PNH301 - Healing Practices for the Practical Nurse III

Outline info
Last revision date 2018-07-30 10:30:20.041
Last review date 2018-07-30 10:30:20.043

Subject Title
Healing Practices for the Practical Nurse III

Subject Description
This course explores the nursing practices and interventions that support health and enhance healing for clients and families experiencing various health challenges. 


Credit Status
One credit in the Practical Nursing Diploma Program

Learning Outcomes
Upon successful completion of this subject the student will be able to:

Upon successful completion of this subject the student will be able to:
1. Develop a therapeutic relationship with clients across the lifespan respecting individual rights, beliefs, and unique needs.
2. Utilize a theory-based approach to all aspects of nursing care.
3. Collaborate with clients to perform a holistic assessment demonstrating nursing knowledge and understanding of client needs.
4. Use evidence informed literature to develop and prioritize a collaborative plan of care with emphasis on specific health challenges.
5. Use clinical knowledge and judgment to recognize and respond to changes in client status.
6. Create teaching plans to enhance client health and wellness.
7. Share relevant information with the inter- and intra- professional team through written and verbal communication to enhance care and to support individual client needs.
CNO: ETP: 1, 2, 3, 4, 5, 6, 7, 10, 12, 14, 17, 18, 19, 23, 26, 27, 28, 29, 42, 49, 50, 52, 54, 72, 73, 77

College of Nurses of Ontario: Entry To Practice Competencies

1. Develops a therapeutic relationship with clients
2. Identifies client’s health care needs in a caring environment that facilitates achieving mutually agreed health outcomes.
3. Collaborates with clients across the lifespan to perform a holistic nursing assessment.
4. Demonstrates knowledge in critical thinking and problem-solving skills
5. Uses a theory-based approach.
6. Demonstrates knowledge in nursing, health and social sciences.
7.a Promotes clients’ rights and responsibilities by: a) Obtaining client consent prior to initiating nursing care.
7. b Protecting clients’ rights by respecting confidentiality, privacy, dignity and self-determination as part of the plan of care.
10. Reviews literature and collaborates with colleagues and other resources in selecting assessment tools or techniques.
12. Demonstrates knowledge of therapeutic communication.
14. In collaboration with the client, identifies appropriate health teaching strategies that will enhance the client’s learning.
17. Encourages clients to draw upon their strengths and to identify appropriate resources within the community.
18. Develops a plan to incorporate critical thinking and problem-solving skills into all aspects of care.
19. Formulates clinical judgments that are consistent with clients’ needs and priorities by responding to changing situations that affect client’s health and safety.
 Selects communication techniques that are appropriate for the client’s circumstances needs.
 Identifies potential health problems or issues and their consequences for clients.
In collaboration with the inter-professional health care team refines and expands client assessment information by: (a) Using initial assessment findings to focus on additional and more detailed assessments.
 Analyzing and interpreting data from client assessments.
 Questioning and offering suggestions regarding approaches to care.
 Seeking information from relevant nursing research, expert and the literature.
 Developing a range of possible alternatives and approaches to care.
 Establishing priorities of nursing care.
 Identifying expected outcomes.
 Incorporating health teaching strategies into care.
 Collaborates with the inter-professional health care team in developing a client’s plan of care.
 Maintains clear, concise, accurate and timely records of client’s care
 Implements identified health teaching strategies into client’s learning.
Considers the determinants of health into all aspects of care.
 Evaluates and refines critical thinking and problem-solving skills in all aspects of nursing care.
Modifies plan of care according to one’s knowledge, skill and judgment.
 Establishes and maintains a caring environment that supports clients in achieving optimal health outcomes, goals to manage illness or a peaceful death.
 Demonstrates behaviours that contribute to an effective and therapeutic nurse-client relationship.
 Demonstrates support for clients making informed decisions about their health care and respects those decisions.

Cheating and Plagiarism
Each student should be aware of the College's policy regarding Cheating and Plagiarism. Seneca's Academic Policy will be strictly enforced.

To support academic honesty at Seneca College, all work submitted by students may be reviewed for authenticity and originality, utilizing software tools and third party services. Please visit the Academic Honesty site on for further information regarding cheating and plagiarism policies and procedures.

