ADULT HEALTH NURSING 1

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Adult health nursing 1 slides

Overview of Adult health Nursing 1 (AHN-1)

This course is of 8 credit hour including theories and clinical both work. It was designed to provide you the information and abilities you'd need to take care of an adult hospital patient who has a sickness condition. It places a strong emphasis on the use of nursing processes to care for patients and help them regain their best possible health. An assessment tool has been used to identify how the illness process affects people and their families and to arrange care accordingly. Included are certain nursing techniques and abilities required to care for unwell patients. You are exposed to a range of clinical situations so that you may, with supervision, put theory into practice.

 

Course Objectives

By the end of the course, you will be able to learn the following things.

1.    Discuss the disease process, medical and surgical management, including patient’s education for client’s experiencing following disorders:

a.     Hematology Disorders

b.    Immunological Disorders

c.     Fluid, Electrolyte and Acid Base Balance and Imbalance

d.    Cellular adaptation and aberrant cell growth

e.     Gastrointestinal Disorders

f.      Genitourinary Disorders

2.    Discuss the purposes, indications and the nursing care of clients undergoing medical, surgical and diagnostic procedures related to the above-mentioned disorders.

3.    Utilize nursing process when caring for adult clients and their families related to above-mentioned disorders.

4.    Integrate knowledge of pathophysiology, nutrition & pharmacology for clients experiencing the above-mentioned disorders.

5.    Begin to recognize the need for integrating research-based information in the care of clients.

6.    Demonstrate awareness of the importance of legal and ethical issues in nursing practice.

 

Teaching/Learning Strategies

This can be taught by different methods such as; Lecture / discussion, role-play, case study, video, group presentation, skills demonstration, tutorials and small group discussions.

 

Evaluation Criteria

According to the new evaluation criteria, 30% marks will be internal and 70% will be of KMU or other university.

·      Test (s) 35%

·      Case study presentation 15%

·      Skill based performance Exam(s) and Viva 20%

·      Final Exam 30%

·      Clinical Pass/Fail/Grades

 

 

AHN 1 Outline

 The following Topics will be cover in this course.

Unit No

Topics

1.     

Gastrointestinal Disorders

2.     

Fluid, Electrolyte, and Acid Base Balance & Imbalances

3.     

Genitourinary Tract (Gut) Disorders

4.     

Reproductive Disorders

5.     

Haematology Disorders

6.     

Cellular Adaptation & Aberrant Cell Growth

7.     

        Immunological Disorders

 

UNIT 1: Gastrointestinal Disorders 

As this is a very long unit, so I'll recommend you to click here if you want to just read and download the slides.  

By the end of the session you will be able to learn the following things.

1.    Review the anatomy and physiology of gastrointestinal system (GIT)

2.    Discuss the causes, pathophysiology and manifestation of the following GIT disorders

3.    Discuss the diagnostic, medical and surgical management of the below mentioned disorders

4.    Apply nursing process including assessment, planning, implementation and evaluation of care provided to the clients with GIT disorders

5.    Develop a teaching plan for a client experiencing disorders of the GIT.

 

Disorders of mouth and esophagus:

·       Stomatitis

·       Oral cancer/tumour

·       Salivary gland disorders

·       Gastro esophageal reflux disorder

·       Hiatal hernia

·       Achalasia

·       Diverticula

·       Esophageal cancer/tumor

 

Disorders of stomach

·      Gastritis

·      Ulcer disease

·      Gastric carcinoma

 

Disorders of small and large intestine:

·       Irritable bowel syndrome

·       Hernias

·       Intestinal obstruction

·       Hemorrhoids

·       Colorectal cancer

·       Appendicitis

·       Peritonitis

·       Ulcerative colitis

·       Chron’s disease

·       Anorectal abscess

·       Anal fissure

·       Anal fistula

 

Alteration in hepatobiliary system:

·       Pancreatitis

·       Pancreatic pseudocyst/abscess

·       Pancreatic carcinoma

·       Hepatic abscess

·       Cancer of Liver

·       Cirrhosis of liver

·       Cholecystitis

·       Cholelithiasis

·       Cancer of gall bladder

 

UNIT 2: Fluid, Electrolyte, and Acid Base Balance & Imbalances (Download)

By the end of the unit, you will be able to:

1.    Analyze the client’s status on the basis of physical examination findings

2.    Identify clients at risk for fluid imbalances, acidosis and alkalosis

3.    Use laboratory data and clinical manifestations to determine the presence of fluid imbalances, acidosis and alkalosis.

