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ATENEO DE DAVAO UNIVERSITY College of Nursing

COURSE SYLLABUS

(2008)

NURSING 106 CARE OF CLIENTS ACROSS THE LIFESPAN WITH PROBLEMS IN INFLAMMATORY AND IMMUNOLOGIC REACTIONS, CELLULAR ABERRATIONS, ACUTE BIOLOGIC CRISIS, INCLUDING EMERGENCY AND DISASTER NURSING AND IV THERAPY

Prepared by:

CID BENEDICT PABALAN, RN MAYCHELLE ANCOG, RN VIRGINCITA BARREDO, RN

Placement: 4 th Year, 1 st Semester

Time Allotment: 144 lecture hours

NCM 106

Course Description: NCM 106 deals with the principles and techniques of nursing care management of sick clients across the lifespan in varied settings, with alterations/problems in inflammatory and immunologic function, cellular aberration, acute biologic crisis, including emergency and disaster nursing IV therapy.

Values to be integrated:

1. Value for life

2. Respect for patients’ rights

3. Value for family support

4. Culture and Gender Sensitivity

5. Respect for all religions

6. Professionalism

7. Genuine nursing care

8. Self-discipline

9. Being sensitive to the feelings of others

D

H

 

Topics

 

Objectives

 

Activities

 

References

 

Evaluation

 

Values

 

A

R

Y

S

           
   

I.

Immunologic/Inflammatory

After

each 3-hour

 

Textbooks:

 

Paper and

The following values shall be incorporated in NCM 106:

 

Reactions

session, the students

 

pen quiz

 

will be able to:

 

Horwitz

 

M.E.

 

(2000).

Stem

cell

A.

Review of the Immune System:

Viewing of a short

transplantation

for

 

1.

Components of the Immune

video

clip

on the

inherited

 

1.

Self-

System Antigens Immune Cells -Major histocompatibility Complex

immune system

immunodeficiency

awareness

 

disorders

   

Enumerate the components of the immune system and define each type

Lecture-discussion

 

2.Value for life

Cotran R.S., Kumar

V.,

Collins

T.

3.

Respect for

 

-Monocytes,

(1999). Pathologic

patients’ rights

 

Macrophages,

and

Dendritic

 

basis

of

diseases

cells

Define cytokines, the

(6 th

ed.,

pp.

195-

4.

Value for

-B lymphocytes -Immunoglobulins -T lymphocytes -Natural Killer Cells 2. The Lymphoid Organs

functions

and

the

216). Philadelphia:

family support

immune

response

W.B. Saunders.

 

process

 

5.

Culture

and

Porth C.M. (2002). Pathophysiology:

Gender

Sensitivity

3.

Cytokines and the Immune

Distinguish the types of immunity

Concepts of Altered Health States (6 th

6.

Respect for all

Response

 

ed., pp. 331-395). Philadelphia:

religions and

 

