Main Content

The information contained on this page is designed to give students a representative example of material covered in the course. Any information related to course assignments, dates, or course materials is illustrative only. For a definitive list of materials, please check the online catalog 3-4 weeks before the course start date.

Course Description

NURS 465: Health Concepts for Adults with Complex Health Care Needs [3SH]: In-depth study of the theoretical principles and roles of adult clients and families with complex health care needs. Prerequisite: NURS 390 and current and valid RN license; Prerequisite or concurrent NURS 357.

Key to Semester Hour Designation: 3 SH = 3 Semester Hours
3 semester hours in lecture
Each semester hour in lecture = 50 minutes contact
Each semester hour in lab/clinical = 3 hours (or 180 minutes) contact

Therefore, this 3-credit course would meet for two (2) 50-minute lecture periods and one (1) hour of clinical hours per week over a semester.

In general, you should plan on spending 9-12 hours per week on the course. For a more detailed look at what each lesson entails, as well as due dates for assignments and activities, see the Course Schedule.

Overview

Theory

This course content is organized and presented by first presenting theoretical content and then having you, the student(s), apply the concepts in a number of ways. Unit I incorporates the role of nurse as case manager and ethical/legal considerations. The theory component is presented through readings and some lecture notes. You will then be asked to analyze a) research on the Nurse as Case Manager and b) a case study on Legal/Ethical Considerations in Nursing Practice.

Unit II covers the theory that looks at how complex health care needs in nursing such as problems with oxygenation or endocrine dysfunction are addressed. There are two lessons for most content areas. Theory will be presented through required readings, some lecture notes, and evaluative methods or graded learning enhancement modules. the application piece incorporates current research, teaching, and/or case management to a selected disease or topic. you will be asked to evaluate current statistics and standards, develop a teaching plan, and/or identify current research related to some of the topics.

Throughout the course, you will work to complete an in-depth Case Management Paper incorporating the role of the Nurse as Case Manager for a client with a complex medical-surgical presentation. Current research, nursing theory, a plan of care, and the role of the Case Manager is incorporated into this assignment.

 

Topical Outline

  1. The Professional Nursing Role in Complex Adult Health Care
  2. Utilization of the Nursing Process in the Delivery of Care to Adult Clients/Families/ Significant Other(s) and Families with Complex Health Problems
  3. Research Based Nursing Practice

Course Objectives

Upon completion of this course you will:

  • Integrate theory and knowledge from nursing and related disciplines as a basis for professional nursing practice with complex adult client(s).
  • Demonstrate interpersonal skills to support and guide clients/families/significant others in the selection of appropriate health choices and resources.
  • Utilize the nursing process to analyze complex adult health needs occurring across the health care continuum.
  • Apply critical thinking skills to nursing practice situations.
  • Collaborate with colleagues in the design, implementation, and evaluation of nursing interventions.
  • Demonstrate the role of the professional nurse as a change agent, advocate, manager, and researcher, for the complex adult client/family/significant other(s).
  • Identify opportunities for clinical nursing research in complex adult health care settings.
  • Identify legal and ethical responsibilities of professional nursing practice with regards to the care of complex adult health care needs.

Evaluation Methods (Dependent on Site)

Evaluation methods may include quizzes, examinations, written assignments, simulations, reflective journaling, care planning, and mid-course and final clinical performance evaluations.

Required Course Materials

Most World Campus courses require that students purchase materials (e.g., textbooks, specific software, etc.). To learn about how to order materials, please see the Course Materials page. You should check LionPATH approximately 3–4 weeks before the course begins for a list of required materials.

Using the Library

Many of the University Libraries resources can be utilized from a distance. Through the Libraries website, you can

  • access magazine, journal, and newspaper articles online using library databases;
  • borrow materials and have them delivered to your doorstep—or even your desktop;
  • get research help via email, chat, or phone using the Ask a Librarian service; and
  • much more. 

