This course is an extension of GNRS 579A and involves application of biological, psychosocial, and spiritual consepts to adult and elderly clients experiencing the stress of an acute or chronic alteration in physical health. Specific concepts of gerontology, pre- and post-operative/surgical care, gastroenterology, oncology, and ostomies are discussed related to the medical/surgical setting. Nursing process is utilized to provide care to three or four adult clients within the health care delivery system of an acute hospital. Prerequisite: Successful completion of GNRS 579A