Discuss Diagnosis and Management for Aging Families
NURS 6620 Family Nurse Practitioner (FNP) Diagnosis and Management for Aging Families Essay Assignments and Exam Questions and Answers
NURS 6620-001 Family Nurse Practitioner (FNP) Diagnosis and Management for Aging Families: Clinical Application
All students are responsible for checking their UTHSCSA Livemail account regularly (i.e., daily or several times every week) to obtain Official University Communication regarding their courses, program and student status.
Clinical Orientation will take place on Tuesday, May 12, 2015 from 2:00 PM – 4:00 PM. Room TBA.
Class Meetings:
Tuesday, May 12, 2015 (2:00 PM – 4:00 PM)
Tuesday, June 9, 2015 (2:00 PM – 4:00 PM )
Tuesday, July 14, 2015 (1:00 PM – 5:00 PM ) HESI EXAM
Tuesday, August 4, 2015 (2:00 PM – 5:00 PM) Patient Management Case Presentations
Clinical hours may begin on May 11, 2015 as long as an IOR has been completed. All clinical hours must be completed by Friday, August 14, 2015.
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FACULTY CONTACT INFORMATION
John B. Chavez, DNP, RN, APRN, FNP-BC (Course Coordinator)
E-Mail: chavezj2@uthscsa.edu
Phone: 210-567-5885
Office: 2.374
Office Hours: By Appointment
Family & Community Health Systems
Rebecca Rokosky, MSN, RN, FNP-BC
E-mail: Rokosky@uthscsa.edu
Office Phone:
Office: TBA
Office Hours: By Appointment
Family & Community Health Systems
Tamika Sanchez-Jones, PhD, RN, FNP-BC
E-mail: SanchezJones@uthscsa.edu
Office Phone: (210) 567-5785
Office: NS 2.
Office Hours: By Appointment
Family & Community Health Systems
Cristina Winters, DNP, RN,FNP-C
E-mail: winterscl@uthscsa.edu
Phone: (210) 567-5848
Office: 2.366
Office Hours: By Appointment
Family & Community Health Systems
TBA
COURSE DESCRIPTION
The focus of this course is integration of the Family Nurse Practitioner’s (FNP) core knowledge in health promotion and diagnosis and management in the care of the mature and aging patient and families in the primary healthcare setting. Emphasis is placed on the care of mature and aging patients and families with acute and chronic complex health problems. In addition, the family nurse practitioner as a collaborative member of the interprofessional team will be emphasized.
CREDIT AND TIME ALLOCATION
Credit hour allocation: 6 semester credit hours
Clock hour allocation: 300 clock hours clinical practicum; 15 clock hours seminar
PREREQUISITES
NURS 6451 FNP Diagnosis and Management of Young Families: Concepts and Theory
NURS 6452 FNP Diagnosis and Management of Aging Families: Concepts and Theory
PROGRAM OUTCOMES
Upon completion of the Master of Science in Nursing Program (MSN) students will:
Integrate scientific findings from nursing and related sciences, including genetics and genomics, into the delivery of advanced nursing care to populations in diverse settings.
Demonstrate organizational and systems leadership to assure ethical and critical decision-making at all systems’ levels for quality and patient safety.
Incorporate performance improvement strategies for quality, safety, and patient-centered care delivery.
Use improvement science to achieve optimal patient care and care environment outcomes.
Integrate meaningful and usable information systems and healthcare technologies to support safe, quality patient care and healthcare systems effectiveness.
Advocate for policy changes that influence healthcare at appropriate levels.
Lead interprofessional teams using collaborative strategies to effect quality patient care and population health outcomes.
Analyze and incorporate broad ecological and social health determinants to design and deliver evidence-based clinical prevention and population healthcare and services to individuals, families, and aggregates/identified populations.
Integrate the advanced competencies expected of a master’s prepared nurse to design, deliver, and evaluate outcomes of systems of care for individuals, families, and diverse populations.
CLINICAL OUTCOMES
Provide patient-centered care with emphasis on health promotion, disease prevention, health protection, anticipatory guidance, counseling, disease management, and palliative care to mature and aging patients and families during transitions and life-style adjustments as an integral member of the interprofessional team (Essentials I, VIII, IX).
Apply knowledge of acute and chronic illnesses to diagnose and manage mature and aging patients and families as health status varies (Essentials I, IV, IX).
