NURS70517
Nursing Therapeutics
Sheridan
 
  I: Administrative Information   II: Course Details   III: Topical Outline(s)  Printable Version
 
Section I: Administrative Information
  Total hours: 42.0
Credit Value: 3.0
Credit Value Notes: N/A
Effective: Winter 2021
Prerequisites: N/A
Corequisites: N/A
Equivalents: N/A
Pre/Co/Equiv Notes: N/A

Program(s): RPN Safe Practice Completion
Program Coordinator(s): N/A
Course Leader or Contact: N/A
Version: 20210118_00
Status: Approved (APPR)

Section I Notes: Access to course materials and assignments will be available on Sheridan's Learning and Teaching Environment (SLATE). Students will need reliable access to a computer and the internet.

 
 
Section II: Course Details

Detailed Description
Students utilize a process of critical inquiry and evidence-based practice to develop nursing and collaborative client care plans that promote holistic and quality care outcomes. Students build on existing knowledge and expertise to advance their understanding of interventions that promote health and wellness for a broad range of physical, mental health, maternal and pediatric health challenges. Case scenarios provide students with the opportunity to develop problem solving and analytical skills required to prioritize autonomous and team-based strategies that meet the unique and variable health care needs of clients across the lifespan.

Program Context

 
RPN Safe Practice Completion Program Coordinator(s): N/A
This is a required course for successful completion of RPN Safe Practice Completion.


Course Critical Performance and Learning Outcomes

  Critical Performance:
By the end of this course, students will have demonstrated a thorough knowledge of various disease processes and the ability to perform nursing assessments and interventions to address patients' health conditions.
 
Learning Outcomes:

To achieve the critical performance, students will have demonstrated the ability to:

  1. Utilize Benner's concept of novice to expert based on the Dreyfus model of skill acquisition to reflect on one's own knowledge and expertise and prepare for future practice success.
  2. Explore health promotion and injury/illness prevention models and strategies for a variety of acute and chronic conditions, as well as for women's health concerns.
  3. Understand the pathophysiological processes that underlie various physical, mental health, maternal and pediatric health challenges to formulate evidence-based nursing and collaborative interventions.
  4. Apply knowledge of diagnostic tests and physical examinations to ensure efficient and accurate assessment of a client's chief complaint, overall needs and outcomes of care.
  5. Assess the appropriateness, risk, and effectiveness of pharmacological regimens to ensure client safety and promote client health and well-being.
  6. Integrate the processes of critical inquiry and evidence-based practice to develop nursing and collaborative care that meets the unique and variable needs of clients across the lifespan.
  7. Analyze case scenarios, both independently and within a team, to develop problem solving and analytic skills required for accurate and efficient prioritization of care.

Evaluation Plan
Students demonstrate their learning in the following ways:

 Evaluation Plan: IN-CLASS & ONLINE INSTRUCTION
 Midterm Test35.0%
 Online Quizzes (10 x 2%)20.0%
 Final Exam45.0%
Total100.0%

Evaluation Notes and Academic Missed Work Procedure:
Test and Assignment Protocol To encourage behaviours that will help students to be successful in the workplace and to ensure that students receive credit for their individual work, the following rules apply to every course offered within the division. 1. Students are responsible for being aware of test dates and times, as well as due dates and any special instructions for submitting assignments and projects, as supplied to the class by the Faculty. 2. Students must write all tests at the specified times. Missed tests are awarded a mark of zero. If an extension or make-up opportunity is approved by the Faculty, the mark of zero may be revised. 3. Students must complete all the assigned quizzes and in-class activities by the scheduled due date. Missed quizzes and exams are awarded a mark of zero. 4. Students must complete every quiz as an individual effort, unless the Faculty specifies otherwise. 5. Since there may be instances of grade appeal or questions regarding the timely completion of quizzes and/or extent of individual effort, etc., students are strongly advised to keep, and make available to their Faculty, if requested, a copy of all working notes until the course grade has been finalized. 6. Please note, students who miss academic work due to disability must follow the academic missed work procedures outlined by Accessible Learning which may be different than those indicated above.

Provincial Context
The course meets the following Ministry of Colleges and Universities requirements:


 

Essential Employability Skills
Essential Employability Skills emphasized in the course:

  • Communication Skills - Communicate clearly, concisely and correctly in the written, spoken, visual form that fulfills the purpose and meets the needs of the audience.
  • Critical Thinking & Problem Solving Skills - Use a variety of thinking skills to anticipate and solve problems.
  • Information Management Skills - Analyze, evaluate, and apply relevant information from a variety of sources.
  • Numeracy - Execute mathematical operations accurately.
  • Personal Skills - Manage the use of time and other resources to complete projects.

