ࡱ> e Ubjbj B h]bh]bL8HDr\ 6V f f f A!&g! s!SrUrUrUrUrUrUr$0uwyr{!A!A!{!{!yrf f r'''{!f f Sr'{!Sr''a,hf 07v)#d8?rr0refx#Lfxphhfxoj{!{!'{!{!{!{!{!yryr'{!{!{!r{!{!{!{!fx{!{!{!{!{!{!{!{!{!B : UNIVERSITY OF FLORIDA COLLEGE OF NURSING COURSE SYLLABUS FALL 2020 COURSE NUMBER NGR 6241 COURSE TITLE Common Adult Health Problems CREDITS 4 PLACEMENT DNP Program: Adult-Gerontology Acute Care Nurse Practitioner Track Adult-Gerontology Primary Care Nurse Practitioner Track Family Nurse Practitioner Track PREREQUISITES NGR 6002C: Advanced Health Assessment and Diagnostic Reasoning NGR 6636: Health Promotion and Role Development in Advanced Nursing Practice NGR 6140: Physiology and Pathophysiology for Advanced Nursing Practice NGR 6101: Theory and Research for Nursing PRE/CO-REQUISITES NGR 6172: Pharmacotherapeutics for Advanced Practice Nursing NGR 6850: Research Methods & Utilization for Nursing FACULTY OFFICEPHONEOFFICE HOURS Cynthia "Cindi" Figueroa PhD, ARNP, ANP-BC Clinical Assistant Professor  HYPERLINK "mailto:cindiarn@ufl.edu" cindiarn@ufl.eduHPNP Building Room 3239 Gainesville, Florida 32610 Office: 352-273-6424 (C) 352-682-6363 Office Hours: Mondays 3:00PM-5:00PM &/or by Appointment  COURSE DESCRIPTION This course provides students with foundational knowledge of the advanced nursing practice management of adult health including wellness promotion and illness prevention and treatment in post-pubescent clients from diverse backgrounds. The emphasis is on use of theory, critical thinking, and evidence-based practice to formulate differential diagnoses, clinical impressions, diagnoses, and treatment and evaluation plans for adults with common health problems. This course prepares the student to provide care to adults in both acute care and out-patient settings. COURSE OBJECTIVES: Upon completion of this course, the student will be able to: Integrate knowledge from health, physiological, psychological, and social sciences as basis for care of adult populations from diverse backgrounds with selected common health problems. Develop appropriate diagnoses and differential diagnoses based on analysis and interpretation of the history, presenting symptoms, physical findings, and diagnostic information for adults with selected common health problems. Select appropriate diagnostic and therapeutic interventions with emphasis on safety, cost, and efficacy in the care of adults with selected common health problems. 4. Formulate plans for illness prevention and treatment, wellness promotion, and health problem management based on current scientific rationale and research, evidence- based practice guidelines and standards of care for adults with selected common health problems. Formulate strategies to evaluate the effectiveness of management plans in achieving optimal client outcomes for adults with selected common health problems. Discuss collaborative processes of the interdisciplinary health care team in facilitating the clients progress toward maximum functional health. Analyze ethical principles and legal requirements related to advanced nursing practice with adults. COURSE SCHEDULE Our class sessions may be audio visually recorded for students in the class to refer back and for enrolled students who are unable to attend live.Students who participate with their camera engaged or utilize a profile image are agreeing to have their video or image recorded. If you are unwilling to consent to have your profile or video image recorded, be sure to keep your camera off and do not use a profile image. Likewise, students who un-mute during class and participate orally are agreeing to have their voices recorded. If you are not willing to consent to have your voice recorded during class, you will need to keep your mute button activated and communicate exclusively using the "chat" feature, which allows students to type questions and comments live. The chat will not be recorded or shared. As in all courses, unauthorized recording and unauthorized sharing of recorded materials is prohibited. When we have face-to-face instructional sessions to accomplish the student learning objectives of this course. In response to COVID-19, the following policies and requirements are in place to maintain your learning environment and to enhance the safety of our in-classroom interactions. You are required to wear approved face coverings at all times during class and within buildings. Following and enforcing these policies and requirements are all of our responsibility. Failure to do so will lead to a report to the Office of Student Conduct and Conflict Resolution. This course has been assigned a physical classroom with enough capacity to maintain physical distancing (6 feet between individuals) requirements. Please utilize designated seats and maintain appropriate spacing between students. Please do not move desks or stations. Sanitizing supplies are available in the classroom if you wish to wipe down your desks prior to sitting down and at the end of the class. Follow your instructors guidance on how to enter and exit the classroom. Practice physical distancing to the extent possible when entering and exiting the classroom. If you are experiencing COVID-19 symptoms ( HYPERLINK "https://www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/symptoms.html" Click here for guidance from the CDC on symptoms of coronavirus), please use the UF Health screening system and follow the instructions on whether you are able to attend class.  