4.    Apply appropriate nursing techniques to the client with fluid volume deficit and excess and acidosis and alkalosis

5.    Develop a teaching plan to prevent above mentioned problems.

·      Fluid volume excess

·      Fluid volume deficit

·      Respiratory Acidosis and Alkalosis

·      Metabolic Acidosis and Alkalosis

 

 

UNIT 3: Genitourinary Tract (Gut) Disorders (Read More)

By the end of the unit, you will be able to:

1.    Review the anatomy& physiology of GUT

2.    Discuss the causes, pathophysiology and manifestation of the following GUT disorders

3.    Discuss the diagnostic, medical and surgical management of the below mentioned disorders

4.    Apply nursing process including assessment, planning, implementation and evaluation of care provided to the clients with genitourinary disorders

5.    Develop a teaching plan for a client experiencing disorders of the genitourinary.

·      Urinary tract infections

·      Renal abscess & tuberculosis

·      Glomerulunephritis (immunologic disorder)

·      Urethral strictures, hydroureter and hydronephrosis

·       Urinary incontinence/ Retention & Urinary Calculi

·       Acute & Chronic Renal failure

·       Urinary Bladder and Renal cell carcinoma

 

UNIT 4: Reproductive Disorders (Read More)

By the end of the session you will be able learn the following.

Female Reproductive Disorders:

6.    Review the anatomy & physiology of female reproductive system

7.    Discuss the function of the supporting ligaments and pelvic floor muscles in maintaining the position of the pelvic organs

8.    Discuss the alteration in estrogen and progesterone levels as a cause of dysfunctional menstrual cycle.

9.    Discuss the causes, pathophysiology and manifestation of the following female reproductive disorders

10. Discuss the diagnostic, medical and surgical management of the below mentioned disorders

11. Apply nursing process including assessment, planning, implementation and evaluation of care provided to the clients with reproductive disorders

12. Develop a teaching plan for a client experiencing disorders of the reproductive system

·      Reproductive tract Infections

·      Menstrual Disorders

·      Dysfunctional uterine bleeding

·      Menopause

·      Endometriosis

·      Pelvic inflammatory disease

·      Uterine prolapse

·      Cystocele

·      Rectocele

·      Fistulas

·      Infertility

·      Ectopic Pregnancy

·      Abortion

·      Hydatidiform mole

·      Ovarian cyst

·      Ovarian tumor and cancer

·      Uterine tumor/ fibroids

·      Breast cancer

 

Male Reproductive Disorders:

1.    Discuss the structure & function of male reproductive system

2.    Discuss the causes, pathophysiology and manifestation of the following male reproductive disorders

3.    Discuss the diagnostic, medical and surgical management of the below mentioned disorders

4.    Apply nursing process including assessment, planning, implementation and evaluation of care provided to the clients with male reproductive disorders

 

5.    Develop a teaching plan for a client experiencing disorders of the reproductive system.

·      Benign prostate hypertrophy

·      Erectile dysfunction

·      Prostate and testicular cancer

·      Infertility

 

UNIT 5: Haematology Disorders (Read More)

By the end of the unit, you will be able to learn the following.

1.    Discus the causes, manifestations and associated mechanisms of following anemia

2.    Describe the pathogenesis of hemolytic disease of the newborn

3.    Discuss the lymph proliferative disorders associated with Hodgkin disease and non-Hodgkin’s lymphomas

4.    Discuss the mechanism of drugs induced and idiopathic thrombocytopenia

5.    Discuss the diagnostic, medical and surgical management of the below mentioned disorders

6.    Apply nursing process including assessment, planning, implementation and evaluation of care provided to the clients with hematological disorders

7.    Develop a teaching plan for a client experiencing disorders of the hematology.

a.     Sickle cell anaemia.

b.    Immunohemolytic Anaemia

c.     Iron deficiency anaemia

d.    Vitamin B12 deficiency anaemia

e.     Folic acid deficiency anaemia

f.      Aplastic anaemia.

g.    Polycythemia

h.    Leukemia

i.      Hodgkin disease & Non Hodgkin lymphoma

j.      Autoimmune and thrombotic Thrombocytopenic purpura

k.    DIC

 

 

UNIT 6: Cellular Adaptation & Aberrant Cell Growth (Download)

By the end of the unit you will be able to learn the following.

