Adult Health Nursing II

General Course Information

Course Lecturer Name(s):  Jule Lindsay RN, BScN, MN/ Salisha Phillip RN, BSN

Course Director Name: Jule Lindsay RN, BScN, MN    

Course Lecturer(s) Contact Information: ext 3021  

Course Director Contact Information: ext 3118  

Course Lecturer(s) Office Hours:  Monday  10:00am-2:00pm, Tuesday  10:00am-12pm   

 Course Director Office Hours: Monday, Tuesday, Wednesday 0900am-12noon Friday  

Course Lecturer(s) Office Location:  Lower Leeward Hall  

Course Director Office Location:  Lower Leeward Hall  

Course Support:   Cecilia George Mc Sween- ext. 3095, Kandis, 3769  

Course Management tool: To learn to use Sakai, the Course management tool, access the link  

Course Curriculum Information

Course Description:   

In this course emphasis is placed on student exposure to the care of patients who have multi systems deficits and who are hospitalized in acute or specialized areas. Students use previously learned knowledge and skills to effectively apply the nursing process to individuals that present with problems that relate to cardiac and respiratory disease, neurological, musculoskeletal, gastrointestinal, renal immune and endocrine disorders. Students are expected to collaborate with other members of the health care team, observe management styles of nursing leaders and to develop their role as manager of care. Laboratory experiences will supplement the theory components ensuring the art and science of nursing is appreciated and exhibited. Students learning will be complemented in the Simulation Lab.  

Course Objectives:   

  1. State the key elements of culture, . spirituality, poverty, heredity, ethics and health beliefs on adult health practices into the nursing care of adult patient.   
  2. List the main managerial concepts of caring for patients with multi systems deficits.  
  3. Cite evidence based nursing practice in the management of patients with fluid and electrolyte imbalance, shock, multisystem failure, oncology and end of life care.  

Student Learning Outcomes:  

  1. Demonstrate concepts and challenges regarding patient management, such as pain management, fluid and electrolyte balance and distribution, shock, multisystem failure, oncology and end -of-life care  
  2. Implement evidenced based, safe, effective nursing care for individuals with complex health care illnesses tap here to enter text.  

Program Outcomes Met By This Course:  

NPO-1 Integrates nursing and health care knowledge, skills and attitudes to provide safe, ethical and effective patient centered nursing care, representing the patients’ preferences, values, and needs within the context of their families, communities and the health care delivery system. (Nursing practice) 

NPO-2  Demonstrate a level of professionalism that is congruent with the inherent values, ethics and behaviors of the discipline of nursing. (Professional conduct) 

NPO-3 Engages the patient to understand the link between health promotion strategies and health outcomes across the life cycle. (Health promotion and maintenance of wellness) 

NPO -6 Utilizes appropriate communication and interpersonal skills to engage in, develop and disengage from therapeutic relationships with individuals and groups. (Communication) 

NPO-7   Utilizes critical thinking skills and professional judgement to inform decision-making in the delivery of health care. 

NPO – 8 Identifies one’s own professional development needs by engaging in reflective practice in the context of lifelong learning and to participate in processes to shape the health care delivery systems and advance the profession. (Professional reflection and visioning)  

SAS Grading Scale: Grades will be assigned as follows:  

A  = 89.5% or better

B+ = 84.5 - 89.4%

B  = 79.5 - 84.4%

C+ = 74.5 - 79.4%

C = 69.5 - 74.4%

D = 64.5 - 69.4%

F = 64.4% or less 

Course Materials:  

Text: Text: Lewis, S. L., Dirksen, S. R., Heitkemper, M. M., & Bucher, L. (2014). Medical-surgical nursing: assessment and management of clinical problems, single volume. Elsevier Health Sciences.  

Supplementary Readings/Resources: See resources on Sakai  

Course Grading Requirement:  








Sim lab Quizzes 


Drug cards  




Midterm written  


Essay (Scholarly Paper)   




Final written  


Course Requirements:  

  1. Students are required to read the assigned chapter prior to coming to the lecture.  
  2. Students should participate in all lectures and utilize critical thinking skills in classroom discussions.  
  3. All students should engage in active listening skills during lecture  


Course Schedule 



In Class work   

Sim. Lab   


 Introduction to Medical-  Surgical Nursing

   -Review course outline (Adult 2).  