Use evidenced-based guidelines related to patient health, disease management and prevention to impact health outcomes in this diverse population (Essentials I, IV, IX).
Use advanced diagnostic reasoning and differential diagnosis for disease management of the mature and aging patients and family (Essentials I, IV, IX).
Integrate history and physical exam data with the knowledge of pathophysiology of acute and chronic diseases to develop appropriate differential diagnoses and initiate appropriate patient-centered interventions in this diverse population (Essentials I, IX).
Incorporate traditional and complementary pharmacological interventions into the treatment and management of illnesses (Essentials I, IX).
Integrate social, cultural, explanatory models and spiritual components in patient-centered plans of care for mature and aging patients and families (Essentials I, IX).
Integrate ethical principles in decision-making and demonstrate core professional values in the implementation of the nurse practitioner role (Essentials I, VIII, IX).
Create a climate of patient-centered care to include confidentiality, privacy, comfort, emotional support, education, mutual trust and respect (Essentials II, IX).
Use self-reflection to evaluate progress in professional development as an integral member of the interprofessional team (Essential II, VII, IX).
CRITERIA FOR EVALUATION / GRADES
NURS 6620 Family Nurse Practitioner (FNP) Diagnosis and Management of Aging Families: Clinical Application
Course Description:
This course focuses on the primary care experience in health promotion, disease prevention, and diagnosis and management of acute and chronic illness in patients across the reproductive continuum and the health and illness from birth to adolescents. Additionally, this course emphasizes collaborative partnership development among patients, families, and interprofessional teams.
Credit Hour Allocation Clock Hour Allocation:
6 semester hours-
300 clock hours clinical practicum
15 clock hours seminar
Pre-requisites:
NURS 6451 FNP Diagnosis and Management of Young Families: Concepts and Theory
NURS 6452 FNP Diagnosis and Management of Aging Families: Concepts and Theory
Course Outcomes:
1.Provide patient-centered care with emphasis on health promotion, disease prevention, health protection, anticipatory guidance, counseling, disease management, and palliative care to patients across the reproductive continuum and from birth to adolescents during developmental transitions and life-style adjustments as an integral member of the interprofessional team. (Essentials I, VIII, IX).
2.Apply knowledge of acute and chronic illness to diagnose and manage patients across the reproductive continuum and from birth to adolescents as health status varies. (Essentials I, IV, IX)
3.Integrate anticipatory guidance into the comprehensive treatment plans for both primary and secondary prevention for patients across the reproductive continuum and from birth to adolescents. (Essentials I, VIII and IX).
4.Integrate history and physical examination data with the knowledge of pathophysiology of acute and chronic diseases to develop appropriate differential diagnoses, and initiate appropriate customized interventions for this diverse population (Essentials I, IX).
5.Incorporate traditional and complementary pharmacological interventions into the treatment and management of illness for this diverse population. (Essentials I, IX).
6.Integrate social, cultural, explanatory models, and spiritual components in patient-centered plans of care for patients across the reproductive continuum and from birth to adolescents. (Essentials I, IX)
7.Evaluate the relationships among access, cost, quality, and safety and their influence on health care.(Essentials I, III).
8.Integrate ethical principles in decision-making and demonstrate core professional values in the implementation of the nurse practitioner role.(Essentials I, VIII, IX).
9.Create a climate of patient-centered care to include confidentiality, privacy, comfort, emotional support, education, mutual trust and respect. (Essential II, IX)
10.Use self-reflection to evaluate progress in professional development as an integral member of the interprofessional team. (Essential II, VII, VIII, IX)
Clinical:
100 hours Adult Primary Care
100 hours Geriatric Care
100 hours Sub-specialty Care and/or Family Practice
300 Clinical Hours Total
Criteria for Evaluation/Grades
Component/Item – Weighting Percent of Final Grade – Due Date & Time
Reflective Journal Entries (3) – Pass/Fail – Three Entries Total
(Due dates will be listed on course calendar)
SOAP Notes (3) – Pass/Fail – Three Notes Total
(Due dates will be listed on course calendar)
Patient Management Paper – Pass/Fail – Must earn 80% or better on Paper to pass
Preceptor Evaluation(s) (One to be completed by each Preceptor at the end of each rotation. If you have only one preceptor the whole semester, then have the preceptor do a Midterm & Final Evaluation) – Pass/Fail – To be submitted by the Preceptor through Project Concert.
Faculty Evaluation(s) – Pass/Fail – One clinical site visit will be conducted during the semester. An additional site visit may be conducted if the need is determined by the clinical faculty.
