Fall 2020

NURS 6452-001 Family Nurse Practitioner (FNP) Diagnosis and Management for Aging Families: Concepts and Theory

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: https://wp.uthscsa.edu/coronavirus/.

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


Please refer to Course Calendar for dates and content outline

The class is 100% online with weekly asynchronous modules.


Synchronous Dates 

Canvas Conference Synchronous class on August 31st, September 28th from 9 - 11 am 

OSCE on November 23rd

Exams: Synchronous Midterm (October 5th) and Final (December 7th) from 8 - 11 am


Dr. Sarah Knoeckel, DNP, FNP-BC

E-mail: knoeckel@uthscsa.edu

Phone (office): 210-450-8974

Office: 2.512

Office hours: available Monday 8am-11:50am, and by appointment


Email Communication: All email communication relevant to NURS 6452 will be through LIVEMAIL or CANVAS. Students are responsible for checking their account regularly (daily or several times every week) to obtain Official University Communication regarding their courses, program and student status.


I check my email daily (M-F). If there is a situation on the weekend that affects submission of your assignments, I will take that into consideration on Monday morning when I read messages. Since faculty work both on and off campus, email is the best way to reach us. If you need to talk by phone, just email me and we can schedule a time to talk over the phone. You will find that I am very responsive to my email messages and you will usually receive a response within 24 hours. If I need to be away from the office/computer for more than a day during the week, I will notify the class, but otherwise I will generally be available to you during regular weekly working hours.


This course provides the theoretical basis for the competencies of the Family Nurse Practitioner (FNP) in health promotion, diagnosis and management in the primary healthcare setting for the mature and aging patient and family. Problem-based and self-directed learning strategies are used to review acute and chronic disorders of the aging patient and family. Emphasis is placed on differentiating signs and symptoms to formulate possible diagnoses and determining the effect of illness on this diverse population. Additionally, this course emphasizes the FNP as a collaborative member of the interprofessional team.


Credit Hour Allocation: 4 semester credit hours
Clock Hour Allocation:
60 clock hours class



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. Apply theoretical concepts of 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 developmental transitions and life-style adjustments. (Essentials I, III, VIII)
  2. Apply knowledge of acute and chronic illness to diagnose and manage mature and aging patients as health status varies. (Essentials I, IX)
  3. Integrate history and physical exam data with the knowledge of pathophysiology of acute and chronic diseases of the mature and aging patient to develop appropriate differential diagnoses, and initiate appropriate patient-centered interventions. (Essentials I, IV, VII, IX)
  4. Incorporate traditional and complementary pharmacological interventions into the treatment and management of illness for this diverse population. (Essentials I, IX)
  5. Integrate social, cultural, explanatory models and spiritual components in patient-centered plans of care for patients and families. (Essentials I, VIII)
  6. Translate evidence-based findings into the diagnosis and management of illness in the mature and aging patient and family to improve health outcomes. (Essentials I, VIII and IX)
  7. Demonstrate progression in self-directed learning, professional development, competence, and leadership as a member of the interprofessional team in providing care  for this diverse population. (Essential II, VII, VIII, IX)
  8. Demonstrate core professional values and ethical/legal standards in the implementation of the nurse practitioner role. (Essentials I, III, IV, IX)
  9. Analyze patient safety, quality indicators, and outcome improvement in the delivery of quality primary care to patients. (Essentials I, III)


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)


Course Grading Criteria   



Individual Presentation recorded PowerPoint/Visual platform (See Rubric)


Discussion Board (See Rubric)


OSCE (Objective Standardized Clinical Encounter)


Midterm Exam


Comprehensive Final Exam





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 (http://bit.ly/1mtD5p2) 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: http://uthscsa.edu/eeo/form100-Faculty-student-resident.pdf) 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: http://uthscsa.edu/eeo/request.asp.


  1. Hollier, A. (2018). Clinical Guidelines in Primary Care (3rd ed.). Scott, LA: APEA. ISBN 10: 1892418258 / ISBN 13: 9781892418258 

  1. Dunphy, L.M., Winland-Brown, J.E., Porter, B.O. & Thomas, D. J. (2019) Primary Care: The Art and Science of Advanced Practice Nursing (5th ed.). Philadelp hia:  F. A. Davis, Co.  ISBN-10: 0803638019 / ISBN-13: 978-0803638013 



         School’s promo code for 20% off and free shipping is A22FRNVG 


Dermatology DDX Deck, 3rd edition [Cards] by Thomas P. Habif MD, James G.H. Dinulos, M. Shane Chapman, Andrew Eugene Werchniak, Dorothea Torti Barton, Thomas P. Habif  ISBN-13: 978-0323608299 ISBN-10: 0323608299


Williamson, M.A., & Snyder, M. (2014). Wallach’s Interpretation of Diagnostic Tests: Pathways to Arriving at a Clinical Diagnosis (Interpretation of Diagnostic Tests) (10th ed.). Philadelphia, PA: LWW. ISBN-10: 1451191766 / ISBN-13: 978-1451191769

Parks, Edward (2018). Practical Office Orthopedics. New York: NY: McGraw-Hill.

ISBN-10: 1259642860 / ISBN-13: 978-1259642876. This book is available by e-book at no cost from the Briscoe Library:



Knechtel, Maureen (2013). EKGs for Nurse Practitioner and Physician Assistant. New York: NY: Springer Publishing. EBOOK ISBN: 9780826199577. This book is available by e-book at no cost from Briscoe Library:


You may benefit from buying the textbook. The newer edition is not available at library and is:

Knechtel, Maureen (2017). EKGs for Nurse Practitioner and Physician Assistant, 2nd edition. New York: NY: Springer Publishing. ISBN-10: 0826168884


American Psychological Association. (2010). Publication manual of the American Psychological Association (6th ed.). Washington, D.C.: American Psychological Association.




  1. Acute and Chronic Illnesses of the adult and aging patient 

  1. Adult EENT 

  1. Respiratory disorders in adults and aging patients 

  1. Cardiovascular disorders in the adult and aging patient 

  1. Endocrine Disorders 

  1. Gastroenterology 

  1. Common Abnormal Lab values and Radiology 

  1. Neurological Disorders 

  1. Musculoskeletal Disorders  

  1.  Rheumatologic Disorders 

  1.  Nephrology, Urological Disorders and Men’s Health 

  1.  Dermatologic Conditions 

  1.   Geriatric syndromes and Palliative Care/End of Life 

Please note that content presentation dates are subject to change based on the availability of guest speakers.

CALENDAR - 1st Day Only

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

     Module 1: August 24th through August 30th


1. Brief Review of Course Orientation




2. Eyes



     Diabetic Retinopathy



     Red Eye







Course Introduction: Orientation presented online by Dr. Knoeckel



Presentation online:

By Dr. Knoeckel and Dr. Faith





Dunphy et al (2019) Eye Chapter 18, 19 & 20,


APEA book: Ophthalmic Disorders


Complete Eye Study Guide (Canvas)



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