-Discuss Evidence-Based  practice as it relates to clients with VRE, MRSA and 

Clostridium Difficile.   -Discuss prophylactic measures re: Infection control guidelines. -Discuss/analyze principles of reverse isolation  

Introduction to drains 

Suture removal 



Neoplastic Disorders  

Management of clients with cancer:   

-Cervical cancer   

-Breast cancer   

-Prostate cancer   

-Ovarian cancer   

-Discuss/analyze malignant process, causative factors, carcinogenic agents of cancer. 

-Discuss primary and secondary prevention of cancer. 

IV Medication 

Reconstitution of Medication etc.


Digestive Disorders   






  Ch 41/43


Pg 986, 1005

Review pathophysiology of  digestive System (self-directed)   

Management and care of clients  with digestive disorders: -Cholecystitis   



-Discuss diagnostic  tests/procedures   

-Describe the nursing process for the various digestive disorders.   

-Nursing interventions.

Nasogastric Tube Insertion

Tube feeding  Suppositories



Fluids, Electrolytes and   

Acid Base Imbalance   


 CH 16/39

 Discuss and explore fluids, electrolytes and acid base imbalance and nutrition (Self Directed).  

- Management of clients with nutritional deficincies:    Video on TPN   administration

IV Set up

Review of IV calculations

IV solutions  ( NS, RL, 1/2NS,


1/2NS, D5 1/2NS, D5W, D5  

1/3NS, D10W, D5 1/2NS  


-Total Parenteral Nutrition   

-G-tube  -J-tube 


-Total Parenteral Nutrition   

-G-tube  -J-tube   



Cardiovascular System   








-Brief review of pathophysiology of the  Cardiovascular System  (selfdirected).


 -Discuss clinical  manifestations, assessments, and diagnostic findings of clients with: 

-Heart Failure (HF)  

-Myocardial Infarction (MI)  

-Types of shock  

-Discuss ECG  


  EKG/ECG        practice               


Respiratory System   

Ch 65/26/ pg485


Brief review of pathophysiology of the Respiratory System  (selfdirected).  

-Provide nursing care to clients with respiratory problems. -Analyze the nursing management for clients receiving oxygen for respiratory disorders.  -i.e. ventilators, CPAP, BIPAP, etc.  


Respiratory Assessment     



Ventilator  Care


Gastrointestinal Nutrition

Ch 42/38

Class Presentation  

-Management of clients withcolostomy and  ileostomy/complications. Irritable     bowel     syndrome-Diverticulitis



Colostomy/Ileostomy care







Reproductive System   



  Ch 52/54/53


Review Pathophysiology of   Reproductive System (Self   Directed)  

-Caring for clients with reproductive disorders  

-Management of care of clients with reproductive/ Infectious processes:  

-Human Papilloma Virus   



-Use of nursing process and client centered care planning  

Reproductive History Taking Pelvic Exam 

Patient education



Lymphatic/Immune  System   



Individualized Scholarly   

Paper Assignment   





Review pathophysiology of  lymphatic/immune systems   (self-directed)  

-Caring for clients with lymphatic and Immune disorders.  

-Management and care of clients with HIV/AIDS.    Discuss the nursing management of HIV/AIDS

Review of the nursing process

Review of SOAP notes

Review of SBAR

Review of Nursing Care Plan


Tracheostomy Care 

Suctioning of an open System Tracheostomy.


Musculoskeletal System  

  Ch 63


Review of the  musculoskeletal system  (selfdirected).  

-Injuries of muscle, tendons, ligaments, nerves, discs and blood vessels.  

-Chronic skeletal disorder:  

Osteoporosis; osteomyelitis. Complications associated with fracture and compartment syndrome. 


Review positioning (low fowlers, semi-fowlers, Trendelenberg)


Review of Transfer (Bed to stretcher, bed to chair e 


 Jose Garcia (Left Leg Fx.) David Douglas (Left Total Hip arthroplasty)  


Neurological Diseases   quiz

-Review pathophysiology of the neurological system (selfdirected).  