Patient Management Presentation – Pass/Fail – Presentation is on Patient used for Patient Management Paper
Final Grade -Pass/Fail
Clinical Experience is Pass/Fail
No clinical can be started at any clinical site until an Intent of Relationship (IOR) is completed, submitted to the course coordinator in hand, email or fax, and approved by the faculty. Clinical practicum may start on May 11,2015 if the IOR is completed, submitted and approved but not before. All clinical practicum hours must be completed by August 14, 2015. The student must pass the clinical experience in order to pass the course regardless of the numeric grade earned.
Clinical Practicum
The student will complete 300 hours of clinical practicum with their assigned preceptor(s) once the Intent of Relationship (IOR) agreement is completed by the student and preceptor, signed, faxed to the School of Nursing, and approved by the graduate faculty. Students are expected to dress in business casual and present a professional appearance while in the clinical setting. The clinical practicum must be completed no later than the end of the course. There are no extensions for completing hours therefore the student must plan ahead when negotiating clinical hours with the preceptor.
Clinical Site Visits:
Students will have one to two scheduled site visits by their assigned faculty.
Preceptor and Faculty Evaluation (pass/fail):
Students must pass clinical to pass the course. A written evaluation from the student’s preceptor(s) is/are required at the end of the rotation with the preceptor.Each preceptor is required to sit down with the student to go over the evaluation. At least one written evaluation will also be completed by the faculty for each student during the semester.
Class Attendance:
Students are required to attend all clinical experiences. Students are to be prompt, prepared,and appropriately attired. A student who is unable to attend a clinical experience must contact the clinical faculty personally prior to the beginning of the clinical experience. Leaving a message or e-mail for the faculty is not acceptable. Professional role behavior is expected. The graduate student will notify the clinical agency and preceptor that she/he is unable to attend.
Practicum Course Policies:
Students are encouraged to have a variety of clinical experiences that will encompass all aspects of their advanced practice role and expose them to patients within different clinic settings.
1. Students may not have a clinical preceptorships at a practice setting where he/she is currently employed, nor may they be paid for clinical as part of their working hours.
2. Students may not have a clinical preceptorship with a provider with whom they are a patient of that provider.
3. The majority of clinical experiences during the clinical preceptorship must be at the participation level or higher. Total observation is not acceptable at this level in the program.
4. Students must receive “Passing” on all clinical evaluations from faculty during clinical site visits (Standardized Patient observation may serve as a clinical site visit.)
5. The preceptorship component must be successfully completed in order to pass the course, regardless of grades received on the didactic components. The preceptorship component consists of:
A. One clinical evaluation through observation by the clinical course faculty and additional clinical evaluations by each preceptor, with each documenting on the clinical evaluation form, and;
B. Clinical log documentation of student’s experiences.
C. Students who are deemed unsafe or fail to meet the expected clinical course outcomes and clinical competencies in any clinical course in the required program of study will receive a course grade of “F”. Behaviors constituting clinical failure include, but are not limited to, the following:
a. Request for removal from clinical site for cause by a clinical agency
b. Demonstrates unsafe performance and makes questionable decisions
c. Lacks insight and understanding of own behaviors and behavior of others
d. Needs continuous specific and detailed supervision
e. Has difficulty in adapting to new ideas and roles
f. Fails to submit required written clinical assignments
g. Falsifies documents
D. Procedure: A student who fails a clinical course maybe placed on probation or be dismissed from the program in accordance with set criteria.
6. There are NO in completes for clinical courses except for a major health problem. All clinical hours must be completed by the last official class day of the semester. NO extensions for unmet clinical hours will be granted. Failure to complete all clinical hours or falsification of clinical hours will result in failure of the course.
7.It is expected that all scholarly papers will be written using APA Format 6thEdition.
Practicum:
300 clock hour practicum in a community-based, preferably medically underserved, clinic will be selected, working with a clinical preceptor on site. The focus is the health of populations across the lifespan. The practicum will be supervised by a faculty member.
The 300 clock hour practicum will be coordinated by and under the supervision of the UT Health Science Center School of Nursing Clinical Liaison with physicians, physician assistants and nurse practitioner preceptors.
