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Nursing Concepts in Care of the Elderly

I.     Course Prefix/Number: NUR 108

       Course Name: Nursing Concepts in Care of the Elderly

       Credits: 3(1.5 lec:5 lab)

II.    Prerequisite

Completion of NUR 104 and all first level non-nursing support courses, all with minimum grades of C.

III.   Course (Catalog) Description

Course examines basic management skills for a nurse caring for a group of clients/residents. Content includes assuming the role of the nurse caring for the frail client, and implementing specific alterations that affect the client’s basic needs and chronic health problems.  Continuing focus is on the nursing process. Nursing skills taught in the college laboratory and implemented in a long-term health care facility.

IV.   Learning Objectives

Upon completion of NUR 108 the student will be prepared to:
1. Demonstrate the role of the nurse in a longer term care facility including basic management skills utilized in providing care for a group of clients/residents.
2. Describe the effect of chronic illness on the developmental status of the frail, elderly client with alterations in basic needs.
3. Differentiate between the normal aging process of an older adult and the frail, elderly client with acute or chronic alterations in basic needs.
4. Practice a caring attitude toward the resident and family with respect for cultural diversity.
5. Utilize the nursing process in implementing the concepts of nursing care of the frail, elderly client.
6. Demonstrate specific nursing skills according to established criteria in caring for the frail, elderly client.
7. Discuss legal and ethical issues related to the older adult.
8. Demonstrate accountability in care of a group of residents.
9. Develop and implement a teaching plan to meet the needs of the elderly client in the long-term care setting.
10. Utilize therapeutic communication skills in caring for the frail, elderly client and family.
11. Utilize appropriate communication skills with peers and the health care team in the long-term care setting recognizing culture and diversity.
12. Utilize specific technology as part of the learning process.

V.    Academic Integrity

Students and employees at Oakton Community College are required to demonstrate academic integrity and follow Oakton's Code of Academic Conduct. This code prohibits:

• cheating,
• plagiarism (turning in work not written by you, or lacking proper citation),
• falsification and fabrication (lying or distorting the truth),
• helping others to cheat,
• unauthorized changes on official documents,
• pretending to be someone else or having someone else pretend to be you,
• making or accepting bribes, special favors, or threats, and
• any other behavior that violates academic integrity.

There are serious consequences to violations of the academic integrity policy. Oakton's policies and procedures provide students a fair hearing if a complaint is made against you. If you are found to have violated the policy, the minimum penalty is failure on the assignment and, a disciplinary record will be established and kept on file in the office of the Vice President for Student Affairs for a period of 3 years.
Details of the Code of Academic Conduct can be found in the Student Handbook.

VI.   Sequence of Topics

I. Roles/Responsibilities of the Nurse in a Long Term Care Setting

II. Nursing Process Applied to the Care of the Frail Elderly with Chronic Alterations in Basic Needs

III. Caring for the Client with Selected Chronic Alterations in Basic Needs

VII.  Methods of Instruction

Theory: Lecture, discussion, audiovisuals, computer-assisted instruction
Laboratory:  Demonstration, guidance of skill practice
Clinical: Supervision of care of group of clients/residents, group teaching plan
Interactive Video:   Videos in Nursing Computer Lab

VIII. Course Practices Required

A. Reading: as assigned by course faculty
B. Writing: nursing care plans
C. Study Guides: facilitating concepts
D. Mathematics: as required for medication and IV calculations in clinical
E. Computer Use: as required by clinical facility
F. Lab Practices: independent practice/return demonstration
G. Fieldwork: as appropriate to student learning
H. Clinical: supervised client/resident care, pre/post conference

IX.   Instructional Materials

Note: Current textbook information for each course and section is available on Oakton's Schedule of Classes.

Selected by course faculty.

X.    Methods of Evaluating Student Progress

Theory:  Quizzes                       80%
One Final Exam        20%
Standardized Achievement Test (NLN)

Clinical: Clinical performance is evaluated using established criteria defined in the student syllabus and the evaluation form, and based on the following:
                            - Weekly progress reports for each student
                            - Final clinical performance evaluation
                            - Teaching plan for a group of learners
                            - Satisfactory completion of interactive video assignment
                            - Attendance policy applies (see ADN Guidelines)
 
College Lab:     Laboratory performance is evaluated using established criteria defined in the syllabus and the laboratory workbook.
Written lab tests and written assignments must be passed with a grade of 75 or better. There is one comprehensive written lab examination and one comprehensive skills exam.

NOTE: Students are apprised of their progress in theory, client care and college lab on an ongoing basis through written evaluations and oral reports. Students must achieve a grade of C in theory and a grade of "Satisfactory" in client care to pass NUR 206. Failure in any part of the course results in failure in the course

XI.   Other Course Information

A. Students are expected to attend all scheduled campus nursing classes and clinical practicums. Client care requirements demand that all students must be on time for clinical experience. Absence from clinical experience will affect a student's ability to meet course objectives and can result in failure in the course. (Refer to student guidelines for specific criteria.)

B. Class policy on:
Make-Up of Exams: Periodic pre-scheduled examinations shall be given throughout the semester. Anyone who misses an exam may be allowed, at the discretion of the instructor, to take the test at a later date.
 
Incomplete Grades: See College Catalog.
 
Late Assignments: Written work is a requirement of the course. Failure to submit completed written assignments constitutes an unsatisfactory grade in the course unless arrangements have been made with the instructor.
 
C.   Support Services:
      Learning Center
      Computer-assisted Instruction
      Instructional Media Services
      Enrollment Management - Enrollment, registration, evaluation and record keeping
      Office of Research - Surveys and reports
      Health Services - health forms, physicals, and medical tests
      Bookstore - textbooks
      Advising
      College Relations - Publications and Marketing
 


If you have a documented learning, psychological, or physical disability you may be entitled to reasonable academic accommodations or services. To request accommodations or services, contact the Access and Disability Resource Center at the Des Plaines or Skokie campus. All students are expected to fulfill essential course requirements. The College will not waive any essential skill or requirement of a course or degree program.

Oakton Community College recognizes the broad diversity of religious beliefs of its constituencies. The College has embraced a practice of shared responsibility in the event a religious observance interferes with class work or assignments. Students who inform instructors in advance of an intended absence for a major religious observance will not be penalized. The instructor will make reasonable accommodations for students, which may include providing a make up test, altering assignment dates, permitting a student to attend another section of the same course for a class period or similar remedies. Instructors are not responsible for teaching material again. Instructors should inform students of this practice at the beginning of the semester so that arrangements can be made accordingly. Similar consideration is accorded to faculty, staff and administrators and is provided for in their respective contracts.