Course Syllabus

 

NCMB 312: CARE OF CLIENTS WITH PROBLEMS IN OXYGENATION, FLUID & ELECTROLYTES, INFECTIOUS, INFLAMMATORY, AND IMMUNOLOGIC RESPONSE, CELLULAR ABERRATIONS, ACUTE AND CHRONIC.

Course Credit: 8 UNITS LECTURE

Independent Study: 61 hours

Placement: 3RD YEAR FIRST SEMESTER

Pre-requisites: CHNN 211, NCMA 217, NCMA 218, NCMA 219

Program Outcomes:

  1. Apply knowledge of physical, social, natural and health sciences, and humanities in the practice of nursing.
  2. Provide safe, appropriate, and holistic care to individuals, families, population groups, and communities utilizing the nursing process.
  3. Apply guidelines and principles of evidence-based practice in the delivery of care.
  4. Practice nursing by existing laws, legal, ethical and moral principles and standards.
  5. Communicate effectively in speaking, writing, and presenting using culturally appropriate language.
  6. Document to include reporting up-to-date client care accurately and comprehensively.
  7. Work effectively in collaboration with inter-, intra-, and multi-disciplinary and multi-cultural teams.
  8. Practice beginning management and leadership skills in the delivery of client care using a systems approach.
  9. Conduct research with an experienced researcher.
  10. Engage in lifelong learning with a passion to keep current with local, national, and global developments in general, particularly nursing and health developments.
  11. Demonstrate responsible citizenship and pride in being a Filipino.
  12. Apply techno-intelligent care systems and processes in health care delivery.
  13. Uphold the nursing core values in the practice of the profession.
  1. Apply entrepreneurial skills in the delivery of nursing care.
  2. Apply the institutional core values (A.C.H.I.E.V.E.R.)

 

Level Outcomes: Given groups of clients, individuals, families, population groups, and communities with problems in oxygenation, fluid and electrolytes, infectious, inflammatory and immunologic response and cellular aberrations, acute and chronic, the learners demonstrate safe, appropriate, and holistic care utilizing the nursing process, evidence-based practice and research process.

Course outcomes: Given actual clients in the hospital setting, the level III students will be able to:

  1. Apply knowledge of physical, social, natural, and health sciences, and humanities in the nursing care of at-risk and sick adult clients with problems in oxygenation, fluid, and electrolytes, infectious, inflammatory, and immunologic response, cellular aberrations, acute and chronic.
  2. Provide safe, appropriate, and holistic care to at-risk and sick adult clients with problems in oxygenation, fluid and electrolytes, infectious, inflammatory and immunologic response, cellular aberrations, acute and chronic utilizing the nursing process.
  3. Apply guidelines and principles of evidence-based practice in the delivery of care.
  4. Practice nursing by existing laws, legal, ethical and moral principles and standards.
  5. Communicate effectively in speaking, writing, and presenting using culturally appropriate language.
  6. Document to include reporting up-to-date client care accurately and comprehensively.
  7. Work effectively in collaboration with inter-, intra-, and multi-disciplinary and multi-cultural teams.
  8. Practice beginning management and leadership skills in the delivery of client care using a systems approach.
  9. Conduct research with an experienced researcher.
  10. Engage in lifelong learning with a passion to keep current with local, national, and global developments in general, particularly nursing and health developments.
  11. Demonstrate responsible citizenship and pride in being a Filipino.
  12. Apply techno-intelligent care systems and processes in health care delivery.
  13. Uphold the nursing core values in the practice of the profession.
  1. Apply entrepreneurial skills in the delivery of nursing care.
  2. Apply the institutional core values (A.C.H.I.E.V.E.R.)

WEEK 1

OXYGENATION

I. Disturbances in Pump Mechanism

  • Infectious/ Inflammatory Disorder secondary to Pericarditis; Endocarditis; RHD
  • CHF
  • Pulmonary Edema

 

WEEK 2

  • Coronary Artery Diseases: Atherosclerosis;  Angina;  Myocardial infarction

 

WEEK 3

II. Disturbances in Oxygenation Exchange and utilization

A. Obstructive Lung Disease

  1. Foreign Body
  2. Inflammatory e.g. asthma
  1. COPD
  • Chronic Bronchitis
  • Emphysema

WEEK 4

B. Restrictive Lung Disease

  1. Infection/Inflammatory condition

               e.g. Pneumonia, PTB

2. Pneumothorax

3. Chest Trauma

4. Lack of Respiratory drive

 CNS Disease

  • CNS Depressants
  • Muscular Weakness secondary to MG, GBS

WEEK 5

III. Disturbances in Oxygen-carrying Mechanism

  • Iron Deficiency Anemia, Vitamin B deficiency, Aplastic Anemia, etc
  • Coagulation Problems e.g. ITP, DIC, Platelet
  • Abnormalities, Blood vessel disruption
  • Vascular Disorders HPN, Aneurysm, DVT, Varicosities