Lippincott Williams and Wilkins

cultures Websites/URLs: 4. Humoral immunity, cellular 7. immunity, acquired immunity, Identify the different
cultures
Websites/URLs:
4.
Humoral
immunity,
cellular
7.
immunity,
acquired
immunity,
Identify the different
factors that affect the
immune system
Center for Disease
Professionalism
and
active
and
passive
Control
and
immunity.
Prevention,
8.
Genuine
Divisions
of
nursing care
5.
Regulation
of
the
Immune
Differentiate
the
HIV/AIDS
8. Self-discipline
Response
immune system of
individuals across the
life span
prevention-basic
statistics
9.
Being
6.
Transfer of
Immunity
from
www.cdc.gov/hiv/st
mother to Infant
ats.htm
sensitive to the
feelings of others
7.
Immune
Response
in
the
Kimball’s
biology
Elderly
pages:
A
description of T and
B
cells with some
illustrations
http://www.ultranet.
com/~jkimball/Biolo
gyPages/B/B_and_
Tcells.html
National
Institutes
of
Health Web site
on
the
immune
system
http://rex.nci.nih.go
v/PATIENTS/INFO
_TEACHER/books
helf/NIH_immune/in
dex.html
8. The Inflammatory Response Acute Inflammation -Vascular Response -Cellular Response -Acute Phase Response
8. The Inflammatory Response
Acute Inflammation
-Vascular Response
-Cellular Response
-Acute Phase Response
-Inflammatory Mediators
-Inflammatory Exudates
Chronic Inflammation
Differentiate acute
inflammation from
chronic inflammation
B. Significant subjective data from the client
Identify significant data
- family history
that should be obtained
- chief complaints
necessary to be used
Interactive
Role Play
- functional patterns
as the basis of
psychosocial and behavioral assessment
rendering patient care
and management
C. Principles and techniques of physical
examination in all age groups, deviations
from normal
Define
each
type
of
Inspection:
physical examination
Types of skin lesions
technique
Primary lesions:
Demonstrate
proper
1. MACULE
palpation
and
2. PAPULE
inspection techniques
3. NODULE
4. TUMOR
5. PLAQUE
6. VESICLE
7. BULLAE
Distinguish each type
of lesion in terms of
appearance and other
characteristics
8. PUSTULE
9. WHEAL
10. BURROW
11. TELANGIECTASIA
Secondary Lesions: 1. SCALE Paper and 2. CRUST Photo presentation of each pen moving 3.
Secondary Lesions:
1. SCALE
Paper and
2. CRUST
Photo presentation
of each
pen moving
3. ATROPHY
quiz
4.LICHENIFICATION
5. EROSION
6. EXCORIATION
7. FISSURE
8. ULCERATION
9. SCAR
10. ESCHAR
11. KELOIDS
12.PETECHIAE,
PURPURA,
AND
ECCHYMOSES
Palpation:
-Turgor
-Tenderness
-masses
-body temperature
D. Diagnostic tests and Nursing responsibilities A. Non-invasive -Urinalysis -C and S -X-Ray Define each
D.
Diagnostic
tests
and
Nursing
responsibilities
A.
Non-invasive
-Urinalysis
-C and S
-X-Ray
Define each diagnostic
test
Lecture-discussion
Paper and
B.
Invasive
Identify the indications
for each test
Simulation (Lumbar
tap)
pen quiz
-CBC
-Antistreptolysin titer
-Biopsy
-Blood Chemistry
-Lumbar tap
-ELISA
-Western blot
-Immunoelectrophoresis
Identify the possible
complications for each
test
Identify the appropriate
nursing responsibilities
for each test
E. Pathophysiologic Mechanisms
Lecture-
discussion
Paper and
Immunodeficiency Disease
pen quiz
Define
1. Humoral (B-cell) Immunodeficiency
-Transient Hypogammaglobulinemia of
immunodeficiency
Infancy
Pantomime for the
distinct signs and
symptoms
-Primary B-cell Immunodeficiencies
-Secondary B-cell Immuodeficiencies
Trace
the
pathophysiologic
2.
Cellular (T-cell) Immunodeficiencies
-Primary T-cell Immunodeficiencies
-Secondary T-cell Immuodeficiencies
process
of
each
disorder
through
diagram representation
3.
Combined T-Cell and B-Cell
Define
each
-Immunodeficiencies
immunologic disorder
-Severe Combined Immunodeficiency -Ataxia-Telangiectasia -Wiskott-Aldrich Syndrome Enumerate the different signs and
-Severe Combined Immunodeficiency
-Ataxia-Telangiectasia
-Wiskott-Aldrich Syndrome
Enumerate the different
signs and symptoms of
each disorder
4. Disorders of Phagocytosis
Enumerate
the
Primary Disorders of Phagocytosis
-Job syndrome
-Chediak-Higashi Syndrome
possible complications
of each disorder
Formulate appropriate
Secondary Disorders of Phagocytosis
nursing
diagnoses
for
each disorder
5. Stem cell transplantation
Enumerate appropriate
nursing interventions
for each disorder
Allergic and Hypersensitivity Disorders
Hypersensitivity Reactions
Type 1- Immediate/Anaphylactic Reaction
-Time of onset
-Common Signs snd Symptoms
-Role of IgE
-Specific Conditions:
Asthma and other allergies
-Atopic Disorders
]
Type 2- Cytotoxic, antibody dependent
-Time of Onset
-Common signs and symptoms
-Specific Comditions:
Blood transfusion Reactions
Rh Incompatibilities
Type 3-Immune-Complex Mediated
-antigen-antibody mechanism

-Its effect on the Kidneys -Arthrus Reaction -Serum sickness

Type 4-Cell Mediated -Cellular changes -Hyperseisitivity Disorders -Allergic Contact dermatitis -Hypersensitivity Pneumonitis

LATEX ALLERGY

dermatitis -Hypersensitivity Pneumonitis LATEX ALLERGY Transplantation Immunopathology Host-Versus-Graft Disease

Transplantation Immunopathology

Host-Versus-Graft Disease Graft-Versus-Host Disease

Autoimmune Disease

Immunologic Tolerance

Mechanism of Autoimmune Disease Heredity and Gender Failure of T-Cell-Mediated Suppression Molecular Mimicry Superantigens

Rheumatoid arthritis Systemic Lupus Erythematosus Idiopathic Thrombocytopenia Purpura Autoimmune hemolytic anemia. Grave’s disease Hashimoto’s Thyroiditis Myasthenia Gravis Celiac disease Pemphigous

