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NATIONAL AMERICAN BLOOMINGTON CAMPUS BSN PROGRAM

UNIVERSITY

Nursing 4143: Holistic Nursing Care in Acute Illness II and End of Life Winter 2013-2014 Learning Plan Acute Renal Failure (ARF) Dia ete! In!i"i#u! (DI) S$n#r%&e %' Ina""r%"riate Diuretic (%r&%ne (SIAD() Dia etic )et%aci#%!i! (D)A) ($"er%!&%lar ($"er*l$ce&ic S$n#r%&e (((S) !"#ecti$e of t%e Course&Co'(etenc): 1* Integrate and s)nt%esi+e ,no-ledge gained fro' (re$ious course-or,* )n%+le#*e an# !,ill! lea#in* t% &a!ter$ %' t-i! c%&"etenc$. a/ Inte*rate t-e%rie! an# c%nce"t! 'r%& li eral e#ucati%n int% nur!in* "ractice/ / S$nt-e!i0e t-e%rie! an# c%nce"t! 'r%& li eral e#ucati%n t% uil# an un#er!tan#in* %' t-e -u&an e1"erience/ c/ I&"le&ent -%li!tic2 "atient3centere# care t-at re'lect! an un#er!tan#in* %' -u&an *r%+tan# #e4el%"&ent2 "at-%"-$!i%l%*$2 "-ar&ac%l%*$2 &e#ical &ana*e&ent an# nur!in* &ana*e&ent acr%!! t-e li'e!"an in t-e e&er*ent an#5%r acute -ealt-care !ettin*!/ 3* Create an artistic inter(retation of a nursing care (ractice t%at illu'inates t%e co'(le.it) of (ro$iding nursing care for clients and t%eir fa'il)* )n%+le#*e an# !,ill! lea#in* t% &a!ter$ %' t-i! c%&"etenc$. a/ E1"lain t-e interrelati%n!-i"! a&%n* t-e%r$2 "ractice an# re!earc-/ / I#enti'$ t-e #i&en!i%n! %' cri!i! an# t-e nur!in* acti%n! t-at "r%&%te a#a"ti4e c%"in*/ c/ Su&&ari0e t-e i&"act %' illne!! an# -%!"itali0ati%n %n "atient! an# t-eir 'a&ilie!/ #/ Rec%&&en# carin* an# -ealin* tec-ni6ue! t-at "r%&%te a t-era"eutic nur!e3"atient relati%n!-i"/ e/ Inter"ret c%&"a!!i%nate2 "atient3centere#2 e4i#ence3 a!e# care t-at re!"ect! "atient an# 'a&il$ "re'erence! #urin* an e&er*ent an#5%r acute care e1"erience/ /* A((l) t%eor)-"ased decision 'a,ing in t%e deli$er) of safe0 co'(etent and culturall) congruent nursing care to clients in t%e acute care setting* )n%+le#*e an# !,ill! lea#in* t% &a!ter$ %' t-i! c%&"etenc$. a/ A""l$ ,n%+le#*e %' !%cial an# cultural 'act%r! t% t-e care %' #i4er!e "%"ulati%n!/ / I#enti'$ 'act%r! t-at create a culture %' !a'et$/ c/ Rec%*ni0e 6ualit$ an# "atient !a'et$ a! c%&"le1 !$!te& i!!ue! +-ic- in4%l4e in#i4i#ual!2 'a&ilie! an# %t-er &e& er! %' t-e -ealt-care tea&/

