COURSE OUTLINE Patient Centered Care In Mental Health And .
Butler Community CollegeHealth, Education, and Public ServicesDivisionMitch TaylorRevised Spring 2015Implemented Fall 2015Textbook Update Fall 2016COURSE OUTLINEPatient Centered Care in Mental Health and High Acuity Medical-SurgicalEnvironmentsCourse DescriptionNR 202 Patient Centered Care in Mental Health and High Acuity Medical-SurgicalEnvironments. 9 hours credit. Prerequisites: AH 111, BS 260 and NR 106 or NR 108,all with a C or better. Concurrent enrollment in BI 250. This course will enable thestudent to analyze advanced cardiovascular, respiratory, neurological, and mentalhealth concepts and further develop skills for the high acuity adult medical-surgicaland mental health environments. The student will evaluate patient teaching andanalyze strategies for effective therapeutic communication in preparation forprofessional practice. The student will participate in collaboration with the healthcareteam to enhance patient-centered care. The student will utilize patient caretechnologies, information systems, and communication devices that support safenursing practice. The student will embrace the American Nurses Association (ANA)Code of Ethics with all class actions and interactions, demonstrating professionalaccountability and responsibility. Classroom: 80 hours; Clinical hours: 180 hoursRequired MaterialsAckley, B. & Ladwig, G., Nursing diagnosis handbook: An evidence-based guideto planning care. St. Louis: Elsevier.Course manual, by Course Faculty.Skyscape bundle (for NR105 and NR202 LPN transfers).NR202 Custom bundle (includes Lewis, Varcarolis, Lacharity) or may purchase text(s)individually.LaCharity, L. Kumagai, C. & Bartz, B., Prioritization, delegation and assignment:Practice exercises for medical-surgical nursing. St. Louis: Elsevier.Lewis, S., Dirksen, S., Heitkemper, M., Bucher, L., & Camera, I. Medical-surgical nursing:Assessment and management of clinical problems. St. Louis: Elsevier.Halter, M. and Varcarolis, E. Foundations of Psychiatric Mental Health Nursing.St. Louis: ElsevierNR 202 Patient Centered Care in Mental Health and High Acuity Medical-Surgical Environments1
Varcarolis, E., Manual of psychiatric nursing care planning. St. Louis:Elsevier.Online Resources/SoftwareWeb-facilitated materials will be presented through the online course managementsystem.Evolve – HESI RN Patient Reviews product key code (unless previously purchasedwithin last two years).ExamSoft – Used for computerized testing through the ExamSoft companywww.examsoft.com/butlernursing. Billing information will be sent via Pipeline email andpayments will be completed online.The student will need a cell phone or tablet running on Android or iOS capable ofhaving the following programs installed on it. The software can be purchased throughthe bookstore or online. Listed below are the required programs: Davis Drug Guide for Nurses Davis Comprehensive handbook of laboratory and diagnostic tests with nursingImplications Gahart IV Medication AdministrationAn online vendor for digital device software is Skyscape which gives Butler students adiscount. http://www.skyscape.com/butlerSuppliesA stethoscope, penlight, watch, and black pen are required for clinical in addition to theuniform described in the nursing student handbook.* - For complete textbook information, refer to https://bookstore.butlercc.eduButler-assessed OutcomesThe intention is for the student to be able to:1. Analyze current evidence-based knowledge as a basis for nursing judgment andprovision of safe and culturally competent care.2. Evaluate patient teaching to promote and maintain health.3. Incorporate professional standards by demonstrating accountability for self andnursing practice.4. Analyze effectiveness of therapeutic communication5. Participate in collaborative relationships with members of the interdisciplinaryhealthcare team and patients.6. Utilize patient care technologies, information systems, and communication devicesthat support safe nursing practice.Learning PACT Skills that will be developed and documented in this courseNR 202 Patient Centered Care in Mental Health and High Acuity Medical-Surgical Environments2
