Tenet 2 Linchpins & Connections

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Outline

Overview

  1. Provide instruction in a way that allows complex material to “click”.
    1. The ultimate goal is true understanding and retention
    2. NOT just memorization

Key Points

  1. We focus on Linchpins
    1. A linchpin is the one piece of wood or metal stuck in the end of the wheel axle that keeps the whole dang wheel from falling off!!
    2. What’s the ONE thing that they MUST know – the one thing that…if they didn’t get it, the whole thing would fall apart.
      1. For example – to understand Heart Failure, you MUST understand that it is pump failure – so blood stops flowing forward and backs up in the system.
      2. If you don’t understand this – nothing else will make sense.
    3. Once you’ve identified that linchpin – build your lesson around it, just like spokes on a wagon wheel.
  2. Provide connections
    1. If learners don’t make connections and understand things in context, they won’t retain it!
    2. Our goal is to help the material they have learned make sense in a way that they will be able to recall it later
      1. Not just recall it – understand it, explain it, and apply it.
    3. Make connections between the pathophysiology and the symptoms.
      1. The symptoms and medications.
      2. The treatment and the pathophysiology.
      3. The condition and real life.
      4. All of it.

Assessment

  1. Now that you’ve gone through the training on this concept, head to THIS LINK to find out how well you can make your own linchpins!

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Transcript

Okay! So, let’s talk about Core Tenet #2 of the Core Content Mastery Method. This involves Linchpins and Connections. This brings in our big goal of helping to make the content click and helping to reduce content overwhelm.

First, I want to make sure you understand what we mean when we say “Linchpins”. A linchpin is this one little piece of metal or wood that sticks into the end of an axle and literally keeps the entire wheel from falling off. So…when we look at teaching and learning – the linchpin is that one piece of information that holds the whole concept together. It’s the ONE THING they MUST understand. If they don’t understand it, the whole topic will fall apart.

So, the goal in using linchpins is that learners would gain a true understanding of the concept and really retain the information. SO…before you start to develop a lesson or any content, you need to determine what the linchpin is! What’s the ONE thing that they MUST know in order to keep the whole thing from falling apart. So, let’s think about heart failure. I want you to pause this video and think of the ONE thing that students have to understand about heart failure in order to get the rest of it. Okay – got it? So…the linchpin for heart failure would be that the heart is a pump, therefore heart failure equals pump failure, meaning blood can’t get forward where it’s supposed to go and starts to back up like a clogged pipe. If they can get this concept, the rest of the concepts will fall into place. On the other hand – if they DON’T get this concept – there’s NO way they can understand the pathophysiology, the symptoms and presentation, the meds. None of it will make sense without this key concept. So – identify the linchpin and then build the rest of your lesson around it!

We also want to make connections within the content – Watkins & Mortimore said “Unless learners are building up their understanding of situations – through understanding the variations between them – knowledge learned in one context is unlikely to pass to any other.” In other words – if learners can’t make connections and see relationships between the different concepts, they are not likely to be able to recall any of it later. So we want to help the material make sense in a way that they will be able to retain it and recall it later!

But not just recall – recall alone isn’t enough for competent and confident practice. We also want them to truly understand it, be able to explain it back to us or to a peer, and to be able to apply it in a real clinical environment.

So make those connections! Between the disease process and its pathophysiology, between the patho and symptoms, the meds and the patho, meds and symptoms, and between all of these things and what you’ve actually seen in a real life patient! All of these things can help students see the big picture and truly understand what this disease process or topic means to a patient.

So, let’s recap – First, find the linchpin – the one thing they MUST understand to understand the topic. Build your lesson around that, like spokes on a wagon wheel. Make connections between the different concepts and put the situation in context, especially if it can be applied in multiple contexts. And remember that the whole goal is to make everything click so learners can recall it, understand it, explain it, and apply it!

Be sure to check out the mnemonic attached to this lesson to help you know how to identify the Linchpins and the most important information. And keep progressing through this module to learn about Core Tenet #3 and #4. With that said, go out and be your best self today. Happy nursing!

