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University of Rhode Island — Nursing

NUR 463 - Advanced Medical-Surgical Nursing
Course Information

Professor: Department
Semester: Fall, Spring
Credits: 3
Prerequisites: NUR 444.

Catalog Description: Study of nursing care problems and nursing management of adults with acute and chronic complex illnesses, including the impact on their families. Capstone.

Course Goals & Outcomes

The purpose of the course is to provide the undergraduate nursing student with knowledge and study of nursing care problems associated with acute and chronic complex illness. There will be a focus on nursing management of clients in various health-care settings. Emphasis is on theoretical analysis of strategies applicable to acute care.

By the end of this course you will:

  1. Analyze the various roles of the nurse in caring for adults with acute and chronic complex illness.
  2. Discuss the nursing implications and nursing interventions of prevalent chronic health alterations in adults with complex illness.
  3. Integrate theoretical knowledge of chronic health alterations in the care of adults with acute and chronic complex illnesses.
  4. Evaluate the current state of nursing knowledge related to the care of adults with acute and chronic complex illnesses and their families, including nursing and relevant literature and how this research impacts nursing practice.
  5. Identify differential data in compiling a comprehensive nursing assessment of adults with acute and chronic complex illnesses, including effects on clients and their families.
  6. Identify own biases, values and beliefs related to caring for adults with acute and chronic complex illnesses and articulate ethical issues related to this care.
  7. Appraise the legal, ethical, political, social, cultural, and political issues impacting upon the delivery of nursing care to adults with acute and chronic complex illnesses.
Course Syllabus

This course consists of a weekly three hour class session, which includes lecture, class discussion and group work activities. There are face to face periodic examinations in addition to online assignments/quizzes via Sakai course management. This course is usually taken concurrently with NUR 464, which is the practicum component of Advanced Medical-Surgical Nursing. Topics include:

  • Content topics for this course include Nursing Management of clients with the following:
    • Decreased Cardiac Output
    • Severely Impaired Gas Exchange
    • Airway Obstruction
    • Advanced Renal Disorders
    • Critical Illness
    • Traumatic Injuries
    • Complex Neurological Conditions
    • Advanced Pancreatic and Hepatic Disease
    • Decreased Cardiac output related to altered blood flow
    • Immunodeficiency
    • Complex Oncologic Disease
    • End Of Life in the acute care setting
  • Virtual Intravenous Catheter Insertions
Reasons To Take This Course

This is a required nursing course that is taken at the conclusion of the undergraduate nursing curriculum. It is a course which is necessary for development of the nursing management skills required in care of the client with complex illnesses.

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