University of the Cordilleras Baguio City College of Nursing Course Syllabus I. COURSE CODE: II.

COURSE NAME: NCM 103 Care of Clients with Problems in Oxygenation, Fluid and Electrolyte Balance, Nutrition and Metabolism and Endocrine

III. COURSE DESCRIPTION: This course deals with the principles and techniques of nursing care management of sick clients across lifespan with emphasis on the adult and the older person, population group in any setting with alterations/problems in oxygenation, fluid and electrolyte balance, nutrition and metabolism and endocrine function. PLACEMENT: CREDIT: PRE-REQUISITE: 3rd year, 1st semester 8 units lecture; 6 units RLE (1 unit skills lab, 5 units Clinical); 144 lecture hours; 306 RLE hours NCM 102

IV.UC-PVMO
PHILOSOPHY : UC believes that education is the foundation of a progressive nation in the rearing of the youth towards civil efficiency and the development of moral character that the benefits of higher education should be made accessible to everyone who deserves it. UC envisions itself as a community of scholars aggressively involved in the pursuit of knowledge who help preserve Filipino culture and values to act positively by training them to think critically and creatively. UCs mission is to provide functional knowledge and skills, dynamic interaction and leadership in various disciplines for a better quality of life.

VISION :

MISSION :

OBJECTIVES: 1. Develop an environment conducive to inquiry. 2. Empower constituents in the quest for progress. 3. Contribute to appreciation of historical and cultural heritage. 4. Actively involve in the molding of a national identity. 5. Deeper sense of moral and spiritual values.

6. Expand scholarship to a wider segment. 7. Update curricula to keep abreast of change. 8. Community involvement and research intensified.

V.

COURSE OUTCOMES Description Utilize the nursing process in the care of individuals, families in community and hospital settings. Assess with client/s his/her/their condition/health status through interview, physical examination, interpretation of laboratory findings. Identify actual and at-risk nursing diagnosis Plan appropriate nursing interventions with client/s and family for identified nursing diagnosis Implement plan of care with client/s and family. Evaluate the progress of his/her/their clients condition and outcomes of care. 2. Ensure a well organized and accurate documentation system; 3. Relate with client/s and their family and the health team appropriately; 4. Observe bioethical concepts/principles, core values and nursing standards in the care of clients; and, 5. Promote personal and professional growth of self and others. PO1 3 PO2 2 P03 3 PO4 3 PO5 3 PO6 3 PO7 3 PO8 3 PO9 3 PO10 3 PO11 3 PO12 3

Course Outcomes CO1

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VI.

COURSE CONTENT

OBJECTIVES

INTERMEDIATE COMPETENCIES

COURSE CONTENT The different risk factors among clients that contribute to the development of problems in oxygenation: Current respiratory problems History of respiratory disease Lifestyle (smoking, alcoholism, exercise patterns) Presence of cough Presence of Chest Pain Lung Cancer Cardiovascular disease Stroke Tuberculosis Obesity Dietary assessment Medication history a.Chief complaints b. Relevant information, to include eleven functional patterns Health perception management pattern Nutritional/metabolic pattern Elimination pattern Activity/exercise patterns Cognitive/perceptual pattern Sleep-rest pattern Self-perception-self-concept pattern Role relationship pattern Sexuality-reproductive

TEACHING-LEARNING ACTIVITIES

TIME FRAM E 2.5 hours

GRADING PERIOD

ASSESSMENT TOOL

At the end of the 1. Identify risk lecture discussion, factors among the students will be clients that able to: contribute to the 1. Utilize the development of nursing process problems in in the care of Oxygenationindividuals, cardiovascular risk families with factors (modifiable problems in and nonoxygenation in modifiable). community and hospital 2. Identify significant settings; subjective data 2. Ensure a from client history well organized related to and accurate problems in documentation oxygenation. system;

Pre-tests Case Analysis Small Group Learning Lecture Discussion Post test

PRELIM

Quiz (Objective) Case Analysis Presentation

Role Analysis

Play

Pre-tests Case Analysis Small Group Learning Lecture Discussion Postl test

2 hours

Group Discussion

Group Presentation/ Report

3. Relate with client/s and their family and the health team appropriately; 4. Observe bioethical concepts/princi ples, core values and nursing standards in the care of clients; and, 5. Promote personal and professional growth of self and others.