Prior Learning Assessment and Recognition
PLAR Contact (if course is PLAR-eligible) - Office of the Registrar

  • Not Eligible for PLAR

 
 
Section III: Topical Outline
Some details of this outline may change as a result of circumstances such as weather cancellations, College and student activities, and class timetabling.
Instruction Mode: In-class & Online Instruction
Professor: Multiple Professors
Resource(s):
 TypeDescription
RequiredOtherCollege of Nurses of Ontario Standards and Guidelines
RequiredTextbookMedical-surgical nursing in Canada: Assessment and management of clinical problems, Lewis, S. L., Bucher, L., Heitkemper, M. M., Harding, M.M., Elsevier Canada, 4th Canadian Edition, 2019, This is 1 of 3 e-books that students will purchase as a bundle. Instructions will be provided.
RequiredTextbookPharmacology for Canadian care practice, Lilley, L.L., Swart, B. & Snyder, J.S., Elsevier Canada, 3rd Canadian Edition, 2020, This is 1 of 3 e-books that students will purchase as a bundle. Instructions will be provided.
RequiredTextbookCanadian fundamentals of nursing, Potter, P. A., Perry, A.G., Stockert, P.A., & Hall, A.M., Elsevier Canada, 6th Canadian Edition, 2019, This is 1 of 3 e-books that students will purchase as a bundle. Instructions will be provided.
RequiredOtherRegistered Nurses Association of Ontario Best Practice Guidelines

Applicable student group(s): This course is restricted to students with CNO Letter of Assessment and/or Program Coordinator's approval.
Course Details:

Module 1: Nursing Theoretical Frameworks

 

  • Benner’s model of Novice to Expert
  • Evidence-informed practice
  • Nursing Process for nursing and collaborative practice

 

(Quiz 2%)

 

Module 2: Problems of Oxygenation: Perfusion (cardiovascular)

 

Chronic Stable Angina and Acute Coronary Syndromes (ACS)

Angina / MI

  • Health Promotion
  • Pathophysiology
  • Diagnostic tests and physical examination

Special focus on pain assessment

  • Pharmacologic considerations

Special focus on pain medications

  • Nursing and collaborative practice interventions

 

Quiz (2%)

 

 

Heart Failure

  • Health Promotion
  • Pathophysiology
  • Diagnostic tests and physical examination
  • Pharmacologic considerations

Special focus on fluids and electrolytes

  • Nursing and collaborative practice interventions

Special focus on cardiac rehabilitation

 

Peripheral Arterial Disease and Venous Disorders

  • Health Promotion

Special focus on prevention and prophylaxis of thrombo-embolisms

  • Pathophysiology
  • Diagnostic tests and physical examination
  • Pharmacologic considerations
  • Nursing and collaborative practice interventions

Special focus on treatment of thrombo-embolisms

 

(Quiz 2%)

 

Module 3: Problems of Oxygenation: Ventilation (respiratory)

 

Lower Respiratory Problems (Pneumonia, Blunt Chest Wall Trauma, Pleural Effusion, Pulmonary Embolism)

  • Health Promotion
  • Pathophysiology
  • Diagnostic tests and physical examination
  • Pharmacologic considerations

Special focus on monitoring FiO2

  • Nursing and collaborative practice interventions

Special focus on caring for chest tubes

 

Obstructive Pulmonary Diseases (Asthma, Chronic Obstructive Pulmonary Disease)

  • Health Promotion
  • Pathophysiology
  • Diagnostic and physical evaluations
  • Pharmacology considerations
  • Nursing and collaborative practice

Special focus on patient education and family-centered care

 

(Quiz 2%)

 

Module 4: Problems of Gastro-intestinal Processes

 

Upper Gastro-Intestinal Problems (Peptic Ulcer Disease, Upper GI Bleed)

  • Health Promotion
  • Pathophysiology
  • Diagnostic tests and physical examination
  • Pharmacologic considerations
  • Nursing and collaborative practice interventions

Special focus on emergency management of hypovolemic shock and administration of blood products

 

(Quiz 2%)

Lower Gastro-Intestinal Problems (Constipation, Acute Abdominal pain NYD, Appendicitis, Inflammatory Bowel Disease, Colorectal Cancer)

  • Health Promotion

Special focus on diet and lifestyle practices

  • Pathophysiology
  • Diagnostic tests and physical examination
  • Pharmacologic considerations
  • Nursing and collaborative practice interventions

Special focus on pre and post-operative care

 

Liver, Pancreas, and Biliary Tract Problems (Cirrhosis, Pancreatitis)

  • Health Promotion
  • Pathophysiology
  • Diagnostic tests and physical examination

Special focus on multi-system assessment for chronic diseases

  • Pharmacologic considerations
  • Nursing and collaborative practice interventions

Special focus on multi-system care for chronic diseases

 

(Midterm Test 35%)

 

Module 6:  Problems related to Neurological Functioning

 

Head Injury

  • Health Promotion
  • Pathophysiology

Special focus on mechanisms of increased intracranial pressure

  • Diagnostic tests and physical examination
  • Pharmacologic considerations
  • Nursing and collaborative practice interventions

Special focus on preventing increased intracranial pressure

 

Stoke

  • Health Promotion
  • Pathophysiology
  • Diagnostic test and physical examination

Special focus on clinical manifestations of Stroke and Canadian Neurological Scale