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Kims

Concepts Covered:

  • Cardiovascular
  • Circulatory System
  • Gastrointestinal
  • Renal
  • Respiratory Disorders
  • Cardiac Disorders
  • Acute & Chronic Renal Disorders
  • Disorders of the Adrenal Gland
  • Disorders of the Thyroid & Parathyroid Glands
  • Labor Complications
  • Substance Abuse Disorders
  • Oncology Disorders
  • Central Nervous System Disorders – Brain
  • Hematologic Disorders
  • Emergency Care of the Cardiac Patient
  • Studying
  • Urinary System
  • Pregnancy Risks
  • Cardiovascular Disorders
  • Shock
  • Shock
  • Noninfectious Respiratory Disorder
  • Liver & Gallbladder Disorders
  • Renal Disorders
  • Basics of NCLEX
  • Endocrine and Metabolic Disorders
  • Medication Administration
  • Vascular Disorders
  • Disorders of Thermoregulation
  • Disorders of Pancreas
  • Eating Disorders
  • Concepts of Population Health
  • Factors Influencing Community Health
  • Respiratory Emergencies
  • Sexually Transmitted Infections
  • Immunological Disorders
  • Integumentary Disorders
  • Peripheral Nervous System Disorders
  • Gastrointestinal Disorders
  • Upper GI Disorders
  • Infectious Respiratory Disorder
  • Musculoskeletal Disorders
  • Developmental Considerations
  • Trauma-Stress Disorders
  • Pediatric
  • Note Taking
  • Neurological Emergencies

