NSG 326 ADULT HEALTH ILEARNING OBJECTIVESLEARNING OBJECTIVES (cont’d)TOGETHER EVERYONE ACHIEVES MORESlide 5IRAT AND GRATIRAT AND GRAT TESTING WITH FOLLOWED DISCUSSION OF TEST ITEMSAnatomy and PhysiologyClinical Manifestations & Diagnostic StudiesPeritonitisGastroenteritisGastroenteritis: Clinical ManifestationsSlide 13Inflammatory Bowel DiseaseIrritable Bowel DiseaseOstomiesOstomy CareDiverticulosis and DiverticulitisProblems of Digestion and Absorption: Lower Gastrointestinal problemsDescribe the collaborative care and nursing management of acute appendicitis, peritonitis, and gastroenteritis.Compare and contrast the inflammatory bowel diseases of ulcerative colitis and Crohn's disease, including clinical manifestations, complications, collaborative care, and nursing management.Explain the anatomic and physiologic changes and nursing management of the patient with an ileostomy and colostomyDifferentiate between diverticulosis and diverticulitis including clinical manifestations, collaborative care, and nursing management.TEAM Rationale for ActivityRecommendations made by the Institute of Medicine (IOM): Prepare a health care workforce that is able to work in teams, synthesize evidence, communicate with patients, use decision support tools, and above all else, provide safe patient care. There is an enormous amount of information that must be learned in nursing coursesRationale (cont’d) TEAMStudents are challenged to learn how to also apply the information in contexts that vary widely between clinical casesStudents need to develop good people skills including learning how to communicate and collaborate effectively with coworkers, patients, and interdisciplinary team members involved in the diagnosis/treatment/health maintenance continuum.Total score of tests equals 100%Teams of 7 studentsStudents are responsible to complete pre-class reading assignments IRAT = 40% GRAT = 60% 100%READINESS ASSURANCE PROCESS◦Individualized Readiness Assessment Tests (IRAT) – test of multiple choice questions on pre-assigned readings by each student◦Group Readiness Assessment Tests (GRAT) – after IRAT completed the team is given same test to take and come to a consensus on answersNarrow, blind tube extending from the inferior part of cecumLocalized pain occurring half-way between the umbilicus and right iliac crestInflammation of the mucosa of the stomach and small intestineCausative AgentsViral Infections◦Rotavirus and NorovirusBacterial Infections◦Escherichia coli, Shigella, Salmonella, Staphylococcus, camphylobacter jejuni, clostridium perfringens, and clostridium difficileGood Handwashing Safe Handling of FoodUlcerative ColitisContinuous areas of inflammationCrohn’s DiseaseHealthy tissue interspersed with areas of inflammationOstomy Sites Loop StomaStoma Site PouchingDiverticula: saccular dilations or outpouchings of the mucosa Diverticulosis – multiple non-inflammed diverticulaDiverticulitis – inflammation of the diverticula – can result in perforation into the
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