Through involvement in this course, the student will develop ability in the following PACTskill area(s):Analytical Thinking SkillsCritical thinking - By assessing patients in the high acuity environment and analyzingthe assessment findings, the student will identify nursing diagnoses, develop plans ofcare, implement the plans, and evaluate their effectiveness.Communication SkillsReception and interpretation of messages - Through interactions with patientsexperiencing altered mental health states, the student will further develop listeningskills.Major Summative Assessment TasksThese Butler-assessed Learning Outcome(s) and the Learning PACT skill(s) will bedemonstrated by:1. Preparing a project using principles of relationship building that documentsknowledge of therapeutic communication techniques.2. Applying critical thinking and mastery of selected technological skills to asimulated clinical scenario.Skills and CompetenciesActions that are essential to achieve the course outcomes:1. Analyze current evidence-based knowledge as a basis for nursing judgment andprovision of safe and culturally competent care.A. Apply concepts related to safe care of the high acuity mental health patientB. Apply concepts of Pharmacology to patient care and patient teaching.C. Apply concepts of Nutrition to patient care and patient teaching.D. Incorporate data from health history, physical, and psychosocial assessmentsand diagnostic testing to formulate nursing diagnosis.E. Utilize interventions to maintain patient safety and minimize the risk forinfection.F. Adapt nursing care based on patients’ values and beliefs2. Evaluate patient teaching to promote and maintain health.A. Discuss patient teaching strategies to promote health.B. Discuss medication purpose, side effects, and related safety precautions.C. Relate concerns requiring health-care provider notification3. Incorporate professional standards by demonstrating accountability for self andnursing practice.A. Discuss principles of conflict managementB. Demonstrate professional behavior in clinical practiceC. Evaluate interactions4. Analyze effectiveness of therapeutic communicationA. Choose therapeutic responses for patients with altered mental health statesB. Compare and contrast therapeutic and non-therapeutic responsesC. Document patient interactionsD. Recognize personally held attitudes that may impact patient care.NR 202 Patient Centered Care in Mental Health and High Acuity Medical-Surgical Environments3
5. Participate in collaborative relationships with members of the interdisciplinaryhealthcare team and patients.A. Select strategies that reflect integrity and respect for interacting with othersB. Communicate assessment findings to the health care teamC. Delegate responsibilities to an appropriate member of the nursing care team6. Utilize patient care technologies, information systems, and communication devicesthat support safe nursing practiceA. Use technology to document patient care and outcomesB. Access patient health data utilizing electronic health recordsC. Incorporate available and current technology to promote patient care educationLearning UnitsI. ANA Standards of PracticeA. AssessmentB. DiagnosisC. Outcomes identificationD. PlanningE. Implementation1. Coordination of care2. Health teaching and health promotionF. EvaluationII. QSEN CompetenciesA. National agenda for quality and safety in healthcare practiceB. Overview of competenciesC. Patient Centered Care1. Multiple dimensions of patient-centered care – transition and continuity2. Impact of active patient/family involvement in own care on safety, quality, andcost-effectiveness3. Barriers to active involvement of patients in their own health care4. Strategies to empower patients or families in all aspects of the health careprocessD. Teamwork and collaboration1. Own strengths, limitations, and values in functioning as a member of a team2. Strategies for identifying and managing overlaps in team member roles andaccountabilities3. Contributions of other individuals and groups in helping patient/familyachieve health goals4. Differences in communication style preferences among patients and families,nurses, and other members of the health team5. Effective strategies for communicating and resolving conflict6. Impact of team functioning on safety and quality of care7. Influence of authority gradients on teamwork and patient safety8. System barriers and facilitators of effective team functioningE. Evidence-Based Practice1. Clinical opinion vs. research and evidence summariesNR 202 Patient Centered Care in Mental Health and High Acuity Medical-Surgical Environments4
