Fall 2021

NURS 6235-001 AGACNP Dx & Mgmt Concepts & Theory 3

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

Welcome to 6235 AG-ACNP Diagnosis and Management: Concepts and Theory III!

This course is the third course teaching concepts and theory in the diagnosis and management of gerontology and acutely/critically ill adult patients.
As your faculties, we are committed to your success in this course and beyond.
We are looking forward to a busy and productive semester, utilizing lectures, case studies, online modules, and assigned readings to enhance your learning.


Cell Phone number: 210-601-3423
Office Room Number: SON 2.218
Office Hours: By Appointment
Assistant Professor/Clinical

Bridges, Amanda, DNP, APRN, ACNP-BC
Office Phone Number: 210-450-8026
Office Room Number: SON 2.212
Office Hours: By Appointment
Assistant Professor/Clinical


This course fosters the progression of the Adult-Gerontology Acute Care Nurse Practitioner student’s role transition in the areas of health promotion, disease prevention, diagnosis and management in high acuity practice settings for the young adult, adult and older adult with complex acute, critical and chronic health conditions. Emphasis is placed on using evidence-based practice to formulate individualized plans of care and developing collaborative partnerships with patients, their families and inter-professional teams.


Credit hour allocation: 2 semester credithours
Clock hour allocation: 30 clock hoursclass


NURS 6338 Advanced Pathophysiology
NURS 6302 Advanced Pharmacotherapeutics
NURS 6210 Advanced Health Assessment & Clinical Reasoning
NURS 6110 Advanced Health Assessment & Clinical Reasoning: Clinical Application
NURS 6435 AGACNP Diagnosis and Management: Concepts and Theory 1
NURS 6436 AGACNP Diagnosis and Management: Concepts and Theory 2

NURS 6437 AGACNP Diagnosis and Management: Clinical Application 1
NURS 6135 AGACNP Diagnosis and Management: Clinical Seminar 1


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.


1.  Choose theoretical concepts of health promotion and disease prevention services for the young adult, adult, and older adult populations with regard to acute and chronic conditions, based on age, developmental stage, family history and ethnicity. (DNP Essentials VII, VIII; NONPF Competency: Independent Practice 3, 8)

2.  Provide evidence-based guidance regarding both primary and secondary disease prevention for the young adult, adult and older adult populations. (DNP Essentials II, III, VIII; NONPF Competency: Independent Practice 3, 6, 7)

3.  Translate the knowledge of acute and chronic illnesses to develop an appropriate diagnosis and treatment plant while assisting/educating their families during health status changes in the young adult, adult and older adult populations. (DNP Essentials I, VIII; NONPF Competency: Independent Practice 3, 4, 5, 7)

4.  Integrate history, presenting symptoms, physical examination data, and diagnostic information for acute and chronic diseases in the young adult, adult, and older adult populations using evidence-based practice in order to develop appropriate differential diagnoses, initiate appropriate customized interventions, and refer/and or consult with other healthcare providers as needed. (DNP Essentials I, III, VIII; NONPF Competencies: Scientific Foundation 2, Independent Practice 3, 4, 6, 7, 8)

5.  Integrate traditional and complementary pharmacological interventions into the treatment and management plans of acute and chronic illnesses for the young adult, adult and older adult populations based on current evidence. (DNP Essentials I, VIII; NONPF Competencies Independent Practice 3, 4, 5)

6.  Integrate social, cultural, and spiritual components in a holistic customized plan of care for the young adult, adult and older adult populations and their families. (DNP Essentials II, III, V, VI, VIII; NONPF Competencies Independent Practice 3, 4, 5)

7.  Demonstrate core professional values and ethical/legal standards in the implementation of the Adult-Gerontology Care 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 outcome measures in the delivery of quality acute/critical care to patients. (DNP Essentials II, III, VI; NONPF Competencies: Quality 1, Practice Inquiry 2, 3, Independent Practice 6)


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)


OSCE  10%
OSCE SOAP Note  5%
Quizzes  25%
Case Studies  60%


*A cumulative grade of 80% or better is required to pass the course.
Students are advised to upload their assignments in the assignment drop-box inside Canvas prior to the deadline on each due date.
Do not wait until the last few minutes before starting to upload assignments. Assignments received late will result in a grade of zero unless, under extreme circumstances, a written request to the faculty is received and approved prior to the due date and time.



Attendance in class is an expectation of each student.


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.


Marino, P. L. (2014) The ICU book (4th ed.). Philadelphia, PA: Wolters Kluwer/ Lippincott Williams and Wilkins. ISBN-13: 978-1451121186

Sabatine, M. S. (2019) Pocket medicine, Massachusetts General Hospital handbook of internal medicine (7th ed.). Philadelphia, PA: Wolters Kluwer/ Lippincott Williams and Wilkins. ISBN-13: 978-1975142377

Williams, B., Chang, A., Landefeld, S., Ahalt, C., Conant, R., & Chen, H. (2014). Current diagnosis and treatment: Geriatric 2E (current diagnosis & treatment) (2nd ed.). New York, NY: McGraw-Hill. ISBN-13: 978-0071792080


Jameson, J. L., Fauci, A. S., Kasper, D. L., Hauser, S. L., Longo, D. L., & Loscalzo, J. (Eds.). (2018). Harrison’s principles of internal medicine (Vol. 1 & Vol. 2) (20th ed.). New York, NY: McGraw-Hill. ISBN 13: 978-1259644030


Pharmacotherapeutics reference of your choice (Preferably with updated antibiotic usage recommendations).

Differential diagnosis reference of your choice


See Canvas, under modules.

CALENDAR - 1st Day Only

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

Please check the Canvas announcement for recent updates on class dates & room.

August 23 - Online module. No class.

August 30 (16:00-17:50) - ARDS/Fluid/Electrolytes

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