 

WEEK 6: PRELIMINARY EXAM

 

WEEK 7

I. Fluids & Electrolytes

A. Regulatory Mechanisms

B. Fluid Imbalances

  • Hypervolemia
  • Hypovolemia
  • Third Space Edema

 

WEEK 8

C. Electrolytes Imbalances

  • Hypo- & Hypernatremia
  • Hypo- & Hyperkalemia
  • Hypo- & Hypercalcemia
  • Hypo- & Hypermagnesemia
  • Hypo- & Hyperphosphatemia

D. Acid-Base Imbalances

  • Respiratory Acidosis
  • Respiratory Alkalosis
  • Metabolic Acidosis
  • Metabolic Alkalosis

 

WEEK 9

E. Burn Injuries

F. Renal Disorders

  • Pyelonephritis
  • Glomerulonephritis
  • Renal calculi
  • Renal failure

WEEK 10

  1. Definition and other terminologies in Communicable Disease Nursing.
  2. Types of communicable disease
  3. Types of infection according to:
  4. Classification of infectious disease
  5. Types of infection
  6. Patterns of infection
  7. Chain of infection
  8. Definitions of Terms
  9. Immunology
  10. Immunity
  11. Susceptibility
  12. Antibodies
  13. Antigen
  14. Basic immunology
  • Types of immunity
  • Terminologies
  • General principles in vaccination

 

WEEK 11

  1. Diseases caused by a virus
  • Viral meningitis
  • Poliomyelitis
  • Hepatitis A
  • Source of infection
  • Period of communicability
  • Incubation period
  • Clinical manifestation
  • Diagnosis
  • Management / Interventions

 

WEEK 12: MIDTERM EXAMINATION

WEEK 13

  1. Diseases caused by bacteria
  • Pneumonia
  • Diphtheria
  • Pertussis
  • Bacterial meningitis
  • Bacterial infectious gastroenteritis
  • Typhoid fever
  • Cholera
  • Source of infection
  • Period of communicability
  • Incubation period
  • Clinical manifestation
  • Diagnosis
  • Management/ Interventions
  1. Diseases caused by parasites
  • Amoebiasis
  • Ascariasis

WEEK 14

  1. Vector-borne Diseases
  • Dengue
  • Malaria
  • Filariasis
  1. Through a break in the skin and mucous membrane
  • Rabies
  • Tetanus
  • Leptospirosis
  • Schistosomiasis
  1. Diseases acquired through inoculation of the mucous membrane
  • Gonorrhea
  • Syphilis
  • Chlamydia
  1. Diseases acquired through inoculation of the mucous membrane
  • AIDS
  • Hepatitis B, C and D

WEEK 15

  1. Concept Overview of Oncologic Cancer
  2. Pathophysiology of Cancer
  3. Prevention of Cancer
  4. Warning Signs
  5. Cancer Screening, Diagnosis, and Treatment
  6. Types of Cancer

a. Cancer of the CNS and Breast

  • Etiology and -Risk Factors
  • Prevention,
  • Screening and Detection
  • Classification
  • Clinical features
  • Diagnosis
  • Staging
  • Management

b. Lung Cancer

  • Etiology and -Risk Factors
  • Prevention,
  • Screening and Detection
  • Classification
  • Clinical features
  • Diagnosis
  • Staging
  • Management

WEEK 16

c. GIT, GUT and Gynecologic Cancers

  • Etiology and -Risk Factors
  • Prevention,
  • Screening and Detection
  • Classification
  • Clinical features
  • Diagnosis
  • Staging
  • Management

WEEK 17

d. Lymphomas, Multiple Myeloma, and Leukemia

  • Etiology and -Risk Factors
  • Prevention,
  • Screening and Detection
  • Classification
  • Clinical features
  • Diagnosis
  • Staging
  • Management

WEEK 18: FINAL EXAMINATION

 

 

Textbook:

Hinkle, J. L., & Cheever, K. H. (2018). Brunner & Suddarth's textbook of the medical-surgical nursing 14th ed., Philadelphia, PA: Wolters and Kluwer.