1* Criticall) e$aluate and utili+e relati$e finding of nursing researc% in (lanning 2ualit) (atient care* )n%+le#*e an# !,ill! lea#in* t% &a!ter$ %' t-i! c%&"etenc$. a/ U!e !,ill! %' in6uir$2 anal$!i! an# in'%r&ati%n literac$ t% a##re!! "ractice i!!ue!/ / Ac6uire an un#er!tan#in* %' t-e "r%ce!! '%r -%+ nur!in* an# relate# -ealt-care 6ualit$ an# !a'et$ &ea!ure! are #e4el%"e#2 4ali#ate# an# en#%r!e#/ !$er$ie-: Renal 'ailure re!ult! in an ina ilit$ t% e1crete &eta %lic +a!te "r%#uct! an# +ater/ It i! t-e "artial %r c%&"lete i&"air&ent %' t-e ,i#ne$!2 cau!in* 'uncti%nal #i!tur ance! %' %t-er all %t-er %#$ !$!te&!/ Acute renal 'ailure (ARF) -a! a ra"i# %n!et an# '%ll%+! "r%l%n*e# -$"%ten!i%n %r -$"%4%le&ia %r e1"%!ure t% ne"-r%t%1ic a*ent!/ Nur!e! "la$ a 4ital r%le in t-e &ana*e&ent %' !i*n! an# !$&"t%&! t% "re4ent c%&"licati%n! 'r%& %ccurrin*/ Learning Acti$ities: Le+i!2 (eit,e&"er2 Dir,!en2 O7Brien2 Buc-er (89::). ""/ ::;<3:89=> :8893:88=> :8<?3:8?:> :8;=3:8;< -tt".55+++/atite!tin*/c%& RN Re4ie+ M%#el! @ 89:9 E#iti%n! @ A#ult Me#ical Sur*ical Nur!in* RN Ver!i%n ?/9 C-a"ter A=2 A?2 B ;< 3e$ie-: Mur"-$2 F/2 B B$rne2 G/ (89:9)/ T-e r%le %' t-e nur!e in t-e &ana*e&ent %' acute ,i#ne$ inCur$/ British Journal of Nursing (BJN)2 19(D)2 :=A3:E8/ Retrie4e# 'r%& CINA(L Plu! +itFull Te1t #ata a!e/ Per,in!2 C/2 B )i!iel2 M/ (899E)/ Renal nur!in*/ Utili0in* "-$!i%l%*ical ,n%+le#*e t% care '%r acute renal 'ailure/ British Journal of Nursing (BJN)2 14(:=)2 <A?3<<D/ Retrie4e# 'r%& CINA(L Plu! +it- Full Te1t #ata a!e/ )i!iel2 M/2 B Mar!%n!2 L/ (899;)/ Rec%*ni0in* an# re!"%n#in* t% -$"er*l$cae&ic e&er*encie!/ British Journal of Nursing (BJN)2 18(:?)2 :9;=3:9;?/ Retrie4e# 'r%& CINA(L Plu! +itFull Te1t #ata a!e/ Co'e to class (re(ared to discuss: Acute Renal Failure o Initiatin* "-a!e o Oli*uric "-a!e o Diuretic "-a!e o Rec%4er$ "-a!e Dia etic ,et%aci#%!i! ($"er%!&%lar -$"er*l$ce&ic !$n#r%&e

Dia ete! In!i"i#u! (DI) S$n#r%&e %' Ina""r%"riate Diuretic (%r&%ne (SIAD()

Learning !"#ecti$es :/ I#enti'$ t-e !$!te&ic &ani'e!tati%n! %' acute renal 'ailure/ 8/ De!cri e t-e &et-%#! '%r a!!e!!in* t-e renal !$!te&2 inclu#in* "-$!ical a!!e!!&ent2 inter"retati%n %' !eru& an# urine la %rat%r$ 4alue!2 an# ra#i%l%*ical #ia*n%!tic te!t!/ D/ De4el%" a "atient3centere# "lan %' care '%r t-e "atient +it- acute renal 'ailure2 inclu#in* nur!in* &ana*e&ent an# antici"ate# "atient %utc%&e!/ =/ De!cri e t-e &e#ical &ana*e&ent %' t-e "atient +it- acute renal 'ailure/ E/ De!cri e t-e clinical c%ur!e %' re4er!i le acute renal 'ailure/ A/ Li!t c%&&%n nur!in* a!!e!!&ent!2 inter4enti%n!2 rati%nale!2 an# %utc%&e! relate# t% "atient! +it- DI2 SIAD(2 D)A2 ((S/