Acquired Immunodeficiency Syndrome The AIDS Epidemic Transmission of HIV Infection Briefly trace the history of
Acquired Immunodeficiency Syndrome
The AIDS Epidemic
Transmission of HIV Infection
Briefly trace the history
of the AIDS epidemic
State the
virus
Pathophysiology of AIDS
Diagnosis of HIV Infection
Classification of HIV Infection
Phases of HIV Infection
Clinical Course
Opportunistic Infections
Respiratory Manifestations
Gastrointestinal Manifestations
Nervous System manifestations
Cancer and Malignancies
Wasting Syndrome
Metabolic Manifestations
responsible for AIDS
and explain how it
differs from other
viruses
Describe
the
mechanisms of HIV
transmission and relate
them to the need for
public awareness and
concern regarding the
spread of AIDS
Describe the diagnosis
of AIDS
Describe
the
alterations in immune
function that occur in
persons with AIDS
List the 3 stages of HIV
infection and describe
the
symptoms,
psychosocial issues,
and management
concerns for each
stage
Early Management
Treatment
Psychosocial Issues
Prevention of HIV Infection
HIV Infection in pregnancy and in infants
and children
Discuss
the
vertical
transmission
of
HIV
from mother to child and recommended prevention measures Cite problems with diagnosis of HIV infection
from
mother
to
child
and
recommended
prevention measures
Cite problems
with
diagnosis of HIV
infection in the infant
Compare the progress
of HIV Infection in
infants and children
with HIV infection in
adults
F.
Nursing
Diagnoses
Formulate appropriate
Group formulation
of Nursing Car Plan
Individual
Taxonomy/Development
of
Outcome
nursing
diagnoses
for
NCP making
Criteria
each disorder
With
the
5
BEST
ursing
1. Impaired skin Integrity
Formulate
SMART
interventions
2. Activity Intolerance
objectives
and
3. Potential for Infection
outcome criteria
4. Disturbances in Self-concept
5. Ineffective Family Coping
6. Social isolation
Enumerate appropriate
nursing interventions
for each disorder
G.
Principles of Various Modalities of
Management
1. health promotion
Define each principle of
2. disease
prevention
modalities of
management
3. Curative
4. Restorative
Cite examples of each
principle
H.
Pharmacologic Actions
Therapeutic use, side effects,
indications, contraindication, nursing
responsibilities
Identify
the
Paper
and
pharmacologic
1 versus 45 (from 1
versus 1 million
game)
pen quiz
management
for
immunologic disorders
a.
Antibiotics
Identify the mechanism
b. Antifungal agents c. Anticholinergic agents d. Adrenergic Agents e. Anti-inflammatory agents f. Corticosteroids of
b. Antifungal agents
c. Anticholinergic agents
d. Adrenergic Agents
e. Anti-inflammatory agents
f. Corticosteroids
of action, indication,
contraindication,
adverse effects and
side effects of each
drug
g. Immunologic agents
h. Vaccines
Enumerate the nursing
responsibilities
appropriate
for
each
pharmacologic
management
I. Nursing Responsibilities for specific
surgical and special procedures
Define
each
type
of
Photo
presentation
Paper
and
special and
surgical
of
nursing
pen quiz
procedure
procedures
Thyroidectomy
Incision and drainage, etc.
Return
demonstration
Safe
and
comprehensive
perioperative
nursing care
Enumerate appropriate
nursing responsibilities
perioperatively
Simulation
1. Assessment and care during the
perioperative period
2. Techniques in assisting the surgical
team during the operation
3. Principles of safety, comfort and privacy
during the perioperative period
4. Nursing responsibilities during the
perioperative period
A. Surgical
Procedures-debridement,
incision and drainage, excision
B. Special procedures:
Define the following:
1. Universal Precaution
1.Universal Precaution
2.Reverse Isolation
3.Medical Asepsis
Lecture
2. Reverse Isolation
demonstration
3. Medical Asepsis
4. Surgical Asepsis 4.Surgical Asepsis Demonstrate the proper technique of each procedure J. Bioethics:
4.
Surgical Asepsis
4.Surgical Asepsis
Demonstrate
the
proper
technique
of
each procedure
J.
Bioethics: Principles and application of
bioethics in the care of the clients
-Patient’s rights
-Confidentiality
-The Informed Consent
-Advance Directive
-Issues in patients with AIDS
Identify the different
ethical concerns in
patient care
Role-play
K. Appropriate discharge plan including
health education
Formulate a discharge
plan specific for each
disorder
Identify the guidelines
L.
Accurate
recording
and
documentation
in accurate recording
and documentation
III. CELLULAR ABERRATIONS Trace the normal cell cycle Paper and pen quiz A. Review of
III. CELLULAR ABERRATIONS
Trace the normal cell
cycle
Paper and
pen quiz
A.
Review
of
the
Cellular
Video clip
presentation of the
cell cycle
Physiology
1. The cell cycle
Cotran R.S., Kumar
V., Collins T.
(1999). Pathologic
basis of diseases
(6 th ed., pp. 90-91,
2. Differentiation
Define terms in the
260-327).
3. Proliferation
cellular aberration
concept
Philadelphia: W.B.
Saunders.
B. Characteristics of Benign and
Malignant neoplasms
1. Terminology
Differentiate each
2. Neoplasm
defined term if
3. Benign
appropriate
Porth C.M. (2002).
Pathophysiology:
4. Malignant
-cancer cell characteristics
-Invasion and metastasis
-Tumor Growth
-General effects
Concepts of Altered
Health States (6 th
ed., pp. 149-178).
Philadelphia:
Lippincott Williams
and Wilkins
Related Web sites:
C. General
Pathophysiology
of
Trace
the
Cellular Aberration
pathophysiologic
American
Cancer
process
of
cellular
Lecture-discussion
Society
aberration
through
www.cancer.org
diagram representation
CA:
A
cancer
Identify the prevalence
of different cancers in
different local and
international regions
journal
for
Clinicians
www.ca-journal.org
National
Cancer
Institute
www.nci.nih.gov

