25
   4    Pediatric Nursing: Care of the Patient with Cardiovascular       3     heart defect and its effects on the family.                        pp. 596-606
        Disorders and Hematological Disorders                                  Develop a nursing care plan for a child with Leukemia,             Chapter 26
                                                                               utilizing nursing process and Maslow’s Hierarchy of Needs

   4    Pediatric Nursing: Care of the Patient with Genitourinary        2     Utilize nursing process to develop a care plan for a child         Leifer
                                                                               with glomerulonephritis
        Disorders                                                                                                                                 Ch 28
                                                                               Assess a child for edema

        Pediatric Nursing: Care of the Patient with Endocrine and        2     Develop a nursing care plan specifying three                       Leifer Ch 30
        Metabolic Disorders                                                    NANDA/NOC/NIC labels and individualized nursing                    Grodner, p 440-443
                                                                               interventions for a 13 year old child with Type I Diabetes
                                                                               Mellitus. Compare for a child with Type II Diabetes

   4    Foundations of Psychiatric Nursing                               4                                                                        Videbeck, ,
              Historical Perspectives: Legislation,                            Describe the evolution of your clinical facility. Who are the         Chapter 1,4, 5, 6, 9, 10, 13. 19

Nursing III                              Syllabus C                            Summer, 2009
 TEST                             CLASS CONTENT                            HOURS            INTERACTIVE LEARNING STRATEGIES                            READING ASSIGNMENT               RESOURCE TECHNOLOGY
              Deinstitutionalization, Homelessness, Social Stigma                  patients and how are they admitted? Compare the roles of
              Roles & Responsibilities of the LPN                                  members of the interdisciplinary team.

              Health Promotion: Primary. Secondary (Community Based                Visit a homeless shelter. Determine the relationship
                                                                                   between homelessness and mental illness in RI.
                  Care, Hospital care, Interdisciplinary treatment
                  team), Tertiary (Rehabilitative Settings)                        Discuss primary prevention of mental illness.

              Legal & Ethical Issues: Commitment, Guardianship,
                   Patients’ Rights, Patient Advocates, Court ordered
                  treatment                                                        Examine patient advocacy: NAMI and RI Mental Health
        The Therapeutic Nurse-Patient Relationship                                 Advocate
                                                                                                                                                                                     PY 177-179 One Voice: Domestic
              Components                                                           Relate admission criteria under the Mental Health Law.
              Therapeutic use of self                                              Practice therapeutic communication with selected patients
                                                                                   with psychiatric disorders,
              Phases, Blocks to Therapeutic Communication
              Therapeutic roles of the nurse                                                                                                                                         PY166-167 “The Anxiety
              Therapeutic communication process                                                                                                                                      Disorders”
              Management of anger, hostility, aggression
        Basic Care of Patients with Anxiety Disorders and
        Somatoform Disorders
              Clinical Manifestations                                              Consider techniques in managing anger, hostility, and
                                                                                                                                                                                     Therapeutic Issues in Mental
              Collaborative management                                                                                                                                               Health : Empowering Clients in
                                                                                   Recognize symptoms of anxiety disorders in selected                                               Treatment Settings
              Nursing management: NANDA, NOC, NIC
              Recognition of complications

   4    Psychiatric Nursing: Basic Care of Patients with Cognitive           4     Review clinical management of patients with cognitive            Videbeck                         PY183-186 “Substance Abuse”
        Disorders, Addiction Disorders, Personality Disorders, and                 disorders.                                                          Chapter 21, 17, 16, 14        PY162-165 “Personality Disorders”
        Schizophrenia                                                              Visit an addiction support group. Discuss dual diagnosis.                                         PY157 “Schizophrenia”
              Clinical manifestations                                              Differentiate among various personality disorders.
              Collaborative management                                             Formulate a nursing care plan for a patient with
              Nursing management: NANDA, NOC, NIC                                  schizophrenia
              Recognition of complications

   4    Psychiatric Nursing: Utilization of the Nursing Process as it        3     Recognize assessment data relating to psychiatric diagnoses.     Videbeck
        relates to Basic Psychiatric Nursing                                                                                                           Chapter 7, 8, 2, 3
                  Patient’s response, history, appearance, mood, thought                                                                               Karch, Chapters 20, 21, 22,
                  process, intellectual process, sensory-perceptual,
                  judgment, self-concept, roles
                                                                                   Find diagnostic labels in five axis areas, in selected patient
                  Collaborative Data: DSM IV Taxonomy
              Nursing Diagnosis
                                                                                   Formulate nursing diagnoses, NOC labels for outcomes, and
              Planning: NOC Outcomes                                               NIC interventions, as part of care planning activities.
              Implementation: NIC based actions
                  Collaborative Efforts                                            Observe psychotherapeutic interventions among staff and
                  Assisting with therapeutic regimen: Psychotherapies,             patients, both in the hospital and in rehabilitative settings.

