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Course Number:  NUR 143
Course Title: Care of Acutely Ill Patients and Developing Families II
Credit Hours: 12
Lecture Hours: 60
Lecture/Lab Hours: 0
Lab Hours: 180
Special Fee: none

Course Description

Focuses on the care of patients with health problems related to neurological, hematological, gastrointestinal, and genitourinary systems, as well as conditions related to cancer, mental health, infectious diseases, and complications of obstetrics. Incorporates the role of the nurse in providing care to patients across the lifespan who are acutely ill. Includes the third skills laboratory section in the Nursing sequence.

Intended Outcomes for the Course

  1. Develop holistic individualized plans of care for patients with altered immunity, hematological/oncologic, urinary, neurological/cognitive, gastrointestinal, and reproductive, disorders.
  2. Show evidence of an emerging understanding of psychobiological disorders, psychosocial trauma, and the obstetrical experience including antepartum, postpartum, and newborn adaptation.
  3. Implement individual and group, evidenced-based health education plans incorporating culture, learning needs/readiness, and ability to learn.
  4. Communicate effectively with patients and healthcare team members with emerging leadership and management skills.
  5. Recognize situations requiring revision to the plan of care for assigned patients; report and initiate plan of care changes
  6. Make decisions regarding patient care based on professional values and complying with legal/ethical standards.
  7. Utilize assessment skills and communication techniques that promote effective and appropriate delegation.

Course Activities and Design

  1. Lecture
  2. Skills practice lab with patient scenario simulation
  3. Clinical
  4. Reflective journaling
  5. Assignments
  6. Community Based Project

Outcome Assessment Strategies

  1. Satisfactory completion of electronic patient care planning tool (75% or above complete in all categories)
  2. Multiple choice, short answer, and essay questions that require integration, application, and critical examination of material covered in class
  3. Weekly and final clinical performance evaluation
  4. Written assignments designed to stimulate critical thinking related to clinical experiences.
  5. Oral presentation resulting from group research, analysis, and critical evaluation.
  6. Written journals designed to promote integration of clinical outcomes with personal reflection and clinical experience.
  7. Skills practice lab formative and summative performance evaluation
  8. Completion of drug dose math exam at 90% or above.
  9. Completion of ATI comprehensive student assessment program (Skill modules; practice and proctored exams).

Course Content (Themes, Concepts, Issues and Skills)

  1. Labor and Birth: Labor and birth process; Nursing management during labor and birth; Nursing management of labor and birth at risk
  2. Postpartum: Post-partum adaptation; Nursing management during the postpartum period
  3. The Newborn: Newborn adaptation and nursing management of the newborn
  4. The Newborn at Risk: Nursing care of the newborn with special needs; Nursing management of the newborn at risk; Acquired and congenital newborn conditions
  5. Pathophysiology and Patterns of Health:
    • Nursing care of patients with altered immunity-Part I
    • Nursing care of patients with cancer
  6. Response to Altered Cardiovascular Function: Nursing care of patients with hematological disorders
  7. Responses to Altered Integumentary Structure and Function: Nursing care of patients with integumentary disorders: Skin cancer
  8. Responses to Altered Reproductive Function:
    • Nursing care of women with reproductive system and breast disorders: cervical, endometrial, ovarian, and breast cancer
    • Nursing care of men with reproductive system and breast disorders: Prostate and Testicular Cancer
    • Nursing care of patients with sexually transmitted infection
  9. Psychosocial Nursing Tools: Understanding responses to stress-coping with acute and chronic illness
  10. Responses to Altered Gastrointestinal Function:
    • Nursing care of patients with gastrointestinal and bowel disorders: Part I
    • Nursing care of patients with gastrointestinal and bowel disorders: Part 2
  11. Responses to Altered Urinary Elimination: Nursing care of patients with urinary tract disorders
  12. Responses to Altered Neurological Function:
    • Nursing care of patients with intracranial disorders: Stoke and seizures
    • Nursing care of patients with neurological disorders: Part 1
    • Nursing care of patients with neurological disorders: Dementia & Alzheimer’s: Part 2
  13. Cognitive Disorders: Delirium
  14. Foundations in Theory: Mental health and mental illness; Relevant theories and therapies for nursing practice
  15. Psychobiological Disorders: Eating disorders
  16. Trauma Interventions: Child, older adult and intimidate partner abuse
  17. Psychobiological Disorders: Addictive Disorders
  18. Practice of Nursing: Scope of practice/entrance into practice; Member of the health care team; Delegation


  1. Basic obstetrical and neonatal assessment
  2. Nasogastric tube insertion and removal
  3. Nasopharyngeal, oropharyngeal, and nasotracheal suctioning
  4. Tracheostomy care
  5. Organization and prioritization of multiple skills when providing care in a simulated clinical experience
  6. Electronic Health Record documentation