Adult Nursing II:  Meeting the Needs of the Middle Aged Adult 

The concurrent theory and clinical components of this course prepare the student to provide care for middle-aged adult clients with lessened need of instructor guidance. 

Learning activities, in this course, concentrate on needs related to the middle-aged adults.  Life cycle tasks specific to middle-aged adult development are primary consideration in promoting wellness.

Client needs associated with cultural and ethnic variables are considered.  Client needs arising from alterations identified with middle-aged adults are learned and related to developmental concerns.  The student consistently  provides a safe environment for the client through safety in skill performance as well as the physical environment.  

Instructional theory includes nutritional consideration and drug therapy as related to specific alterations in health status.  Likewise, learning needs are identified and client teaching addressed.  Nursing process is utilized for meeting needs of the middle-aged adult.  The student includes critical thinking to explore a variety of possibilities for beneficial nursing interventions.  Evidence-based practices with best practice models assists the delivery of optimal safe nursing practice.  

Interpersonal communication techniques are evident of mastery of goal directed communication.  The student includes the client in mutual goal setting. 

The student as a member of the health care team remains responsible and accountable for behavior and actions with the defined scope of practice.  

Adult III:  Meeting the Needs of the Older Adult 

The concurrent theory and clinical components of this course prepare the student to provide care for older adult clients with minimal need of instructor guidance. 

Classroom lecture, discussion and assignments explore the complex needs of the older adult.  Developmental considerations and physiological changes associated with aging are an integral part of the course.  The social, psychological and cultural concerns are also addressed.  Specific alterations in health identified with older adults are learned.  Health promotion with the goal of optimal health and independence is emphasized.  The student also must remain cognizant of needs of elderly clients when wellness and independence are not attainable.  

Theory presentation includes nutritional and pharmacological aspects as well as learning needs that are applicable to selected older adult clients.  The student utilizes the nursing process in providing  care for older adults.  A well-developed plan of care is established for assigned clients to address unmet needs, including any concerns related to cultural, ethnic and social diversity.  The student employs critical thinking strategies to maximizes positive client outcomes.  

Therapeutic communication begins with the approach used for information sharing and mutual goal setting with clients and significant others.  

Expected clinical performances include skills mastery in providing direct care, well defined knowledge of scope of practice, consistent evidence of responsible and accountable behavior.  Nursing and scientific principles are followed including evidence-based practices/best practice in the execution of nursing care.  There are safety consideration in all activities. 

Leadership & Trends in Practical Nursing 

In this course, the student explores issues pertinent to safe, ethical function within the scope of practice including client needs associated with cultural and ethnic variables.  Evaluation of vocational organizations, identification of current employment opportunities, and preparation of a resume promote the student's readiness to pursue employment.  Exploration of leadership roles and assertive behaviors permits the student to develop work habits.  

Students are exposed to the responsibilities of team leading in an extended care facility or an acute care facility through close observation of role models.  A team leading experience is assigned with close supervision.  Leadership aspects of other potential employment settings are addressed as well.  The student appreciates the value of critical thinking for a successful nursing career.  Evidence Based Practice with Best Practice models assist the delivery of optimal safe nursing practices.  

There is a strong emphasis on the need for effective, clear communication with peers and coworkers.  Communication and group process in the job setting are stressed.