Syllabus - NRSG 835

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Course Info
Course Description
Methodology
Textbooks
Evaluation
Guidelines for Case Studies and Grading Criteria
Guidelines for Participation in Threaded Discussion
Guidelines for Leadership of a Threaded Discussion
Profits Pledge
Disability Statement

Course:
NRSG 835 - Primary Women's Health Care Across Life Span Fall 2004(MSN)

Nurs 410 - Women's Health Care - Fall 2004 ( RN-BSN/MSN)

Semester: Fall 2004

Barbara Latinis Bridges RNC, ARNP, EdD
Associate Professor
Family Nurse Practitioner, Certified
Women's Health Nurse Practitioner, Certified
E-mail: blatinis@kumc.edu
Phone: 913-588-3391
Office: 2044 SON, KUMC
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Co requisite: NRSG 815 or NRSG 817, or consent of instructor

Course Description

Psychological, sociological and physiological issues of health and human functioning of the female client systems across the life span are explored. Theory and research based therapeutic management of acute, episodic and chronic conditions that occur in community based women and their families will be planned. Professional values including standards of practice, certification, cultural, legal and ethical issues and professional roles will be addressed. The health care delivery system will be analyzed for cost effectiveness and sensitivity to women.

Course content

First we will study the basics of women's health, reproductive anatomy, physiology and embryology. Study questions will help you learn this material.
Most of the time we will use symptoms that patients will have as a chief complaint as a focus of study. We will follow up the symptoms with a list of differential diagnoses and then study the main problem. We will use case studies to help learn to diagnose and treat common gynecological problems.
We will discuss and review some problems that are not essentially GYN, but that occur with great frequency in women, for example fibromyalgia and mood disorders. We will use case studies as a method of analysis and synthesis of the material.
We will use threaded discussion to study some topics such as violence against women or life style issues

Objectives

Upon completion of this course the student will be able to:

Describe health and human functioning in the female client system.
Assess individual and family health of women across the life span.
Plan research and theory based therapeutic interventions for functional or dysfunctional problems of women.
Examine the impact of standards of practice, certification, legal and ethical issues on professional roles in women's health.
Analyze the health care delivery system for cost effectiveness and sensitivity to women's psychological, physiological, economic and cultural needs.

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Methodology

Presentation of course material and topic outline will be on the webpage.

Learning activities that include:

Study Questions about course material that guide student learning, particularly the basics of anatomy, physiology and embryology. These do not need to be handed in or graded. They are to help you learn.
Threaded Discussions of some women's health issues
Leadership of one Threaded Discussion.
Case Studies that require the student to analyze and synthesize information and plan care for patients with various women's health problems.

Textbooks (MSN and RN-BSN/MSN)

Required

Johnson, C, A., Johnson, B.E., Murray, J.L. and Apgar, B.S. (2000). Women's Health Care Handbook, 2nd Edition. Hanley & Belfus, Inc. Philadelphia and Mosby, St Louis.

Beckmann, C R. B., Ling, F. W., Laube, D. W. , Smith, R. P., Barzansky, B. M. and Herbert, W. N. P. (2002). Obstetrics and Gynecology, 4th Edition, Philadelphia: Lippincott Williams & Wilkins.

***Order your text book online at KUMEDBOOKS.COM***

Suggested

Any GYN or OB-GYN textbook. There are many in the library or book store.
Dambro's 5 Minute Clinical Consult (2004). Or any recent edition. PS Includes ICD-9 codes.
Buppert, C. (2000). The Primary Care Provider's Guide to Compensation and Quality. Aspen Publication, This is an excellent book that explains reimbursement and levels of care. It will be used throughout the Primary Care Core Courses.
Hatcher, R. Trussell, J. Stewart, F, Stewart, G, Kowal, D, Guest, F, Cates, W. and Policar, M. 17 ed (Current Edition). Contraceptive Technology. Irvington Publishers, Inc. New York.
Prescribing Reference. This is a very helpful "tool" for prescribing medications.
ICD-9 code book or source

Online Journals and Texts

Advance for Nurse Practitioners www.advanceforNP.com . Note: You will need to individually sign in and develop a user name. This is a free publication. It will not cost anything to sign in yourself.
American Family Physician www.aafp.org/afp
Consultant Consultations in Primary Care www.CosultantLive.com 8/01/04. I was not able to pull this up. I hope it was temporary!
The Female Patient
www.femalepatient.com
Merck Manual of Diagnosis and Treatment, 17 Edition, Centennial Edition. This site says error, but there are pictures of three books on the left side at the bottom of the page. The one on the right is the Merck Manual
www.merck.com
Patient Care for the Nurse Practitioner www.patientcarenp.com
University of Iowa Family Practice Handbook, 3rd Edition
www.vh.org/providers/ClinRef/ Note: This takes you to a page that says error, however this text is the last entry on a table on the left side. There are many other helpful sites listed.