All students and employees have the right to study and work in an environment that is free from discrimination and/or harassment. Language or activities that defeat this objective violate the College Policy on Discrimination/Harassment and shall not be tolerated. Information and assistance are available from the Student Conduct Office at

Accommodation for Students with Disabilities
The College will provide reasonable accommodation to students with disabilities in order to promote academic success. If you require accommodation, contact the Counselling and Disabilities Services Office at ext. 22900 to initiate the process for documenting, assessing and implementing your individual accommodation needs.

All level 100 and 200  PN subjects

PNP301, PNM300

Topic Outline

1. Neurological Health Challenges
2. Cardiovascular Challenges (Coping with CHF, angina, hypertension, PVD, ACS)
3. Endocrine Health Challenges (Living with diabetes, Living with hyper/hypothroidism)
4. Musculoskeletal Health Challenges (Arthritis, osteoporosis, fractures, joint replacements, amputations.)
5. Respiratory Health Challenges

Mode of Instruction
4 hours per week x 14 weeks = 56 hours

A variety of teaching methods will be used, including, but not limited to: online activities, discussion, seminars, independent and group work, lecture, computers and simulations.

Prescribed Texts
Lewis, S. L., McLean Heitkemper, M., Ruff Dirksen, S., Barry, M. A., Goldsworthy, S., & Goodridge, D. (2018). Medical-surgical nursing in Canada. (4th Cdn. Ed.). Toronto, ON: Elsevier. ISBN: 9781771720489

Pagana, K. D., & Pagana, T. J. (2018). Mosby’s Canadian manual of diagnostic and laboratory tests. (2nd Cdn. ed.). Toronto, ON: Elsevier.ISBN: 978-0-323-56746-6

Reference Material
English Dictionary
Human Anatomy and Physiology text
Pathophysiology text
Pharmacology text
Health Assessment text
Fundamentals of Canadian Nursing
Publications received from the Canadian Heart and Stroke Foundation
In addition, selected readings from relevant text, journals, reprint and electronic materials will assigned

Audio-video resources will also be required.

Promotion Policy
A minimum “C” grade is required for one credit toward the Practical Nursing Diploma.

Grading Policy
A+ 90%  to  100%
A 80%  to  89%
B+ 75%  to  79%
B 70%  to  74%
C+ 65%  to  69%
C 60%  to  64%
D+ 55%  to  59%
D 50%  to  54%
F 0%    to  49% (Not a Pass)
EXC Excellent
SAT Satisfactory
UNSAT Unsatisfactory

For further information, see a copy of the Academic Policy, available online ( or at Seneca's Registrar's Offices.

Modes of Evaluation

Term Test 1 25%
Term Presentation 10%
Term Test 2 25%
Quiz 10%
Final Comprehensive Exam 30%

Dates for evaluations are specified in the weekly schedule addendum to this outline. The evaluation process may include, but is not limited to, tests, exams, assignments or presentations. Any absences or missed submissions due to medical or other reasons must be supported by medical or other appropriate documentation within one (1) week of the due date. Failure to produce documentation within the timeframe will result in a grade of zero in the missed evaluation. The faculty and program area must be notified immediately in the event of a missed evaluation. Upon acceptance of the documentation, the weighting of the missed deliverable will normally be applied to the final exam.

Students must attain a minimum overall mark of 60% in order to pass this subject.  Failure to meet the above will result in a grade of "F".

“A minimum overall term/cumulative GPA of 2.5 is required in order to remain in the Nursing program.”

Expected English Competencies:

Since this is a professional credit subject, marking standards reinforce professional practice by demanding that all written work must demonstrate the following characteristics for clarity and conciseness:
  •     writing is consistent with the rules of English grammar
  •     spelling and punctuation are correct
  •     appropriate vocabulary used
  •     sentences are structured correctly
  •     work to flow logically through supporting statements
  •     work to be arranged in correct format (i.e. reports, essays)
Late Assignments:

Assignments are due at the beginning of the class on the dates specified. Begin your assignments early in anticipation of unforeseen problems that may arise in your work or personal life. Should extenuating circumstances arise, please contact your instructor immediately, prior to when your assignment is due, so an appropriate course of action can be established. Late assignments are subject to a penalty of 10% per week and will not be accepted beyond two weeks after the assignments due date.

Approved by: Lisa Harfield