2. How the strength and relevance of available evidence influences the choiceof interventions in provision of patient-centered careF. Quality Improvement-Strategies for learning about the outcomes of care in thesetting in which one is engaged in clinical practiceG. Safety1. General categories of errors and hazards in care2. Processes used in understanding causes of error and allocation ofresponsibility and accountability, such as root cause analysis and failuremode effects analysis3. Potential and actual impact of national patient safety resources, initiatives,and regulationsH. Informatics1. Benefits and limitations of different communication technologies and itsimpact on safety and quality2. How technology and information management are related to the quality andsafety of patient care3. Time, effort and skill required for computers, databases, and othertechnologies to become reliable and effective tools for patient careIII. Application of essentials of professionalism in nursingA. Communication1. Acute Medical-Surgical2. Mental health – therapeutic emphasisB. Patient Rights and Responsibilities in mental healthC. Legal and ethical issues1. Artificial life support/nutrition – Intensive Care Unit (ICU)2. Mental health laws - restraintsD. Conflict resolution1. Civility2. Teamwork-diverse disciplinary perspectives3. Conflict management stylesIV. Client need: Safe and effective care environmentA. Management of care1. Client rights2. Establishing priorities3. Legal rights and responsibilitiesB. Safety and infection control1. Injury prevention2. Use of restraints/safety devices3. Suicide/violence preventionV. Client need: Health promotion and maintenanceA. Expected body image changesB. Health promotion programsC. High risk behaviorsNR 202 Patient Centered Care in Mental Health and High Acuity Medical-Surgical Environments5
D. Techniques of physical assessmentE. Principles of teaching/learningVI. Client need: Psychosocial IntegrityA. Behavioral interventionsB. Chemical and other dependenciesC. Coping mechanismsD. Crisis interventionE. Cultural diversity1. Introduction to various cultural practices2. Cultural assessment of a patient experiencing alterations in mental orphysical healthF. Alterations in mental health states1 . Alterations in mooda. Major Depressive disorderb. Dysthymic disorderc. Bipolar disorder2. Alterations in cognitive and perceptual processesa. Psychosesb. Dementia/delirium3. Alterations in copinga. Anxiety disordersb. Dissociative disordersc. Somatoform disordersd. Substance Abuse/Dependency disorders4. Alterations in self-perception and relating - personality disordersG. PsychopathologyH. Sensory/perceptual alterationsI. Therapeutic communicationsJ. Therapeutic environmentVII. Client Need: Physiological IntegrityA. Basic comfort and care: sleep apneaB. Pharmacological and parenteral therapies1. Central venous access2. Total parenteral nutrition3. Obtaining blood specimens peripherally or through central lineC. Reduction of risk potential1. Monitoring unconscious sedation2. Diagnostic tests3. Laboratory values4. Potential for alterations in body systems5. Potential for complications of diagnostic tests/treatments/procedures6. Potential for complications from surgical procedures and health alterations7. System specific assessmentNR 202 Patient Centered Care in Mental Health and High Acuity Medical-Surgical Environments6
8. Therapeutic procedures9. Vital signs (invasive monitoring)D. Physiological adaptation1. Alterations in body systems2. Hemodynamics3. Infectious disease4. Medical emergencies-ACLSa. Basic concepts of disease process - acid-baseb. Alterations in immune response - a naphylactic shockc. Hematological system1) Alterations in hemostasis2) Disseminated intravascular coagulation3) Sepsis/Multiple Organ Dysfunction Syndromed. Cardiovascular system1) Alterations in blood flowa) Alterations in arterial blood flow - aneurysmsb) Alterations in arterial blood flow - acute arterial occlusion2) Alterations in blood pressurea) Hypovolemiab) Shock3) Alterations in cardiac functiona) Acute coronary syndromeb) Heart failurec) Valvular diseased) Myocardial trauma/surgery4) Alterations in cardiac rhythms5) Infectious cardiac disorderse. Respiratory system1) Infectious and inflammatory2) Obstructivea) Chronic bronchitisb) Emphysema3) Vascular - pulmonary embolism4) Restrictivea) Respiratory trauma/surgeryb) Acute respiratory distress syndrome5) Altered cellular growth - lung6) Alterations in respiratory processa) Alterations in arterial blood gasesb) Respiratory failuref. Gastrointestinal and hepatic system1) Acute abdomen – bowel obstruction2) Traumaa) Abdominalb) SpleenNR 202 Patient Centered Care in Mental Health and High Acuity Medical-Surgical Environments7
