Erbil Polytechnic University

Department of Nursing

Koya Technical institute

Subject: Adult Care Nursing

Level:2nd Stage

Course Book –2019-2020

Lecturer's name:

Ribwar Arsalan Mohammed BSc, MSc

Advanced Nursing (Adult GIT care & Endoscopy)

Academic Year: 2019-2020

Course Book

1. Course name Medical Surgical Nursing

2. Lecturer in charge Ribwar Arsalan Mohammed

3. Department/ College Department of Nursing / Koya technical Institute

4. Contact e-mail:ribwar@raparinuni.org

5. Time (in hours) per week Theory: 2 Hour Clinical Practical: 3 Hour

6. Office hours Availability of the lecturer during the week

7. Course code None /

8. Teacher's academic profile Google Classroom

9. Keywords Adult Nursing, Medicine, surgery

10. Course overview: This course provides the student with the knowledge, skills and attitudes that are essential for effective and

comprehensive nursing care for adults in the uncritical medical and surgical illness. The related concepts of

path physiology, fundamentals of nursing and pharmacology are integrated.

11. Course objective: Upon completion of this course, the student will be able to:

1. Identify risk factors and nursing interventions in promoting and maintaining health in a selected

client population.

2. Relate the path physiology of selected medical/ surgical alterations to the health –illness

continuum.

3. Discuss scientifically based rational for performing selected diagnostic procedure, outcomes and

nursing responsibilities.

4. Describe drug therapies and their related outcomes for clients undergoing medical/ surgical

interventions.

5. Explain nutritional needs of patients with selected medical/ surgical alterations.

6. Demonstrate safe administration of drug and parenteral therapy.

7. Participate in teaching patients

8. Demonstrate effective communication with patients, instructor and health members.

9. Describe pre- operative nursing measures of avoiding the risk of infection and the excepted post-

operative complications.

12. Student's obligation All the student must attend to the lecture, they have to prepare and accomplish all the tasks for this course throughout the academic year. If anyone could not finish his / her tasks or do not attend the lecture will be failed in this subject, otherwise the student have to provide a legal document to be exempt from the university role.

13. Forms of teaching The Lecture will be delivered through variety of methods as the following:

1. All the lecture will available on the Google Classroom.

2. PowerPoint Presentation 3. White Board 4. Some Books – Self Study 5. Group activity and peer working

14. Assessment scheme Breakdown of overall assessment and examination of this course

Assessment Percent of Final Grade

Attendance and daily Participation (Quiz) 5%

Midterm Exam (Theory + Clinical + Lab) 20%

Report or Presentation (Assignment) 5%

2ndMidterm Exam (Theory + Clinical + Lab) 20%

Final Exam 50%

Total 100%

Evaluation: Final Grade Level:

Grading Scale (%)

90-100 Excellent

80 - 89 Very Good

70 - 79 Good

60 - 69 Medium

50 – 59

Below 50

Satisfactory

Fail

15. Student learning outcome: by the End of this course the student will be able to:

1. Discuss psychosocial assessment and interventions relevant to adult ill clients and their

families.

2. Utilize knowledge from the humanities and science in planning the care of ill adults.

3. Demonstrate safe nursing care of ill adults.

4. Utilize effective communication techniques with clients .

5. Demonstrate competence in homodynamic and cardiac monitoring .

6. Provide quality nursing care for clients with respiratory dysfunction.

7. Assess and manage client with renal - urinary dysfunctions.

8. Deal efficiently with cases of medical surgical diseases

9. Participate in educating Adult ill clients and their families .

10. Demonstrate professional behavior in relation to clients and members of the health team .

16. Course Reading List and References‌: ▪ Key and Useful references:

1. Hinkle, J.L., & Cheever, K.H. (2014). Brunner &Suddarth’s Textbook of Medical-Surgical Nursing (13th

ed.). Philadelphia: Lippincott Williams & Wilkins.

2. Lewis, S.M., Dirksen, S.R., Heitkemper, M.M., & Bucher, L. (2014). Medical-Surgical Nursing:

Assessment and Management of Clinical Problems (9th ed.). St. Louis: Mosby.

3. Ignatavicius, D. D., & Workman, M. L. (2015). Medical-Surgical Nursing: Patient-Centered

Collaborative Care. Elsevier Health Sciences.

