This course involves application of biological, psychosocial, and spiritual concepts to adult and elderly clients experiencing the stress of an acute or chronic alteration in physical health. Specific concepts of gerontology and development are discussed related to the medical-surgical setting. Nursing process is utilized to provide care to one or two clients within the health care delivery system of an acute hospital, skilled nursing facility, or transitional care unit, and extending to the community. Prerequisites: BIOL 250, BIOL 251, CHEM 111, CHEM 112, CHEM 114, PSYC 290 (or corequisite), UNRS 105 or UNRS 270, UNRS 113, UNRS 220 (or corequisite), and UNRS 260 (or corequisite)