pattern Coping-stress tolerance pattern Value-belief pattern 3. Enumerate the principles and techniques of physical examination in assessing the oxygenation status in newborn, children, adults. 4. Identify results and implications of diagnostic/laborat ory examinations of clients with reference to problems in Oxygenation. a. Inspection- gas exchange, perfusion b. Palpation- gas exchange, perfusion c. Percussion- gas exchange d. Auscultation- gas exchangeheart sound, breath sounds, deviations, fluid transport Screening procedure- peak flow meter Diagnostic Procedures Non-invasive: Pulmonary: e.g. sputum microscopy, chest x-ray, pulmonary function tests, smoke analyzer Fagerstrom test standardized degree of nicotine dependence Cardiac: ultrasound, ECG, 2D echo, stress test Vascular: Doppler ultrasonography Blood: pulse oximeter Invasive: Pulmonary: bronchoscopy, ABG, 4horacentesis, pulmonary angiography Cardiac: CO determination, cardiac catheterization, CVP, hemodynamics monitoring, enzyme levels, Serum, Cholesterol Vascular: angiography Demonstration Return Demonstration Lecture Discussion Post test 3 hours Output Presentation

Pre-tests Case Analysis Small Group Learning Lecture Discussion Post test

2.5 hours

Oral Graded Recitation

5. Determine the Patho-physiologic mechanisms of the Alterations in oxygenation

6. Enumerate Nursing diagnoses taxonomy pertinent to problems/alteratio n in Oxygenation.

Blood: CBC and bone marrow biopsy a.Alteration in gas exchange ventilator dysfunction, impaired perfusion b.Alteration in cardiac performance heart rate problems, impaired stroke volume secondary to altered preload, afterload, myocardial contractility c. Alteration in vascular integrity transport network impairment d.Alteration in oxygen carrying capacity of the blood- decreased circulating erythrocytes (anemia), increased circulating erythrocytes (polycythemia) a. Ineffective breathing pattern b. Ineffective airway clearance c. Impaired gas exchange d. Inability to sustain spontaneous ventilation e. Dysfunctional 5entilatory weaning response f. Decreased cardiac output (CO) g. Altered tissue perfusion systemic h. Impaired gas exchange related to altered O2 carrying capacity of blood due to decreased erythrocytes/hemoglobi n i. Activity intolerance

Pre-tests Case Analysis Small Group Learning Lecture Discussion Post test

16 hours

Pre-tests Case Analysis Small Group Learning Lecture Discussion Post test

2 hours

Prioritization of Nursing Diagnosis NCP Analysis Presentation

Reaction Paper

7. Identify principles of various modalities of management of clients with problems in oxygenation taking into consideration the following levels of care: 1. Health promotive 2. Disease preventive 3. Curative and restorative

related to malnutrition tissue hypoxia a. For altered pulmonary function: Airway patency Oxygen therapy Adequate ventilation Drug therapy Hydration Removal of secretion Prevention of infection Prevention of complications Prevention of psychosocial problems Rehabilitation b. For cardiac function Hemodynamics monitoring O2 therapy Drug therapy Hydration Prevention of infection Prevention of complications Prevention of psychosocial problems Rehabilitation c. Oxygen carrying capacity of the blood Blood component replacement O2 therapy Drug therapy Hydration Prevention of infection

Pre-tests Case Analysis Small Group Learning Lecture Discussion Post test

4 hours

8. Enumerate Pharmacologic actions, therapeutic uses, side effects, indications, contraindications, and nursing responsibilities in administering medications clients with oxygenation problems.