 

Reference Books:

 

Linton (2020). Medical-Surgical Nursing. 7th ed., ELS

Willis (2018). Medical-Surgical Nursing.6th ed., Wolters Kluwer.Philadelphia PA

Lewis, Bucher,et. al. (2017). Medical-Surgical Nursing: Assessment and Management of Clinical Problems.10th ed., C&E

Itano (2017).  Core Curriculum for Oncology Nursing. 5th ed., ELS

Udan,Josie Quiambao. (2017). Medical-surgical nursing: concepts and clinical applications, 3rd ed.  Manila: APD Educational Pub.

Udan,Josie Quiambao. (2017). Workbook and study guide medical-surgical nursing concepts and clinical  applications, 3rd ed.  Manila: APD Educational Publishing House.   

Jarrell, Bruce E. (2016). NMS Surgery, 6th ed.Philadelphia: Wolters Kluwer.     

Moore (2014). Brunner & Suddarth’s Textbook of Medical-Surgical Nursing. 13th  ed., Wolters Kluwer.Philadelphia PA

VanMeter & Hubert (2014). Gould’s Pathophysiology for the Health Professions. 5th ed.Saunders, an imprint of Elsevier Inc. St. Louis, Missouri

Borromeo, Annabelle R. et.al. (2014). Lewis's Medical-Surgical Nursing: Singapore: Elsevier Mosby. 617.0231 L58 2014, c3

Navales, Dionesia M. (2010). Handbook of Common Communicable and Infectious Disease,  C and E Publishing, Inc. QC.

 

Online References:

 

Agency for Healthcare Quality and Research, www.ahrq.gov

American Association for Respiratory Care, www.aarc.org

American Cancer Society. (2007). Leukemia -Chronic lymphocytic. Available at: www.cancer.org/docroot/CRI/content/CRI_2_4_1X_

American Cancer Society. (2008a). Cancer statistics 2008 presentation. Available at: www.cancer.org/docroot/PRO/content/PRO_1_1_Cancer_Statis-tics_2008_Presentation.asp

American Cancer Society. (2008a). How many people get chronic myeloid leukemia? Available at: www.cancer.org/docroot/CRI/content/CRI_2_2_1x_

American Cancer Society. (2008b). American Cancer Society guidelines for the early detection of cancer. Available at: www.cancer.org/docroot/PED/content/ PED_2_3X_ACS_ Cancer_Detection.

American Cancer Society. (2008c). Cigarette smoking.www.cancer.org/docroot/PED/content/

American CancerSociety. (2008d). Secondhand smoking. www.cancer.org/ docroot/PED/content/ PED_10_2X_Secondhand_smoke_clean_indoor_air.

American College of Chest Physicians, www.chestnet.org

American Heart Association National Center, www.americanheart.org/

American Lung Association, www.lungusa.org

American Thoracic Society, www.thoracic.org

Cancer cells. (2018). Cancer Research UK. Retrieved from https://www.cancerresearchuk.org/about-cancer/what-is-cancer/how-cancer-starts/cancer-cells

Centers for Disease Control and Prevention (CDC), www.cdc.gov/cvh

Chim, C. S., Lie, A. K., Liang, R., et al. (2007). Long-term results of allogeneic bone marrow transplantation for 108 adult patients with acute lymphoblastic leukemia: Favorable outcome with BMT at first remission and HLA-matched unrelated donor. Bone Marrow Transplant, 40(4), 339–347.

Healthy People 2010, www.healthypeople.gov

Heart and Stroke Foundation of Canada, www.heartandstroke.ca

Heartmates, P.O. Box 16202, Minneapolis, MN 55416; 612-558-3331, www.heartmates.com

http://caro.doh.gov.ph/infectious-diseases/www.who.org

https://www.hygiene-solutions.co.uk/education/what-are-the-6-links-in-the-chain-of-infection

Medi-Smart Cardiovascular Nursing Resources http://www.medi-smart.com/ cardiac.htm

National Cancer Institute (NCI). (2008). PDQ: Chemoprevention clinical trials. Available at: www.cancer.gov/search/ResultsClinicalTrials.

National Heart,Lung, and Blood Institute, www.nhlbi.nih.gov

New York Cardiac Center, http://nycardiaccenter.org

Occupational Safety and Health Administration (OSHA), www.osha.gov

PED_10_2X_cigarette_smoking.

Porth, C. M. & Matfin G. (2009). Pathophysiology: Concepts of altered health states (8th ed.). Philadelphia: Lippincott Williams & Wilkins.

Pulmonary Hypertension Association (PHA), www.phassociation.org

Respiratory Nursing Society, www.respiratorynursingsociety.org

World Health Association (WHO), Cardiovascular Disease Information,www.who.int/topics/cardiovascular_diseases/en

www.cdc.govwww.ecdc.europa.eu

www.doh.gov.ph