COURSE NUMBER: ADTN/FMHN 746
COURSE TITLE: Advanced Clinical Practice II
COURSE CREDIT: 5 credits (Theory 2 cr, Practicum 3 cr)

Prerequisite Course: ADTN/FMHN 742

PLACEMENT IN CURRICULUM: Second function role preparation course for students selecting the advanced clinical practice option.

CATALOG DESCRIPTION: This course focuses on advanced clinical decision making with emphasis on acute and chronic health deviations in individuals and families. Clinical decision making skills are expanded to facilitate advanced clinical practice nursing and collaborative practice across the lifespan. Practicum experience will occur across settings.

Course Faculty

Michaelene P. Mirr, RN, PhD, CS, Professor
Office Phone: 836-5014
E-Mail: mirrmp@uwec.edu

Audrey Bryan, RN, PhD, PNP, Associate Professor
Office Phone: 836-4991
E-Mail: bryanaa@uwec.edu

Karen Maddox, RN, MS, Assistant Professor
Office Phone: 836-2153
E-mail: maddoxke@uwec.edu

Ann Patek, RN, MS, ANP, Instructor
Office Phone: 387-7362
E-mail: patekak@uwec.edu

Sheila Smith, RN, PhD, CS, Assistant Professor
Office Phone: 836-3725
E-Mail: smithsk@uwec.edu

1. Analyze health assessment information regarding acute and chronic health deviations in individual and families across the lifespan.

2. Establish measurable client outcomes and analyze implemented plans of care to determine the need for continuation, modification, or cessation of the prescribed care plan.

3. Evaluate intervention studies for their applicability in assisting individuals or families to maintain or restore their optimal level of functioning.

4. Incorporate ethical and legal principles within advanced nursing care of individuals and families.

5. Analyze the factors which affect the role of nurses in advanced clinical practice in providing care of individuals and families.

6. Collaborate with the client, family and other health care professionals in the management of care.

Required Texts

ADTN 742 Advanced Clinical Practice II Course Workbook

Berkowitz, C. D. (1996). Pediatrics: A primary care approach. Philadelphia: W. B. Saunders. (Family only).

Dinkmeyer, D., & McKay, G. D. (1998). Systematic training in effective parenting (STEP). Parents Manual. Circle Pine, MN: American Guidance Services.

Dixon, S. D., & Stein, M. (1992). Encounters with children. St. Louis: Mosby. (Family only).

Guide to clinical preventive services (2^nd ed.). Report on the U.S. Preventive Services Task Force. Baltimore: Williams & Wilkins.

Taylor, R. B. (1998). Family medicine (5^th ed.). New York: Springer Verlag.

Uphold, C. M., & Graham, M. V. (1994). Clinical guidelines in adult health. Gainsville, FL: Barmarre Books. (Adult only).

Uphold, C. M., & Graham, M. V. (1994). Clinical guidelines in family practice. Gainsville, FL: Barmarre Books. (Family only).

Youngskin, E. Q., & Davis, M. S. (1998). . (2nd ed.) Norwalk, CT: Appleton & Lange. Women’s health: A primary care clinical guide

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Recommended Texts

American Psychiatric Association. (1994). Quick reference to diagnostic criteria from DSM-IV. APA.

Barone, M. (1996). The Harriet Lane handbook: A manual for pediatric house oficers (14^th ed.). St. Louis: Mosby.

Edmunds, M. W., & Mahew, M. S. (1996). Procedures for primary care practitioners. St. Louis: Mosby.

Engel, J. (1997). Pocket guide to pediatric assessment (3^rd ed.). St. Louis: Mosby.

Fitzpatrick, T. B. (1996). Color atlas & synopsis of clinical dematology (3^rd ed.). NY: McGraw Hill.

Green, S. M. (1998). The 1998 Tarascon pocket pharmacopoeia. Loma Linda, CA: Tarascon Publishing.

Hay, W. W., Groothins, J. R., Hayward, A. R., & Levin N. J. (1997). Current pediatric diagnosis and treatment (13^th ed.). Norwalk, CT: Appleton-Lange.

Heppard, M., & Garite, T. (1996). Acute obstetrics: A practical guide (2^nd ed.). St. Louis: Mosby.

Hoole, A. M., Pickard, C. G., Quimette, K. M., Lohr, J. A., & Greenberg, R. A. (1995). Patient care guidelines for nurse practitioners (4^th ed.). Philadelphia: J. B. Lippincott.

Masear, V. R. (1996). Primary care orthopedics. Philadelphia: W. B. Saunders.

McCloskey, J. C., & Bulechek. (1995). Nursing interventions classification System (2^nd ed.). St. Louis: Mosby.

Mercier, L. R. (1995). Practical orthopedics (4^th ed.). St. Louis: Mosby.

Pansky, B. (1996). Review of gross anatomy (6^th ed.). NY: McGraw-Hill.

Priff, N. (Ed.) (1996). Nurse practitioner’s drug handbook. Springhouse, PA: Springhouse.

Rothenberg, M. A. (1998). Understanding x-rays, a plain English approach. Eau Claire, WI: PESI.

Seller, R. (1996). Differential diagnosis of common complaints (3^rd ed.). Philadelphia: W. B. Saunders.

& Willens, J. (1996). Pain management handbook. St. Louis: Mosby.

Snyder, M., & Lindquist, R. (1998). Complementary/alternatice therapies in nursing (3^rd ed.). NY: Springer.

Wasson, J. (1997). The common symptom guide (4^th ed.). NY: McGraw Hill.

Wrede-Seaman, L. (1996). Symptom management algorithms for palliative care. Yakima, WA: Intellicard.

Laboratory, diagnostic, and pharmacology reference texts from ADTN 712 will be used as clinical references.

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Practicum

Practicum Experiences are required for all students. The practicum experience will focus on acute and chronic health deviations in a variety of settings. A minimum of 225 hours are required. Each student will maintain a clinical journal to be submitted at least every other week. Satisfactory clinical performance is a course requirement. Unsatisfactory clinical performance will result in course failure.

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Course Requirements

Clinical Seminars: One hour weekly seminars will be held.

Clinical Assignment 1: Applied Conceptual Framework Clinical Assignment. The purpose of this assignment is to apply a conceptual holistic nursing approach to a clinical case. The student will choose a clinical write up on a client with a complex acute health deviation or a chronic health deviation and develop an intervention plan based on a conceptual framework, application to clinical situation must be evident. Recommended length: 4-6 pages.

Due: March 9, 1999

Evaluation

Clinical Assignment 2: Each student will submit a clinical write up on a client with an acute or chronic problem, using the following guidelines: Recommended length: 4-6 pages.

Due April 27, 1999

Evaluation

Teaching Project: Identify a learning need for a particular client population or staff development. Prepare a teaching packet, program or inservice that will best meet this need.

Due April 6, 1999

Evaluation

Clinical Case Presentation: Each student will present an organized, systematic case presentation. Limited to 30 minutes.

Evaluation

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746 ADULT/FAMILY LECTURE/SEMINAR SUMMARY

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Michaelene Mirr
Foundations of Education Department
Comments: mirrmp@uwec.edu
Updated: January 25, 1999