NUR211./HEALTH./DIFFERENCES./ACROSS./THE./LIFE./SPAN./1
Excelsior./College./•./Associate./•./School./of./Nursing./•./Nursing
NUR211 HEALTH DIFFERENCES ACROSS T
./ ./ ./ ./
HE LIFE SPAN 1
./ ./ ./
• SPRING./I./-./8./WEEK./2018
• Section./All
• 3./Credits
, • 01/08/2018./to./03/04/2018
• Modified./10/19/2017
Description
This./content./focuses./on./the./application./of./the./nursing./process./to./support./nursing./judgment./and./the./pro
vision./of./patient./centered./care./for./patients./with./acute./and./chronic./cardiovascular./and./respiratory./health.
/problems,./hematologic./problems./and./abnormal./cell./growth../Evidence-
based,./culturally./sensitive./nursing./care,./standards./of./professional./nursing./practice,./as./well./as./ethical,./le
gal./and./regulatory./requirements./are./addressed../The./natural./and./social./sciences./are./applied./to./the./deliver
y./of./quality./nursing./care./for./patients./and./families./across./the./lifespan.
Prerequisite(s)
All./Phase./I./requirements,./Written./English,./Life./Span./Developmental./Psychology,./Sociology,./Anatomy./
&./Physiology,./Microbiology,./and./College-level./Math
Course./Outline
1. Cardiovascular./Problems
1. Concepts./related./to./cardiovascular./problems:
1. Dysrhythmia./and./conduction./problems./(for./example:./sinus./rhythm,./sinus./br
adycardia,./sinus./tachycardia,./atrial./fibrillation,./atrial./flutter,./atrioventricular./b
locks,./ventricular./tachycardia,./and./ventricular./fibrillation).
2. Coronary./vascular./disorders./(for./example:./coronary./atherosclerosis,./angin
a./pectoris,./acute./coronary./syndrome./[ACS],./and./myocardial./infarction./[MI
]).
3. Structural,./inflammatory./and./infectious./cardiac./disorders./(for./example:./mitral./valv
e./prolapse,./mitral./valve./regurgitation,./mitral./stenosis,./aortic./regurgitation,./aortic./s
tenosis,./cardiomyopathy,./infective./endocarditis,./myocarditis,./pericarditis).
4. Vascular./disorders./and./problems./of./peripheral./circulation./(for./example:./a
therosclerosis,./peripheral./arterial./occlusive./diseases,./Kawasaki./syndrome,./
abdominal./aortic./aneurysm,./venous./thromboembolism,./chronic./venous./in
sufficiency,./and./varicose./veins).
5. Hypertension,./pulmonary./hypertension,./and./pulmonary./embolism.
6. Complications./from./heart./disease./(for./example:./heart./failure,./cardiogenic./shock
,./and./cardiac./arrest).
7. Treatment./modalities./for./managing./cardiovascular./problems./(for./example:./ca
rdioversion,./defibrillation,./pacemaker,./implantable./cardioverter./defibrillator,./p
ercutaneous./coronary./intervention,./coronary./artery./revascularization,./valvulo
plasty,./valve./replacement./surgery,./ventricular./assist./devices,./heart./transplant,
./therapeutic./hypothermia,./percutaneous./transluminal./angioplasty,./peripheral./
arterial./bypass./grafting,./endovascular./grafting).
2. Management./of./patient./care:./applying./the./nursing./process./to./make./nursing./judgments
,./substantiated./with./evidence,./to./provide./safe,./quality./patient./care./across./the./life./spa
n.
1. Assessment:./collection./of./comprehensive./patient-
centered./data./to./be./used./as./the./basis./for./identifying./patient./needs.
1. Conduct./a./patient-
centered./health./history./including./patient‟s./reaction./to./illness./(for./example:./
consider./age./and./gender,./developmental./level,./life./style./choices,./risk./taking.
/behaviors./such./as./smoking,./co-
morbidities./such./as./diabetes,./patient./preferences,./values,./personal./needs,./a
,sk./about./subjective./symptoms,./nutritional./status,./past./illnesses,./family./hist
ory,./allergies,./use./of./complementary./modalities./[herbal./preparations,./acup
uncture]./and./perform
, medication. / reconciliation).
