Spring 2021

NURS 6453-001 FNP Diagnosis and Management: Concepts and Theory 1

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.

COVID-19
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

CLASS SCHEDULE 

Please refer to Course Calendar for dates and content outline  

The class is 100% online with weekly asynchronous modules. 

 

Synchronous Meeting Dates:  

Synchronous Class Dates: On January 11th, January 25th, February 1st, February 22nd, March 15th, April 12th and April 26th (from 1-3 pm)

Exams: Synchronous Midterm (March 1st) and Final (May 3rd) from 1 - 4 pm

FACULTY CONTACT INFORMATION


Dr. Sarah Knoeckel, DNP, FNP-BC 

Phone (office): 210-450-8974 

Office: 2.512 

Office hours: Tuesday 9-11 am, and by appointment 

 

 

Email Communication: All email communication relevant to NURS 6453 will be through LIVEMAIL or CANVASStudents 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 our 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 in my faculty role I teach and practice I'm not always next to my office phone so email is the best way to reach me. If you would like to meet with me feel free to reach out and I can make arrangements for a Zoom meeting with you. 

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.  



COURSE DESCRIPTION

This course provides the theoretical foundations for the competencies of the Family Nurse Practitioner (FNP), including health promotion, palliative care, diagnosis and management for the adult and geriatric patient in the primary healthcare setting. Problem-based and self-directed learning strategies are used to formulate differential diagnoses and develop evidence-based treatment plans for chronic and acute conditions affecting the geriatric patient and family. Collaboration with interprofessional teams is examined as well as legal and ethical principles informing quality family-centered healthcare.

CREDIT AND TIME ALLOCATION

Credit hour allocation: 4 semester credit hours
Clock hour allocation: 60 clock hours class

PREREQUISITES

NURS 6338 Advanced Pathophysiology
NURS 6302 Advanced Pharmacotherapeutics
NURS 6210 Advanced Health Assessment & Clinical Reasoning
NURS 6110 Advanced Health Assessment & Clinical Reasoning: Clinical Application

PROGRAM OUTCOMES

Upon completion of the Doctor of Nursing Practice (DNP) Program students will:

  1. Integrate nursing science, ethics, biophysical, psychosocial, analytical, and organizational sources to provide the highest level of specialty nursing practices.
  2. Develop, implement, and evaluate healthcare practices in healthcare systems that ensure quality improvement and patient safety.
  3. Use analytic methods and evidence based practices to improve practice outcomes and the practice environment.
  4. Implement and evaluate ethical healthcare information systems and patient care technology to improve the quality of patient health outcomes and care systems.
  5. Advocate for healthcare practices that advance social justice, equity, and ethical policies within all healthcare arenas.
  6. Employ interprofessional collaborative teams to improve patient and population health outcomes and healthcare delivery systems.
  7. Lead the integration and institutionalization of (evidence based) clinical prevention and population based health guidelines.
  8. Use clinical judgment, systems thinking, accountability, and specialized knowledge to design, deliver, and evaluate evidence based, culturally proficient care to improve patient, population, and health systems outcomes.

COURSE OUTCOMES

1.  Apply theoretical concepts of patient-centered care with emphasis on health promotion, disease prevention, health protection, anticipatory guidance, counseling, palliative care and interprofessional disease management of adult and geriatric patients throughout life transitions. (DNP Essentials I, II, VII, VIII; NONPF Competency: Independent Practice 3, 6)
2.  Develop differential diagnoses integrating history and physical exam findings.  (DNP Essentials I, III, VIII; NONPF Competency: Independent Practice 3)
3.  Apply knowledge of acute and chronic illnesses to diagnose, manage and improve the health of the adult and geriatric patient.  (DNP Essentials I, VIII; NONPF Competency:  Independent Practice 3)
4.  Integrate traditional, complementary and pharmacologic interventions in the delivery of quality primary care to patients.  (DNP Essentials II, III, VI; NONPF Competency: Independent Practice 3, 4, 5)
5.  Construct patient-centered plans of care integrating social, developmental, psychological, cultural, explanatory models and spiritual components. (DNP Essentials I, VII, VIII; NONPF Competency: Independent Practice 3, 4, 5)
6.  Utilize evidence-based findings to diagnose and manage acute and chronic illnesses. (DNP Essentials I, III, VI, VIII; NONPF Competencies: Scientific Foundation 3, Quality 1, Practice Inquiry 6, Independent Practice 8)
7.  Demonstrate core professional values and ethical/legal standards in the implementation of the family nurse practitioner role.  (DNP Essentials I, V, VIII; NONPF Competencies: Ethics 1, 2, 3, Independent Practice 1, 2, 8)
8.  Evaluate patient safety, quality indicators, and outcomes improvement in the delivery of quality team-based primary care for patients and families.  (DNP Essentials II, III, VI; NONPF Competencies: Quality 1, Practice Inquiry 2, 3, Independent Practice 6)

