Summer 2020

NURS 6620-001 Family Nurse Practitioner (FNP) Diagnosis and Management for Aging Families: Clinical Application

All students are responsible for checking their UTHSCSA Livemail account regularly (i.e., daily or several times every week) to obtain Official University Communication regarding their courses, program and student status.

Students are expected to follow all policies related to COVID-19 found on the university webpage:

NOTE: Our campus has enabled the CANVAS MOBILE LEARN application. CANVAS tools such as discussions, quizzes or videos May or May NOT function on all mobile devices. This is because mobile devices are available with rapidly changing and different configurations. Hence, students must not depend on only a mobile device to access course materials. Students must have access to a laptop or desktop device to access course materials and complete assignments.

This course is Web Enhanced with WebCT icon
Please be sure to check the Current Computer Requirements

Link to Graduate Clinical Experiences and Typhon guidelines:

Greetings FNP students enrolled in N6620 for the Summer 2020 Semester.

We look forward to working with you this semester.

We will meet for our first clinical seminar on May 12th from 9 am until 11:50 am in a virtual classroom.  There are 4 other synchronous virtual seminars on the following dates from 9-11:50 am:  May 26, June 23, July 14, July 28.

Please let us know if you have any questions or concerns.


Dr. Miller, Dr. Lee, Dr. Christian-Silva, and Ms. Miller


Ken Miller, PhD, MJ, RN, CFNP, FAAN, FAANP

Endowed Professorship


Phone: 210-567-3822


Wendy Lee, DNP,RN, FNP-BC

AssistantProfessor / Clinical


Phone: (210) 567-5102


Heidi Miller,MSN, RN, FNP-BC

AssistantProfessor / Clinical


Phone: 210-567-5801


Paula Christianson-Silva,DNP, APRN, FNP-BC

Assistant Professor, Clinical


Phone: 210-567-5871


Heidi Worabo, DNP,RN, FNP-BC, Track Coordinator

AssistantProfessor / Clinical


Phone: 210-567-5867



The focus of this course is integration of the Family Nurse Practitioner’s (FNP) core knowledge in health promotion and diagnosis and management in the care of the mature and aging patient and families in the primary healthcare setting. Emphasis is placed on the care of mature and aging patients and families with acute and chronic complex health problems. In addition, the family nurse practitioner as a collaborative member of the interprofessional team will be emphasized.


Credit hour allocation: 6 semester credit hours
Clock hour allocation:
300 clock hours clinical practicum; 15 clock hours seminar



Upon completion of the Master of Science in Nursing Program (MSN) students will:

  1. Integrate scientific findings from nursing and related sciences, including genetics and genomics, into the delivery of advanced nursing care to populations in diverse settings.
  2. Demonstrate organizational and systems leadership to assure ethical and critical decision-making at all systems’ levels for quality and patient safety.
  3. Incorporate performance improvement strategies for quality, safety, and patient-centered care delivery.
  4. Use improvement science to achieve optimal patient care and care environment outcomes.
  5. Integrate meaningful and usable information systems and healthcare technologies to support safe, quality patient care and healthcare systems effectiveness.
  6. Advocate for policy changes that influence healthcare at appropriate levels.
  7. Lead interprofessional teams using collaborative strategies to effect quality patient care and population health outcomes.
  8. Analyze and incorporate broad ecological and social health determinants to design and deliver evidence-based clinical prevention and population healthcare and services to individuals, families, and aggregates/identified populations.
  9. Integrate the advanced competencies expected of a master’s prepared nurse to design, deliver, and evaluate outcomes of systems of care for individuals, families, and diverse populations.


  1. Provide patient-centered care with emphasis on health promotion, disease prevention, health protection, anticipatory guidance, counseling, disease management, and palliative care to mature and aging patients and families during transitions and life-style adjustments as an integral member of the interprofessional team (Essentials I, VIII, IX).
  2. Apply knowledge of acute and chronic illnesses to diagnose and manage mature and aging patients and families as health status varies (Essentials I, IV, IX).
  3. Use evidenced-based guidelines related to patient health, disease management and prevention to impact health outcomes in this diverse population (Essentials I, IV, IX).
  4. Use advanced diagnostic reasoning and differential diagnosis for disease management of the mature and aging patients and family (Essentials I, IV, IX).
  5. Integrate history and physical exam data with the knowledge of pathophysiology of acute and chronic diseases to develop appropriate differential diagnoses and initiate appropriate patient-centered interventions in this diverse population (Essentials I, IX).
  6. Incorporate traditional and complementary pharmacological interventions into the treatment and management of illnesses (Essentials I, IX).
  7. Integrate social, cultural, explanatory models and spiritual components in patient-centered plans of care for mature and aging patients and families (Essentials I, IX).
  8. Integrate ethical principles in decision-making and demonstrate core professional values in the implementation of the nurse practitioner role (Essentials I, VIII, IX). 
  9. Create a climate of patient-centered care to include confidentiality, privacy, comfort, emotional support, education, mutual trust and respect (Essentials II, IX).
  10. Use self-reflection to evaluate progress in professional development as an integral member of the interprofessional team (Essential II, VII, IX).


