NATIONAL AMERICAN UNIVERSITY BLOOMINGTON CAMPUS BSN PROGRAM Nursing 3360: Holistic Nursing Care in Acute Illness I Spring

2014 Learning Plan 6 Nutritional Problems Inflammation an S!in "ealin# Inte#umentar$ %isor ers Ob ecti!es o" t#e Course: U&on su''essful 'om&letion of t(is 'ourse) t(e stu ent *ill be able to+ 1$ %e&onstrate t#eoretical principles an' abilit( to per"or& sa"e) e""ecti!e an' e""icient ps(c#o&otor s*ills, -no*le #e an s!ills lea in# to master$ of t(is 'om&eten'$ a, E.&lain t(e interrelations(i&s amon# t(eor$) &ra'ti'e) an resear'(, b, Inte#rate t(eories an 'on'e&ts from liberal e u'ation into nursin# &ra'ti'e, ', %etermine t(e a&&li'ation of &s$'(omotor s!ills for t(e effi'ient) safe) an 'om&assionate eli/er$ of 'lient 'are, , Maintain o&timum le/el of &ain relief) o.$#enation) &aten'$ of air*a$) a ministration of intra/enous t(era&$) an inte#rit$ of me i'al su&&lies an e0ui&ment, e, Promote res&irator$) 'ir'ulator$) 'ar io&ulmonar$) #astrointestinal) #enitourinar$) inte#ument) an mus'ulos!eletal fun'tionin#, f, Promote t(e nutrition an flui balan'e) elimination) &($si'al a'ti/it$) restoration or maintenan'e of &($si'al in e&en en'e) &($si'al 'omfort) rest an slee&) an &ersonal ($#iene of t(e 'lient, 2$ Ac+uire *no,le'ge t#at pro&otes t#e sa"e 'eli!er( o" prescribe' &e'ications$ -no*le #e an s!ills lea in# to master$ of t(is 'om&eten'$+ a, Establis( a foun ational un erstan in# of t(e me i'ation a ministration &ro'ess, b, I entif$ sour'es of information ne'essar$ to a minister &res'ribe me i'ation) in'lu in# 'om&atibilit$ an intera'tions amon# &res'ribe me i'ations an 'om&lementar$ substan'es, ', %etermine t(e safe ran#e of t(e osa#e &res'ribe , , Cal'ulate osa#e ne'essar$ to a minister &res'ribe me i'ations, e, %etermine t(e a&&ro&riateness of t(e route for a ministration of &res'ribe me i'ation, f, %emonstrate t(e abilit$ to &re&are an a minister &res'ribe me i'ation, #, %etermine t(e effe'ti/eness of t(e &res'ribe me i'ation, 3$ -.plain t#e purposes) rationales) an' in'ications "or !arious nursing actions$ -no*le #e an s!ills lea in# to master$ of t(is 'om&eten'$ a, In'or&orate a mo el of 'riti'al t(in!in# *(en ma!in# 'lini'al 1u #ments an e'isions, b, Cite nursin# an asso'iate literature t(at su&&orts t(e nursin# a'tion, ', %eli/er 'om&assionate) 'lient2'entere ) e/i en'e2base 'are t(at res&e'ts 'lient an
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famil$ &referen'es, , E.&lore &(enomena in nursin# t(at relates to t(e (uman res&onse to illness, 4$ Ac+uire *no,le'ge "ro& t#e be#a!ioral) biological an' p#(sical sciences necessar( to pro!i'e si&ple to inter&e'iate le!el nursing actions$ -no*le #e an s!ills lea in# to master$ of t(is 'om&eten'$ a, S$nt(esi3e t(eories an 'on'e&ts from liberal e u'ation to buil an un erstan in# of t(e (uman e.&erien'e b, I entif$ sour'es of information ne'essar$ to eli/er nursin# a'tions to 'lients an families *(o are e.&erien'in# illness, ', In'or&orate t(eories of a#in# *(en &ro/i in# 'are for #erontolo#i'al 'lients, , E.