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Apr 20, 2024
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NUR 261 - Advanced Adult-Gerontology in Acute Care I
Semester Hours: 5
This is the first of four clinical courses which focus on facilitating adult-gerontology acute care nurse practitioner student development in the evaluation and management of the critically ill or injured adult patient. During this course, nurse practitioner students will directly evaluate and manage several critically ill or injured adult patients (including geriatric patients) presenting to the emergency department with one or more undifferentiated chief complaints (e.g. “chest pain” or “dyspnea”) under the direct supervision of expert faculty preceptors in emergency and critical care medicine. Nurse practitioner students, as embedded members of the interprofessional team of providers, evaluate patients with a variety of chief complaints and emergent physiological alterations, including, but not limited to, those involving the cardiovascular, pulmonary, renal systems and trauma. Mechanisms of illness and injury include “medical” (e.g. myocardial infarction), “non-traumatic surgical” (e.g. obstructing ureteral stone), or “traumatic” (e.g. subdural hemorrhage, other accidental and non-accidental trauma) etiologies (individually or in combination). Through this immersive experiential learning experience, nurse practitioner students will work one-on-one with faculty preceptors and refine their history and physical diagnosis, communication, and clinical reasoning skills. Formulation of a differential diagnosis and a comprehensive evidence-based management plan for the acute and emergent clinical problems identified will be emphasized and assessed for each patient. In addition, students will gain an invaluable appreciation for the steady progression of chronic diseases and the sudden acute deteriorations that are possible secondary to complications. Integration of health promotion, health maintenance and health restoration in the evaluation and management of emergency department patients will also emphasized, along with risk assessment and preventative strategies. The pharmacological management of complex symptomatology is systematically integrated into the course. The course innovatively implements intensive didactic content both frontloaded at the beginning of the semester as well as scheduled at intervals during the semester, using an interactive case-based model and other engaging pedagogies. Advanced practice role development is integrated throughout the course. Assignments and clinical placements in affiliated emergency departments provide nurse practitioner students with unique immersive learning experiences where they are able to care for diverse patient populations, ranging from those living in underserved, resource-limited communities to those living in communities with more robust community networks of care. In the emergency department, nurse practitioner students will experience firsthand how community and hospital-based resources interface to provide continuity of care for the patients they meet.
Prerequisite(s)/Course Notes:
NUR 201 , 202 , 203 . For Graduate Nursing Majors only.
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