4. Williams, L. S., & Hopper, P. D. (2015). Understanding medical surgical nursing. FA Davis.

5. Linton, A. D. (2015). Introduction to medical-surgical nursing. Elsevier Health Sciences.

6. LeMone, P., Burke, K., Dwyer, T., Levett-Jones, T., Moxham, L., Reid-Searl, K., ... & Raymond, D.

(2013). Medical-surgical nursing. Pearson Higher Education AU.

17. The Topics: The Theoretical Content

Part I: Introduction to Medical Surgical Nursing.

Part II: Nursing process; definition, objectives and steps.

Part III: Nursing management for patients with cardiovascular disorders:

Hypertension.

Ischemic heart disease.

Myocardial infarction.

Congestive heart failure.

Part IV: Nursing management for patient with digestive system disease.

GERD

Hernia.

Peptic Ulcer.

Part V: The patient with hepatobilliary disorders

Hepatitis.

Cholelithiasis and cholecystitis.

Part VI: Nursing care for patients with endocrine system disorders.

o Nursing management for patients with diabetes mellitus.

Hyperthyroidism.

Hypothyroidism.

Part VII: Nursing management for patients with blood disorders.

Anemia and its types.

Leukemia.

Part VIII: Care of patients with cancer

Definitions.

Types.

Sign and symptoms.

Treatment and nursing management of patients with cancer.

Part IX: Nursing care for patients with respiratory disorders

Pneumonia.

COPD.

Asthma

Part X: Nursing management of patients with nervous system disorder

CVA

Meningitis

Epilepsy.

Part XI: Nursing management of patients with Renal disorders

Urinary tract infection

Renal failure

Part XII: Nursing management of patients with musculoskeletal disorders

Osteoporosis

Arthritis

Joint replacement

Part XIII: Nursing management of patients with Integumentary disorders.

Assessment integumentary system

Dermatitis

Autoimmune disease

Part XIV: Nursing management of patients with Eye, Nose and Throat (ENT)

Sinusitis

Tonsillitis

Otitis media

Part XV: Nursing management of patients with ophthalmic disorders.

Assessment and diagnostic test

Cataract

Gulcoma.

18. Practical Topics Ribwar A. Mohammed And M Peshraw 6 Hours in the Week in the clinical field and 2 hours in the Labs

The practical lectures will be took place in the following area in the

clinical place and in the adult and Critical Care Labs within School of

Nursing.

Clinical Area:

Part I: Coronary care unit (CCU)

Part II: Medical Ward

Part III: Surgical theater room and Ward

Part IV: Recovery Room (R.R)

Part V: Kidney dialysis unit

Part VI: Emergency Room (E.R)

Part VII: Burn units

19. Sample of the Questions:

Q: Filling the below gaps with suitable words:

1. Myocardial infarction is caused by reduced blood flow in a coronary artery due to

________________________________ and occlusion of an artery by

_______________________________________.

2. ________________________________________Abdomen eventually becomes markedly distended; loops

of colon become visibly outlined through the abdominal wall.

Q2: Putting the character in the Column B, in front of Column A: (15 Marks)

Column A Column B

Volvulus: twisted bowel

A Murphy’s sign

Major cause of blindness

B Mechanical intestinal obstruction

Acute cholecystitis C Diabetes Mellitus

Q: A. Put true and False in front the below statements

1. Chronic cholecystitis usually associated with gallstone formation.

2. Cerebral vascular accident is one of potential complication essential hypertension.

Q: Answer the following question.

1. Enumerate, and briefly discuses nursing care plan, and intervention for patient with Anemia? 2. Explain Dietary management of the GERD? 3. How to instruct the patient with Asthma?

Q: Case Scenario:

A 50-year-old male patient presented to the emergency department at 2 AM with vomiting and abdominal pain. He had

a 2-week history of polyuria and polydipsia, accompanied by a 10-killiogram of added to his weight, and blurred vision.

His medical history was unremarkable, except for being treated for hypertension with amlodipine 10 mg daily, which

provided good control. (His blood pressure on admission was 135/80.) Results of hospital laboratory studies revealed

that the patient's initial blood glucose level was 1192 mg/dL. Diagnosed with Diabtets Mellitus.

How to educate this patient about his diseases? Write down briefly about the nursing intervention for this

patient?

20. Extra notes: Here the lecturer shall write any note or comment that is not covered in this template and he/she wishes to enrich the course book with his/her valuable remarks.

21. Peer review This course book has reviewed and signed by a peer. As Her name and title mentioned below:

Assistant Lecturer

RukhushIshaq

Head of Nursing Department