&lore t(e Patterns of -no*in#, 6$ %e&onstrate a'!ancing *no,le'ge an' s*ill in i&ple&enting t#e nursing process in client care an' critical t#in*ing acti!ities$ -no*le #e an s!ills lea in# to master$ of t(is 'om&eten'$ a, Arti'ulate t(e 'om&onents of t(e nursin# &ro'ess+ Assessment) ia#nosis) out'ome i entifi'ation) &lannin#) im&lementation) an e/aluation, i, E.&lain t(e &ur&oses of im&lementation an e/aluation, 1, E.&lain a'ti/ities t(e nurse 'arries out to effe'ti/el$ use t(e nursin# &ro'ess, O!er!ie,: Nursin# mana#ement of nutritional &roblems arisin# from a /ariet$ of &($si'al) &s$'(olo#i'al) or so'ioe'onomi' fa'tors is t(e fo'us of t(is lesson, T(e si#nifi'an'e) &at(o&($siolo#$) 'lini'al manifestations) ia#nosti' stu ies) an 'ollaborati/e 'are of malnutrition are &resente ) an t(e nurse4s role in &romotion of nutrition in t(ese 'on itions is em&(asi3e , T$&es of su&&lemental nutrition are es'ribe in etail) an nursin# &ro'e ures an inter/entions relate to bot( enteral an &arenteral nutrition are is'usse , T(e inflammator$ res&onse is a se0uential rea'tion to 'ell in1ur$, T(e me'(anism of inflammation is t(e same re#ar less of t(e in1urin# a#ent5 (o*e/er) t(e intensit$ of t(e res&onse e&en s on t(e e.tent an se/erit$ of in1ur$ an on t(e rea'ti/e 'a&a'it$ of t(e in1ure &erson, T(e inflammator$ &ro'ess an t(e immune s$stem &la$ a /ital role in *oun (ealin#, In a (ealt($ &erson) *oun s (eal at a normal) &re i'table rate) but ela$e *oun (ealin# ma$ o''ur in &erson *it( nutritional efi'ien'ies) ina e0uate bloo su&&l$) infe'tion) obesit$) iabetes mellitus) &oor #eneral (ealt() an anemia) an t(ose &ersons ta!in# 'orti'osteroi ru#s, T(e nurse4s role in (ealt( &romotion of t(e s!in is t(e fo'us of t(e '(a&ter4s intro u'tion to &roblems of t(e inte#umentar$ s$stem, Mali#nant s!in neo&lasms are is'usse in etail) an 'ommon ermatolo#i' 'on itions are &resente in illustrations an 'om&re(ensi/e tables, General measures to treat a'ute ermatolo#i' &roblems an nursin# mana#ement of &atients *it( ermatolo#i' 'on itions are em&(asi3e , T(e '(a&ter in'lu es a is'ussion of 'osmeti' &ro'e ures an s!in #rafts an t(e nursin# mana#ement of &atients un er#oin# sur#er$ of t(e inte#umentar$ s$stem, /#eor( Learning Acti!ities: Le,is C(a&ter 67 Inflammation an 8oun "ealin# C(a&ter 9: Inte#umentar$ Problems
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 C(a&ter :; Nutritional Problems Potter an' Perr( C(a&ter :< S!in Inte#rit$ an 8oun Care A/I Nutrition "or Nurses C(a&ter 66 Barriers to A e0uate Nutrition C(a&ter 67 Gastrointestinal %isor er A/I 0un'a&entals C(a&ter 7= Nutrition an Oral "$ ration C(a&ter >> Pressure Ul'ers) 8oun s) an 8oun Mana#ement A/I A'ult 1e'ical2Surgical Nursing+ C(a&ter <? Pressure Ul'ers) 8oun s) an 8oun Mana#ement 3e!ie,: National Eatin# %isor ers Asso'iation o (tt&+@@***,nationaleatin# isor ers,or#@&ro#rams2e/ents@&arent2famil$2an 2 frien 2net*or!,&(&AUn erstan in#E% Mer'!,'om B Total Parental Nutrition o (tt&+@@***,mer'!,'om@mm&e@se';6@'(;;7@'(;;7',(tml Tube Cee in# Tutorial o (tt&+@@***,'sun,e u@D'1(E<9?:@tubefee in#@intro u'tion,(tml Co&e to class prepare' to 'iscuss: Nutritional Problems+ o Malabsor&tion o Malnutrition Nutritional Su&&ort o Oral fee in# o Tube fee in# o Parenteral Nutrition Eatin# %isor ers o Anore.ia Ner/osa o Bulimia Ner/osa Inflammation 8oun (ealin# o "ealin# &ro'ess o 8oun Classifi'ations o Com&li'ations of (ealin# Pressure ul'ers o Sta#in# o Pre/ention o Mana#ement Inte#umentar$ isor ers
