Skagit Valley College

Catalog Course Search Details

 Course Title:   Nursing Complx M/S & Geriatric Patient(clinical)

 Title Abbreviation:   NURS ADV M/S/GERI CLIN

 Department:    NURS

 Course #:    282

 Credits:    6

 Variable:     No

 IUs:    6

 CIP:    513801

 EPC:    RND

 REV:    2021

 Course Description  

Examines nursing care of selected individuals, throughout the lifespan with a special focus on the geriatric population experiencing complex and multidimensional alterations in neurological, respiratory, cardiac, hematologic/oncologic and renal function. In addition to these medical/surgical concepts, trauma, disaster preparedness and critical care will be addressed. Contains 16 hours of psychiatric nursing clinical which applies previous learning in acute care and/or community care settings. Focuses on applying previous learning in the advanced care of mental health patients. The pharmacologic management of these patients will also be analyzed.


Prerequisite: NURS 271, NURS 272, and NURS 273 with a "B-" or higher.

Additional Course Details

Contact Hours (based on 11 week quarter)

Lecture: 0

Lab: 0

Other: 0

Systems: 0

Clinical: 132

Intent: Distribution Requirement(s) Status:  

Vocational Preparatory Required for ATA degree, Required for certificate  

Equivalencies At Other Institutions

Other Institution Equivalencies Table
Institution Course # Remarks

Learning Outcomes

After completing this course, the student will be able to:

  1. Implement evidence-based, safe care in adult and geriatric patients experiencing advanced and multidimensional alterations in the neurological, respiratory, cardiac, hematological/oncological and renal function.
  2. Evaluate the use of the nursing process in adult and geriatric patients experiencing trauma, disaster, burns and metabolic disorders.
  3. Apply principles of nursing practice that reflect integrity, legal and ethical practices, and professional growth and development as a nurse.
  4. Utilize leadership, communication, and health teaching to promote adaptation and wellness in patients and associated families.
  5. Plan, implement, and evaluate age and gender appropriate, culturally sensitive nursing care for individuals with complex alterations in wellness.
  6. Advocate for diverse patients and families in a caring manner than embodies relationship-centered care in the social and ethical context to promote self-determination, integrity, and ongoing growth as human beings.
  7. Evaluate the role of pharmacological agents and related responsibilities in promoting adaptation for patients with complex health problems.
  8. Select a variety of communication techniques to promote adaptation in adult and geriatric patients and their families.
  9. Analyze how various leadership roles may be instrumental in promoting adaptation for patients with a variety of alterations in the neurological, respiratory, cardiac, renal and hematological systems.
  10. Develop methods of health teaching to promote adaptation for patients across the lifespan with selected alterations in wellness.
  11. Examine ethical concepts and ethical obligations of the nursing professional to promote social justice, advocacy, and collaboration across cultures.
  12. PROGRAM OUTCOME: Human Flourishing: Advocate for patients and families in ways that promote their self-determination, integrity, and ongoing growth as human beings.
  13. PROGRAM OUTCOME: Nursing Judgment: Make judgments in practice, substantiated with evidence, that integrate nursing science in the provision of safe, quality care and promote the health of patients within a family and community context.
  14. PROGRAM OUTCOME: Professional Identity: Implement one's role as a nurse in ways that reflect integrity, responsibility, ethical practices, and an evolving identity as a nurse committed to evidence-based practice, caring, advocacy, and safe, quality care f
  15. PROGRAM OUTCOME: Spirit of Inquiry: Examine the evidence that underlies clinical nursing practice to challenge the status quo, question underlying assumptions, and offer new insights to improve the quality of care for patients, families, and communities.

General Education Learning Values & Outcomes

Revised August 2018 and affects outlines for 2019 and later.


Definition: Produce and exchange ideas and information through written, spoken, and visual forms.

Course Contents

  1. Care of the Patient with Complex Cardiac Alterations.
    • Complex cardiac dysrhythmias. End-stage heart failure.
    • End-stage heart failure. Acute myocardial infarction.
    • Coronary artery bypass graft. Hemodynamic monitoring.
  2. Care of the Patient with Complex Respiratory Alterations.
    • Respiratory Failure. ARDS.
    • Endotracheal intubation/Ventilation. Conscious sedation.
  3. Care of the Patient with Complex Neurological Alterations.
    • Traumatic Brain Injury. Intracranial Pressure Monitoring.
    • Brain Death.
  4. Care of the patient experiencing complex alterations in the Renal System.
    • Acute vs. Chronic renal failure. Pyelonephritis.
    • Renal replacement therapy. Renal Cancer.
  5. Care of the client experiencing complex Hematological/Oncological Alterations.
    • ITP, TTP, HITT. DIC.
  6. Care of the Acute Geriatric Patient.
  7. Care of the Trauma/Critically Ill Patient.
    • SIRS/MODS.
    • Shock. Burns
  8. Disaster Preparedness.
    • Disaster Nursing; Mass Casualty; Poisoning.