Spring 2022

NURS 6435-001 AGACNP Diagnosis and Management: Concepts and Theory 1

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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 6435 AG-ACNP Diagnosis and Management: Concepts and Theory I!

This course is the first course teaching concepts and theory in the diagnosis and management of gerontology and acutely/critically ill adult patients. Successful completion of this course is required to progress to NURS 6436.

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.


Office Phone number: 210-567-5841
Office Room Number: 2.218
Office Hours: By Appointment
Assistant Professor/Clinical

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


This course introduces the student to the principles of diagnostic and treatment strategies utilized in acute/critical care settings by the Adult-Gerontology Acute Care Nurse Practitioner (AGACNP). The use of evidence-based practice is encouraged to develop a strong scientific foundation for independent and collaborative practice as the registered nurse transitions to the role of the AGACNP. The focus is in health promotion, disease prevention, diagnosis and management of common illnesses seen in the acute care setting affecting the young adult, adult and older adult populations. In addition, this course emphasizes collaborative partnership development between patients, their families and inter-professional teams.


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


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


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.


Examine the role of the Adult-Gerontology Acute Care Nurse Practitioner in the current healthcare system. (DNP Essentials I, II, VII, VIII; NONPF Competency: Independent Practice 1, 2, 8)
2.  Utilize evidence-based guidelines and theoretical concepts of health promotion and disease prevention to the older adolescent and adult populations with regard to acute critical and complex chronic conditions. (DNP Essentials II, III, VII, VIII; NONPF Competency: Independent Practice 3, 8)
3.  Develop appropriate diagnosis and treatment plans in the care of the older adolescent and adult populations with acute and chronic conditions to include palliative care and highly complex coordination planning for delivery of care. (DNP Essentials I, VIII; NONPF Competency: Independent Practice 3, 6, 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 Competency: 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 Competency: 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)


Quizzes 25%
Case Studies 30%
Exams (3) 45%

Total 100%

*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.


  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.


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

Goolsby, M. J. & Grubbs, L. (2018). Advanced Assessment: Interpreting Findings & Formulating Differential Diagnosis (4th ed.). F. D. Davis Company. ISBN-13: 978-0803668942


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 (Available in the library) 

UpToDate subscription

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


See Canvas

CALENDAR - 1st Day Only

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

For full calendar and details, please refer to information posted in Canvas.

Week 1
1/10//22 (16:00-19:50)
On-Campus Module

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