Epidemiology:

Local & International

 

Collage making

 

a.

lung

b.

breast

c.

uterine

d.

prostate

e.

colorectal

D.

Carcinogenesis and Causes of Cancer Oncogenesis Risk factors:

1. Gender and site

Describe the role of

2. Age

 

proto-oncogenes and

3. and

Race

anti-oncogens in the transformation of a

 

ethnicity

4. Genetics

normal life line to a

5. Hormonal Factors

cancer cell line

6. Immunologic Factors

Name the steps in the

7. Oncogenic Viruses

transformation of normal cells to cancer

8. Drugs

and

cells by carcinogens

 

Chemicals

9. Radiation

-ionizing -UV -electromagnetic -radon 9. Lifestyle -smoking -nutrition/diet -obesity

Identify the risk factors to cancer

Identify the preventive measures to specific risk factors

State how lifestyle can

-viruses -psychosocial factors contribute to the cancer risk through increased exposure to carcinogenic agents F.
-viruses
-psychosocial
factors
contribute to the cancer
risk through increased
exposure to
carcinogenic agents
F. Significant subjective data from the client
Identify significant
- family history
subjective data that
Case analysis
- chief complaints
should be obtained
- functional patterns
necessary to be used
Role-play
Return
- psychosocial and
behavioral assessment
as the basis of
rendering patient care
and management
demonstration
G. Principles and techniques of physical
examination in all age groups, deviations
from normal
Lecture-
demonstration
Identify each technique
of physical examination
Group presentation
1. Breast-Self examination
2. Testicular Examination
Identify the indication
3. Digital Rectal Examination
and contraindication of
each technique
Demonstrate each
technique of physical
examination
The 9 Danger Signs [ CAUTION UP ]
Define the danger
signs of cancer
Jingle making
contest
H.
Diagnostic
tests
and
Nursing
Paper
and
responsibilities
Photo presentation
with lecture-
discussion
pen quiz
Lung Cancer
A. Chest X-Ray
Define each diagnostic
test
B. Sputum Cytology
Identify the indications
for each test
Breast Cancer
A. Mammogram
Identify the possible
B. Clinical Breast Exam C. MRI complications for each test D. Tissue Sampling Uterine Cancer
B. Clinical Breast Exam
C. MRI
complications for each
test
D. Tissue Sampling
Uterine Cancer
Identify the appropriate
nursing responsibilities
for each test
A. transvaginal sonography
B. hysteroscopy
C. sonohysterography
D. Biopsy Punch
Cervical Cancer
A.
Pap smear with staging
Prostate Cancer
A. Digital rectal examinanition
B. Prostate-Specific Antigen
Colorectal cancer
A. Fecal Occult blood test
B. Sigmoidoscopy
C. Colonoscopy
D. Double- contrast barium enema
Other tests:
A. Tumor markers
B. Radioisotope scan
C. MRI
I. Pathophysiologic Mechanisms leading to manifestations Lecture-discussion (Story-telling style) Paper and Define
I. Pathophysiologic Mechanisms leading to
manifestations
Lecture-discussion
(Story-telling style)
Paper
and
Define
each
type
of
pen quiz
A. Lung Cancer
cancer
B. Breast Cancer
C. Uterine Cancer
Trace
the
D. Colorectal Cancer
pathophysiologic
E. Prostate Cancer
process
of
each
F. Non-Hodgkin Lymphoma
disorder
through
G. Kidney Cancer (Renal Cell)
diagram representation
H. Melanoma
I. Basal Cell carcinoma
J. Thyroid Cancer
K. Leukemia
Enumerate the different
signs and symptoms of
each disorder
L. Brain Cancer
Enumerate
the
possible complications
of each disorder
Formulate appropriate
nursing
diagnoses
for
each disorder
Enumerate appropriate
nursing interventions
for each disorder
Childhood Cancers
Medullablastoma
Glioma
Neuroblastoma
Wilm’s Tumor
Retinoblastoma
Ewing’s Sarcoma
Osteosarcom
Cite the early warning
signs of cancer in
children
Discuss possible
concerns of adult
survivors of childhood
cancer
J. Nursing Diagnoses Formulate appropriate Taxonomy/Development of Outcome nursing diagnoses for Group
J.
Nursing
Diagnoses
Formulate appropriate
Taxonomy/Development
of
Outcome
nursing
diagnoses
for
Group
formulation of NCP
Criteria
each disorder
Formulate
SMART
A. Potential for Infection
objectives
and
B. Disturbance in Body Image
outcome criteria
C. Activity Intolerance
D. Potential for alteration in nutrition; less
than body requirements
E. Alteration in oral Mucous Membrane
Integrity
Enumerate appropriate
nursing interventions
for each disorder
F. Alteration in Comfort