Prevention of complications a. Pulmonary Bronchodilators Expectorants Antitussives Antihistamines b. Cardiac Sympathomymetic agents Sympatholytic agents Anti-anginal agents Anti- arrhythmic agents Angiotensin converting enzyme inhibitors Antilipemic agents Anticoagulant agents Thrombolytics Peripheral vascular agents c. Blood Hematinics Vitamin supplements 1. Safe and comprehensive perioperative nursing care 1.1Assessment and care during the perioperative period 1.2Techniques in assisting the surgical team during the operation 1.3Principles of safety, comfort and privacy during the perioperative period 1.4Nursing responsibilities during the perioperative period Preoperative physical, psychological, spiritual preparation Intraoperative

Pre-tests Case Analysis Small Group Learning Lecture Discussion Post test

2 hours

9. List the purposes, indications, nursing responsibilities for the surgical and special procedures in alterations in oxygenation.

Pre-tests Case Analysis Small Group Learning Lecture Discussion Post test

2 hours

Group Presentation

Case Analysis

circulating nurse functions, scrub nurse functions Postoperative airway, breathings, circulation priorities. Meeting the physical, psychological and spiritual needs of the cliet. 2. Pulmonary a. Surgical procedures tracheostomy, thoracostomy, lung resection, lobectomy, pneumonectomy, thoracoplasty, decortications b. Special procedures endotrcheal/tracheal suctioning and care, humidication, IPPB, ventilator assist 3. Cardiac a. Surgical procedures coronary aretery bypass, pacemaker insertion, valve replacement, repair of congenital abnormality, insertion of ventricular assist device, heart plansplant b. Special procedures laser therapy, basic life support, advance life support 3.1 Vascular a. Surgical procedures endarterectomy, aneurysmectomy, insertion of intravascular stents b. Special procedures application of antiembolic stockings 3.2 Blood forming organs

Prelim Exam Quiz (Objective)

Role

Play

At the end of the 10. Identify risk lecture discussion, factors among the students will be clients that able to: contribute to the 1. Utilize the development of nursing process problems in Fluid in the care of and Electrolytes. individuals, 11. Enumerate the families with principles and problems in techniques of Fluids and physical electrolyte examination in imbalances in newborn, children, community and adults, deviations hospital settings. from normal. 2. Ensure a well organized and accurate 12. Identify results documentation and implications system; of 3. Relate with diagnostic/laborat client/s and their ory examinations family and the of clients with health team reference to appropriately; problems in 4. Observe bioethical 13. Determine the concepts/principl Patho-physiologic es, core values Mechanisms of and nursing Fluid and standards in the electrolyte care of clients; imbalances. and, 5. Promote personal and

a. Surgical procedures bone marrow aspiration, bone marrow transplant b. Special procedures blood component transfusion, reverse isolation Potential factors for exceeding renal reserve capacity, dietary habits to include salt intake, hypertension, infection, diabetes. Inspection- signs of dehydration, overhydration Palpation- edema, ascites, neck vein filling, hand vein filling, neuromuscular irritability, characteristic of pulse Percussion- abdomen for presence of air, fluid Auscultation- rates a. Diagnostic tests Non-invasive: electrolyte determination, intake and output, KUB-IVP and ultrasound Invasive biopsy b. Weight c. Vital Signs a. Volume impairment fluid volume deficit, fluid volume excess, third space fluid shift b. Osmotic imbalances hyponatremia, hypernatremia c. Ionic concentration problems hypo- and hyperkalemia; hypo and hyperchloremia; hypo- and

Analysis

Pre-tests Case Analysis Small Group Learning Lecture Discussion Post test Demonstration Return Demonstration Lecture Discussion Post test

1.5 hours

MIDTERM

Group Discussion

2 hours

Group Presentation/ Report

Output Presentation

Pre-tests Case Analysis Small Group Learning Lecture Discussion Post test Pre-tests Case Analysis Small Group Learning Lecture Discussion Post test

1.5 hours

12 hours Prioritization of Nursing Diagnosis NCP Analysis Presentation

professional growth of self and others.