g. Nervous system1) Acute alterations of brain functiona) Strokeb) Increased intracranial pressure2) Traumatic head and brain injurya) Intracranial pressure monitoringb) Diabetes insipidusLearning ActivitiesLearning activities will be assigned to assist the student to achieve the intended learningoutcomes through textbook and nursing journal readings, classroom activities, casestudies, online learning materials, computer assisted programs, laboratory, simulation,and clinical experiences.Grade DeterminationThe student will be graded on assessment tasks, written assignments, exams andother methods of evaluation at the discretion of the instructor. The student must passthe clinical component of this course in order to earn a passing grade. The studentmust also earn a 75% or higher on total exam only points (includes unit exams,pharmacology exam and comprehensive final), in order to pass the course. Oncethe student passes the clinical component and earns a 75% or higher total examonly points, the points earned for all other course work will be added to determinethe final course grade. The student must earn a letter grade of a C or higher (75%)to pass the course.NR 202 Patient Centered Care in Mental Health and High Acuity Medical-Surgical Environments8
Textbook Update Fall 2016 COURSE OUTLINE Patient Centered Care in Mental Health and High Acuity Medical-Surgical Environments Course Description NR 202 Patient Centered Care in Mental Health and High Acuity Medical-Surgical Environments. 9 hours credit. Prerequisites: AH
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KOLCABA'S COMFORT THEORY AND PATIENT CENTERED CARE 9 to my case study, the salient concepts are uncertainty of illness resulting in pre-operative anxiety, health seeking behaviors identified through observation and patient nurse dialogue, and providing comfort through patient centered care and
Revised July 2017 PCMH CEC Handbook Patient-Centered Medical Home Content Expert Certification Overview The patient-centered medical home (PCMH) is a health care setting that facilitates partnerships between individual patients and their personal clinicians, and when appropriate, the patient’s family. Care is facilitated by registries,
THE JOURNAL OF BONE & JOINT SURGERY · JBJS.ORG VOLUME 87-A · NUMBER 3 · MARCH 2005 COMMUNICATION SKILLS FOR PATIENT-CENTERED CARE Communication Skills for Patient-Centered Care RESEARCH-BASED, EASILY LEARNED TECHNIQUES FOR MEDICAL INTERVIEWS THAT BENEFIT ORTHOPAEDIC SURGEONS AND THEIR
clinician.1,2,3 Although patient-centered care is essential to wound healing, studies of patient-centered wound care are limited. In a study from the American College of Wound Healing and Tissue Repair (ACWHTR), patients and clinicians were asked about their perception of wound treatments and optimal outcomes. The findings of the study suggest the
Vision for Spiritual Care Spiritual care is integral to patient-centered care. Resides at the center of care. Focuses on the needs of the whole patient. Identifies needs and concerns that impact patient outcomes. All Interdisciplinary Care Team members provide spiritual care. Chaplains are the spiritual care specialists who conduct spiritual
of healing centered engagement to youth serving systems. Dr. Ginwright first coined the term "healing centered engagement" in 2018 in his article "The Future of Healing: Shifting from Trauma Informed Care to Healing Centered Engagement," published in Medium. Visit Flourish Agenda to learn more about Dr. Ginwright and healing centered engagement.
(Corporate Officer). Full day event, get a hamper and 10 via expenses for drinks. Andrew Tamplin is doing a morning session, breakout rooms including a live band, quiz, virtual Christmas choir, guided meditation/yoga, virtual pub, pets corner, creative room (cooking workshops, magic tricks, circus skills). Dec 11th.
