NURS 5368 Integrated Mental Health Care I- Adult/Gerontology

COURSE DESCRIPTION
NURS 5368 Integrated Mental Health Care I
Duration: 14 weeks | Credit Hours: 3:
This course integrates theory and research in the clinical application of the care of adults/geriatrics by nurse practitioners. Students will provide care to adults/older adults in the clinical setting under the guidance of a clinical preceptor. Emphasis is on applying theory and research to adults and older adults experiencing complex health problems. Related professional issues will be explored in this clinical course. (125 clinical hours)
Prerequisite
NURS 5365
STUDENT LEARNING OUTCOMES:
Upon successful completion of this course, the student will be able to:

1. Demonstrate ability to apply theory and research to children, adolescents, and families experiencing complex health problems
2. Develop an age-appropriate treatment plan for mental health problems and psychiatric disorders based on biopsychosocial theories, evidence-based standards of care, and practice guideline
3. Apply and integrate appropriate mental health theory and research in the clinical application of the care of adults/geriatric
4. Demonstrate provision of ethical, evidence-based mental health care to Pedi/Adolescent/Family populations.

5. Generate appropriate differential diagnoses for mental health problems and psychiatric disorders
6. Assess the impact of acute and chronic medical problems on psychiatric treatment.
7. Demonstrate ability to conduct individual and group psychotherapy.
8. Apply supportive, psychodynamic principles, cognitive-behavioral, and other evidence-based psychotherapy/-ies to both brief and long-term individual practice.
9. Plan care to minimize the development of complications and promote function and quality of life.
10. Demonstrate ability to develop treatment plans for acute and chronic psychiatric disorders and mental health prob
11. Demonstrate understanding of the importance of providing consultation to health care providers and others to enhance quality and cost-effective services
12. Facilitate the transition of patients across levels of care, as appropriate.
13. Demonstrate understanding of the importance of attending to the patient-nurse practitioner relationship as a vehicle for therapeutic change.
14. Demonstrate ability to therapeutically conclude the nurse-patient relationship when transitioning the patient to other levels of care.
15. Demonstrate ability to address sexual/physical abuse, substance abuse, sexuality, and spiritual conflict across the lifespan.

16. Apply principles of self-efficacy/empowerment and other self-management theories in promoting relationship development and behavior change.
17. Identify and maintain ethical and professional boundaries to preserve the integrity of the therapeutic process
18. Teach patients, families, and groups about treatment options with respect to developmental, physiological, cognitive, cultural ability and readiness
19. Demonstration of the provision of psychoeducation to individuals, families, and groups regarding mental health problems and psychiatric disorders
20. Modify treatment approaches based on the patient’s ability and readiness to learn.

21. Consider motivation and readiness to improve self-care and healthy behavior when teaching individuals, families, and groups of patient

Overview: Integrated Mental Health Care II – Pedi/Adolescent/Family
This course integrates theory and research in the clinical application of the mental health care of Pedi/Adolescent/Family clients by nurse practitioners. Students will provide care to Pedi/Adolescent/Family clients in the clinical setting under the guidance of a clinical preceptor. Emphasis is on applying mental health theory and research to families, pediatrics, and adolescents, experiencing complex health problems. Related professional issues will be explored in this clinical course. (125 clinical hours)
The content of this course is web-based and may be subject to change at the discretion of the faculty according to current learning needs. Therefore, it is wise to review assigned readings and assignments on Canvas at the beginning of each week for possible updates. Notify the faculty immediately if there are issues that would delay submission of assignments.
Please refer to the online Course Calendar and online Course Schedule for weekly assignments and Due Dates.
You are expected to be self-directed in your learning and to approach every learning opportunity with a clear understanding of the learning objectives.
INSTRUCTIONAL METHODS
This course is taught in a web-enhanced format with online readings as well as scheduled on-campus labs throughout the semester. The following learning venues are included:

Online learning activities and website media will be used. Students will access posted online coursework related to the required course textbook. Pertinent YouTube video lectures will enhance the modules.
There will be several required assignments to be turned in under the Assignments tab on Canvas.
Optional readings and videos may be offered to enhance your learning.

Should you miss an exam for an excusable reason, the make-up exam may consist of essay and fill-in-the-blank type questions or a clinical challenge assignment. Be aware that an excuse for make-up exams primarily consists of emergency situations only and not requests for personal vacations or scheduling conveniences.
Work excuses or failure to adequately connect to the internet during exams are not necessarily considered reason enough to permit scheduling a make-up exam and may be evaluated on a case-by-case basis.
If you have difficulties with an internet connection, contact Proctor U, the online proctored testing platform, and then contact your faculty right away, so as to limit the delay time in starting an exam. Students should always notify the instructor prior to a foreseeable absence.
Required Materials and Textbooks:

1. American Nurses Association (2010). Nursing: Scope and standards of practice, 2nd Ed. Silver Springs, MD: Nursingbooks.org. ISBN: 9781558102828

2. American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders Fifth Edition Paperback (DSM-5). American Psychiatric Association. ISBN 978-0-89042-555-8

3. E.H.R. GO access

APEA PMHNP Package

1. Go to: https://apea.com/products/collection/ut-tyler-88/
2. Select UT Tyler PMHNP Bundle and Add to Cart
3. Click on your shopping bag at the top of the page.
4. Enter Promo Code: UTTbundle
5. Your discounted total is $394.95
6. Log in or create an account using your university email addre Enter your account information, billing information, and payment information. The total for the package required by your university is $394.95. This total reflects your discounts.