HYPERLINK "https://coronavirus.ufhealth.org/screen-test-protect/covid-19-exposure-and-symptoms-who-do-i-call-if/" Click here for UF Health guidance on what to do if you have been exposed to or are experiencing Covid-19 symptoms. Course materials will be provided to you with an excused absence, and you will be given a reasonable amount of time to make up work.  HYPERLINK "https://catalog.ufl.edu/UGRD/academic-regulations/attendance-policies/" Find more information in the university attendance policies. E-Learning in Canvas is the course management system that you will use for this course. E-Learning in Canvas is accessed by using your Gatorlink account name and password at  HYPERLINK "http://elearning.ufl.edu/" http://elearning.ufl.edu/. There are several tutorials and student help links on the E-Learning login site. If you have technical questions call the UF Computer Help Desk at 352-392-HELP or send email to  HYPERLINK "mailto:helpdesk@ufl.edu" helpdesk@ufl.edu. It is important that you regularly check your Gatorlink account email for College and University wide information and the course E-Learning site for announcements and notifications.Course websites are generally made available on the Friday before the first day of classes. This is a web-based course. Course materials and schedule are posted on the related course website. Students must sign in to ProctorU at least 30 minutes prior to the scheduled time for each exam in order to authenticate their identity and connect with the live proctor. Students authenticate their identity and are remotely monitored by a trained employee of ProctorU. Exams will consist of 50 questions and 60 minutes to complete each exam. The College of Nursing utilizes ProctorU, a live proctoring service, for major examinations in graduate web-based online courses to ensure a secure testing environment.See Canvas site for more information on Proctor U and how to create an account. Each student computer must be in compliance with Policy S1.04, Student Computer Policy and must contain a web cam, microphone, and speakers. CON IT Support office will oversee this process and provide technical assistance. TOPICAL OUTLINE A. General Approach Common health problems in each general area listed below are addressed using the following approach: 1. Symptom Cluster Presentation 2. Objective Findings: Physical exam, history, diagnostic testing 3. Diagnosis/Differential Diagnoses 4. Therapeutic Plan Evidence-based Practice Standards of Care (Practice Guidelines) Health Promotion/Disease Prevention, including screening tests Safety Cost 5. Evaluation of Treatment Results (Efficacy) 6. Use of Interdisciplinary Collaboration and Referral 7. Ethical principles 8. Legal requirements 9. Health Disparities 10. Genomics B. Common Health Problems 1. General Health a. Health Promotion b. Anticipatory Guidance c. Prevention of Complications Fever Fatigue Pain Common Emergencies 2. Cardiovascular Health Problems a. Coronary heart disease Angina Pectoris Acute Coronary Syndrome Acute Myocardial Infarction Heart Failure Hypertension Peripheral Vascular Disease Hyperlipidemia Atrial Fibrillation 3. Metabolic Health Problems Hepatitis Hepatic Failure Biliary Disease Pancreatitis Pancreatic Cancer 4. Neurological Health Problems a. Headaches: i. Migraine headaches ii. Tension headaches Cluster headaches Transient Ischemic Attack Neuromuscular Disorders Dementia and Delirium Seizures 5. Mental Health Problems a. Depression b. Anxiety Disorders 6. Hematological Health Problems Macrocytic Anemias Normocytic Anemias Microcytic Anemias Leukemia Non-Hodgkins Lymphoma 7. Pulmonary Health Problems a. Restrictive Diseases b. Obstructive Diseases c. Vascular Diseases d. Lung Cancer e. Pulmonary Embolism 8. Ear, Eye, Nose, Throat Health Problems Conjunctivitis Otitis Pharyngitis Sinusitis Rhinitis 9. Dermatological Health Problems Common lesions Melanoma Skin (non-melanoma cancer) Acne 10. Genitourinary Health Problems Urinary Tract Infection Prostate (Infection, Hypertrophy, Cancer) Hematuria Renal Calculi Bladder Cancer 11. HIV Health Problems 12. Sexually Transmitted Diseases and Health Problems 13. Musculoskeletal Health Problems a. Arthritis