hypermagnesemia; hypo- and hyperphosphatemia d. Acid and base imbalances metabolic acidosis and alkalosis; respiratory acidosis and alkalosis 14. Enumerate Nursing diagnoses taxonomy pertinent to problems/alteratio n in Fluid and electrolyte imbalance. 15. Identify principles of various modalities of management of clients with problems in fluid and electrolyte imbalances taking into consideration the following levels of care: a. Health promotive b. Disease preventive c. Curative and restorative a. Risk for fluid volume deficit b. Fluid volume excess c. Fluid volume deficit d. High risk for injury related to electrolyte deficit/excess e. High risk for injury related to acid/base imbalance f. Altered urinary elimination g. Impaired integumentary integrity a. Fluid Volume Deficit Determination and management of cause Hydration Blood transfusion as needed Drug therapy electrolyte Supportive management Prevention of infection Prevention of complication Prevention of psychosocial problems Rehabilitation b. Fluid Volume Excess Determination and management of cause Drug therapy diuretics, electrolytes Dietary restriction Pre-tests Case Analysis Small Group Learning Lecture Discussion Post test 2 hours

Oral Graded Recitation

Pre-tests Case Analysis Small Group Learning Lecture Discussion Post test

12 hours

sodium Supportive management Prevention of infection Prevention of complication Prevention of psychosocial problems Rehabilitation c. Electrolyte Deficit hyponatremia, hypokalemia, hypocalcemia, hypomagnesemia, hypophosphatemia Determination and management of cause Drug therapy electrolyte replacement Dietary management Supportive management Prevention of complication Prevention of psychosocial problems Rehabilitation d. Electrolyte Excess hyperkalemia, 11ypercalcaemia, hypermagnesemia, hyperphosphatemia Determination and management of cause Drug therapy electrolyte replacement Dietary management Supportive management Prevention of complication

Reaction Paper

Prevention of psychosocial problems Rehabilitation e. Metabolic Alkalosis Base bicarbonate exces Determination and management of cause Drug therapy Dietary management Supportive management Prevention of complication Prevention of psychosocial problems Rehabilitation a. Metabolic Acidosisbase bicarbonate deficit Determination and management of cause Drug therapy Dietary management Supportive management Prevention of complication Prevention of psychosocial problems Rehabilitation f. Respiratory Alkalosis carbonic and acid deficit Determination and management of cause Drug therapy Dietary management Supportive management Prevention of complication Prevention of psychosocial problems Rehabilitation

Group

Presentation Case Analysis

16. Enumerate Pharmacologic actions, therapeutic uses, side effects, indications, contraindications, and nursing responsibilities in administering medications clients in fluid and electrolyte imbalances.

17. List the purposes, indications, nursing responsibilities for the surgical and special procedures in alterations in fluid and electrolyte imbalances.

g. Respiratory Acidosis carbonic acid excess Determination and management of cause Drug therapy Dietary management Supportive management Prevention of complication Prevention of psychosocial problems Rehabilitation a. Fluid Parenteral fluids Hypotonic Hypertonic Isotonic b. Electrolyte Sodium Potassium Calcium Magnesium Phosphate c. diuretics Potassium-sparing Potasium-losing Osmotic diuretics d. Vitamin D supplements Renal dysfunction a. Major surgical procedures nephrectomy, nephrostomy, cystectomy, uterostomy, renal transplants, urinary diversion b. Special proceduresperitoneal dialysis, hemodialysis, bladder training,

Pre-tests Case Analysis Small Group Learning Lecture Discussion Post test

2.5 hours

Midterm Exam Quiz (Objective)

Role Analysis

Play

Pre-tests Case Analysis Small Group Learning Lecture Discussion Post test

2.5 hours

Group Discussion

Group Presentation/ Report

At the end of the 18. Identify risk lecture discussion, factors among the students will be clients that able to: contribute to the 1. Utilize the development of nursing process problems in in the care of Nutrition and individuals, Metabolism. families with 19. Identify problems in significant nutrition and subjective data metabolism in from client history community and related to hospital settings. problems in 2. Ensure a well nutrition and organized and metabolism. accurate documentation system; 3. Relate with client/s and their family and the health team appropriately; 4. Observe bioethical concepts/principl es, core values and nursing standards in the care of clients; and, 20. Enumerate the 5. Promote principles and personal and techniques of professional physical growth of self examination in and others. newborn, children, adults, deviations from normal.

cystoclysis/bladder irrigation Risk factors related to malnutrition, obesity.