2. Conduct./focused./assessment./related./to./signs./and./symptoms./of./cardiovasc
ular./problems./(for./example:./irregular./heart./rate,./pulse./deficit,./implication
s./of./character./of./peripheral./pulses,./skin./changes./associated./with./arterial./an
d./venous./insufficiency./and./chest./pain).
3. Assess./for./presence./of./potential./complications./(for./example:./hypotension
,./adventitious./lung./sounds,./loss./of./peripheral./pulses,./change./in./color./of./
an./extremity,./sudden./onset./of./chest./pain,./cardiac./dysrhythmia).
4. Assess./the./patient‟s./and./significant./other‟s./readiness./for./teaching./and./lear
ning../(for./example:./determine./barriers./to./learning,./learning./preferences./an
d./reading./level;./verify./patient‟s./understanding./of./the./disease./along./with./th
e./diagnostic./tests./and./procedures./used./in./conjunction./with./the./disease,./and./
the./relationship./between./life./style./and./cardiovascular./problems).
5. Review./laboratory./and./other./diagnostic./data../Recognize./critical./values./an
d./when./to./collaborate./with./appropriate./members./of./the./health./care./team../(
for./example:./Cardiac./biomarkers./[creatinine./kinase./{CK},./CK./isoenzym
e
{CKMB},./myoglobin,./and./troponin],./lipid./profile./[cholesterol,./low./density.
/lipoprotein./{LDL},./high./density./lipoprotein./{HDL},./and./triglycerides],./br
ain./naturiuretic./peptide./[BNP],./C-
reactive./protein,./partial./thromboplastin./time./[PTT],./international./normalize
d./ratios./[INR],./electrocardiography./[ECG],./cardiac./stress./testing,./echocard
iography,./radionuclide./imaging./[myocardial./perfusion./imaging,./computed./
tomography./{CT}],./doppler./ultrasound./flow./studies,./ankle-
brachial./index./[ABI],./angiography,./cardiac./catheterization,./and./venograph
y).
2. Diagnosis:./Identification./and./prioritization./of./patient./problems,./labeled./as./nursin
g./diagnoses,./based./on./analysis./of./comprehensive./assessment.
1. Nursing./diagnoses./are./derived./from./the./nursing./assessment./data;./nursin
g./diagnoses./are./revised./as./new./and/or./additional./assessment./data./beco
mes./available;./nursing./diagnoses./are./prioritized./based./assessment./data.
2. Analyze./and./synthesize./data./for./patterns./and./cues./to./identify./nursing./di
agnoses./using./NANDA-
I./classification./system./(for./example:./Activity./Intolerance,./Decreased./Ca
rdiac./Output,./Excess./Fluid./Volume,./Ineffective./Peripheral./Tissue./Perfusi
on,./Readiness./for./Enhanced./Self-
Management,./Risk./for./Decreased./Cardiac./Tissue./Perfusion,./and./Risk./f
or./Peripheral./Neurovascular./Dysfunction)
3. Set./priorities./based./patient./assessments./and./needs./using./theories./and/o
r./guidelines./(for./example:./Maslow‟s./Hierarchy./of./Needs)
3. Outcome./Identification./and./Planning:./identification./of./expected./outcomes./and./de
velopment./of./a./patient-
centered./plan./of./care./reflecting./nursing./interventions./that./integrate./standards./of./c
are,./protocols,./ethics,./laws,./and./regulations.
1. Create./a./patient-
centered./plan./to./address./patient./problems./using./technology./when./available
./and./appropriate../Include./interventions./related./to./restoration./of./health,./hea
lth./promotion./and./maintenance./as./well./as./those./directed./at./palliative./care./
and./end./of./life../(for./example:./variations./based./on./developmental./level,./cu
lture,./and./personal./preferences/values;./patient‟s./medical./history./influence./
on./acute./illness)
2. Establish./expected./outcomes./and./include./a./time./frame./for./achievement./o
f./the./outcome./(for./example:./the./patient./will./have./palpable./pedal./pulses./
in./both./feet,./the./patient./will./verbalize./a./method./to./track./daily./blood./pres
sure./readings,./the./patient./will./have./no./shortness./of./breath./with./activity,./
the./patient./will./report./that./leg./pain./does./not./impede./activity,./the./patient.