GRADING SCALE FOR GRADUATE COURSES

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 FOR EVALUATION / GRADES


CRITERIA FOR EVALUATION / GRADES 



ExamSoft Quizzes  

10%  

DavisEdge Quizzes  

 5%  

Simulated IPE Session

  10%

Disease Mgt Group Presentation

  10%

Disease Mgt Individual Paper

5%  

Midterm Exam  

25%  

Comprehensive Final Exam  

35%  

TOTAL  

100%  

  

 


CLASSROOM ATTENDANCE

Attendance in class is an expectation of each student.

WRITTEN ASSIGNMENTS

  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.

APA GUIDELINES

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

SCHOLASTIC DISHONESTY

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.



PROFESSIONAL CODE OF CONDUCT

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.

http://catalog.uthscsa.edu/schoolofnursing/policiesandprocedures/

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.

ADA ACCOMMODATIONS

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.

REQUIRED TEXT / REFERENCE

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.). Philadelphia:  F. A. Davis, Co.  ISBN-10: 0803638019 / ISBN-13: 978-0803638013

 https://www.fadavis.com/home

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

 

 

RECOMMENDED (OPTIONAL) TEXT / REFERENCE

1. Hollier, A. (2021). Clinical Guidelines in Primary Care (4th ed.). Scott, LA: APEA. ISBN: 978-1-892418-27-2  (Coming out mid-January- required for 2 next semesters) 

 

2. 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  

 

3. Snyder, M. (2020). Wallach’s Interpretation of Diagnostic Tests: Pathways to Arriving at a Clinical Diagnosis (Interpretation of Diagnostic Tests) (11th ed.). Philadelphia, PA: LWW. ISBN-13: 978-1975105587 ISBN-10: 1975105583 

CONTENT OUTLINE

 CONTENT OUTLINE


1.    The Art of Differential Diagnosis & Treatment guided by Evidence-based Practice 

2.    Adult EENT(Eye disorders, URI, sinusitis, allergic rhinitis, pharyngitis, Influenza) 

3.    Respiratory disorders (COPD, lung CA, sleep apnea, tuberculosis, CA-pneumonia, pulmonary emboli)  

4.    Cardiovascular disorders (HTN, MI, CAD, arrhythmias, dyslipidemia, CHF)  

5.    Diabetes (type I & II), Metabolic syndrome, Obesity, Thyroid Disorders 

6.    Kidney & Bladder Disorders (renal disease, cystitis, incontinence, overactive bladder)  

7.    Men’s Health (prostate disorders, erectile dysfunction, testicular cancer) 

8.    Neurological problems (HA’s, Meningitis, Herpes zoster, Bell’s palsy, Parkinson’s)  

9.    Strokes/ CVA/ PVD/ DVT  

10. Dermatology (skin lesions/cancer, cellulitis, wound care, Rosacea, Nail disorders)  

11. Geriatric syndromes/ Cognitive disorders/ Dementias/ Alzheimer’s/ Degenerative disorders  

12. Palliative care/ End of life 

CALENDAR - 1st Day Only

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


Module 2: January 18th through January 24th

 Ear Nose and Throat (ENT)

Allergic Rhinitis

URI 

Sinusitis 

Pharyngitis/Tonsillitis/Epiglottitis 

Peritonsillar Abscess 

Influenza

Hearing Loss

Assignments and Due Dates: 

Complete ENT Study Guide

DavisEdge ENT Quiz

DxR Clinician Case #1

Read:

Dunphy et al. (2019) ENT Chapters 21, 22, 23 & 24




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