-Nursing care and management of client with neurological diseases.  

-Spinal cord injury  

-Guillain-Barre Syndrome  

-Amyotrophic lateral sclerosis

 (Project due)   

Neuro assessment 

Mini Mental State Examination



Renal/Urinary Disorders   


 Ch 46

Pg 1084, 1070

-Review pathophysiology of   renal/urinary  disease conditions. 

 -Nursing care and management of clients with renal/urinary disease conditions:  -Dialysis   

-Renal Failure   

Urinary Catheterization insertion Review.


Continuous Bladder Irrigation


Hematologic Disorders  Video   

-Review  pathophysiology of clients with hematological disorders (self-directed). Management of clients with hematological disorders: Disseminated Intravascular   



-Multiple organ failure  

-blood transfusion  

Blood transfusion


Integumentary System   

Present concept map for burns   

Ch 24  

End of term review   -Review pathophysiology of clients with Integumentary System (self-directed).  Burns and complications

Reconstructive surgeries.







End of term   

Final Exam   

Cumulative Exam

Week one   

Case study                              

Week two   

Class Presentation   

Place students into four groups. Each group will present on one of the following topics:   

  1. Breast Cancer.   
  2. Ovarian Cancer. 
  3. Prostate Cancer.   
  4. Cervical Cancer.  

Each group is to utilize the nursing process in the plan of care :     

  1. Define disease condition    
  2. Discuss signs and symptoms of disease condition   
  3. Nursing considerations of disease condition   
  4. Nursing interventions of disease conditions   
  5. List diagnostic tests for disease condition   
  6. 3 medications/side effects  VII.   Community resources  

Week  three   





Class Presentation  

Place students into four groups.

  1. Hepatitis A   
  2. Hepatitis B   
  3. Hepatitis C   
  4. Hepatitis D

Present on one of the following topics 1.

  1. Define disease condition   
  2. Discuss signs and symptoms of disease   
  3. Nursing considerations of disease
  4. Nursing interventions of disease 
  5. List diagnostic tests for disease condition       
  6. Medication  
  7. Community resources  

Week four   

  Written Assignment   

  Place students into four groups. Present a client scenario in which a client has one of the following:    

  1. Hypophosphatemia   
  2. Hyperphosphatemia   
  3. Hypomagnesemia   
  4. Hypermagnesemia   

Each group is to utilize nursing process in plan of care:   

  1. Define disease condition
  2. Discuss signs and symptoms of disease condition   
  3. Nursing considerations of disease condition    
  4. Nursing interventions of disease condition   
  5. List diagnostic tests for disease condition   
  6. 3 medications/side effects  
  7. Community resources  

Week five 

 Class Presentation-Cardiovascular disorders  

Each group will be assigned to one of the following conditions:   

  1. Angina Pectoris   
  2. Coronary Artery Disease   
  3. Endocarditis   
  4. Valvular disorder (Mitral Valve Prolapse) as it relates to cardiovascular issues  

Define disorder   

  1. List signs and symptoms of disease condition    
  2. 5 Nursing interventions of disease condition   
  3. 5  Nursing considerations of disease condition   
  4. 3 Community resources of disease condition   
  5. 5 List possible family stressors of disease conditions.

Week six   

Case study  

Week  seven   

Class presentation   

Place students into four groups. Present a patient scenario in which a patient has one of the following:   

  1. Salmonella 
  2. E.coli    
  3. Covid-19   
  4. SARS


  1. Define disease condition.    
  2. 5  List signs and symptoms of disease condition.   
  3. 5 Nursing Considerations of disease condition. 
  4. 5 Nursing Interventions of disease condition. 
  5. 3 Diagnostic tests of disease condition.   
  6. 3 Community resources of disease condition.
  7. 3 medication /side effects  


Mid- term written and practical   

Week nine 

Group Presentation   

Each group will present/discuss a case study on one of the following STIs.   