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Non2melanoma s!in 'an'ers Mali#nant s!in neo&lasms Mali#nant melanoma S!in infe'tions S!in infestations

/#eor( Post2class+ /#eor( Learning Ob ecti!es 1. %es'ribe t(e essential 'om&onents of a nutritionall$ #oo iet an t(eir im&ortan'e to (ealt(, 2. %es'ribe &ossible a /erse intera'tions bet*een ru#s an /arious foo s, 3. %es'ribe t(e 'ommon etiolo#i' fa'tors) 'lini'al manifestations) an mana#ement of malnutrition, 4. E.&lain t(e in i'ations for use) 'om&li'ations) an nursin# mana#ement of tube fee in#s, 5. %es'ribe t(e t$&es of fee in# tubes an relate nursin# mana#ement, 6. %efine t(e in i'ations) 'om&li'ations) an nursin# mana#ement relate to t(e use of &arenteral nutrition, 7. Com&are t(e etiolo#i' fa'tors) 'lini'al manifestations) an nursin# mana#ement of eatin# isor ers, 8. %es'ribe t(e inflammator$ res&onse) in'lu in# /as'ular an 'ellular res&onses an e.u ate formation, 9. E.&lain lo'al an s$stemi' manifestations of inflammation an t(eir &($siolo#i' bases, 10. %ifferentiate amon# (ealin# b$ &rimar$) se'on ar$) an tertiar$ intention, 11. %es'ribe t(e ru# t(era&$) nutrition t(era&$) an nursin# mana#ement of inflammation, 12. %es'ribe a &atient ris! assessment for &ressure ul'ers an measures to &re/ent t(e e/elo&ment of &ressure ul'ers, 13. E.&lain t(e etiolo#$ an 'lini'al manifestations of &ressure ul'ers, 14. %is'uss nursin# an 'ollaborati/e mana#ement of a &atient *it( &ressure ul'ers, 15. %is'uss t(e ris! fa'tors t(at 'ontribute to &ressure ul'er formation, 16. %es'ribe t(e &ressure ul'er sta#in# s$stem, 17. %is'uss t(e normal &ro'ess of *oun (ealin#, 18. %es'ribe t(e ifferen'es of *oun s (ealin# b$ &rimar$ an se'on ar$ intention, 19. %es'ribe 'om&li'ations of *oun (ealin#, 20. E.&lain t(e fa'tors t(at im&e e or &romote *oun (ealin#, 21. %es'ribe t(e ifferen'es bet*een nursin# 'are of a'ute an '(roni' *oun s, 22. Com&lete an assessment for a 'lient *it( im&aire s!in inte#rit$, 23. List nursin# ia#noses asso'iate *it( im&aire s!in inte#rit$, 24. %e/elo& a nursin# 'are &lan for a 'lient *it( im&aire s!in inte#rit$, 25. List a&&ro&riate nursin# inter/entions for a 'lient *it( im&aire s!in inte#rit$, 26. State e/aluation 'riteria for a 'lient *it( im&aire s!in inte#rit$, 27. %ifferentiate normal from 'ommon abnormal fin in#s in a &($si'al assessment of t(e inte#umentar$ s$stem, 28. I entif$ t(e (ealt( &romotion &ra'ti'es relate to t(e inte#umentar$ s$stem,
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E.&lain t(e etiolo#$) 'lini'al manifestations) an nursin# an 'ollaborati/e mana#ement of 'ommon a'ute ermatolo#i' &roblems) an mali#nant ermatolo#i' isor ers, 30. E.&lain t(e 'lini'al manifestations) 'ollaborati/e 'are) an nursin# mana#ement of infestations) aller#i' ermatolo#i' isor ers) an beni#n ermatolo#i' isor ers,
29.