ncm 104 syllabus -revised
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DOŇA REMEDIOS T. ROMUALDEZ MEDICAL FOUNDATIONTACLOBAN CITY
COLLEGE OF NURSINGMORGANITES 2016
NCM 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 with Alterations in Inflammatory and Immunologic Response , thestudents will be 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
Nov. 13,14
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 development of 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. Tetanuso. Ebola
Nov. 20, 219:30-12:00
Nov. 27*8:00-12:00
Nov. 289:30-12:00
MRS. ALFONSO
MR. ASTILLA
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 development of 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
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
Dec. 49:30-12:00
Dec. 5*8:00-12:00
Dec. 119:30-12:00
Dec. 12*8:00-12:00
Dec. 18, 19, 9:30-12:00
MRS. DE ASIS
MRS. ALFONSO
MRS. DE ASIS
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 development of 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
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 Responsibilites 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. 89:30-12:00
MRS. ALFONSO
INTERMEDIATE COMPETENCIES TOPIC DATE INSTRUCTORGiven an adult client with responses to Altered Neurologic Function, thestudents will be able to:
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 development of 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. ncorporate preventive, promotive and rehabilitativeaspect of patient care
5. Communicate Relevant information Concerning 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
MIDTERM EXAMINATION
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. 99:30-12:00
Jan. 22-24
Jan. 29*8:00-12:00
Jan. 309:30-12:00
Feb.4 (in lieu of
Jan. 15-16-Papal Visit)
1:00-6:00
MRS. DE ASIS
MRS. MAGNO
MRS. DE ASIS
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 development of disturbances in perception and coordination:
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
5. Incorporate preventive, promotive and rehabilitativeaspect of patient care
6. Communicate Relevant information Concerning pharmacodynamics of drugs to clients and significant others
B. Visual Disturbance1. Overview: Anatomy and Physiology
of the organ involved2. 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. 5*8:00-12:00
Feb. 69:30-12:00
Feb. 12*8:00-12:00
Feb. 139:30-12:00
Feb. 19*8:00-12:00
Feb. 209:30-12:00
MRS. MAGNO
MRS. DE ASIS
MRS. MAGNO
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 development of disturbances in perception and coordination:
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 rehabilitativeaspect of patient care
5. Communicate Relevant information Concerning pharmacodynamics of drugs to clients and significant others
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
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
PSYCHIATRIC AFFILIATION
FINAL EXAMINATION
Feb. 26, 279:30-12:00
March 5*8:00-12:00
March 69:30-12:00
March 12*8:00-12:00
March 139:30-12:00
March 16-28
March 30-31
MRS. ALFONSO
MRS. ALFONSO
MRS. DE ASIS
TOTAL OF 90 hrs ( 5 hrs per week except those where * (8am-12nn) is indicated to complete the total number of hours [ 90 hours] in 16 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. : Microbilogy 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, DMHRMAcademic Coordinator Dean, College of Nursing