You must have an active Penn State Access Account to take full advantage of the Libraries' resources and service.  The Off-Campus Users page has additional information about these free services.

Technical Requirements

Technical Requirements
Operating System

Canvas, Penn State's Learning Management System (LMS), supports most recent versions of Microsoft Windows and Apple Mac operating systems. 

To determine if your operating system is supported, please review Canvas' computer specifications.

Browser

Canvas supports the last two versions of every major browser release. It is highly recommended that you update to the newest version of whatever browser you are using.

Please note that Canvas does not support the use of Internet Explorer. Students and instructors should choose a different browser to use.   

To determine if your browser is supported, please review the list of Canvas Supported Browsers.


Note: Cookies must be enabled, and pop-up blockers should be configured to permit new windows from Penn State websites.
Additional Canvas Requirements For a list of software, hardware, and computer settings specifically required by the Canvas LMS, please review Canvas' computer specifications.
Additional Software

All Penn State students have access to Microsoft Office 365, including Microsoft Office applications such as Word, Excel, and PowerPoint.

Students will need a PDF reader, such as Adobe Reader.

Hardware

Monitor: Monitor capable of at least 1024 x 768 resolution
Audio: Microphone, Speakers
Camera (optional, recommended): Standard webcam - many courses may require a webcam for assignments or exam proctoring software.

Mobile Device (optional) The Canvas mobile app is available for versions of iOS and Android. To determine if your device is capable of using the Canvas Mobile App, please review the Canvas Mobile App Requirements.


Student Education Experience Questionnaire (SEEQ)

During the semester you will receive information for completing the Student Education Experience Questionnaire (SEEQ). Your participation is an opportunity to provide anonymous feedback on your learning experience. Your feedback is important because it allows us to understand your experience in this course and make changes to improve the learning experiences of future students. Please monitor email and course communications for links and availability dates.


Additional Software

One of the benefits of being a registered Penn State student is that you are eligible to receive educational discounts on many software titles. If you are interested in learning more about purchasing software through our affiliate vendor, please visit the Buying Software section of the Course Materials page.

Technical Support

If you need technical assistance at any point during the course, please contact the Service Desk.

For registration, advising, disability services, help with materials, exams, general problem solving, visit World Campus Student Services!

Course Requirements and Grading

 
Assignment Name
Points
Due
Course Requirements and Grading
Class Introduction Discussion5 pointsGetting Started lesson
Case Management Research Article15 pointsLesson 2
Case Manager Interview Assignment20 pointsLesson 3
Ethical/Legal Case Study15 pointsLesson 3
Current Statistics and Standards of Practice10 pointsLesson 4
Case Study: Patient with Delirium15 pointsLesson 5
Diagnosis of Diabetes Melitus Teaching Plan35 pointsLesson 6
GI/Renal Function Article Review30 pointsLesson 7
Learning Enhancement Quizzes60 points (20 points per assignment)

Lesson 5

Lesson 8

Lesson 9

Case Study: Patient with Psychological Needs15 pointsLesson 8
Complex Systems Article Review30 pointsLesson 10
Case Management Paper40 pointsLesson 11
Case Study: Patient with Pain15 pointsLesson 11
TOTAL305 points 

Grading Requirement

Students must achieve a letter grade of C or better (based on the College of Nursing grading scale) in both theory and clinical components of all nursing courses in order to pass the course and progress in the nursing program.

A student must achieve a minimal final course grade of [75% for UG and 83% for Grad] for successful completion of the course. Each individual examination score is reported to the hundredth place, e.g. 92.76 and not rounded up.  Only the final course grade will be rounded up.  A final course grade of X.50 will be rounded to the next highest whole number (example 72.50 = 73).  A final course grade of X .49 would not round up (example 72.49 = 72).

