NRS 221 - Nursing in Chronic Illness II and End-of-Life

• CLO#1: Conduct a health assessment that is in-depth, evidence-based, family centered, and both developmentally and culturally appropriate. Interpret health data, focusing on:
  • functional issues associated with complexities of co-morbid conditions in relation to ADLs and IADLs.
  • manifestations of psychiatric diagnoses and their impact on patient self-care.
  • psychosocial issues and the impact of the illness on individual development and family function.
  • the patient’s personal, social and cultural interpretation of the meaning of the illness and the impact on the patient’s family.
  • capacity for and engagement in self-care.
  • opportunities for health behavior change.
• CLO#2: Applies evidence-based nursing practices in support of patient and family in self health care management across the lifespan to:
  • establish meaningful relationships with patients/families.
  • support patient and family in development of capacity for self-health care management.
  • address caregiver needs for preparedness and predictability with regards to the management of symptoms /manifestations for specific disorders.
  • assess family strengths and resources, caregiver role strain, and capacity to provide care.
• CLO#3: Incorporate measures to enhance quality of life in the plan of care by:
  • facilitating patient in developing their personal definition of quality of life.
  • addressing patient needs for preparedness and predictability.
• CLO#4: Identify and use community resources to provide support for the patient and family caregiving by:
  • supporting the patient in negotiating the healthcare settings.
  • assessing appropriateness of resources in meeting the patient/family needs, (e.g. accessibility, financial feasibility, acceptability)
  • developing inter-professional collaboration for the provision of care.
• CLO#5: Communicate with agencies involved in patient care to assure continuity of care across settings (e.g. schools, day care, adult foster care, etc.) by:
  • negotiating with others to modify care; and
  • advocating for patients. (ILO: Communication)
• CLO#6: Utilize nursing and inter-professional based knowledge of death and dying trajectories to support patients/families across the lifespan who are experiencing transitions at the end of life by:
  • describing the epidemiology of dying: where, when, how people die, dying trajectories across the lifespan.
  • using developmentally and culturally appropriate communication with patients and families at end of life.
  • using appropriate assessment techniques for individuals and families experiencing life threatening illness.
• CLO#7: Analyze impact of health care delivery system issues, policy and financing on individual and family health care needs for chronic illness and end of life care by:
  • comparing basic funding mechanisms.
  • identifying decision-making issues for chronic care based on funding resources.
  • assessing appropriateness of resources in meeting the patient/family needs, (e.g., accessibility, financial feasibility, acceptability).
• CLO#8: Demonstrate honesty and integrity.
• CLO#9: Demonstrate correct application/continued competence in previously learned principles/nursing care skills/therapeutic measures including dosage calculations.