Women's Health in Primary Care www.womenshealthpc.com

Other web sites:

North American Menopause Society (NAMS)
www.menopause.org

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Evaluation

Activity - Graduate Students (MSN)	Grade	Percent
Successful completion of case studies. Citation of at least two references will be required. The references may be texts, journal articles or a web resource, preferably a research study, You will have a requirement of 4 case studies. They will each be worth 10% of your grade. You may choose from the 10 case studies, but you must do the first one in Week 4.	90-100 A 80-89 B 70-79-C 60-69 D 59 and below F	40%
Participation in the Threaded Discussions on line There will be 15 Threaded Discussions, including the Introductions Note: Your grade will equal the total number of threaded discussions divided by the number you participated in per criteria. Refer to the criteria for Participation in the Threaded Discussion. If you participate per criteria, you earn a P. For example 14/15 is 93% or 10/15 is 67%.	P/F	35%
Leadership of one Threaded Discussion. P or 10 points (10%) is earned by meeting the criteria. F or no points will be earned if criteria is not met.	P/F	10%
Take home or do on your own final examination	90-100 A 80-89 B 70-79C 60-69D 59 and below F	15%

Note: P means that you enter the discussion sometime during the week of a particular discussion and cite an article, research study or web site. F will occur if you enter the discussion late or do not enter the discussion or do not meet the criteria listed under "P". Your grade will be determined by the ratio or percent of F's to the P's (F/P). Example 14/15 is 93%.The same criteria will be used for Leadership of a Threaded Discussion. See the criteria below.

Guidelines For Case Study and Grading Criteria

Case studies are due on SUNDAY by 5:00 PM of the week that they are assigned. For example, the first case study is due in Week 4, so it is due SUNDAY 9/19/04 by 5:00 PM. Of course you may start on them early. There will be a Case Study template for each case study. Griffith's 5 Minute Consult is an excellent format guide.

Requirement	Percent
List possible differential diagnoses. List a ICD-9 code for the diagnosis you choose. *The ICD-9 code is required for graduate students and optional for undergraduate students.*	10%
Choose one differential diagnosis as the focus of your case study. Different students may choose different diagnosis.
List significant historical data that you would expect.	10%
List significant physical data that you would expect.	10%
What tests would you order?	10%
What is your plan?	15%
What medications would you order?	15%
Include one patient education handout (Standardized or created. You may pull one off of the American Academy of Family Medicine web site, www.aafp.org or describe one that you would use and cite the source.	15%
When would you see the patient again?	5%
List at least one reference, preferably research or web source. Note: undergraduate students do not need to cite research referenced. Be sure to cite professional, not lay sources.	10%

Guidelines For Participation in Threaded Discussion

One student (or the group of students) will be responsible for beginning the discussion. This will be posted by the assigned student/s at the beginning of the week of the discussion or by Monday AM. All Threaded Discussion topics have already been posted.
You must "enter" the discussion at least once during the week (Monday through Sunday). You may share personal experiences, share an assessment or medication or care tip, a community resource, ideas from the literature etc. You may "talk" with each other.
You will need to provide and discuss at least one reference. The reference may be a journal article, book or a web source.
Meeting these guidelines meets the requirement for "Passing".
You must enter the Threaded Discussion by Sunday at 5:00 PM of the week of any particular discussion.

Guidelines For Leadership of a Threaded Discussion

Each student will be assigned a topic for leadership of a Threaded Discussion. Depending upon the number of students in the class, there may be co-leaders.
You will begin discussion by Monday AM by making a statement of asking a question related to the topic and keeping the discussion going.
Keep the discussion going throughout the week by asking questions, asking for clarification, making statement.

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PROFITS Pledge

"I pledge that I will not give, receive, nor tolerate unauthorized aid, nor will I abuse academic resources while I am a member of this academic community." The School of Nursing at the University of Kansas Medical Center has adopted a professional integrity system (PROFITS) that guides student and faculty academic behavior. Some examples related to professional integrity for this class include:

For this class it can be assumed that unless otherwise designated, group work is acceptable when reviewing case studies and practice examinations.
No verbal or written communication between or among students is acceptable during the 4 formal written examinations.

Disability Statement

"Any student in this course who needs an accommodation because of a disability in order to complete the course requirements should contact the instructor or the ADA/504 Coordinator (913-588-7813, TDD 913-588-7963)"

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