Letter Grade
Percentage
College of Nursing Grading Scale
A
94%
A-
90%
B+
87%
B
83%
B-
80%
C+
77%
C
75%
D
68%
F
< 68%
Academic Progression Policy

The Academic Progression policy delineates the academic standards for pre-licensure students (students without a RN license), who are admitted to the undergraduate nursing program. The policy states that all prerequisite courses may be repeated only one time and failure of two required nursing courses will result in dismissal from the nursing major. Read the details of the Academic Progression Policy in the RN to BSN handbook.

If, for reasons beyond the student's control, a student is prevented from completing a course within the prescribed time, the grade in that course may be deferred with the concurrence of the instructor. The symbol DF appears on the student's transcript until the course has been completed. Non-emergency permission for filing a deferred grade must be requested by the student before the beginning of the final examination period. In an emergency situation, an instructor can approve a deferred grade after the final exam period has started. Under emergency conditions during which the instructor is unavailable, authorization is required from one of the following: the dean of the college in which the candidate is enrolled; the executive director of the Division of Undergraduate Studies if the student is enrolled in that division or is a provisional student; or the campus chancellor of the student's associated Penn State campus.

For additional information please refer to the Deferring a Grade page.

Note: If you are planning to graduate this semester, please communicate your intent to graduate to your instructor. This will alert your instructor to the need to submit your final grade in time to meet the published graduation deadlines. For more information about graduation policies and deadlines, please go to the Graduation Information on the My Penn State Online Student Portal.

Assignment Policies

Assignment Policies
  • Assignments and course discussions all have a due date for submission to the course instructor. The due dates for each are noted in the Course Schedule section of this syllabus, below. Please make every effort to submit assignments on time, or notify the instructor in advance of a late assignment. Late assignments will be penalized with a 10% grade deduction for each day late unless you have made prior arrangements with the instructor. Deadlines will be defined as 11:55 p.m. Eastern Time on the last day of the lesson timeframe, unless noted differently.

  • If you know you will be offline the day an assignment is due, please make sure to post it early. Anytime you feel that you might be falling behind in the course, it is best to contact the instructor to discuss your situation. No assignments can be accepted after 11:55 p.m. Eastern Time on the final day of class. If you have an assignment completed by the deadline but are unable to submit to the drop box or post in the forum for technical reasons, contact the IT Service Desk. However, you must submit or post the assignment in the drop box or forum once that becomes available to receive your grade and feedback for the assignment.

  • The College of Nursing uses the current APA Manual criteria for all written assignments.

  • The articles that you are required to find for any assignments must be cited and must be current, meaning within the last five years.

  • For activities where a written document is needed, you are required to use Microsoft Word to complete your activity. Once you have uploaded your file to an activity, it is a good idea to click the link to the file to make certain that it is viewable or accessible for downloading. For lengthy discussion posts, it is recommended that you draft your post using Notepad (PC) or TextEdit (Mac) and then copy and paste the information into your discussion. That way you will have a copy saved on your computer should anything go wrong!

  • You will receive assignment grades and feedback privately within the specific assignment drop box or discussion forum. You can always check your grades through the Grades link on the left menu or through the gradebook on the Reports link.

  • Please keep a copy of ALL your work. We cannot assume responsibility for lost items.

Note: All due dates reflect North American eastern time (ET).

Course Schedule

Course length:
  • Spring and Fall Semesters: 16 weeks
  • Summer Semester: 13 weeks
  • Accelerated Format: 7.5 weeks

NOTE: If you are planning to graduate this semester, please communicate your intent to graduate to your instructor. This will alert your instructor to the need to submit your final grade in time to meet the published graduation deadlines. For more information about graduation policies and deadlines, please see "Graduation" on the World Campus Student Policies website.

Getting Started

Activities:

  1. Review the Canvas Orientation and Overview
  2. Review the APA Style Resources
  3. Refer to the RN to BSN Handbook as necessary
  4. Participate in the Class Introductions Discussion
  5. Complete the Academic Integrity and Handbook Statement to unlock the rest of the course content.
  6. Complete the Getting Started Checklist

*Refer to the Canvas Orientation and the provided resources throughout the course as necessary.