/will./express./a./positive./attitude./about./living./with./a./dysrhythmia).
Excelsior./College./•./Associate./•./School./of./Nursing./•./Nursing
NUR211 HEALTH DIFFERENCES ACROSS T
./ ./ ./ ./
HE LIFE SPAN 1
./ ./ ./
• SPRING./I./-./8./WEEK./2018
• Section./All
• 3./Credits
, • 01/08/2018./to./03/04/2018
• Modified./10/19/2017
Description
This./content./focuses./on./the./application./of./the./nursing./process./to./support./nursing./judgment./and./the./pro
vision./of./patient./centered./care./for./patients./with./acute./and./chronic./cardiovascular./and./respiratory./health.
/problems,./hematologic./problems./and./abnormal./cell./growth../Evidence-
based,./culturally./sensitive./nursing./care,./standards./of./professional./nursing./practice,./as./well./as./ethical,./le
gal./and./regulatory./requirements./are./addressed../The./natural./and./social./sciences./are./applied./to./the./deliver
y./of./quality./nursing./care./for./patients./and./families./across./the./lifespan.
Prerequisite(s)
All./Phase./I./requirements,./Written./English,./Life./Span./Developmental./Psychology,./Sociology,./Anatomy./
&./Physiology,./Microbiology,./and./College-level./Math
Course./Outline
1. Cardiovascular./Problems
1. Concepts./related./to./cardiovascular./problems:
1. Dysrhythmia./and./conduction./problems./(for./example:./sinus./rhythm,./sinus./br
adycardia,./sinus./tachycardia,./atrial./fibrillation,./atrial./flutter,./atrioventricular./b
locks,./ventricular./tachycardia,./and./ventricular./fibrillation).
2. Coronary./vascular./disorders./(for./example:./coronary./atherosclerosis,./angin
a./pectoris,./acute./coronary./syndrome./[ACS],./and./myocardial./infarction./[MI
]).
3. Structural,./inflammatory./and./infectious./cardiac./disorders./(for./example:./mitral./valv
e./prolapse,./mitral./valve./regurgitation,./mitral./stenosis,./aortic./regurgitation,./aortic./s
tenosis,./cardiomyopathy,./infective./endocarditis,./myocarditis,./pericarditis).
4. Vascular./disorders./and./problems./of./peripheral./circulation./(for./example:./a
therosclerosis,./peripheral./arterial./occlusive./diseases,./Kawasaki./syndrome,./
abdominal./aortic./aneurysm,./venous./thromboembolism,./chronic./venous./in
sufficiency,./and./varicose./veins).
5. Hypertension,./pulmonary./hypertension,./and./pulmonary./embolism.
6. Complications./from./heart./disease./(for./example:./heart./failure,./cardiogenic./shock
,./and./cardiac./arrest).
7. Treatment./modalities./for./managing./cardiovascular./problems./(for./example:./ca
rdioversion,./defibrillation,./pacemaker,./implantable./cardioverter./defibrillator,./p
ercutaneous./coronary./intervention,./coronary./artery./revascularization,./valvulo
plasty,./valve./replacement./surgery,./ventricular./assist./devices,./heart./transplant,
./therapeutic./hypothermia,./percutaneous./transluminal./angioplasty,./peripheral./
arterial./bypass./grafting,./endovascular./grafting).
2. Management./of./patient./care:./applying./the./nursing./process./to./make./nursing./judgments
,./substantiated./with./evidence,./to./provide./safe,./quality./patient./care./across./the./life./spa
n.
1. Assessment:./collection./of./comprehensive./patient-
centered./data./to./be./used./as./the./basis./for./identifying./patient./needs.
1. Conduct./a./patient-
centered./health./history./including./patient‟s./reaction./to./illness./(for./example:./
consider./age./and./gender,./developmental./level,./life./style./choices,./risk./taking.
/behaviors./such./as./smoking,./co-
morbidities./such./as./diabetes,./patient./preferences,./values,./personal./needs,./a
,sk./about./subjective./symptoms,./nutritional./status,./past./illnesses,./family./hist
ory,./allergies,./use./of./complementary./modalities./[herbal./preparations,./acup
uncture]./and./perform
, medication. / reconciliation).