G. Fluid Volume Deficit
K. Principles of Various Modalities of
Management Against CANCER
Define each principle of
modalities of
management
2 minute
role play for each
group
1. Health promotion
2. disease
prevention
Cite examples of each
principle
3. Curative
4. Restorative
M. Principles of Management
Paper
and
pen quiz
1.
Cancer Staging:
Distinguish each type o
cancer staging
Lecture-
Cancer naming Mnemonics
TNM classification
Clinical staging
Metastatic Spread
discussion
Quiz bowl
Define each principle of
management
style
2. Prevention of Infection
3. Hydration
4. Blood component replacement
Enumerate appropriate
nursing responsibilities
and interventions for
each principle of
5. 0xygen therapy management 6. Prevention of Complications 7. Rehabilitation N. Pharmacologic Actions Therapeutic
5. 0xygen therapy
management
6. Prevention of Complications
7. Rehabilitation
N. Pharmacologic Actions
Therapeutic
use,
side
effects,
Identify
the
indications,
contraindication,
nursing
pharmacologic
responsibilities
management
for
cancer
1. Biotherapy
Classification
Cytokines
Monoclonal Antibodies
Cellular Therapies
Immunodilators
Retinoids
Identify the mechanism
of action, indication,
contraindication,
adverse effects and
side effects of each
drug
Distinguish
each
classification
Enumerate the nursing
responsibilities
appropriate
for
each
pharmacologic
management
2. Chemotherapeutic Agents
Classification
Paper
and
pen quiz
Cell cycle-specific
Cell cycle-nonspecific
Categories
Alkalating agents
Antibiotic
antineoplastic
Antimetabolite
Nitroureas
Plant derivatives Hormonal Special considerations drugs preparation in chemotherapeutic Identify Special
Plant derivatives
Hormonal
Special considerations
drugs preparation
in
chemotherapeutic
Identify
Special
considerations
in
1. Proper attire
2. Chemo drug handling
chemotherapeutic
drugs preparation
H. Bioethics: Principles and application of
bioethics in the care of the clients
-Patient’s rights
-Confidentiality
-The Informed Consent
-Ethics of decision
-Advance Directives
Identify the different
Video clip
presentation
showing scenes for
medical series
shows (i.e. House,
MD, Grey’s
anatomy)
Paper
and
ethical concerns in
patient care
pen quiz
Formulate a discharge
plan specific for each
disorder
Identify the guidelines
in accurate recording
and documentation
Paper
and
O. Nursing Responsibilities for specific
surgical and special procedures
pen quiz
[Preoperatively
Postoperatively]
-positioning
-dos and donts
-bedside equipment
-activity structuring
and
Return
demonstration
Define
each
type
of
special and
surgical
Video clip
presentation
showing scenes for
medical series
shows (i.e. House,
MD, Grey’s
anatomy)
procedure
Safe
and
comprehensive
perioperative
nursing care
Enumerate appropriate
Operating room
simulation
Lecture-discussion
5. Assessment and care during the perioperative period nursing responsibilities perioperatively 6. Techniques in
5. Assessment and care during the
perioperative period
nursing responsibilities
perioperatively
6. Techniques in assisting the surgical
team during the operation
7. Principles of safety, comfort and privacy
during the perioperative period
8. Nursing responsibilities during the
perioperative period
Surgical Procedures:
1. Modified radical mastectomy
(drainage/positioning)
2. Lobectomy (positioning)
3. Hysterectomy
4. Craniectomy
5. Transurethral resection of the prostate
(cystoclysis)
6. Colostomy ( care )
7. Bone Marrow and Peripheral Blood Stem
Cell Transplantation
Special procedures:
1. Radiation therapy
2. Cervical Implants
3. Reverse Isolation
P. Appropriate discharge plan including
health education
Identify the different
ethical concerns in
patient care
Case analysis
Paper
and
pen Quiz
Q.
Accurate
recording
and
Formulate a discharge
documentation
plan specific for each
disorder
Identify the guidelines
in accurate recording
and documentation

III. Acute Biologic Crisis

       

A. Standard Assessment of the Critically Ill -Focused History Taking -Discriminating Physical Examination AIRWAY BREATHING CIRCULATION HEMODYNAMIC STATUS

Identify the appropriate assessment technique for each type of acute biologic crisis

Video

clip

Porth C.M. (2002). Pathophysiology:

presentation of an

Paper

and

emergency

Concepts of Altered

pen quiz

situation

Health

States (6 th

 

ed.,

pp.