 
Lesson 1: Case Management

Readings:

Textbook

  • Assigned Readings

Other Readings

  • Case Management Society of America. (2016). Standards of practice for case management. Retrieved from Case Management Society of America website: http://solutions.cmsa.org/acton/media/10442/standards-of-practice-for-case-management

Activities:

  1. Interview Assignment
  2. Paper Assignment
 
Lesson 2: Applications of Case Management

Readings:

Other Readings

  • Joo, J. Y., & Liu, M. F. (2018). Experiences of case management with chronic illnesses: A qualitative systematic review. International Nursing Review, 65(1), 102-113.

Activities:

  1. Assignment
  2. Discussion
  3. Interview Assignment
  4. Paper Assignment
 
Lesson 3: Ethical and Legal Considerations for Adult Health

Readings:

Textbook

  • Assigned Readings

Other Readings

Activities:

  1. Assignment
  2. Discussion
  3. Interview Assignment
  4. Paper Assignment
 
Lesson 4: Disorders of Oxygenation: Theoretical Background

Readings:

Textbook

  • Assigned Readings

Activities:

  1. Assignment
  2. Paper Assignment
 
Lesson 5: Disorders of Oxygenation: Applications

Readings:

None

Activities:

  1. Quiz
  2. Assignment
  3. Paper Assignment
 
Lesson 6: Endocrine Disorders: Theoretical Background and Applications

Readings:

Textbook

  • Assigned Readings

Other Readings

  • Standards of Medical care in Diabetes. (2018). Diabetes Care, 41, S1.

Activities:

  1. Assignment
  2. Discussion
  3. Paper Assignment
 
Lesson 7: Alterations in Gastrointestinal Function or Renal Function: Theoretical Background and Applications

Readings:

Textbook

  • Assigned Readings

Activities:

  1. Assignment
  2. Discussion
  3. Paper Assignment

 

Lesson 8: Neurologic Disorders: Theoretical Background and Applications

Readings:

Textbook

  • Assigned Readings

Activities:

  1. Quiz
  2. Case Study
  3. Paper Assignment
 
Lesson 9: Complex Multisystem Alterations: Theoretical Background

Readings:

Textbook

  • Assigned Readings

Activities:

  1. Quiz
  2. Paper Assignment
 
Lesson 10: Complex Multisystem Alterations: Applications

Readings:

None

Activities:

  1. Article Review Assignment
  2. Discussion
  3. Paper Assignment
 
Lesson 11: Genetics and Genomics

Readings:

Textbook

  • Assigned Readings

Activities:

  1. Case Study
  2. Paper Assignment
 
Lesson 12: Reflection

Readings:

None

Activities:

  1. Complete the course evaluation (SRTE)

 

Formal instruction will end on the last day of class. Provided that you have an active Penn State Access Account user ID and password, you will continue to be able to access the course materials for one year, starting from the end date of the academic semester in which the course was offered (with the exception of library reserves and other external resources that may have a shorter archival period). After one year, you might be able to access the course based on the policies of the program or department offering the course material, up to a maximum of three years from the end date of the academic semester in which the course was offered. For more information, please review the University Course Archival Policy.

Academic Integrity

Academic Integrity

Academic integrity is the pursuit of scholarly activity free from fraud and deceptions and is an educational objective of this institution. Academic dishonesty includes, but is not limited to:

  • cheating,
  • plagiarizing,
  • fabricating of information or citations,
  • facilitating acts of academic dishonesty by others,
  • having unauthorized possession of examinations,
  • making copies in any manner of exams or papers,
  • submitting work of another person or work previously used without informing the instructor, and
  • tampering with the academic work of other students.