Study Plan Lessons

02.03 Swan-Ganz Catheters for CCRN Review
02.04 Pulmonary Artery Wedge Pressure (PAWP) for CCRN Review
06.01 Organ Failure, Dysfunction & Trauma for CCRN Review
09.01 Acute Renal Failure Overview for CCRN Review
09.02 Acute Tubular Necrosis for CCRN Review
09.05 Chronic Renal Failure for CCRN Review
ABGs Nursing Normal Lab Values
ACE (angiotensin-converting enzyme) Inhibitors
Acute Coronary Syndromes (MI-ST and Non ST, Unstable Angina) for Progressive Care Certified Nurse (PCCN)
Acute Inflammatory Disease (Myocarditis, Endocarditis, Pericarditis) for Progressive Care Certified Nurse (PCCN)
Acute Kidney Injury Case Study (60 min)
Adrenal and Thyroid Disorder Emergencies for Certified Emergency Nursing (CEN)
Adult Vital Signs (VS)
Albumin Lab Values
Alkaline Phosphatase (ALK PHOS) Lab Values
Amitriptyline (Elavil) Nursing Considerations
Anemia for Progressive Care Certified Nurse (PCCN)
Angiotensin Receptor Blockers
Atrial Dysrhythmias for Progressive Care Certified Nurse (PCCN)
AV Blocks Dysrhythmias for Progressive Care Certified Nurse (PCCN)
Backwards and Forwards
Blood Urea Nitrogen (BUN) Lab Values
Brain Natriuretic Peptide (BNP) Lab Values
Calcium and Magnesium Imbalance for Certified Emergency Nursing (CEN)
Cardiac (Heart) Disease in Pregnancy
Cardiac Course Introduction
Cardiac Glycosides
Cardiac Surgery (Post-ICU Care) for Progressive Care Certified Nurse (PCCN)
Cardiogenic Shock and Obstructive Shock for Certified Emergency Nursing (CEN)
Cardiogenic Shock For PCCN for Progressive Care Certified Nurse (PCCN)
Cardiomyopathies (Dilated, Hypertrophic, Restrictive) for Progressive Care Certified Nurse (PCCN)
Cardiopulmonary Arrest for Certified Emergency Nursing (CEN)
Causes of Dyspnea Nursing Mnemonic (The 6 P’s)
Chronic Kidney Disease (CKD) Case Study (45 min)
Cirrhosis Case Study (45 min)
Congenital Heart Defects (CHD)
Congestive Heart Failure (CHF) Labs
Congestive Heart Failure Concept Map
COPD Exacerbation for Progressive Care Certified Nurse (PCCN)
Coumarins
Creatinine (Cr) Lab Values
Creatinine Clearance Lab Values
Critical Thinking
Defects of Decreased Pulmonary Blood Flow
Defects of Increased Pulmonary Blood Flow
Disease Specific Medications
Diuretics (Loop, Potassium Sparing, Thiazide, Furosemide/Lasix)
Dobutamine (Dobutrex) Nursing Considerations
Dysrhythmias for Certified Emergency Nursing (CEN)
Dysrhythmias Labs
Endocarditis for Certified Emergency Nursing (CEN)
Erythrocyte Sedimentation Rate (ESR) Lab Values
Fluid Volume Deficit
Fluid Volume Overload
Heart (Cardiac) and Great Vessels Assessment
Heart (Cardiac) Failure Module Intro
Heart (Cardiac) Failure Therapeutic Management
Heart (Cardiac) Sound Locations and Auscultation
Heart (Heart) Failure Exacerbation
Heart Failure – Live Tutoring Archive
Heart Failure – Right Sided Nursing Mnemonic (HEAD)
Heart Failure (Acute Exacerbations, Chronic) for Progressive Care Certified Nurse (PCCN)
Heart Failure 2 – Live Tutoring Archive
Heart Failure Case Study (45 min)
Heart Failure for Certified Emergency Nursing (CEN)
Heart Failure-Left-Sided Nursing Mnemonic (CHOP)
Heart Failure-Origin Nursing Mnemonic (Left – Lung|Right – Rest)
Hepatic Disorders (Cirrhosis, Hepatitis, Portal Hypertension) for Progressive Care Certified Nurse (PCCN)
Hydralazine
Hyperkalemia – Causes Nursing Mnemonic (MACHINE)
Hypertension (Uncontrolled) and Hypertensive Crisis for Progressive Care Certified Nurse (PCCN)
Hypertension- Complications Nursing Mnemonic (The 4 C’s)
Hypertensive Emergency
Hyperthermia (Thermoregulation)
Hypertonic Solutions (IV solutions)
Hypoglycemia for Progressive Care Certified Nurse (PCCN)
Isotonic Solutions (IV solutions)
Magnesium-Mg (Hypomagnesemia, Hypermagnesemia)
Malnutrition (Failure to Thrive, Malabsorption Disorders) for Progressive Care Certified Nurse (PCCN)
Metoprolol (Toprol XL) Nursing Considerations
Minimally-Invasive Cardiac Surgery (Non-Sternal Approach) for Progressive Care Certified Nurse (PCCN)
Mixed (Cardiac) Heart Defects
Myocardial Infarction (MI) Case Study (45 min)
Nitro Compounds
Nitroglycerin (Nitrostat) Nursing Considerations
NSAIDs
Nursing Care and Pathophysiology for Cardiogenic Shock
Nursing Care and Pathophysiology for Cardiomyopathy
Nursing Care and Pathophysiology for Cushings Syndrome