Pre-tests Case Analysis Small Group Learning Lecture Discussion Post test Pre-tests Case Analysis Small Group Learning Lecture Discussion Post test

1 hour

FINALS

Prioritization Nursing Diagnosis

of

NCP Analysis Presentation

a. Chief complaints b. Relevant information, to include eleven functional patterns Health perception management pattern Nutritional/metabolic pattern Elimination pattern Activity/exercise patterns Cognitive/perceptual pattern Sleep-rest pattern Self-perception-self-concept pattern Role relationship pattern Sexuality-reproductive pattern Coping-stress tolerance pattern Value-belief pattern 3.3Gastrointestinal function IPPA Inspection- color, texture of skin, mucous membrane, growth patterns, scars, masses Auscultation- bowel sounds, bruits

2 hours

Demonstration Return Demonstration Lecture Discussion Post test

1.5 hours

21. Identify results and implications of diagnostic/laborat ory examinations of clients with reference to problems in Nutrition and Metabolism. 22. Determine the Patho-physiologic mechanisms of the Alterations in Nutrition and Metabolism.

Palpation focus on GIT for presence of masses, ascites, rebound tenderness, distention Percussion liver span, masses a. Non-invasive: ultrasound of the abdomen, stool culture b. Invasive: to include: barium swallow, esophagoscopy, biopsy, cytology examination, gastric secretion analysis, endoscopy (gastroscopy, duodenoscopy), proctosigmoidoscopy and rectal examination a. Disturbances in ingestion problems in buccal cavity and esophagus b. Disturbances in digestion peptic acid disease, gastritis and gastric cancer c. Disturbances in absorption malnutrition, malabsorption syndrome and inflammatory bowel conditions d. Disturbances in elimination bowel obstruction, hemorrhoids, diarrhea and constipation. Alteration in nutrition less than body requirement Alteration in nutrition more than body requirement Alteration in oral mucous membrane integrity Alteration in comfort: epigastric pain/abdominal pain Fluid volume deficit A. Disturbances in ingestion

Pre-tests Case Analysis Small Group Learning Lecture Discussion Post test

1.5 hours

Reaction Paper

Pre-tests Case Analysis Small Group Learning Lecture Discussion Post test

12 hours

23. Enumer ate Nursing diagnoses taxonomy pertinent to problems/alteratio n in Nutrition and Metabolism. 24. Identify

a. b. c. d. e.

Pre-tests Case Analysis Small Group Learning Lecture Discussion Post test Pre-tests

1.5 hours

12

principles of various modalities of management of clients with problems in Nutrition and Metabolism taking into consideration the following levels of care: 4. Health promotive 5. Disease preventive 6. Curative and restorative

Determination and management of cause Drug therapy Dietary management Supportive management Prevention of complication Prevention of psychosocial problems Rehabilitation B. Disturbances in digestion Determination and management of cause Drug therapy Dietary management Supportive management Prevention of complication Prevention of psychosocial problems Rehabilitation C. Disturbances in absorption Determination and management of cause Drug therapy Dietary management Supportive management Prevention of complication Prevention of psychosocial problems Rehabilitation D. Disturbances in elimination Determination and management of cause Drug therapy Dietary management Supportive management Prevention of

Case Analysis Small Group Learning Lecture Discussion Post test

hours

Group Presentation

25. Enumerate Pharmacologic actions, therapeutic uses, side effects, indications, contraindications, and nursing responsibilities in administering medications clients with Nutrition and Metabolism problems. 26. List the purposes, indications, nursing responsibilities for the surgical and special procedures in alterations in Nutrition and Metabolism.

complication Prevention of psychosocial problems Rehabilitation E. Disturbances in hepatic, biliary and pancreatic functions Determination and management of cause Drug therapy Dietary management Supportive management Prevention of complication Prevention of psychosocial problems Rehabilitation Antiemetics Anticoagulants Hematinics agents Laxatives and stool softeners Antipruritus Vitamin supplement Antacids Antihyperlipidemics Antispasmodics Antidiarrheal a. Surgical procedures gastrostomy, gastrectomy, colostomy, hemorrhoidectomy, gastrointestinal bypass, ileostomy b. Special procedures parenteral hyperalimentation; feeding per nasogastric, jejunostomy, gastrostomy tubes; colostomy care and