                     Psychopharmacology intro                                      Observe therapeutic and side effects of

Nursing III                               Syllabus C                               Summer, 2009
 TEST                             CLASS CONTENT                      HOURS            INTERACTIVE LEARNING STRATEGIES                            READING ASSIGNMENT                   RESOURCE TECHNOLOGY
                     Delegation                                              psychopharmacological agents.
              Evaluation                                                     Reflect on the prognoses of psychiatric disorders, and the
                                                                             prospect of continuing care.

   5    Psychiatric Nursing: Collaborative Efforts continued
        Psychopharmacology                                             4     Recognize prototypes of seven classes of                        Videbeck p 26-39                     PY 168-171 “Mood Disorders”
        Electroconvulsive Therapy                                            psychopharmacologic agents. Discuss the impact of med              Chapter 15, 11
                                                                             noncompliance, and remedies.
        Basic Care of Patients with Mood Disorders, and Disorders
        related to Abuse and Violence                                        Differentiate between clinical manifestations of thought and
                                                                             mood disorders.
              Clinical Manifestations
              Collaborative management
                                                                             Discuss priority nursing diagnoses for a patient with bipolar
              Nursing management: NANDA, NOC, NIC
              Recognition of Complications

        Leadership and Nursing Management                              3     Delegate effectively and appropriately.                         Taylor                               BN 174, 175, 176, 177
   5    Role of LPN and The Nurse Practice Act                               Communicate patient needs and nursing care from one team        Chapter 23, 21 (review),             Nursing Leadership &
        Effective Nursing Leadership and Management                          to another team. (Take and give report)                                                              Management:Building Teams,
                                                                                                                                             p.89-92, (Evidence based practice,
        Leadership and Management Skills                                     Develop an assignment for a team member recognizing the                                              Problem Solving, and Decision
                                                                                                                                             decision making)
            Communication                                                    needs of the patient and the capabilities of the team                                                Making; Dealing With Difficult
            Problem Solving and Decision Making                              member.                                                         p. 323-326(delegation)
                                                                                                                                                                                  People; Critical Thinking In Action;
            Delegation                                                       Identify the role of the Practical Nurse according to the
                                                                                                                                                                                  Delegating Effectively and
                                                                             Nurse Practice Act of Rhode Island.

   5    Medical-Surgical Nursing: Basic Care of Patients with Skin     3                                                                     Brunner                              #BN-162 Wound Care and
        Disorders                                                            Summarize drug management for common skin disorders,            Ch 55, 56                            Applying Dressings (24 min.)
           Review of Anatomy / Pathology                                     including nursing responsibilities.
           Health Promotion
                                                                                                                                             Karch, p 1014-1019 (assorted         MS 057 Skin Diseases (30 min)
           Nursing Process
                                                                                                                                             topical agents)
             Assessment parameters
             Nursing Diagnoses: NANDA
             Planning: NOC Outcomes, NIC Interventions
                Nursing actions, prevention of complications
                Collaborative management: Treatments, drugs
           Specific common skin disorders
                                                                             Discuss the significance of presence in the nursing care of a   Brunner, Ch 57
   5    Medical-Surgical Nursing: Basic Care of the Patient with       2                                                                                                          MS 207 Burns: Emergency
                                                                             patient/family experiencing severe trauma of burns.
           Burns                                                                                                                                                                  Procedures (15 min)

              Pathology                                                                                                                      Karch, p 1017 (burn preparations)    MS 208 Burns (29 min)
                                                                             Share experiences demonstrating the levels of presence and
              Health Promotion                                               describe the impact of presence on student nurse/family.
              Nursing Process
                 Nursing Diagnosis: NANDA
                 Planning: NOC Outcomes. NIC Interventions

Nursing III                              Syllabus C                          Summer, 2009
                     Nursing actions, recognition of complications,
                     Collaborative efforts
        Medical Surgical Nursing: Basic emergency nursing               2
   5          Health Promotion: Prevention of Accidents                     Explain the role of the triage nurse in the emergency           Taylor, Chapter 26, p 687-690   HE 105 Caring for Ourselves
              Emergency care concepts: Treatment areas, triage              department in relation to Maslow's Hierarchy of Needs.          Brunner, Ch 71, 72              (29 min)
              Nursing Process
                 Assessment                                                 Reflect on the needs of caregivers who participate in trauma
                 Nursing Diagnosis: NANDA                                   care/disaster response. Investigate support available within
                                                                            the state for these workers.
                 Planning: NOC Outcomes, NIC Interventions
              Specific emergency problems: Accidents, sudden illness,
              Disaster protocols and roles of the LPN
        Medical Surgical Nursing
        Basic Care of the patient with Immune Function Excess/              Plan health promotion strategies which serve to empower a
   5                                                                    2   patient with an allergic disorder to assume an active role in   Brunner, Ch 53
           Allergic Disorders
                                                                            his own care.
              Pathophysiology of Hypersensitivity / Allergy,
              Health Promotion
              Nursing Process
                 Assessment parameters
                 Nursing Diagnosis: NANDA
                 Planning: NOC Outcomes, NIC Interventions
                     Nursing management
                     Collaborative management

Nursing III                              Syllabus C                         Summer, 2009

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