500-

Enumerate prioritization of the assessment process

 

504,564-566,777-

781,

1163-1164,

 

1174-1178,1433-

 

1437).

Philadelphia:

 

B. Pathophysiologic Mechanisms leading to

Lippincott Williams and Wilkins

manifestations

Lecture-discussion

Define

each

type

of

Video

clip

 

1. Cardiac Failure

crisis

presentation of specific situations showing the crisis

2. Acute Myocardial Infarction

Related web sites:

3. Acute Renal Failure

Trace

the

4. Stroke

pathophysiologic

 

Burns:

process

of

each

http://www.bt.cdc.g

disorder

through

ov/masscasualties/

diagram representation

pdf/burns-

 

masscasualties.pdf

Enumerate the different signs and symptoms of each disorder

Food poisoning:

http://www.health.vi

 

c.gov.au/foodsafety

Enumerate

 

the

/downloads/poison

possible complications of each disorder

_prevent.pdf

 

Red

cross

Formulate appropriate

guidelines

in

nursing

diagnoses

for

chemical poisoning:

each disorder

 

http://www.redcross

 

.org/static/file_cont

Enumerate appropriate nursing interventions for each disorder 157_lang0_67.pdf SARS and Emerging Infections
Enumerate appropriate
nursing interventions
for each disorder
157_lang0_67.pdf
SARS
and
Emerging
Infections
Terrorism:
http://www.bioterror
ism.uab.edu/EI/sar
s/sars.pdf
5. Increased Intracranial Pressure
6. Metabolic Emergencies
-DKA/HHNK
7. Massive Bleeding/Hypovolemic Shock
8. Extensive surgeries (include dehiscence
and evisceration)
9. Extensive Burns
(include staging and area computation)
10. Poisoning
11. Multiple Injuries
12`. Emerging illness (SARS, Avian Flu)
C.
Nursing
Diagnoses
Formulate appropriate
Taxonomy/Development
of
Outcome
nursing
diagnoses
for
NCP making
Criteria
each disorder
5.
Impaired Gas Exchange
Formulate
SMART
6.
Inability to sustain spontaneous
ventilation
objectives
and
outcome criteria
7.
Dysfunctional Ventilatory Weaning
Response
8.
Decreased cardiac output
9.
Altered tissue perfusion, systemic
Enumerate appropriate
nursing interventions
for each disorder
10.
Alteration in nutrition, less than body

requirements 11. Fluid Volume Deficit 12. Activity Intolerance

     

D. Results/Implications Laboratory Exams

of

Diagnostic

Define each diagnostic test

Simulation ECG tracing Lecture-discussion

 

1. Non-Invasive: ECG, cardiac rhythms

Identify the indications for each test

2. Invasive: ABG, Hemodynamic monitoring, CVP, pulmonary capillary wedge pressure (PCWP)

Distinguish the implivation of each result

 

Identify the possible complications for each test

Identify the appropriate nursing responsibilities for each test

E. Principles of Management

   

Lecture-discussion

Paper

and

 

pen quiz

1. Determination and management of Cause

Define each principle of modalities of management

2. Life saving interventions:

Basic Life support Advanced Cardiac Life support First aid Measures Fluid Resuscitation

Perform each principle technique accurately

3. Life Maintaining Interventions:

Define life maintaining intervention

Lecture-discussion

Paper

and

-Airway management and care of patients with ventilator -Parenteral fluid administration