Case Analysis

Pre-tests Case Analysis Small Group Learning Lecture Discussion Post test

2 hours

Pre-tests Case Analysis Small Group Learning Lecture Discussion Post test

2.5 hours

At the end of the 27. Identify risk lecture discussion, factors among the students will be clients that able to: contribute to the 1. Utilize the development of nursing process problems in in the care of Endocrine individuals, Function. families with 28. Identify problems in significant endocrine subjective data functioning in from client history community and related to hospital settings. problems in 2. Ensure a well endocrine organized and functioning. accurate documentation system; 3. Relate with client/s and their family and the health team appropriately; 4. Observe bioethical concepts/principl es, core values and nursing standards in the care of clients; and, 29.Enumerate the 5. Promote principles and personal and techniques of professional physical growth of self examination in

irrigation, dietary planning for common GT and endocrine problems; administering medications via NGT, J tube, G tube; hot sitz bath Risk factors related to endocrine hypo or hyperfunctioning.

Pre-tests Case Analysis Small Group Learning Lecture Discussion Post test Pre-tests Case Analysis Small Group Learning Lecture Discussion Post test

1.5 hours

A. Chief complaints B. Relevant information, to include eleven functional patterns Health perception management pattern Nutritional/metabolic pattern Elimination pattern Activity/exercise patterns Cognitive/perceptual pattern Sleep-rest pattern Self-perception-self-concept pattern Role relationship pattern Sexuality-reproductive pattern Coping-stress tolerance pattern Value-belief pattern Inspection- color, texture of skin, mucous membrane, growth patterns, obesity Auscultation bruit, heart sounds, breath sounds

2 hours

Demonstration Return Demonstration Lecture Discussion

1.5 hours

and others.

newborn, children, adults, deviations from normal in the endocrine system. 30. Identify results and implications of diagnostic/laborat ory examinations of clients with reference to problems in endocrine functioning.

Palpation- organ-thyroid enlargement, masses, edema Percussion- fluid, edema Others weight, delayed healing of wounds

Post test

31. Determine the Patho-physiologic mechanisms of the Alterations in endocrine functioning.

a. Screening: glucose tolerance test Non-invasive: e.g. GI x-ray, ultrasound abdomen, Radioiodine assay (RAI), protein bound iodine (PBI), thyroid scan, free thyroxin level, basal metabolic rate (BMR), thyroxine stimulating hormone (TSH) test, OGTT (Glucose tolerance test) urinalysis (glycosuria, ketonuria) Invasive: e.g. percutaneous transhepatic cholangiogram, liver function test, serum thyroxine and triiodothyronine test, iodine 131 uptake, blood sugar tests (fasting blood sugar FBS), random blood sugar (RBS), glycosylated hemoglobin (Hgb), two-hour post prandial blood glucose, endocrine assay. a. Hypo- and Hyperfunction of the pituitary organ b. Hypo- and Hyperfunction of the hypothalamus c. Hypo- and Hyperfunction of the thyroid organ d. Hypo- and Hyperfunction of the parathyroid organ e. Hypo- and Hyperfunction of the

Pre-tests Case Analysis Small Group Learning Lecture Discussion Post test

2.5 hours

Final Exam

Pre-tests Case Analysis Small Group Learning Lecture Discussion Post test

10 hours

32. Enumer ate Nursing diagnoses taxonomy pertinent to problems/alteratio n in endocrine functioning. 33. Enumerate Pharmacologic actions, therapeutic uses, side effects, indications, contraindications, and nursing responsibilities in administering medications clients with endocrine problems.

adrenal organ f. Hypo- and Hyperfunction of the gonads g. Problems in glucose metabolism hypoglycemia and hyperglycemia (IDM, NIDDM) a. Alterations in nutrition less than body requirement b. Fluid volume deficit c. Activity intolerance

