CGN

1. Advanced Adult Health Nursing II
Wollega University
Institute of health sciences
Department of Nursing
Course Syllabus
Program MSc in Adult Health Nursing
Course title Advanced Adult Health Nursing II
Course code GNUR 527
Course credit 3cr.hr
Owner of the course Department of nursing
Course status Specialty courses
Course placement 1st
year 3rd
semester
Enrolment Regular
Pre –requisite Advanced Nursing health assessment of adults(Theory and practicum), Advanced
Adult Health Nursing I (theory and practicum)
Co- requisite ……………………..
Instructors and
contact information
Office :
Phone: Email:
Consultation Hours:
Department of Nursing
Class Section Meeting day: Meeting time:
Meeting Location:

2. Course description This course provides students with an in-depth knowledge and skills to provide
advanced nursing care using the nursing process as a framework for young, middle
age, and older adults’ clients/patients with chronic medical and surgical conditions.
The course allows the students to be a competent provider of safe, cost effective,
legal, ethical, and culturally congruent and client centered human response-based
nursing care for adults. It emphasizes the utilization of relevant theories, critical
thinking, knowledge and advanced clinical skills in the provision of advanced
nursing care based on scientific rationale, evidence-based practice guidelines and
standards of care.
Course objectives After the completion of this course, the students will be able to:
 Explain chronic medical and surgical conditions among adults
 Identify, interpret and use appropriate diagnostic modality results for clients
with chronic conditions
 Differentiate managements modalities of chronic medical and surgical
conditions
 Develop individualized nursing care plan for clients with chronic medical and
surgical conditions
 Execute plan of care for patients with chronic medical and surgical conditions
 Discuss how to provide chronic illness self-management education and support
for clients with chronic medical and surgical conditions
 Discuss preparation and management of patients undergoing advanced
diagnostic and therapeutic procedures
 Monitor responses of chronically ill adult patients to the treatments
 Synthesize evidence on the area of chronic medical and surgical conditions
Teaching method  Interactive lecture and discussion
 Student seminar presentation
 Reading assignment
Evaluation Methods
 Written exam (40%)
 Seminar I (15%)
 Seminar II (20%)

3.  Individual scholarly paper (25%)
 Total =100%
Mode of delivery Block
Student’s
responsibility(
Teaching instruction)
Course delivery instruction
This course will be provided by engagement of students through adult learning. The
course delivery approach will be through:
 Interactive lecture and discussion
 Use of appropriate instructional medias
 Analysis of assigned readings
 Seminar presentations
 Scholarly paper writing
 Demonstration
 Instructor/student conferences
Individual scholarly paper
The scholarly paper focuses on the crosscutting issues listed below and be
submitted not later than 10 days after the end of the course
Content
1. Background information of the subject matter
2. Methods used to collect relevant literature – indicate the process you gone
through
 Identify your specific research question -- specific areas of review
 Indicate electronic database source/s used and search strategy
 Indicate inclusion and exclusion of the studies
3. Discuss the key findings of the reviewed literature
4. Summary of the review
5. Implication to nursing practice and research
6. References (not less than 10)

4. Typography
 Cover page: Title, Author, Institution
 Font: Times New Roman
 Font size: 14 for heading and 12 for body
 Space 1.5
 Reference style: APA 6th
 Word count 2000 to 2250
Possible areas of review
1. Nursing AND chronic diseases
2. “Self-management OR Self-care” AND chronic disease
3. Psychosocial (stress/anxiety, depression, hopelessness, loneliness, suicidal
ideation…) AND chronic diseases
4. Palliative care AND chronic condition
Seminar I
 Each student should select one topic from column stated as “Student seminar
presentation” stated below , and get prepared for the Seminal I
 Each topic will last for 30-40 minutes followed by 10-15 minutes discussion
 The seminar presentation should be prepared as follows
 Introduction
 Pathogenesis and clinical presentations
 Focus on diagnostic method available in our country
 Explain medical management and nursing management focusing on
management modalities available in our country
 Suggest one or two potential research questions in this area
 Typography
 Present as per academic standard presentation
 Use slides as per power point preparation recommendations
 Number of lines: not more than 12
 Font size:  24

5.  Reduce overuse of colors and animations
 Seminar presentation will be started on a week after start of the course
Seminar II
 Each student should select another topic from column stated as “Student
presentation” stated above, and get prepared for the Seminal II
 The seminar presentation should be prepared as follows
 Introduction
 Pathogenesis, and clinical presentations
 Focus on diagnostic method available in our country
 Explain medical management and nursing management focusing on
management modalities available in our country
 Suggest one or two potential research questions in this area
 Typography
 Use slides as per power point preparation recommendations
 Number of lines: not more than 12
 Font size:  24
 Reduce overuse of colors and animations
 The presentation should not last over 30 minutes
Teacher’s
responsibility
Teaching sources  Computer and LCD
 Video Cassette and Television
 Skill lab
 Clinical setting
Grading scale/quality
points
As per the university legislation
Course contents
Topics covered by Instructor
Student seminar
presentation
Reading
assignment

