ncm 104 syllabus -neptunites

DOŇA REMEDIOS T. ROMUALDEZ MEDICAL FOUNDATIONTACLOBAN CITY

COLLEGE OF NURSINGNEPTUNITES 2017

S.Y. 2015-2016NCM 104

COURSE NAME: CARE OF CLIENTS WITH PROBLEMS IN IMMUNOLOGIC AND INFLAMMATORY RESPONSE, PERCEPTION AND COORDINATION

COURSE DESCRIPTION: The Course deals with the concepts, principles and theories of human behavior and care of the sick client across the lifespan with emphasis on adult and elderly persons, population group experiencing alterations in inflammatory and immunologic responses and perception and coordination in varied settings.

COURSE CREDIT: 5 units lecture: 4 units RLE

CONTACT HOURS/ SEM: 90 LECTURE HOURS/ 204 RLE hours

PREREQUISITE: NCM 103

PLACEMENT: 3RD YEAR, 2ND SEMESTER

COURSE OBJECTIVES:

At the end of the course and given actual clients, population group with problems in immunologic and inflammatory response and perception and coordination, the students shall be able to:

1. Utilize the nursing process in the care of individuals and families in community and hospital settings.a. Assess client’s with his/her/their condition through interview, physical examination, interpretation of

laboratory findings and imaging studies.b. Identify actual and potential nursing diagnosis.c. Plan appropriate nursing interventions with the client/s and family for identified nursing diagnosis.d. Implement plan of care with the client/s and family.e. Evaluate the progress of his/her/their condition and outcome of care.

2. Apply knowledge, understanding and skills in immunologic and inflammatory and perception and coordination in providing safe and quality care of the clients.

3. Increase self-awareness and therapeutic use of self in the care of clients.4. Ensure a well-organized and accurate documentation system.5. Relate with client/s and their family and the health team appropriately.6. Observe bioethical concepts/principles, core values and nursing standards in the care of the client.7. Promote personal and professional growth of self and others.

INTERMEDIATE COMPETENCIES TOPIC DATE INSTRUCTORGiven an adult and elderly person, population group withAlterations in Inflammatory and Immunologic Response , thestudents willbe able to:

1. Explain the concept of Communicable Diseases.

2. Describe the factors involved in the chain of communicable disease transmission.

3. Identify the different levels of disease prevention.

4. Apply the different methods of communicable diseases.

I. ALTERATIONS IN INFLAMMATORY AND IMMUNOLOGIC RESPONSE

A. Introduction to Communicable DiseasesB. Definition of Communicable DiseaseC. Types of Communicable DiseasesD. Factors responsible in the transmission

of diseasesE. Chain of infectionF. Stages of communicable diseaseG. Patterns of disease distributionH. Risk of HospitalizationI. Preventing and Controlling Infection

a. Immunization Programb. Infection Control in the Hospitalc. Infection Control in Long term

facilities

Dec. 3-4

9:30-12:00

MRS. ALFONSO

INTERMEDIATE COMPETENCIES TOPIC DATE INSTRUCTOR

1. Identify client's needs and problems based on history, physical assessment and diagnostic exams.

2. Prepare client for diagnostic examination.

3. Identify factors that predispose/ precipitate to the developmentof inflammatory reactions

a. Assess client's needs/problems based on history, physical exam and diagnosticexam

b. Prioritize needsc. Plan personalized

nursing care on a short-long term basis

4. Incorporate preventive, promotive and rehabilitative aspect of patient care

d. Infection Control in Community based settings

J. Risk factors and screening procedures among clients that continues the development of problems in inflammatory and immunologic reactions

K. Significant and subjective data from client’s relevant information based on chief complaints, functional pattern including psychosocial and behavioral assessment.