b. Joint injuries and pain 14. Endocrine Health Problems Thyroid disorder Thyroid cancer Diabetes 15. Gastrointestinal Health Problems Abdominal Pain Gastoesophageal Reflux Gastritis Diverticulosis Peptic ulcer disease Inflammatory bowel disease Colorectal Cancer TEACHING METHODS Lecture, instructional media, case discussions, assigned readings LEARNING ACTIVITIES Module assignments, scheduled examinations EVALUATION/COURSE GRADE CALCULATION Assignment Individual Credit %Total CreditExams (2) 30% each60%Assignments (2)20% each40%Total100% MAKE UP POLICY: There will no make-ups for missed exams or assignments. See below under EXAMS for specifics on missed exams. EXAMS: The two (2) objective exams will be proctored via ProctorU guidelines below. Exams will be non-cumulative and will include material presented during lecture and assigned readings. Textbook readings provide major support for information presented in lecture. The exams will be held on scheduled dates during limited scheduled times (See Course Schedule). Faculty will make every effort to accommodate extenuating circumstances that may require a student to miss a scheduled exam. Missing an exam must be as a result of extreme emergency extenuating circumstances. Notification of the course faculty prior to the missed exam or as soon as possible after the missed exam is necessary to determine if the exam absence will be excused. Any absence due to illness requires a timely (within 3 days) health care provider signed illness excuse. If a student must miss a scheduled exam and the excuse was approved by faculty, the weight of the remaining exams will be adjusted as follows: One missed exam: 1 remaining exam will be weighted at 60% No more than one missed exam will be permitted. MODULE ASSIGNMENTS: See details on Canvas site and due dates on course schedule. Assignments/activities within the modules will be due & submitted at the end of the week on Friday by MN. Late assignments will not be accepted. If there are extenuating circumstances advanced notice must be provided to Faculty. Assignment #1 is a group assignments & #2 is an individual assignment. You will be in groups of 3-4. Group members will be assigned by faculty and you will complete assignment #1 together. Individual grades will not be given for #1 assignment (unless a student is not properly participating) but will be given for #2 assignment. FACULTY FEEDBACK Students may expect timely faculty feedback as follows: Assignments will be graded within ten (10) business (Monday-Friday) days of receipt. Faculty will be available to respond back to emails within 24 48 hours from Monday through Friday, excluding holidays and weekends. GRADING SCALE/GRADE POINTS A 95-100 (4.0) C 74-79* (2.0) A- 93-94 (3.67) C- 72-73 (1.67) B+ 91- 92 (3.33) D+ 70-71 (1.33) B 84-90 (3.0) D 64-69 (1.0) B- 82-83 (2.67) D- 62-63 (0.67) C+ 80-81 (2.33) E 61 or below (0.0) * 74 is the minimal passing grade For more information on grades and grading policies, please refer to Universitys grading policies:  HYPERLINK "https://catalog.ufl.edu/graduate/regulations/" https://catalog.ufl.edu/graduate/regulations/ COURSE EVALUATION Students are expected to provide professional and respectful feedback on the quality of instruction in this course by completing course evaluations online via GatorEvals. Guidance on how to give feedback in a professional and respectful manner is available at  HYPERLINK "https://gatorevals.aa.ufl.edu/students/" https://gatorevals.aa.ufl.edu/students/. Students will be notified when the evaluation period opens, and can complete evaluations through the email they receive from GatorEvals, in their Canvas course menu under GatorEvals, or via  HYPERLINK "https://ufl.bluera.com/ufl/" https://ufl.bluera.com/ufl/. Summaries of course evaluation results are available to students at  HYPERLINK "https://gatorevals.aa.ufl.edu/public-results/" https://gatorevals.aa.ufl.edu/public-results/. ACCOMMODATIONS DUE TO DISABILITY Students with disabilities requesting accommodations should first register with the Disability Resource Center (352-392-8565,  HYPERLINK "https://disability.ufl.edu/" https://disability.ufl.edu/ ) by providing appropriate documentation. Once registered, students will receive an accommodation letter which must be presented to the instructor when requesting accommodation. Students with disabilities should follow this procedure as early as possible in the semester. PROFESSIONAL BEHAVIOR The College of Nursing expects all Nursing students to be professional in their interactions with patients, colleagues, faculty, and staff and to exhibit caring and compassionate attitudes. These and other qualities will be evaluated during patient contacts and in other relevant settings by both faculty and peers. Behavior of a Nursing student reflects on the student's