6. Chapter 1: Care of patients with chronic oncologic conditions
o Introduction and epidemiology of oncologic disorders
o Diagnostic procedures and management modalities
o Dr. Dereje
Chapter 2: Care of patients with chronic integumentary
disorders
o Leprosy
o Skin cancer
o Chronic dermatitis Getu
Skin cancer Chronic
dermatitis
Chapter 3: Care of patients with chronic respiratory system
disorders
o Asthma
o Chronic obstructive pulmonary diseases
o Tuberculosis
o Lung cancer Getu and Lami Bayisa
Chronic obstructive
pulmonary diseases
Tuberculosis
Lung cancer
Chapter 4: Care of patients with chronic cardiovascular system
disorders
o Hypertension
o Heart failure
o Ischemic heart disease
o Pancytopenia
o Leukaemia
o Anaemia
o Valvular heart disease Mr. Adugna
Ischemic heart
disease
Pancytopenia
Leukaemia
Anaemia
Valvular heart
disease
Chapter 5: Care of patients with chronic gastrointestinal
disorders
o Peptic ulcer disease
o Chronic liver disorders: Cirrhosis
o Haemorrhoids
Haemorrhoids
Hernia
Constipation
Colon cancer
Periodontal
abscess
Gastro-
esophageal
reflux disease

7. o Hernia
o Constipation
o Colon cancer
o Chronic Hepatitis (Hepatitis B and C)
o Inflammatory bowel disease (Crohn’s disease and
ulcerative colitis)
o Periodontal abscess
o Gastro-esophageal reflux disease
o Motility disorder of esophagus
o GI Ca (liver, stomach, oesophagus) Dr. Dereje
Chronic Hepatitis
(Hepatitis B and C)
Inflammatory bowel
disease (Crohn’s
disease and
ulcerative colitis)
Motility
disorder of
esophagus
GI Ca (liver,
stomach,
oesophagus)
Chapter 6: Care of patients with chronic Endocrine disorders
o Diabetes mellitus
o Chronic complication of diabetes
o Diabetes self-management
o Hypothyroidism and Iodine deficiency goitre
o Hyperthyroidism Dr. Dereje
Hypothyroidism and
Iodine deficiency
goitre
Hyperthyroidism
Chapter 7: Care of patients with chronic musculoskeletal
disorders
o Osteomyelitis
o Arthritis (except septic)
o Degenerative bone disorders
o Bone cancer Getu
Degenerative bone
disorders
Bone
cancer
Chapter 8: Care of patients with chronic genitourinary disorders
o Urolithiasis
o Chronic renal failure
o Chronic glomerulonephritis
o Benign prostatic hyperplasia
o Nephrotic syndrome Mr. Getu M
Chronic
glomerulonephritis
Benign prostatic
hyperplasia
Nephrotic
syndrome

8. Chapter 9: Care of patients with chronic immunologic disorder
o HIV/AIDS
o Systemic lupus erythematous Mr. Lami
HIV/AIDS Systemic
lupous
erythematous
Chapter 10: Care of patients with chronic nervous system
o Chronic pain Epilepsy
o Degenerative disorders: focus on dementia
o Brain tumors Mr. Adugna
Epilepsy
Degenerative
disorders: focus on
dementia
Brain tumors
Chapter 11: Care of patients with chronic eye, ear, nose and
throat (EENT) disorders
o Care of patient with hearing impairment
o Care of patient with visual impairment Mr. Adugna
Care of patient with
hearing impairment
Care of patient with
visual impairment
Chapter 12: Palliative care and end of life considerations
Reference
1. Linda Honan Pellico 1st
ed. Adult health medical surgical nursing, 2014.
2. Marino, P. (2014). The ICU Book (4th
ed.). New York: Lippincott, William & Wilkins.
3. Vincent, J., Abraham, J. E., Moore, F.A., Kochanek, P.M., & Fink, M.P., (2011). Textbook
of Critical Care (6th
ed.). Philadelphia: Elsevier-Saunders. (ISBN 978-1-4377-1367-1).
4. eBooks (Tintinalli’s Emergency Medicine, Current Diagnosis &Mngt: Emergency
Medicine; Principles of Critical Care, etc.). Are available through the Health Science Center
Library (http://www.accessmedicine.com/textbooks.aspx).
5. Burns, S. (Ed). (2014). AACN Essentials of Critical Care Nursing, (3rd
ed.). USA: McGraw-
Hill.
6. GrifAlspagh, J. (Ed.). (2006). AACN Core Curriculum for Critical Care Nursing (6th
ed.).
USA: Saunders. (Suggested for baseline critical care nursing content as needed). This course
is built upon and assumes baseline critical care nursing competency.
7. Bastable, Susan (2013). Nurse as Educator: Principles of Teaching and Learning for Nursing
Practice, 4th Edition. Jones and Bartlett Publishers. ISBN 978-1449697501

9. 8. Lubkin, I. M. & Larsen, P. D. (2011). Chronic Illness: Impact and Interventions (8th edition).
Jones & Bartlett. ISBN # 978-1449649050
9. Fulton, J., Lyon, B., Goudreau, K. (2010). Foundations of Clinical Nurse Specialist Practice.
New York, Springer Publishing Company
10. Foster, J. & Prevost S. (2012). Advanced Practice Nursing of Adults in Acute Care. F.A.
Davis Co. ISBN – 978-0803621626