This course will focus on nursing care and the application of the nursing process in the care of the adult experiencing selected pathophysiological processes affecting body regulatory mechanisms. This course builds upon basic nursing knowledge and skills established during the first year of the program. Opportunities to apply theoretical concepts and perform nursing skills specific to adult clients are provided through faculty guided learning experiences to include:  home health/hospice programs, dialysis units, as well as direct bedside nursing care.  Training facilities utilized include but are not limited to:  the Medical/Surgical units at Rapid City Regional Hospital, Chadron, NE, and at the Pine Ridge Indian Health Services Hospital of Pine Ridge, SD.