UNIT I LESSON PLAN: Foundations of NursingTOPICAL OUTLINEBasic Trust vs. MistrustInitiative vs. GuiltIndustry vs. InferiorityLincoln Memorial UniversitySchool of NursingNursing 115UNIT I LESSON PLAN: Foundations of NursingDATES & TIMES: See Class ScheduleOBJECTIVES: Upon completion of Unit I, the student will demonstratemastery of the following objectives in clinical/campus laboratory, in individual and group conferences, and on written materials, the ability to:1. Discuss the aims of nursing and integrate the roles and functions of nurses.2. Contrast the educational routes and competencies necessary to become a nurse, and to maintain current skills and knowledge.3. Discuss professional nursing organizations and their impact on the guidelines for nursing practice.4. Discuss health definitions and concepts.5. Discuss Roy's Adaptation Model and four adaptive modes.6. Explain how physical and psychological homeostasis is maintained.7. Discuss the basic concepts of stress and adaptation.8. Describe the flight-or fight response.9. Describe the effects of long term stress and crisis situations on patients.10. Discuss the role of nursing in stress reduction and management.11. Discuss ways the nurse can assess the spiritual needs of a patient to determine spiritual health or spiritual distress.12. Identify the physical and psychological factors that influence feelings of sexuality.13. Discuss the nurse's role in maintaining or enhancing sexual health of patients.14. Discuss the effects of culture on adaptation.15. Define the concept of family and identify interventions to include family members in the care of the patient.16. Explain how the family is structured and its effect on adaptation.17. Discuss each component of Maslow's hierarchy of needs.18. Identify factors influencing health and illness in relation to human dimensions and basic human needs.19. Discuss ways of ensuring culturally competent nursing care is being provided.20. Identify common health concerns of the young and aging adult.21. Differentiate between in-patient and out-patient health care settings.22. Identify members and roles of the health care team.23. Discuss delegation of nursing care.24. Differentiate values, ethics, and moral behavior.25. List common modes of values transmission and how they influence behaviors and attitudes.26. Describe the process of values clarification and relate the application to the clinical setting.27. Identify and define the types of ethics used to explore ethical dilemmas.28. Describe the role of ethics in nursing practice and the processes used to resolve ethical dilemmas.29. Discuss the boundaries of professional and legal regulation of nursing practice.30. Identify the parameters of informed consent, negligence and malpractice and identify the implications of each.31. Identify legal safeguards for nursing practice.TOPICAL OUTLINEI. NursingA. History of NursingB. Educational PreparationC. Professional OrganizationsD. Health Definitions and Concepts1. Health - Illness Continuum2. Maslow's Hierarchy of Human NeedE. Roy’s Adaptation Model1. Physiologic Mode2. Self-Concept Modea. Self-conceptb. Self-esteemc. Spiritualityd. Sexuality3. Interdependence Modea. Cultureb. Family4. Role Function Modela. Familyb. Role DevelopmentII. Promotion of Wellness and Illness PreventionA. Models of Health and IllnessB. Nursing Care as PreventionIII. Health Care SystemA. Types of Health CareB. Health Care Team1. Roles2. DelegationIV. Factors That Affect NursingA. ValuesB. EthicsC. Legal Implications1. Standards2. Nurse practice acts 3. Credentialinga. Accreditationb. Licensurec. Certification4. Malpracticea. Liabilityb. SafeguardsD. CultureV. Dosage CalculationsA. Arithmetic Needed for DosageB. Interpreting the Language of PrescriptionsC, Drug Labels and PackagingREQUIRED READINGS:Buchholz, S. (2006). Henke’s med-math dosage calculation, preparation & administration (5th ed.). Philadelphia: Lippincott Williams & WilkinsCh 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. Erikson's Eight Stages of Development2. Introduction to the Roy Adaptation Model (found in the online LMU Undergraduate Nursing Student Handbook, 2007-2008.)Erikson’s Eight Stages of DevelopmentBasic Trust vs. MistrustBirth - 18 months(infant)Autonomy vs. Shameand Doubt 18 mos. - 3 yrs. (toddler)Initiative vs. Guilt3-6 yrs. (preschool)Industry vs. Inferiority6-12 yrs (school age)Identity vs. Role Confusion 12-20 yrs.(adolescence)Viewing the world as safe and reliable. Viewing relationships as nurturing, stable, dependableAchieving a sense of control and free willBeginning development ofa conscience; Learning to manage conflict and anxiety.Emerging confidence in own abilities; taking pleasure in accomplishmentsFormulating a sense of selfand belongingThe child develops trust initself, its parents, and the world. Trust results from affection and gratification of needs.The child develops a senseof self-control without lossof 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.