L. Principles and techniques of physical examination in newborn, children and adults and deviations from normal.

a. Inspection: color, lesions, massesb. Palpation: turgor, tenderness,

masses, temperaturec. Percussiond. Palpation

M. Laboratory and Imaging studies:a. Non-invasive: Urinalysis, culture

and sensitivity, gram staining, X-rays

b. Invasive: CBC, anti-streptolysin, biopsy, blood chemistry, CSF analysis, ELISA, Test for emerging infections

II. INFLAMMATORY REACTIONS

1. BACTERIAL CONDITIONSa. Bacillary Dysenteryb. Typhoid Feverc. Botulismd. Diptheriae. Pertussisf. Tuberculosisg. Pneumoniah. Meningococcemiai. Leprosyj. Anthraxk. Meningitis

2. Viral Diseasesa. Chickenpoxb. German Measlesc. Herpes Simplexd. Herpes Zostere. Coryzaf. Influenzag. Measlesh. Mumpsi. Hepatitisj. Poliomyelitisk. Infectious Mononucleosisl. Encephalitis/Meningitism. Rabiesn. Tetanus

o. Ebola

CHRISTMAS BREAK

Dec. 10-119:30-12:00

*Dec. 16 (Wed)

1:00- 3:30

Dec. 17,189:30-12:00

Dec. 20- Jan.3

MRS. ALFONSO

MRS. MAGNO









3. Parasitic DisordersA. HELMINTHIASIS

a. Ascariasisb. Ancylostomiasisc. Clonochiasisd. Enterobiasise. Fasciolopsiasisf. Paragonimiasisg. Strongyloidiasish. Taeniasisi. Trichinosisj. Trichiuriasis

B. PEDICULOSISa. Scabiesb. Schistosomiasisc. Sexually Transmitted Diseases

Chancoid Chlamydial Infection Gonorrhea HPV Syphillis Trichomoniasis HIV

C. FUNGAL INFECTIONSa. Actinomycosisb. Aspirgillosisc. Blastomycosisd. Coccidiodomycosise. Histoplasmosisf. Mucomycosisg. Nocardosish. Cryptococcosis

D. OTHERSa. Amoebiasisb. Red tide poisoningc. Dermatophytosesd. Candidiasise. Psoriasisf. DHFg. Leptospirosish. Malariai. Filariasisj. SARS

III. IMMUNOLOGIC REACTIONS1. Anaphylaxis: insect sting, latex allergy2. Atopic dermatitis3. Food allergy4. Hypersensitivity disorder5. Bursitis6. Rheumatoid, gouty arthritis7. Spondyloarthritis8. Polymyalgias9. Giant cell arthritis

*Jan. 6 (Wed)

1:00- 3:30

Jan. 7, 8 9:30-12:00

*Jan. 13 (Wed)

1:00- 3:30

Jan. 14,159:30-12:00

*Jan. 20 (Wed)

1:00- 3:30

Jan. 219:30-12:00

MRS. ALFONSO

MRS. DE ASIS

MRS. DE ASIS









10. Graft vs Host Disease11. Mixed connective tissue disease12. Fibromyalgia syndrome13. Idiopathic inflammatory myopathy14. Lyme disease15. SLE16. HIV/AIDS17. Systemic Sclerosis18. Vasculitis

IV. Nursing Diagnosis1. Impaired Skin Integrity2. Activity Intolerance3. Potential for infection4. Disturbances in self-concept5. Ineffective family coping6. Social Isolation

V. Developing Outcomes of Care

VI. Clinical Management1. Determination and management of care2. Drug therapy3. Prevention of infection4. Supportive management5. Prevention of complication6. Rehabilitation

VII. Pharmacology1. Antibiotics2. Antifungal3. Anticholinergic4. Adrenergic agents5. Antihistamine6. Antiinflammatory7. Corticosteroids8. Deworming agents9. Immunologic agents10. Keratolytics

VIII. Purposes, Indications, and Nursing Responsibilities in the following surgical and special procedures:

1. Surgical Procedures: Debridement, incision and drainage, excision, biopsy, grafting

2. Special Procedures: universal precautions, reverse isolation, medical asepsis, surgical asepsis

IX. Decision making and prioritization in the care of clients with inflammatory and immunologic disordersX. Application of bioethical principles in the client careXI. Discharge planning and health education

Jan. 229:30-12:00

*Jan. 27 (Wed)

1:00- 3:30

MRS. ALFONSO

INTERMEDIATE COMPETENCIES TOPIC DATE INSTRUCTORGiven an adult client withresponses to AlteredNeurologic Function, thestudents willbe able to:



3. Identify factors that predispose/ precipitate to the developmentof disturbances in perception and coordination:a. Assess client's needs/problems based on history, physical exam and diagnosticexamb. Prioritize needsc. Plan personalized nursing care on a short-long term basis

4. ncorporatepreventive, promotive and rehabilitativeaspect of patient care

5. CommunicateRelevant informationConcerning pharmacodynamics of drugs to clients and significant others

II. ALTERATIONS IN PERCEPTION AND COORDINATION

1. Risk factors assessment and screening procedures

2. Significant objective data from the client, relevant information based on the client’s chief complaint, functional pattern including psychosocial and behavioral assessment.

3. Principles and techniques of physical examination in newborns, children and adults and deviation from normal in perception and coordination.

a. NEUROLOGIC ASSESSMENT: Inspection: LOC, hearing, sight,

pupillary changes, gait, posture, ADL, muscle strength, discharges

Palpation: pain, tenderness, presence of mass, fasciculations, crepitations, grating

Percussion: reflexesb. Visual and Auditory Assessment Inspection: hearing, sight

pupillary changes, discharges, bleeding

Palpation: pain, tenderness, mass, lesions

c. Locomotion Assessment: Inspection: posture, gait, ADL,

swelling, atrophy, deformity, muscle strength

Palpation: pain, tenderness, deformities of joints, muscle size and strength, crepitation on movement of joints, presence of subcutaneous nodules, turgor, tenderness, masses, temperature

A. NEUROLOGIC DISTURBANCES:1. Overview of Anatomy and Physiology

of the organ involved2. AV Malformations3. Bell’s Palsy4. Brain Disorders5. Comatose/Confused clients6. Guillaine-Barre’ Syndrome7. Headache and pain8. Lou-Gehrig’s- amyotrophic lateral

sclerosis9. Multiple Sclerosis

10. Myasthenia Gravis11. Seizure disorders/ epilepsy12. Stroke/ CVA13. Subarachnoid hemorrhage14. Brain and spinal cord injuries15. Ruptured discs16. Infectious disease:

Meningitis/encephalitis

Jan. 28, 299:30-12:00

*Feb. 3 (Wed)

1:00- 3:30

Feb. 4, 59:30- 12:00

MRS. MAGNO

MRS. DE ASIS




3. Identify factors that predispose/ precipitate to the developmentof disturbances in perception and coordination:


b. Prioritize needsc. Plan personalized nursing care on a short-long term basis

5. Incorporatepreventive, promotive and rehabilitativeaspect of patient care


MIDTERM EXAMB. Visual Disturbance

1. Overview: Anatomy and Physiology of the organ involved

2. Glaucoma3. Cataracts4. Retinal disorders

a. Detachmentb. Central artery/vein occlusionc. Macular degenerationd. Retinitise. Diabetic retinopathy

5. Corneal disorders and uveal tracta. Keratitisb. Irits/Uveitis

6. Eyelid and conjunctiva disordersa. Entropionb. Ectropionc. Ptosisd. Lagopthalmose. Blepharitisf. Hordeolum/chalaziong. Conjunctivitis

7. Eye traumaa. Blunt contusionsb. Hyphemac. Orbital fractured. Foreign bodye. Lacerations and perforationsf. Ruptured globeg. Burns

8. Refractive disorders

C. HEARING AND BALANCE DISORDERS1. Overview: Anatomy and Physiology

of the organ involved2. Hearing impairment/loss3. Otalgia4. Balance disorder5. Meniere’s disease6. Vertigo7. Labyrynthitis8. Foreign body9. Otitis media/externa:acute/chronic10. Other hearing disorders

D. LOCOMOTIVE DISORDERS1. Overview: Anatomy and Physiology

of the organ involved2. Peripheral nervous system disorders3. Degenerative disorders

a. Osteoarthritisb. Muscular dystrophy

4. Traumatic injuriesa. Contusions, strains, sprainsb. Traumatic joint injuriesc. Knee injuriesd. Fractures: Hip, pelvic, patellar,

tibial, foote. Tendinitis

Feb. 12-13

Feb. 18, 199:30-12:00

*Feb. 24 (Wed)