Pre-tests Case Analysis Small Group Learning Lecture Discussion Post test Pre-tests Case Analysis Small Group Learning Lecture Discussion Post test

1.5 hours

Corticosteroids Alpha-adrenergic blocking agents Beta-adrenergic blocking agents Tyrosine inhibitors Dopamine receptor antagonists Glucocorticoids Parathyroid hormone agents Thyroid hormone agents Insulin Oral hypoglycemic agents Determination and management of cause Drug therapy - diuretics, electrolytes Dietary management Supportive management Prevention of complication Prevention of psychosocial problems Rehabilitation

2.5 hours

34. Identify principles of various modalities of management of clients with problems in endocrine functioning taking into consideration the following levels

Pre-tests Case Analysis Small Group Learning Lecture Discussion Post test

12 hours

of care: a. Health promotive b. Disease preventive c. Curative and restorative 35. List the purposes, indications, nursing responsibilities for the surgical and special procedures in alterations in endocrine functioning.

a. Surgical procedures thyroidectomy, parathyroidectomy b. Special procedures monitoring of blood glucose levels; maintenance of blood glucose diet, exercise, drugs

Pre-tests Case Analysis Small Group Learning Lecture Discussion Post test

2.5 hours

VII. TEACHING-LEARNING ACTIVITIES (TLA) TLA Lecture/ Discussion Group Work Case Analysis/Study Film Viewing Total CO 1 50% 25% 230% 2% 100% CO2 50% 25% 23% 2% 100% CO3 50% 25% 23% 2% 100% CO4 50% 25% 23% 2% 100%

VIII. ASSESSMENT TOOLS (AT) AT Quiz(Essay and Recall) Group Presentation Case Study Presentation Film Analysis/Reaction Total CO 1 50% 25% 230% 2% 100% CO2 50% 25% 23% 2% 100% CO3 50% 25% 23% 2% 100% CO4 50% 25% 23% 2% 100%

IX. COMPUTATION OF SCORES NCM 103 A Grade: Prelims: PG = 60% CS + 40% Exam Midterms RMG = 60% CS+40% Exam MG = 50% PG +50% RMG Finals: RFG = 40%CS +60% Exam FG= 25% PG +25 % RMG +50% RFG NCM 103-B Prelims: PG= 60% CS +40% Exam (CS= 30% Rotational Grade+ 20% Skills Lab +10% E-Learning) (CS= 30% Rotational Grade+ 20% Skills Lab +10% E-Learning) Midterms: RMG =60% CS+40% Exam MG = 50% PG +50% RMG

Finals: RFG= 40% CS + 60% Compre (CS= 15% Rotational Grade+ 15% Skills Lab +10% E-Learning) FG = 25% PG +25 % RMG +50% RFG NCM 103 Grade: (NCM 103 Lecture Final Grade x 8) + ((NCM 103 RLE x6) 14

X. REFERENCES: 1. 2. 3. 4. 5. 6. 7. Commission on Higher Education Memorandum No. 14 Series of 2009 Nettina S.,(2001), The Lippincotts Pocket Manual of Nursing Practice, New York: Lippincott Marieb, E., (2006), Essentials of Human Anatomy and Physiology, Pearson Education South Asia PTE. LTD. Brunner, L. and Suddarth, D., (2008), Textbook of Medical-Surgical Nursing, Philadelphia: Lippincott Black, J and Hawks, J., (2008), Medical Surgical Nursing: Clinical Management for Positive Outcomes, Philadelphia: Lippincott Lemone, P. and Burke, K., (2004) Medical Surgical Nursing: Critical Thinking in Client Care, NJ: Pearson Prentice Hall Sharon Lewis, (2007) Medical Surgical Nursing: Assessment and Management of Clinical Problems, Mosby

Prepared by: Mr. Michael Joel C. Piduca, RN, MAN BASAEN Instructor

Evaluated by: Eddieson Pasay-an,Ph.D,RN Area Head

Approved by: Dr. Marian Grace Gascon Dean

Noted by: Dr. CLEOFAS VPAA