At the beginning of each course, it is the responsibility of the instructor to provide a statement clarifying the application of academic integrity criteria to that course. A student charged with academic dishonesty will be given oral or written notice of the charge by the instructor. If students believe they have been falsely accused, they should seek redress through normal discussion with the instructor, department head, dean, or campus executive officer. If the instructor believes that the infraction is sufficiently serious to warrant referral of the case to the Office of Student Accountability and Conflict Response, or if the instructor will award a final grade of “F” in the course because of the infraction, the student and instructor will be afforded formal due process (review Academic Integrity information, policy, and procedure on the College of Nursing website).

How Academic Integrity Violations Are Handled

In cases where academic integrity is questioned, procedure requires an instructor to notify a student of suspected dishonesty before filing a charge and recommended sanction with the college. Procedures allow a student to accept or contest a charge. If a student chooses to contest a charge, the case will then be managed by the respective college or campus Academic Integrity Committee. If a disciplinary sanction also is recommended, the case will be referred to the Office of Student Accountability and Conflict Response..

All Penn State colleges abide by this Penn State policy, but review procedures may vary by college when academic dishonesty is suspected. Information about Penn State's academic integrity policy and college review procedures is included in the information that students receive upon enrolling in a course. To obtain that information in advance of enrolling in a course, please contact us.

Additionally, World Campus students are expected to act with civility and personal integrity; respect other students' dignity, rights, and property; and help create and maintain an environment in which all can succeed through the fruits of their own efforts. An environment of academic integrity is requisite to respect for oneself and others, as well as a civil community.

For More Information on Academic Integrity at Penn State

Please see the Academic Integrity Chart for specific college contact information or visit one of the following URLs:

Course Policies

Registration Status

Registration Status

All students in "Registration Not Complete" status must resolve issues before the first day of clinical or before the 10th day after classes begin, whichever comes first. Students who do not complete registration will not be able to remain in nursing clinical courses. University policy on completing registration can be found at the Office of the University Registrar.

Attendance, Student Responsibilities, and Conduct
  1. Attendance and participation in all scheduled classes is expected and will be monitored. Excessive absence can seriously affect a student's success in passing this course.
  2. If an evaluative event (exam, quiz, presentation or other form of assessment for grading) will be missed due to an unavoidable absence, the student must contact the instructor prior to the scheduled evaluative event.
    1. If the student does not contact the course coordinator/instructor prior to the evaluative event, it will be considered an unexcused absence and an opportunity to take a make-up exam will not be offered.
    2. Students will be held responsible for using only legitimate, unavoidable reasons for requesting a make-up in the event of a missed class or evaluative event. Requests for missing class or an evaluative event due to reasons that are based on false claims may be considered violations of the policy on Academic Integrity.
  3. Students are responsible for keeping track of changes in the course syllabus made by the instructor throughout the semester.
  4. Students are responsible for monitoring their grades.
  5. If extra credit assignments are offered, they must be offered to all students and should not be used to boost the grade of an individual student.
  6. Behaviors that disrupt other students' learning are not acceptable and will be addressed by the instructor.
  7. For severe and chronic problems with student disruptive behavior, please refer to Penn State Student Affairs Conduct Information for Faculty and Staff web site.
  8. Students are responsible for following appropriate netiquette (network etiquette) when communicating with their instructor and classmates. Pursuing a degree online has its challenges! We've created a series of tips and strategies to help you achieve your academic goals.

Additional Course Policies

For information about additional policies regarding Penn State Access Accounts; credit by examination; course tuition, fees, and refund schedules; and drops and withdrawals, please see the World Campus Student Center website.

Veterans and currently serving military personnel and/or dependents with unique circumstances (e.g., upcoming deployments, drill/duty requirements, VA appointments, etc.) are welcome and encouraged to communicate these, in advance if possible, to the instructor in the case that special arrangements need to be made.


Disclaimer: Please note that the specifics of this Course Syllabus are subject to change, and you will be responsible for abiding by any such changes. Your instructor will notify you of any changes.


Senate approval: 2003
Revised: 2007, Fall 2008, Fall 2011


 

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