1:00- 3:30 (In lieu of Feb. 25-EDSA)

Feb. 269:30-12:00

*Mar. 2 (Wed)

1:00-3:30

Mar 39:30-12:00

MRS. ALFONSO

MRS. MAGNO

MRS. MAGNO

INTERMEDIATE COMPETENCIES

TOPIC DATE INSTRUCTOR



3. Identify factors that predispose/ precipitate to the developmentof disturbances in perception and coordination:




4. Incorporatepreventive, promotive and rehabilitativeaspect of patient care


f. Plantar fasciitisg. Carpal tunnel syndromeh. Bursitisi. Epicondylitis

5. Metabolic Bone Disordersa. Gouty arthritisb. Wernicke’s disease/ Wernicke-Korsakoff

syndromec. Osteoporosisd. Piaget’s disease/osteitis deformanse. Osteomalacia

PSYCHIATRIC AFFILIATION

6. Structural deformitiesa. Scoliosis, kyphosis, lordosisb. Hallux valgusc. Talipesd. Low back paine. Hammer toe

7. Infectious Disordersa. Osteomyelitisb. Septic arthritisc. Pott’s disease/ spondylitis

8. Autoimmune disordersa. Rheumatoid arthritisb. Reactive arthritis/ Reiter’s syndromec. SLEd. Polymyositise. Lyme disease

9. Connective Tissue Disordersa. Systemic sclerosis/ sclerodermab. Fibromyalgia

10. Bone Tumorsa. Osteochondromab. Giant cell tumorc. Chondrosarcomad. Osteosarcomae. Fibrosarcomaf. Kawasaki syndrome/polyarthritis

syndrome

FINAL EXAMINATION

Mar. 49:30-12:00

March 7- 18

*Mar. 30 (Wed)

1:00-3:30 (In lieu of Mar 24-

Maunday Thursday)

Mar. 31, Ap 1

9:30-12:00

April 7,89:30-12:00

April 11-12

MRS. DE ASIS

MRS. ALFONSO

MRS. DE ASIS

TOTAL OF 90 hrs ( 5 hrs per week except those where * (Wednesday Classes – 1:00 to 3:30) is indicated to complete the total number of hours [ 90 hours] in 18 weeks. )

Guide for lecture:All concepts shall be discussed utilizing the following framework:1. Risk factors assessment and screening procedures.2. Significant subjective data.3. Principles and techniques in physical examination.4. Results and implications of diagnostic testing.5. Pathophysiologic mechanisms.6. Nursing diagnosis taxonomy.7. Developing outcomes of patient care.8. Principles of management.9. Pharmacologic management.10. Purpose, indications, nursing responsibilities for surgical and special procedures.11. Steps/pointers in decision making.12. Application of bioethics.13. Discharge planning and health education.14. Accurate recording and documentation.

REFERENCES:

1. Black, B. L and Hawks, I.H: Medical and Surgical Nursing, 8th ed. Pearson Prentice Hall 20082. Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 10th ed. 3. Bullock, B.L: Pathophysiology: Adaptation and Alteration in Functions4. Burton, G. and Engelkirk, P. : Microbiology for Health Sciences 7th ed. LWW 20045. Hawker, et al: Communicable Disease Control Handbook 2nd ed. 20016. Kluwer, W. : Multisystem Disorders LWW 20087. Kluwer, W. : Nursing Deciphering Diagnostic tests LWW 20088. Lemone, P. and Burke, K. Medical Surgical Nursing: Critical Thinking in Client Care 3 rd ed. Pearson Prentice Hall

20049. Navales, D.: Handbook in Communicable and Infectious Diseases 3rd ed. 201010. Nettina, S: Lippincott Manual of Nursing Practice LWW 2006

PREPARED BY: APPROVED BY:

MS. LOURADEL ULBATA-ALFONSO, MAN, RN DR. SOCORRO S. GASCO, RN, DMHRM Level III Academic Coordinator Dean, College of Nursing

ncm 104 syllabus -neptunites

Documents