2. Conduct./focused./assessment./related./to./signs./and./symptoms./of./cardiovasc
ular./problems./(for./example:./irregular./heart./rate,./pulse./deficit,./implication
s./of./character./of./peripheral./pulses,./skin./changes./associated./with./arterial./an
d./venous./insufficiency./and./chest./pain).
3. Assess./for./presence./of./potential./complications./(for./example:./hypotension
,./adventitious./lung./sounds,./loss./of./peripheral./pulses,./change./in./color./of./
an./extremity,./sudden./onset./of./chest./pain,./cardiac./dysrhythmia).
4. Assess./the./patient‟s./and./significant./other‟s./readiness./for./teaching./and./lear
ning../(for./example:./determine./barriers./to./learning,./learning./preferences./an
d./reading./level;./verify./patient‟s./understanding./of./the./disease./along./with./th
e./diagnostic./tests./and./procedures./used./in./conjunction./with./the./disease,./and./
the./relationship./between./life./style./and./cardiovascular./problems).
5. Review./laboratory./and./other./diagnostic./data../Recognize./critical./values./an
d./when./to./collaborate./with./appropriate./members./of./the./health./care./team../(
for./example:./Cardiac./biomarkers./[creatinine./kinase./{CK},./CK./isoenzym
e
{CKMB},./myoglobin,./and./troponin],./lipid./profile./[cholesterol,./low./density.
/lipoprotein./{LDL},./high./density./lipoprotein./{HDL},./and./triglycerides],./br
ain./naturiuretic./peptide./[BNP],./C-
reactive./protein,./partial./thromboplastin./time./[PTT],./international./normalize
d./ratios./[INR],./electrocardiography./[ECG],./cardiac./stress./testing,./echocard
iography,./radionuclide./imaging./[myocardial./perfusion./imaging,./computed./
tomography./{CT}],./doppler./ultrasound./flow./studies,./ankle-
brachial./index./[ABI],./angiography,./cardiac./catheterization,./and./venograph
y).
2. Diagnosis:./Identification./and./prioritization./of./patient./problems,./labeled./as./nursin
g./diagnoses,./based./on./analysis./of./comprehensive./assessment.
1. Nursing./diagnoses./are./derived./from./the./nursing./assessment./data;./nursin
g./diagnoses./are./revised./as./new./and/or./additional./assessment./data./beco
mes./available;./nursing./diagnoses./are./prioritized./based./assessment./data.
2. Analyze./and./synthesize./data./for./patterns./and./cues./to./identify./nursing./di
agnoses./using./NANDA-
I./classification./system./(for./example:./Activity./Intolerance,./Decreased./Ca
rdiac./Output,./Excess./Fluid./Volume,./Ineffective./Peripheral./Tissue./Perfusi
on,./Readiness./for./Enhanced./Self-
Management,./Risk./for./Decreased./Cardiac./Tissue./Perfusion,./and./Risk./f
or./Peripheral./Neurovascular./Dysfunction)
3. Set./priorities./based./patient./assessments./and./needs./using./theories./and/o
r./guidelines./(for./example:./Maslow‟s./Hierarchy./of./Needs)
3. Outcome./Identification./and./Planning:./identification./of./expected./outcomes./and./de
velopment./of./a./patient-
centered./plan./of./care./reflecting./nursing./interventions./that./integrate./standards./of./c
are,./protocols,./ethics,./laws,./and./regulations.
1. Create./a./patient-
centered./plan./to./address./patient./problems./using./technology./when./available
./and./appropriate../Include./interventions./related./to./restoration./of./health,./hea
lth./promotion./and./maintenance./as./well./as./those./directed./at./palliative./care./
and./end./of./life../(for./example:./variations./based./on./developmental./level,./cu
lture,./and./personal./preferences/values;./patient‟s./medical./history./influence./
on./acute./illness)
2. Establish./expected./outcomes./and./include./a./time./frame./for./achievement./o
f./the./outcome./(for./example:./the./patient./will./have./palpable./pedal./pulses./
in./both./feet,./the./patient./will./verbalize./a./method./to./track./daily./blood./pres
sure./readings,./the./patient./will./have./no./shortness./of./breath./with./activity,./
the./patient./will./report./that./leg./pain./does./not./impede./activity,./the./patient.
/will./express./a./positive./attitude./about./living./with./a./dysrhythmia).