Project Concert Tracking:
Each student is required to maintain an electronic record of patient encounters using Project Concert. The student will document patient encounters in Project Concert in a timely fashion, and as soon as feasible following the clinical experience, but no less than once per week. The student is responsible for accurate and complete records in Project Concert. The student is required to submit Project Concert tracking reports at regular intervals during the semester. The clinical log must be submitted in order to pass the clinical practicum.
Written Assignments:
1.If written assignments are made in a course they are required.
2.Students are expected to submit written work on the scheduled date and time.
3.The student must notify the course coordinator prior to the scheduled due date and time if they are unable to submit the written work as scheduled. Failure to make this notification in advance will result in a “zero” for that written work.
4.If the excuse is accepted as reasonable and necessary, arrangements will be made for an alternative due date and time.
5.Each student is responsible for making sure that he or she has completed the written work prior to submission.
6.Late work will be accepted up to 72 hours after the due date with consequences. Five percent will be deducted for each day an assignment is late (up to 15%). After 72 hours, late assignments will not be accepted.
7.Students must earn an 80% or better on all written assignments.
APA Guidelines:
Effective Fall 2010, the APA Publication Manual 6th edition is required for use in all nursing school programs.
Scholastic Dishonesty:
Students are expected to be above reproach in all scholastic activities. Students who engage in scholastic dishonesty are subject to disciplinary penalties, including the possibility of failure in the course and dismissal from the university. “Scholastic dishonesty includes but is not limited to cheating, plagiarism, collusion, and submission for credit of any work or materials that are attributable in whole or in part to another person, taking an examination for another person, any act designed to give unfair advantage to a student or the attempt to commit such acts.” Regents Rules and Regulations, Part One, Chapter VI, Section 3, Subsection 3.2, Subdivision 3.22.
ADA Accommodations
Any student seeking ADA Accommodations under the American with Disabilities Act should contact the Associate Dean for Admissions and Student Services within the first week of the semester so that appropriate accommodations may be arranged. A Request for Accommodations (Form 100) must be completed. These forms are available in the Office for Students Room: NS 1.106.
CLASSROOM ATTENDANCE
Attendance in class is an expectation of each student.
WRITTEN ASSIGNMENTS
If written assignments are made in a course they are required.
Students are expected to submit written work on the scheduled date and time.
The student must notify the course coordinator prior to the scheduled due date and time if they are unable to submit the written work as scheduled. Failure to make this notification in advance will result in a “zero” for that written work.
If the excuse is accepted as reasonable and necessary, arrangements will be made for an alternative due date and time.
Each student is responsible for making sure that he or she has completed the written work prior to submission.
Late work will be accepted with consequences as outlined per course syllabi.
APA GUIDELINES
The APA Publication Manual 6th edition is required for use in all nursing school programs.
SCHOLASTIC DISHONESTY
Students are expected to be above reproach in all scholastic activities. Students who engage in scholastic dishonesty are subject to disciplinary penalties, including the possibility of failure in the course and dismissal from the university. “Scholastic dishonesty includes but is not limited to cheating, plagiarism, collusion, and submission for credit of any work or materials that are attributable in whole or in part to another person, taking an examination for another person, any act designed to give unfair advantage to a student or the attempt to commit such acts.” Regents Rules and Regulations, Part One, Chapter VI, Section 3, Subsection 3.2, Subdivision 3.22.
ADA ACCOMMODATIONS
Any student seeking reasonable accommodations through the Americans with Disabilities Act (ADA) should contact either the Associate Dean for Admissions and Student Services within the first week of the semester or schedule a meeting with the UTHSCSA ADA Compliance Office so that appropriate accommodations may be arranged. A request for accommodations (Form ADA-100: http://uthscsa.edu/eeo/form100-Faculty-student-resident.pdf) must be completed and submitted to the Executive Director of the ADA Compliance Office before accommodations can be provided. Additional information can be provided in the Student Success Center, Room 1.118 or through the ADA Compliance Office website: http://uthscsa.edu/eeo/request.asp.
REQUIRED TEXT / REFERENCE
Text books from previous semesters may be used as references during your clinical practicum.
RECOMMENDED (OPTIONAL) TEXT / REFERENCE
Text books from previous semesters may be used as references during your clinical practicum.
CONTENT OUTLINE
Clinical:
100 hours Adult Primary Care
100 hours Geriatric Care
100 hours Sub-specialty Care and/or Family Practice
300 Clinical Hours Total
NURS 6620 Family Nurse Practitioner (FNP) Diagnosis and Management for Aging Families Essay Assignments and Exam Questions and Answers