  • Pharmacologic considerations
  • Nursing and collaborative practice interventions

 

(Online quiz 2%)

 

Module 7: Mental Health Challenges

 

Schizophrenia, Bipolar Disorder, Depression

  • Health Promotion
  • Pathophysiology
  • Diagnostic tests, psychological and physical examination
  • Pharmacologic considerations
  • Nursing and collaborative practice interventions

Special focus on client autonomy, consent, and equity

 

(Online quiz 2%)

 

The 3Ds in the Older Adult (Dementia, Delirium, Depression)

  • Health Promotion

Special focus on prevention of Delirium

  • Pathophysiology
  • Diagnostic tests, psychological and physical examination

Special focus on accurate client assessment

  • Pharmacologic considerations
  • Nursing and collaborative practice interventions

 

(Online quiz 2%)

 

Module 8:  Problems related to Renal Functioning

 

Renal Disease (Acute Kidney Injury, Chronic Renal Disease, Renal Replacement Therapy)

  • Health Promotion
  • Pathophysiology
  • Diagnostic tests and physical examination
  • Pharmacologic considerations
  • Non-pharmacologic considerations

Hemodialysis, peritoneal dialysis, hemofiltration, and renal transplantation

  • Nursing and collaborative practice interventions

Special focus on psychological care

 

Module 9: Diabetes Mellitus

 

Type 1

Type 2

Gestational Diabetes

  • Health Promotion

Special focus on prevention of complications

  • Pathophysiology
  • Diagnostic tests and physical examination
  • Pharmacologic considerations

Special focus on insulin regimens

  • Nursing and collaborative practice interventions

Special focus on caring for acute and chronic complications

 

(Online quiz 2%)

 

Module 10: Maternal Care Nursing

 

Gestational Conditions: Hypertensive Disorders, Placenta Previa, Placental Abruption

  • Health Promotion
  • Pathophysiology
  • Diagnostic tests and physical examination
  • Pharmacologic considerations
  • Nursing and collaborative practice interventions

 

Nursing care of the family during the postpartum period

  • Health Promotion (planning for discharge)
  • Diagnostic tests, psychological and physical examination
  • Nursing and collaborative practice interventions

Special focus on transition to parenthood

 

(Online quiz 2%)

 

Module 11: Health Problems of Children

 

Sickle Cell Anemia

Respiratory Syncytial Virus (RSV) and Bronchiolitis

  • Health Promotion
  • Pathophysiology
  • Diagnostic tests and physical examination
  • Pharmacologic considerations
  • Nursing and collaborative practice interventions

Special focus on planning care based on developmental theory

 

(Final Exam 45%)

 



Sheridan Policies

All Sheridan policies can be viewed on the Sheridan policy website.

Academic Integrity: The principle of academic integrity requires that all work submitted for evaluation and course credit be the original, unassisted work of the student. Cheating or plagiarism including borrowing, copying, purchasing or collaborating on work, except for group projects arranged and approved by the professor, or otherwise submitting work that is not the student's own, violates this principle and will not be tolerated. Students who have any questions regarding whether or not specific circumstances involve a breach of academic integrity are advised to review the Academic Integrity Policy and procedure and/or discuss them with the professor.

Copyright: A majority of the course lectures and materials provided in class and posted in SLATE are protected by copyright. Use of these materials must comply with the Acceptable Use Policy, Use of Copyright Protected Work Policy and Student Code of Conduct. Students may use, copy and share these materials for learning and/or research purposes provided that the use complies with fair dealing or an exception in the Copyright Act. Permission from the rights holder would be necessary otherwise. Please note that it is prohibited to reproduce and/or post a work that is not your own on third-party commercial websites including but not limited to Course Hero or OneNote. It is also prohibited to reproduce and/or post a work that is not your own or your own work with the intent to assist others in cheating on third-party commercial websites including but not limited to Course Hero or OneNote.

Intellectual Property: Sheridan's Intellectual Property Policy generally applies such that students own their own work. Please be advised that students working with external research and/or industry collaborators may be asked to sign agreements that waive or modify their IP rights. Please refer to Sheridan's IP Policy and Procedure.

Respectful Behaviour: Sheridan is committed to provide a learning environment that supports academic achievement by respecting the dignity, self-esteem and fair treatment of every person engaged in the learning process. Behaviour which is inconsistent with this principle will not be tolerated. Details of Sheridan's policy on Harassment and Discrimination, Academic Integrity and other academic policies are available on the Sheridan policy website.

Accessible Learning: Accessible Learning coordinates academic accommodations for students with disabilities. For more information or to register, please see the Accessible Learning website (Statement added September 2016)

Course Outline Changes: The information contained in this Course Outline including but not limited to faculty and program information and course description is subject to change without notice. Any changes to course curriculum and/or assessment shall adhere to approved Sheridan protocol. Nothing in this Course Outline should be viewed as a representation, offer and/or warranty. Students are responsible for reading the Important Notice and Disclaimer which applies to Programs and Courses.


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