Nursing Care and Pathophysiology for Heart Failure (CHF)
Nursing Care and Pathophysiology for Pulmonary Edema
Nursing Care and Pathophysiology for Pulmonary Embolism
Nursing Care and Pathophysiology for Rhabdomyolysis
Nursing Care and Pathophysiology for SIRS & MODS
Nursing Care and Pathophysiology for Syphilis (STI)
Nursing Care and Pathophysiology of Acute Kidney (Renal) Injury (AKI)
Nursing Care and Pathophysiology of Chronic Kidney (Renal) Disease (CKD)
Nursing Care and Pathophysiology of Endocarditis and Pericarditis
Nursing Care and Pathophysiology of Hypertension (HTN)
Nursing Care Plan (NCP) for Abruptio Placentae / Placental abruption
Nursing Care Plan (NCP) for Activity Intolerance
Nursing Care Plan (NCP) for Acute Kidney Injury
Nursing Care Plan (NCP) for Acute Respiratory Distress Syndrome
Nursing Care Plan (NCP) for Anaphylaxis
Nursing Care Plan (NCP) for Angina
Nursing Care Plan (NCP) for Atrial Fibrillation (AFib)
Nursing Care Plan (NCP) for Blunt Chest Trauma
Nursing Care Plan (NCP) for Bronchiolitis / Respiratory Syncytial Virus (RSV)
Nursing Care Plan (NCP) for Burn Injury (First, Second, Third degree)
Nursing Care Plan (NCP) for Cardiogenic Shock
Nursing Care Plan (NCP) for Cardiomyopathy
Nursing Care Plan (NCP) for Chronic Kidney Disease
Nursing Care Plan (NCP) for Chronic Obstructive Pulmonary Disease (COPD)
Nursing Care Plan (NCP) for Congenital Heart Defects
Nursing Care Plan (NCP) for Congestive Heart Failure (CHF)
Nursing Care Plan (NCP) for Decreased Cardiac Output
Nursing Care Plan (NCP) for Diabetic Ketoacidosis (DKA)
Nursing Care Plan (NCP) for Disseminated Intravascular Coagulation (DIC)
Nursing Care Plan (NCP) for Ectopic Pregnancy
Nursing Care Plan (NCP) for Encephalopathy
Nursing Care Plan (NCP) for Endocarditis
Nursing Care Plan (NCP) for Epiglottitis
Nursing Care Plan (NCP) for Guillain-Barre
Nursing Care Plan (NCP) for Heart Valve Disorders
Nursing Care Plan (NCP) for Hyperosmolar Hyperglycemic Nonketotic Syndrome (HHNS)
Nursing Care Plan (NCP) for Hypertension (HTN)
Nursing Care Plan (NCP) for Hypovolemic Shock
Nursing Care Plan (NCP) for Impaired Gas Exchange
Nursing Care Plan (NCP) for Imperforate Anus
Nursing Care Plan (NCP) for Myocardial Infarction (MI)
Nursing Care Plan (NCP) for Omphalocele
Nursing Care Plan (NCP) for Pancreatitis
Nursing Care Plan (NCP) for Pericarditis
Nursing Care Plan (NCP) for Pneumonia
Nursing Care Plan (NCP) for Pulmonary Embolism
Nursing Care Plan (NCP) for Respiratory Failure
Nursing Care Plan (NCP) for Rheumatic Fever
Nursing Care Plan (NCP) for Risk for Fall
Nursing Care Plan (NCP) for Sepsis
Nursing Care Plan (NCP) for Syncope (Fainting)
Nursing Care Plan (NCP) for Systemic Lupus Erythematosus (SLE)
Nursing Care Plan (NCP) for Thoracentesis (Procedure)
Nursing Care Plan (NCP) for Thrombophlebitis / Deep Vein Thrombosis (DVT)
Nursing Care Plan for Coronary Artery Disease (CAD)
Nursing Care Plan for Distributive Shock
Nursing Care Plan for Myocarditis
Nursing Care Plan for Pulmonary Edema
Nursing Case Study for Acute Kidney Injury
Nursing Case Study for Cardiogenic Shock
Nutrition (Diet) in Disease
Obstructive Heart (Cardiac) Defects
Palliative Care for Progressive Care Certified Nurse (PCCN)
Pediatric Advanced Life Support (PALS)
Peritoneal Dialysis (PD)
Pleural Effusion for Certified Emergency Nursing (CEN)
Pleural Space Complications (Pneumothorax, Hemothorax, Pleural Effusion, Empyema, Chylothorax) for Progressive Care Certified Nurse (PCCN)
Potassium-K (Hyperkalemia, Hypokalemia)
Preeclampsia, Eclampsia, and HELLP Syndrome for Certified Emergency Nursing (CEN)
Preload and Afterload
Pulmonary Hypertension for Certified Emergency Nursing (CEN)
Renin Angiotensin Aldosterone System (RAAS)
Resources for Lesson Creation
Restrictive Lung Diseases (Pulmonary Fibrosis, Neuromuscular Disorders)
Rheumatic Fever
Shock States (Anaphylactic, Hypovolemic) For PCCN for Progressive Care Certified Nurse (PCCN)
Sodium and Potassium Imbalance for Certified Emergency Nursing (CEN)
Specialty Diets (Nutrition)
Start and End with the Linchpin
Stroke Concept Map
Sympatholytics (Alpha & Beta Blockers)
Sympathomimetics (Alpha (Clonodine) & Beta (Albuterol) Agonists)
Tenet 2 Linchpins & Connections