1. Identify the goals of cancer therapy

1.    2. Discuss different treatment modalities available for Cancer

2.    Discuss chemotherapy and radiation therapy, their types, indication, side effects and nursing care

3.     Discuss different types of cancer surgeries and nursing care of patients undergoing cancer surgery.

4.    Discuss end of life care (palliative and hospice care.

 

 

UNIT 7: Immunological Disorders (Read More)

By the end of the session you will be able to:

1.    Discuss Immunologic disorders.

2.    Discuss the diagnostic, medical and surgical management of the below mentioned disorders

3.    Apply nursing process including assessment, planning, implementation and evaluation of care provided to the clients with immunological disorders

4.    Develop a teaching plan for a client experiencing disorders of the immunology.

·      HIV/ AIDS

·      Hypersensitivity and autoimmunity disorders

 

CLINICAL OBJECTIVES

During medical/surgical rotation you are expected to apply the nursing process and critical thinking in delivering holistic nursing care to the clients with Oncological, Hematological, Immunological, Gastrointestinal and Genitourinary Disorders. You will utilize recommended assessment tools for clients’ assessment during clinical.

1. Utilize the nursing process in providing care to the sick adult in the hospital.

a) Collect data from the client and family, nursing kardex, patient’s charts, nursing notes and health team members.

b) Integrate the knowledge of diagnostic tests in the process of data collection.

c) Collect data necessary to determine nursing care needs of the patient

d) Set priority or needs for nursing care.

e) Develop a plan to meet the identified nursing needs of a client

f) Adults the plan of care as necessary.

2. Use a sound knowledge base in proving nursing care to adults in the hospital.

3. Apply scientific principles in providing nursing care of adults.

4. Identify the effects of sickness and hospitalization of adults and their families.

5. Identify and plan out nursing intervention to meet the physiological and psychosocial and spiritual needs of the clients and families.

6. Implement care according to priority order.

7. Provide perioperative nursing care to client undergoing surgery.

8. Evaluate the expected outcomes and revise the nursing care plan on an ongoing basis.

9. Provide for the comfort and safety of adults in the hospital

10. Demonstrate the ability to communicate effectively with the patient and /or the family

·      Communicate effectively with patient using verbal and non-verbal methods

·      Explain nursing actions appropriately to the patient or family

·      Carry out nursing procedure safely and correctly

·      Use correct procedures

·      Ensure patient safety

·      Perform skills with dexterity

·      Maintain accurate records and reports

 

a. Record comprehensive patient data

b. Report the significant patient data to appropriate personnel

11. Assess, plan, implement and evaluate health teaching related to medical and surgical conditions of patients

12. Integrate theoretical knowledge and participate in care of clients undergoing following diagnostic procedures:

a. Upper and lower GI (Gastro Intestinal) endoscopies

b. Ultrasound

c. Barium studies

d. Biopsy (liver)

e. Cystoscopy

f. Paracenthesis

g. CT( Computed Tomography) scan

h. Pathological Lab test

i. IVP ( Intravenous pyelography)

j. X- rays

k. Gastric analysis

 

13. Integrate knowledge of pathophysiology, nutrition & pharmacology for clients experiencing the various disorders.

14. Begin to recognize the need for integrating research-based information in the care of clients

15. Demonstrate awareness of the importance of legal and ethical issues in nursing practice

16. Demonstrate the role of a nurse as a health educator.

 

Clinical skills checklist

The following skills will be taught in the clinical side.

·      IV medication

·      Tube feeding and insertion

·      Catheterization

·      Ostomy care

 

References:

1. Brunner, L. S., & Suddarth, D. S. (2005). Text Book of Medical- Surgical Nursing (10th Edition). Philadelphia: Lippincott.

2. Bardsley, A. (1999). A sense of control. Nursing Times, 95 (31) 66-69.

3. Brune, B. (July 2001). Deep vein thrombosis prophylaxis: the effectiveness and implications of using below knee or thigh length graduated compression stocking. Heart and Lung, 30 (4), 277-284.

4. Black, J. M. & Jacobs, E. M. (1993). Medical Surgical Nursing: A psychophysiological approach. (4th.ed.). Philadelphia: W.B.Saunders.

5. Edward, S. (2001). Regulation of water, sodium and potassium: Implication for practice. Nursing Standard, 15 (22), 36-45.

6. Gordon, M. (2004). Nursing Diagnosis: process and application (3rd. ed.) Philadelphia: Mosby.

7. Hayes, D. (2000). Caring for your patient with permanent hemodialysis access. Nursing, 30 (3), 41-46.

8. Pullen, M. (1999). Nutrition in chron’s disease. Nursing Standard, 13(27), 49-53.

9. Smelter, S. C., & Bare, B. G. (2000). Text book of Medical-Surgical Nursing (9th ed.). Philadelphia: Lippincott.

10. Tortora, G. J. & Grabowski, S. R. (2000). Principles of anatomy and physiology (9th ed.). New York: John Wiley & sons Inc.

11. Whyte, A. (2000). Organ recital. Nursing Times, 96 (23), 28-30.