individuals ability to become a competent professional Nurse. Attitudes or behaviors inconsistent with compassionate care; refusal by, or inability of, the student to participate constructively in learning or patient care; derogatory attitudes or inappropriate behaviors directed at patients, peers, faculty or staff; misuse of written or electronic patient records (e.g., accession of patient information without valid reason); substance abuse; failure to disclose pertinent information on a criminal background check; or other unprofessional conduct can be grounds for disciplinary measures including dismissal. UNIVERSITY POLICY ON ACADEMIC MISCONDUCT Academic honesty and integrity are fundamental values of the University community. Students should be sure that they understand the UF Student Honor Code at  HYPERLINK "https://sccr.dso.ufl.edu/policies/student-honor-code-student-conduct-code/" https://sccr.dso.ufl.edu/policies/student-honor-code-student-conduct-code/ . Students are required to provide their own privacy screen for all examinations administered to student laptops. No wireless keyboards or wireless mouse/tracking device will be permitted during examinations. University and College of Nursing Policies Please see the College of Nursing website for student policies ( HYPERLINK "http://students.nursing.ufl.edu/currently-enrolled/student-policies-and-handbooks/" http://students.nursing.ufl.edu/currently-enrolled/student-policies-and-handbooks/) and a full explanation of each of the university policies ( HYPERLINK "http://students.nursing.ufl.edu/currently-enrolled/course-syllabi/course-policies" http://students.nursing.ufl.edu/currently-enrolled/course-syllabi/course-policies) UF Grading Policy Religious Holidays Counseling and Mental Health Services Student Handbook Faculty Evaluations Student Use of Social Media REQUIRED TEXTS Papadakis, M.A., McPhee, S.J. & Rabow, M.W. (2020). Current medical diagnosis & treatment (CMDT) (59th ED.). New York: McGraw-Hill. (Available electronically online through UF Health Center Library Access Medicine database). SUGGESTED TEXTS: Jameson, J.L., Fauci, A.S., Kasper, D.L., Hauser, S.L., Loscalzo & Longo, D.L., (2018). Harrison's principles of internal medicine (20th ED.). New York: McGraw-Hill. (Available electronically online through UF Health Center Library Access Medicine database) Many other related texts may be found through the Health Center Library Access. Medicine Database:  HYPERLINK "http://library.health.ufl.edu/find/databases/" http://library.health.ufl.edu/find/databases/. *You must establish off-campus access through EZproxy, GatorLink, or VPN:  HYPERLINK "http://old.library.health.ufl.edu/borland/OffCampusAccess.html" http://old.library.health.ufl.edu/borland/OffCampusAccess.html AND All texts from previous and current required courses in current graduate program. Approved: Academic Affairs Committee: 07/03, 01/05; 12/07 Faculty: 07/03, 01/05; 01/08 UF Curriculum: 05/04, 10/08 NGR 6241 WEEKLY CLASS SCHEDULE FALL 2020 Date TopicReadings* CMDT Chpts Online/text ExamsAssignmentsWeek 1 August 31 Course Overview US Health Promotion& Prevention Task Force Papadakis et al. Chapter 1  HYPERLINK "https://www.ahrq.gov/professionals/clinicians-providers/guidelines-recommendations/uspstf/index.html" https://www.ahrq.gov/professionals/clinicians-providers/guidelines-recommendations/uspstf/index.htmlWeek 2 September 7Common Symptoms/ EmergenciesPapadakis et al. Chapter 2Holiday 9/7/2020 Labor Day Week 3 Sept 14 EENTPapadakis et al. Chapters 7 & 8 Assignment 1 Due Sept 18th by MN Week 4 Sept 21  Neuro Papadakis et al. Chapter 24 Week 5-6 Sept 28 & October 5 CardiacPapadakis et al. Chapters 2, 10, 11, 12 & 28 Homecoming Oct 2 - 3Week 7-8 Oct 12 & Oct 19PulmonaryPapadakis et al. Chapter 9Week 9 Oct 26 GIPapadakis et al. Chapters 15 & 16Exam #1 (Covers Wks 1-8) Due on Monday, Oct 26th by MN Date TopicReadings* CMDT Chpts Online/text ExamsAssignmentsWeek 10 November 2 GUPapadakis et al. Chapters 22 & 23 Assignment 2 Due Nov 6th by MN Midterm Course Eval. Due (POST under Quiz tab)Week 11 Nov 9 Endo/ Musculoskeletal Papadakis et al. Chapters 26 & 27 Holiday 11/11/2020 Veterans Day Observance Week 12 Nov 16Mental Health/Derm Papadakis et al. Chapters 6 & 25Week 13 Nov 23 HIV/STD Papadakis et al. Chapters 31 & 33 Thanksgiving Break: Nov 25th 28th, 2020  Week 14 Nov 30 Heme Papadakis et al. Chapters 13 & 14 Week 15 Dec 7 Course Wrap-upReading Days Dec 10th - 11th UF Mandatory Dates: Classes End: Dec 9th Reading Days: Dec 10th -11th Final Exams: Dec 12th 18th Exam #2 (Covers Wks 9-14) Due on Monday, Dec 14th by MN  *Read pertinent systems in textbook. Check Course Website for additional assignment instructions, required and optional web-based readings.     PAGE  089=@BCQ[hipv  ! 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