  1. Pelvic Inflammatory Disease   
  2. Bacterial Vaginosis   
  3. Mucopurulent Cervicitis   
  4. Trichomoniasis 

Week ten   

Individualized Scholarly Paper   

AIDS and HIV Infection: Discuss and explore patient treatment, transmission, mechanism for protection while delivering care to patients in the hospital settings. Instructions for Assignment   

  1. 1200 words   
  2. Font 12   
  3. Times New Roman   
  4. Double-spaced   
  5. Cover page   
  6. APA guidelines   

Week  eleven   

Case study/Concept map 

Divide students in four groups. Each group will present a case study/concept on a client with  a musculoskeletal disorder. Topics must be approved by teacher.   




   Week  twelve   

Class Discussion   

I.       Case study – head injury               

Week   thirteen   

Class Presentation    

Divide students into four groups. Each group to present for 15 mins on two of the following questions:   

  1. Define kidney failure.    
  2. Discuss pathophysiology/importance of the kidney and location in the body.   
  3. List signs and symptoms of kidney failure.   
  4. Discuss nursing considerations in the care of clients with kidney failure.
  5. Discuss diagnostic tests for kidney failure.   
  6. What are the expected outcomes/prognosis of  clients with kidney failure?    Provide health teachings to clients/family with kidney failure.   
  7. Explore the importance of proper nutrition in the prevention of kidney failure.   
  8. Discuss treatment options and community resources to family/client.   

Week   fourteen   

 Class Discussion  

   1. Case study for a patient with multiple system organ failure.   

School of Arts and Sciences Master Syllabi — Info for All Sections

Plagiarism Policy

Academic Integrity

The St. George’s University Student Manual (2019/2020) states as follows:

Plagiarism is regarded as a cardinal offense in academia because it constitutes theft of the work of someone else, which is then purported as the original work of the plagiarist. Plagiarism draws into disrepute the credibility of the Institution, its faculty, and students; therefore, it is not tolerated” (p. 48).

Plagiarism also includes the unintentional copying or false accreditation of work, so double check your assignments BEFORE you hand them in.

Be sure to do good, honest work, credit your sources and reference accordingly and adhere to the University’s Honor Code. Plagiarism and cheating will be dealt with very seriously following the university’s policies on Plagiarism as outlined in the Student Manual.

Your work may be subject to submission to plagiarism detection software, submission to this system means that your work automatically becomes part of that database and can be compared with the work of your classmates.

Attendance Requirement

The St. George’s University Student Manual (2019/2020) states as follows:

Students are expected to attend all classes and or clinical rotations for which they have registered. Although attendance may not be recorded at every academic activity, attendance may be taken randomly. Students’ absence may adversely affect their academic status as specified in the grading policy. If absence from individual classes, examinations, and activities, or from the University itself is anticipated, or occurs spontaneously due to illness or other extenuating circumstances, proper notification procedures must be followed. A particular course may define additional policies regarding specific attendance or participation” (p. 9).

Examination Attendance

The St. George’s University Student Manual (2019/2020) states as follows:

All matriculated students are expected to attend all assigned academic activities for each course currently registered. Medical excuses will be based on self-reporting by students. Students who feel they are too sick to take an examination or other required activity on a specific day must submit the online SAS medical excuse, which is available on Carenage. Students are only allowed two such excuses a year. Upon consultation with the Director of University Health Service, the third excuse will result in a mandatory medical leave of absence. The policies regarding make-up examinations are at the option of the Course Director” (p.46).

For additional specific examination policies and procedures, refer to the St. George’s University Student Manual (2019/2020), pages 31 through 37.

Student Accessibility and Accommodation Services Policy

The St. George’s University Student Manual (2019/2020) states as follows:

A student with a disability or disabling condition that affects one or more major life activities, who would like to request an accommodation, must submit a completed application form and supporting documentation to the Student Accessibility and Accommodation Services (SAAS) located in the Dean of Students Office. It is highly recommended that students applying for accommodations do so at least one month before classes begin to allow for a more efficient and timely consideration of the request. If a fully completed application is not submitted in a timely fashion, an eligibility determination may not be made, and accommodations, where applicable, may not be granted prior to the commencement of classes and/or examinations” (p. 8).


It is the responsibility of the student to read and understand the policies, laws, rules and procedures that while they could affect your grade for a course, have not been specifically outlined in the course syllabus. These are contained in the St. George’s University Student Manual.