May 20, 2024  
College Catalog 2023-2024 
    
College Catalog 2023-2024 [ARCHIVED CATALOG]

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NURS 2455 - Advanced Adult Medical‑Surgical Nursing

Credit Hours: 1.50


Prerequisites: Admission into the Nursing Program; NURS 2356 ; HUMN 1700  or PHIL 2100 ; and NURS 2375  all with grade C or better, or grade Pass (if the course is a Pass/Fail course)

Corequisites: NURS 2445  and NURS 2465  

(replaces but does not equate to NURS 2820)

This theory course focuses on planning safe, culturally‑diverse, patient‑centered nursing care for patients experiencing oncologic, neurologic, and musculoskeletal system problems. It emphasizes using evidence‑based practice and quality improvement initiatives to develop critical thinking skills in caring for patients and their families.

Billable Contact Hours: 1.5

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Transfer Possibilities
Michigan Transfer Network (MiTransfer) - Utilize this website to easily search how your credits transfer to colleges and universities.
OUTCOMES AND OBJECTIVES
Outcome 1: The students will analyze and apply the critical components of evidence‐based nursing practice.

Objectives:

  1. The student will analyze and apply the critical components of evidence‐based nursing practice to patients with oncologic disorders.
  2. The student will analyze and apply the critical components of evidence‐based nursing practice to patients with neurologic disorders.
  3. The student will analyze and apply the critical components of evidence‐based nursing practice to patients with musculoskeletal disorders.

 

Common Degree Outcome:

Critical Thinking: The graduate can make informed decisions after inalyzing information or evidence related to the issue. 

Outcome 2: The student will recognize quality improvement strategies as an integral component of nursing practice.

Objectives:

  1. The student will discuss quality indicators for acute stroke patients.
  2. The student will recognize quality indicators for cervical spine treatment.
  3. The student will identify quality indicators for patients with a hip fracture.

COMMON DEGREE OUTCOMES (CDO)
  • Communication: The graduate can communicate effectively for the intended purpose and audience.
  • Critical Thinking: The graduate can make informed decisions after analyzing information or evidence related to the issue.
  • Global Literacy: The graduate can analyze human behavior or experiences through cultural, social, political, or economic perspectives.
  • Information Literacy: The graduate can responsibly use information gathered from a variety of formats in order to complete a task.
  • Quantitative Reasoning: The graduate can apply quantitative methods or evidence to solve problems or make judgments.
  • Scientific Literacy: The graduate can produce or interpret scientific information presented in a variety of formats.
CDO marked YES apply to this course:
Communication: YES
Critical Thinking: YES
Quantitative Reasoning: YES
Scientific Literacy: YES

COURSE CONTENT OUTLINE
 

  1. Nursing Care of Patients with Oncological Problems
    1. Cancer in the adult patient
      1. Prevention and control
      2. Maintaining wellness during treatment
      3. Rehabilitation
    2. Cancer treatment management
      1. Goals
      2. Modalities
        1. Chemotherapy

          *Alkylating agents

          *Antimetabolites

          *Mitotic inhibitors

          *Antineoplastic antibiotics

          *Topoisomerase inhibitors

          *Miscellaneous agents
        2. Radiation
        3. Biologic response modifiers
        4. Research
        5. Quackery
      3. Evaluation of treatment and modality response
        1. Myelosuppression
        2. Gastrointestinal effects
        3. Integumentary effects
        4. Effects on the reproductive system
        5. Oncologic emergencies
      4. Cancer pain
        1. Pharmacologic interventions

          *Opiates

          *Nonopiates

          *Adjuvants
        2. Home management
        3. Complimentary therapy
      5. Cultural and family influences on cancer
        1. Hospice care
    3. Management of the patient with lymphoma
      1. Hodgkin’s and Non‐Hodgkin’s Lymphoma
    4. Management of the patient with skin cancer
      1. Basal cell carcinoma
      2. Squamous cell carcinoma
      3. Malignant melanoma
  2. Nursing Care of Patients with Neurological Problems
    1. Review of anatomy and physiology of the neurologic system
    2. Review of assessment of the neurologic dysfunction
      1. Adult life span considerations
      2. Cultural considerations
      3. Diagnostic procedures
    3. Clinical manifestations of neurologic problems
      1. Altered levels of consciousness
      2. Glasgow coma scale
    4. Management of patients with cerebral disorders
      1. Hemorrhagic cerebrovascular disorders
      2. Stroke
      3. Transient ischemic attacks
    5. Management of patients with peripheral nervous system disorders
      1. Lower back pain
      2. Cervical disc disorders
      3. Spinal tumors
      4. Disorders of the cranial nerves
        1. Trigeminal neuralgia
        2. Bell’s palsy
      5. Upper and lower motor lesions
      6. Peripheral neuropathies
    6. Pharmacological interventions
      1. Opiates
      2. Nonopiates
      3. Adjuvants
      4. Antiepileptic drugs
      5. Nimodipine (Nimotop)
      6. Mannitol (Osmitrol)
      7. Dopamine agonists
      8. Dopaminergics
      9. N-methyl-D-asparatate (MNDA) receptor antagonist
    7. Management of patients with degenerative neurologic disorders
      1. Creutzfeldt‐Jakob disease
      2. Huntington’s disease
      3. Multiple sclerosis
      4. Guillain‐Barre syndrome
      5. Parkinson’s disease
      6. Myasthenia gravis
      7. Amyotrophic lateral sclerosis
    8. Management of patients with neurological trauma
      1. Spinal cord injury
      2. Head and neck injury
  3. Nursing Care of Patients with Musculoskeletal Disorders
    1. Brief review of anatomy and physiology of the musculoskeletal system
    2. Review of assessment of the musculoskeletal system
    3. Adult life span considerations
    4. Diagnostic tests
    5. Management of patients with musculoskeletal disorders
      1. Osteoarthritis
      2. Metabolic bone disorders
      3. Pagets disease
      4. Gout and gouty arthritis
      5. Bone tumors
      6. Pharmacological interventions

        *NSAIDs

        *Opiates

        *Adjuvants
    6. Management of patients with back and neck disorders
    7. Management of patients with musculoskeletal trauma or overuse
      1. Hip fractures
      2. Sports injuries
      3. Overuse syndromes of upper and lower extremities
      4. Rotator cuff tears
      5. Anterior cruciate ligament injuries
      6. Meniscal injuries
    8. Management of patients with autoimmune disease r/t the musculoskeletal system
      1. Rheumatoid arthritis
      2. Systemic lupus erythematosus
      3. Progressive systemic sclerosis
      4. Ankylosing spondylitis
      5. Sjorgen’s syndrome
      6. Fibromyalgia syndrome
      7. Mixed connective tissue disease
      8. Lyme disease
      9. Secondary arthritis

Primary Faculty
Nemecek, Kim
Secondary Faculty

Associate Dean
Shaw, Andrea
Dean
Mirijanian, Narine



Primary Syllabus - Macomb Community College, 14500 E 12 Mile Road, Warren, MI 48088



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