Lincoln Memorial University School of Nursing Nursing 115 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 UNIT I LESSON PLAN Foundations of Nursing DATES TIMES See Class Schedule OBJECTIVES Upon completion of Unit I the student will demonstrate mastery of the following objectives in clinical campus laboratory in individual and group conferences and on written materials the ability to Discuss the aims of nursing and integrate the roles and functions of nurses Contrast the educational routes and competencies necessary to become a nurse and to maintain current skills and knowledge Discuss professional nursing organizations and their impact on the guidelines for nursing practice Discuss health definitions and concepts Discuss Roy s Adaptation Model and four adaptive modes Explain how physical and psychological homeostasis is maintained Discuss the basic concepts of stress and adaptation Describe the flight or fight response Describe the effects of long term stress and crisis situations on patients Discuss the role of nursing in stress reduction and management Discuss ways the nurse can assess the spiritual needs of a patient to determine spiritual health or spiritual distress Identify the physical and psychological factors that influence feelings of sexuality Discuss the nurse s role in maintaining or enhancing sexual health of patients Discuss the effects of culture on adaptation Define the concept of family and identify interventions to include family members in the care of the patient Explain how the family is structured and its effect on adaptation Discuss each component of Maslow s hierarchy of needs Identify factors influencing health and illness in relation to human dimensions and basic human needs Discuss ways of ensuring culturally competent nursing care is being provided Identify common health concerns of the young and aging adult Differentiate between in patient and out patient health care settings Identify members and roles of the health care team Discuss delegation of nursing care Differentiate values ethics and moral behavior List common modes of values transmission and how they influence behaviors and attitudes Describe the process of values clarification and relate the application to the clinical setting 27 28 29 30 31 Identify and define the types of ethics used to explore ethical dilemmas Describe the role of ethics in nursing practice and the processes used to resolve ethical dilemmas Discuss the boundaries of professional and legal regulation of nursing practice Identify the parameters of informed consent negligence and malpractice and identify the implications of each Identify legal safeguards for nursing practice I TOPICAL OUTLINE Nursing A History of Nursing B Educational Preparation C Professional Organizations D Health Definitions and Concepts 1 Health Illness Continuum 2 Maslow s Hierarchy of Human Need E Roy s Adaptation Model 1 Physiologic Mode 2 Self Concept Mode a Self concept b Self esteem c Spirituality d Sexuality 3 Interdependence Mode a Culture b Family 4 Role Function Model a Family b Role Development II Promotion of Wellness and Illness Prevention A Models of Health and Illness B Nursing Care as Prevention III Health Care System A Types of Health Care B Health Care Team 1 Roles 2 Delegation IV Factors That Affect Nursing A Values B Ethics C Legal Implications 1 Standards 2 Nurse practice acts 3 Credentialing a Accreditation b Licensure c Certification D V 4 Malpractice a Liability b Safeguards Culture Dosage Calculations A Arithmetic Needed for Dosage B Interpreting the Language of Prescriptions C Drug Labels and Packaging REQUIRED READINGS Buchholz S 2006 Henke s med math dosage calculation preparation administration 5th ed Philadelphia Lippincott Williams Wilkins Ch 1 3 Taylor C Lillis C LeMone P 2008 Fundamentals of nursing The art and science of nursing care 6th ed Philadelphia Lippincott Ch 1 2 3 4 6 7 8 and pgs 436 439 Health of the Adolescent Young Adult Ch 20 Ch 32 and pgs 1054 1063 Factors Affecting Sexuality Ch 36 Taylor C Lillis C LeMone P 2008 Study guide to accompany Fundamentals of nursing the art and science of nursing care 6th ed Philadelphia Lippincott Readings to coincide with above chapters Roy s Adaptation Model Overview found in online LMU Undergraduate Nursing Student Handbook 2007 2008 CLINICAL SKILLS 1 Identify ethical and legal aspects related to nursing 2 Apply principles of legal responsibilities and professional ethics to the care of the client 3 Utilize factors related to self concept sexuality and spirituality when caring for clients in the clinical area 4 Identify cultural factors when caring for clients 5 Discuss how family structure affects nursing care 6 Utilize principles of growth and development when caring for clients HANDOUTS 1 2 Erikson s Eight Stages of Development Introduction to the Roy Adaptation Model found in the online LMU Undergraduate Nursing Student Handbook 2007 2008 Erikson s Eight Stages of Development Basic Trust vs Mistrust Birth 18 months infant Viewing the world as safe and reliable Viewing relationships as nurturing stable dependable The child develops trust in itself its parents and the world Trust results from affection and gratification of needs Achieving a sense of Autonomy vs Shame control and free will and Doubt 18 mos 3 yrs toddler Initiative vs Guilt 3 6 yrs preschool Industry vs Inferiority 6 12 yrs school age Identity vs Role Confusion 12 20 yrs adolescence Beginning development of a conscience Learning to manage conflict and anxiety Emerging confidence in own abilities taking pleasure in accomplishments Formulating a sense of self and belonging The child develops a sense of self control without loss of self esteem Able to cooperate Results from encouragement of parents to feed dress and toilet self Actively seeks out new experiences has lively imagination vigorously tests reality imitates adults explores how and why of activities Results if parents try to understand answer questions and accept active play Gains pleasure from finishing projects and receiving recognition for accomplishments Results if opportunities given to succeed given recognition Has sense of who he she is and what he she stands for Tries on roles experiences sexual polarization Develops fears and suspicions mistrust Results from consistent abuse neglect deprivation of love and affection May feel shame and doubt if parents overprotective or have expectations that are too high Curtails