A = 4 points (90-100)
B = 3 points (80-89)
C = 2 points (75-79)
D = 1 point (66-74)
F = 0 points (65 or below)


Criteria forEvaluation/Grades FNP Track Summer Clinical Course




1. Faculty Evaluations (2)




Faculty will complete an Evaluation of the Student prior to Midterm and prior to Final.  Pass/Fail grade based upon student’s successful completion of the *Clinical Requirements (Preceptor Feedback/Evaluation, Clinical Hours, and Patient Encounters Summary) and the Faculty Site Visits.

2. Written Assignments


Must earn 75% or better for all written assignments combined.


APEA Predictor Exam

Exam Score


49 or less






70 or greater








SOAP Notes (3)







Seminar Reflective & Ethical Presentations (2)







Patient Management Presentation (1)













Final Grade


Must pass all the criteria listed above to pass the course.


*Clinical Requirements




Preceptor Evaluations (Midterm and Final)



Preceptor Evaluation of the student entered into Typhon by Mid-term and Final. 

 Clinical Hours Report (2)


Student to submit summary of clinical hours at Midterm and Final. Clinical hours must total no less than 300 hours.

Typhon Patient Encounters Summary (2)


Student to submit pie graph summary of the patient encounters at Midterm and Final. Students must enter every patient they see in the clinical setting within the week of seeing those patients.




Attendance in class is an expectation of each student.


  1. If written assignments are made in a course they are required.
  2. Students are expected to submit written work on the scheduled date and time.
  3. The student must notify the course coordinator prior to the scheduled due date and time if they are unable to submit the written work as scheduled. Failure to make this notification in advance will result in a "zero" for that written work.
  4. If the excuse is accepted as reasonable and necessary, arrangements will be made for an alternative due date and time.
  5. Each student is responsible for making sure that he or she has completed the written work prior to submission.
  6. Late work will be accepted with consequences as outlined per course syllabi.


The APA Publication Manual 7th edition is required for use in all nursing school programs. 


Students are expected to be above reproach in all scholastic activities. Students who engage in scholastic dishonesty are subject to disciplinary penalties, including the possibility of failure in the course and dismissal from the university. "Scholastic dishonesty includes but is not limited to cheating, plagiarism, collusion, and submission for credit of any work or materials that are attributable in whole or in part to another person, taking an examination for another person, any act designed to give unfair advantage to a student or the attempt to commit such acts." Regents Rules and Regulations, Part One, Chapter VI, Section 3, Subsection 3.2, Subdivision 3.22.


Students who are nurses or are preparing to enter the profession of nursing are expected to treat others with respect and compassion. “The principle of respect for persons extends to all individuals with whom the nurse interacts. The nurse maintains compassionate and caring relationships with colleagues and others with a commitment to the fair treatment of individuals, to integrity-preserving compromise and to resolving conflict. This standard of conduct precludes any and all prejudicial actions, any form of harassment or threatening behavior, or disregard for the effects of one’s actions on others” (American Nurses Association Code for Nurses, Interpretive Statement 1.5).

The students, faculty, Department Chairs, Associate Deans, and the Dean of the School of Nursing of the University Texas Health Science Center San Antonio subscribe to the highest standards of conduct. Our aim is professional behavior beyond reproach. Failure to abide by the signed code of professional conduct may lead to suspension and/or permanent dismissal from the UTHSCSA SON. In particular, we subscribe to the provisions of the Code of Ethics for Nurses ( and the following points of conduct.

School of Nursing Netiquette Guidelines for Online Interaction

Netiquette guidelines provide information for behaving properly online, when using email, tweets or texts so that you may successfully communicate your thoughts in a manner that is respectful and avoids misunderstandings with others.


Any student seeking reasonable accommodations through the Americans with Disabilities Act (ADA) should contact either the Associate Dean for Admissions and Student Services within the first week of the semester or schedule a meeting with the UTHSCSA ADA Compliance Office so that appropriate accommodations may be arranged. A request for accommodations (Form ADA-100: must be completed and submitted to the Executive Director of the ADA Compliance Office before accommodations can be provided. Additional information can be provided in the Student Success Center, Room 1.118 or through the ADA Compliance Office website:


*Board Certification Pre-Predictor Exam.  APEA.  Student payment instructions will be sentcloser to the date of the exam.  Costis paid by student through the APEA website:


*Textbooks from previous semesters may be used as referencesduring your clinical practicum.


*FNP Certification Exam Review Resources: i.e.,,





100 hours Adult Primary Care

100 hours Geriatric Care

100 hours Sub-specialty Care and/or Family Practice

300 Clinical Hours Total

CALENDAR - 1st Day Only

Please check the schedule for recent updates on Class Dates & Room.

May 12th from 9 am until 11:50 am.  More information will be sent closer to the start of the semester.

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