pen quiz

Identify the indications

(blood and blood component therapy for each -Interventions for hemodynamic instability -Continuous hemodynamic
(blood and blood component therapy
for each
-Interventions
for
hemodynamic
instability
-Continuous
hemodynamic
Enumerate the
interventions for each
monitoring
-Interventions
for
Nueral
Regulation
-Fluid and Electrolyte Problems
-Nutrition
-Perioperative Problems
4. Psychosocial
and
behavioral
Identify the indications
for each Psychosocial
and behavioral
interventions
Lecture-discussion
interventions:
-measures to relieve anxiety
-fear, depression
- critical care concerns:
-immobility,
-sleep deprivation
-sensory overload
-body image alterations
Enumerate
the
interventions
for
each
Psychosocial
and
behavioral intervention
-grieving
-sexuality
-spirituality
5. Supportive management
Lecture-discussion
6. Prevention of complication
7. Rehabilitation-pulmonary, cardiac,
neurologic
F.
Pharmacologic Actions
Identify
the
Lecture-discussion
Drug study
Therapeutic
use,
side
effects,
indications,
contraindication, nursing
pharmacologic
management for each
crisis
responsibilities
1. Analgesics
2. Narcotics
3. Corticosteroids
4. Antihypertensive
Identify the mechanism
of action, indication,
contraindication,
adverse effects and
side effects of each
5. Vasopressors drug 6. Antibiotics 7. Parenteral fluids Distinguish each classification Enumerate the nursing
5. Vasopressors
drug
6. Antibiotics
7. Parenteral fluids
Distinguish
each
classification
Enumerate the nursing
responsibilities
appropriate
for
each
pharmacologic
management
G.
Nursing
Responsibilities
for
specific
Video
clip
Paper
and
surgical and special procedures
presentation
pen quiz
1. Tracheostomy
2. Endotracheal Intubation
Define
each
type
of
Role-play
3. Cardiocentesis
special and
surgical
4. Thoracotomy
procedure
5. Cut-down
6. Aneurysm clipping
7. Defibrillation
&
Cardioversion
[Preoperatively and Postoperatively]
-positioning
-dos and donts
-bedside equipment
-activity structuring
Enumerate appropriate
nursing responsibilities
perioperatively
Safe
and
comprehensive
perioperative
nursing care
9. Assessment and care during the
perioperative period
10. Techniques in assisting the surgical
team during the operation
11. Principles of safety, comfort and privacy
during the perioperative period
12. Nursing responsibilities during the

perioperative period

       

H. Bioethics: Principles and application of bioethics in the care of the clients -Patient’s rights -Confidentiality -The Informed Consent -Advance Directives

Identify the different ethical concerns in patient care

Role-play

Paper

and

pen quiz

Case

 

analysisi

I. Appropriate discharge plan including health education

Formulate a discharge plan specific for each disorder

J.

Accurate

recording

and

documentation

 

Identify the guidelines in accurate recording and documentation

IV. Disaster and Emergency Paper and pen quiz A. Definition of Emergency and Define emergency
IV. Disaster and Emergency
Paper
and
pen quiz
A. Definition
of
Emergency
and
Define emergency and
disaster terms
ROLE PLAY of
DISASTER
A
other terminologies
-Disaster
-Trauma
B. Triage
Define TRIAGE
Video presentation
Cone
DC,
Paper
and
pen quiz
Definition
Identify
objectives
for
Case simulation
Objectives
triaging
Case analysis
1. START Triage system
Differentiate START
triage from MILITARY
triage in terms of
procedure protocol and
indications
Jingle
making
for
(Simple Triage and Rapid System)
Indication for use of START triage
System
mnemonics
MacMillan DS.
Mass-casualty
triage systems: A
hint of Science.
Acad Emerg Med
2005, 12(8): 739-
EMERGENCY
741 [PubMed
Citation]
ROOM tour
The Mnemonic/Procedure:
Respiration
Pulse/Perfusion
Triage Coding
http://remm.nlm.gov
/radtriage.htm
Mental Status
ADULT START Triage System
PEDIATRIC START Triage System
Identify the
color
Cut-out activity
Game ka na Ba?
coding
and patient
START Flow Chart
classification process
for each type of triaging
Four Triage Categories/Color Coding
Evacuation Prioritization according to
category
The Incident Command System
2. MILITARY TRIAGE Indication of use for Military Triage 5 Categories of Severity 1. Black/
2.
MILITARY TRIAGE
Indication of use for Military Triage
5 Categories of Severity
1. Black/ Expectant
2. Red/ Immediate
3. Yellow/Observation
4. Green/Wait (Walking wounded)
5. White/Dismiss
Interview
hospital
admin.
For
C. Hospital Operations Plan
Identify different
hospital operation
plans in local and
international hospitals
prepared
hospital
operations plan
Paper
and
D. Types of Emergency with
appropriate nursing interventions
Photo presentation
pen quiz
Define each type pf
Lecture-discussion
8. Airway obstruction
emergency
9. Myocardial Infarction
10. Near drowning
Enumerate the signs
11. Hemorrhage
and symptoms
12. Head/Chest/abdominal
Trauma
Identify the appropriate
13. Poisoning and Overdose
medical and nursing
14. Hypo/Hyperthermia
actions for each
15. Snake bite/Animal bites
16. Nitrogen Narcosis
17. Fractures
18. Spinal cord Injury
E.
The Crash Cart/E-Cart
Showing
of
Crash
Moving Exam
Define what a crash
cart is
card
-Contents of the Crash cart
- A-Z Emergency Drugs
-Defibrillator
-Oxygen Saturation Monitor
Paper
and
pen quiz
Identify the use of a
crash cart
Enumerate the structures and contents of a crash cart F. Personal Protective Identify the types
Enumerate the
structures and contents
of a crash cart
F. Personal
Protective
Identify the types of
Personal Protective
Equipment and
indications for each
Photo
presentation
Equipment
with discussion
G. Hazardous Materials
Enumerate hazardous
materials
Collage
H. Decontamination
Identify the possible
effects of each
hazardous material to
health
Discussion
Identify
decontamination
measures
I. Biologic Warfare and Biologic
agents
Identify biologic
warfares and agents
Knowledge sharing
Lecture-discussion
Role-play
Enumerate appropriate
management and
protocol for warfares
J. Blast Injuries
Define blast injuries
Identify appropriate
medical and nursing
actions for each
K. Natural Disasters
Define different natural
disasters
Identify appropriate
action plans for specific natural disasters L. Stress Reactions -Post Traumatic -Stress Disorder Critical Incident
action plans for specific
natural disasters
L.
Stress Reactions
-Post Traumatic
-Stress Disorder Critical Incident
Stress management
-Debriefing
Define specific types of
stress reaction
Enumerate appropriate
nursing
actions
for
each
M.
Special
Emergency
Photo sharing
Paper
and
Procedures
pen quiz
Lecture-discussion
1. Tracheostomy
Dummy simulation
2. Endotracheal Intubation
3. Cardiocentesis
Lecture
4. Thoracotomy
Demonstration
5. Cut-down
6. Aneurysm clipping
7. Defibrillation
Cardioversion
&
N. Nursing Responsibilities for specific
surgical and special procedures
Define
each
type
of
Paper
and
special and
surgical
pen quiz
[Preoperatively
Postoperatively]
-positioning
-dos and donts
-bedside equipment
-activity structuring
and
procedure
Simulation
Lecture Discussion
Lecture
Demonstration
Return
demonstration
Enumerate appropriate
nursing responsibilities
perioperatively
Safe
and
comprehensive
perioperative
nursing care
Assessment
and
care
during
the
perioperative period Techniques in assisting the surgical team during the operation Principles of safety, comfort
perioperative period
Techniques in assisting the surgical team
during the operation
Principles of safety, comfort and privacy
during the perioperative period
Nursing
responsibilities
during
the
perioperative period
O. Universal Precaution Application in an
emergency set-up
Identify universal
Precaution principles
Cite examples
of cases needing
universal precaution
Demonstrate
the correct steps in
universal precaution