You must purchase the required materials to receive access. Purchases made after normal business hours (8 am-4:30 pm CST), on weekends or on holidays are processed on the next business day. Materials purchased through our store, (www.apea.com) do not satisfy university requirements. Promo code applies to this university purchase only. You only need to purchase this once in your year three at UT Tyler. If you purchased this last semester then talk to your faculty before purchasing.
SUGGESTED MATERIALS:

4. Sadock, B. J., & Sadock, V. A. (2007). Kaplan & Sadock’ s Synopsis of psychiatry: Behavioral sciences/Clinical psychiatry, 10th Ed. Philadelphia: Lippincott Williams & Wilkin ISBN: 978-0-7817-7327-0

5. Stahl, (2011). The Prescriber’s guide, 4th Edition. New York, Cambridge University Press. ISBN: 978-0521173643
6. Wheeler, (2013). Psychotherapy for the advanced practice psychiatric nurse: A how to guide for evidence-based practice 2nd Edition Springer Publishing. ISBN: 9780826110008

Reference (optional):

1. Jameson, L., Fauci, A. S., Kasper, D. L., Hauser, S. L., Longo, D. L., Loscalzo, J. (2018). Harrison’s principles of internal medicine (20th). New York, NY: McGraw-Hill

REQUIRED COURSE EQUIPMENT

Lab coat
UT Tyler student name badge ($15.00)
UT Tyler patch – purchased locally at CR Scrubs
Cell phone with internet access

Web Cam for your computer

REQUIRED COURSE TECHNOLOGY
Please see the Canvas Page that discusses this specifically.

Estimated Time Commitment Required for Assignments:
Reading of professional materials (books, journals, etc.) is an integral aspect of role development as a nurse practitioner. It is recommended that students spend a minimum of 2- hours daily for materials related to assigned readings, clinical topics, and professional issues associated with the NP role and competencies. As a rough guide, you should plan to spend six to eight hours per week on this course, and more hours may likely be necessary, depending on the individual. This estimate includes the time you will spend reading, researching items for more information, and completing assignments. Note that considerably more additional hours may be necessary to fully comprehend the didactic content as well as the clinical skills.
Every student is responsible for completing the recommended reading, completing the course module components, assignments, quizzes, and exams according to due dates in the course calendar. Reading assignments consist of associated materials in the course textbooks and this list may be viewed on the course calendar and in each module. All assignments are made with the assumption that required reading assignments will be completed prior to completion of the assignments
COURSE EVALUATION
Course Grading Scale:  Grades will not be rounded when calculating the average (79.5 is not rounded to 80 and 89.5 is not rounded to 90).
A = 90 to 100%
B = 80 to 89%           B is Passing
C = 70 to 79% D = 60 to 69% F = Below 60%
GRADING ELEMENTS:                                                                       POINTS
Midterm CPE                                                                                              5%
Final CPE                                                                                                     5%
Clinical Schedule                                                                                      10%
Clinical Hours Documentation with preceptor signature                   5%
Case Presentation (Debrief)                                                                    20%
Clinical Hours – 125 hours must be completed satisfactorily
P/F Domain Quizzes – (Must have 80% or higher on quizzes)                 50%
OSCE Clinical Evaluation                                                                           15%
100%
Domain quizzes will account for 50% of your grade. *You must make an 80 or above on the Q banks quizzes to submit the results to the class. The Domains quizzes will be open for the entire week or longer. You will access the Domain quizzes through the APEA website. You will submit your highest Domain score weekly.
CLINICAL PARTICIPATION: Each student must log 125 hours of precepted clinical time in this class.  Observation is NOT ACCEPTABLE in the clinical setting. You must be actively assessing patients and planning care for them. Clinical time will be awarded for OSCE’s and for selected other experiences offered by the instructor throughout the semester. You must attend clinical debrief meetings via zoom as scheduled.
All hours must be logged in to InPlace and all CPE’s completed in order to fulfill the clinical requirements of this course.
You must submit a Preceptor Signature Document in the assignment link along with CPE’s (Clinical Performance Evaluations) and Summary of Clinical hours.
Spring 2022 COURSE CALENDAR

Zoom number and link all
Meetings are on
Wednesday 6pm-
8pm.

 
Topic: Zoom Meeting Room
Time: This is a recurring meeting
 
Weekly:

01/10/22
Intro to course requirements
Zoom Meeting   1/12

Course expectations and Syllabus review –

Zoom attendance STRONGLY recommended.

Syllabi Quiz topics will be reviewed.

Weekly APEA Domain assignments
Weekly
50%
Minimum submission grade is an 80%

01/30/22
Full Clinical schedule due
10%
You may not start your clinical rotations until you have submitted your Full Clinical schedule

03/01/22
Final Filing Deadline for Spring 2022
Graduation

03/07-
03/12/22
Spring Break

03/16/22
Mid-term CPE by preceptor due
5%
Use course template

03/21/22
LAST DAY TO WITHDRAW

04/10/22
OSCE’s
15%

4/13/22
Clinical Schedule
Hours
Signature page
10%

04/15/22
Final Preceptor CPE
5%

04/1/22
Site Evaluation/Preceptor evaluation
5%
Use course template

04/23/22
End of 14 Week
Session Hours

05/07/22
Spring
Commencement

All students are required to have an active InPlace subscription.