V. IV THERAPY

     

Discuss the importance

Lecture-discussion

Paper

and

A. Philosophy

of

Intravenous

Pen Quiz

B. Definition

Parenteral Therapy for the patient as well as the nurse.

Illustration

and

Describe the roles and responsibilities of nurses in IV therapy.

pinpointing

C. Basic Foundation of IV Therapy

the

different

1. Historical background of IV therapy

IV

therapy

 

access points

2. Ethico-legal aspects of IV therapy

Recognize the ethico-

Obtain and submit a copy of the Standard operating procedure(SOP) from local hospital about IV therapy.

legal implications of

Moving Exam

2.1 Role of ANSAP

IV

Therapy.

2.2 Difference between RA 9173

 

and RA 7160

Identify the roles and functions of ANSAP.

3. Standards of IV therapy

D. Review of Anatomy and Physiology of the vascular system

Present the difference between RA 9163 to RA 7160 in terms of IV Therapy requirements

*Powerpoint presentation of the anatomy of the vascular, peripheral and integumenary system

E. Peripheral and Integumentary System

Identify and discuss the parts and functions of the vascular, peripheral and integumentary systems.

F. Fluid and Elecrolyte therapy

1. Types of Fluids/ Solution and uses

 

2. Drug Interaction with IV fluids

Enumerate the types of fluids/solutions and identify the indication for each

3. Handling of IV solutions, blood products and components

Lecture-

 

demonstration

G. Nursing process in IV therapy

Utilize the nursing process in the care of Clients undergoing IV

therapy. H. Venipuncture Technique on Adult & children -Prescribed cannula and indications of each -Color,
therapy.
H.
Venipuncture Technique on Adult &
children
-Prescribed cannula and indications of each
-Color, gauge
-Ideal period of usage of an IV set,
Identify the appropriate
sites for
Venipuncture.
indications
-Process in keeping a set sterile
I. Complications of IV therapy
Describe the steps in
the procedure for
performing a
venipuncture using
selected techniques
J. Infection Control & Microbiology
Principles
K. Demonstration of Procedure
Documentation of Activity
Demonstrate function,
usage, care and
maintenance of
supplies and
equipment utilized in
the administration of IV
therapy
Return-
demonsration
Observe principles of
strict asepsis during
the actual
implementation of the
intravenous therapy
practice.
with
an
IV
Therapy
Certified
Clinical
Instructor