Santiago City

COLLEGE OF NURSING

Course Name ELECTIVE II

Course Description This course deals with the concepts, principles and techniques of nursing care management of
those with chronic illness and the older persons.

Course Credit 3 units

Contact Hours/sem 54 lecture hours
Pre-requisite All Professional Subjects
Placement 4th year, 1st semester
Course Objective At the end of the course, and given scenarios/conditions and situations, the student should be
able to:
1. Utilize the nursing process in the care of patients with chronic illness and care of the
older person.
2. Discuss special concerns, issues and trends in caring for the chronically ill and the older
person.

References Gerontological Nursing 2nd edition ( Mauk )

Fundamentals of Nursing 8th edition ( Kozier & Erb’s )
Health & Illness Perspective 8th edition

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COURSE CONTENT SPECIFIC OBJECTIVE TIME STRATEGIES MATERIALS VALUES EVALUATION LEARNING
FRAME OUTCOMES
2 hours Loyalty Recitation Recite the
I. Philosophy of Education, Be oriented to the institution’s and mission, vision
Mission, Vision of Northeastern college laws of the
College/ Nursing Department institution
II. Grading System
III. Classroom rules and regulations
IV. Course Syllabus

The students
I. Chronic Illness would be able
A. Key problem areas Given set of question and to handle
experienced by patients scenarios/situations, the students situation in
with chronic illness should be able to: taking care of
B. Review of the the patients
pathophysiology of selected 1. Utilize the nursing process in with chronic
chronic conditions: Heart the care of patients with illness and older
diseases. Hypertension, chronic illness and care of the person.
Chronic Obstructive older person.
Pulmonary Disease. Discuss special concerns, issues and Identify the
Diabetes, Cancer and trends in caring for chronically ill and factors that
management of the above the older person caring for affect normal
conditions. chronically ill and the older person functioning of
C. Specific assessment focus A. Key problem areas experienced by the old person
and management of the patients with chronic illness
above conditions B
D. Health education in chronic health
illness C. Risk factors associated with
E. Behavioral management in chronic illness
chronic illness. D. Patterns of illness of the older
 Coping persons
interventions for

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 powerlessness, E. Comprehensive geriatric
hopelessness, assessment
sensory F. Nursing Diagnosis related to
deprivation, wellness and chronic illness
sleeplessness G. Problems related to the older
 Social support persons
system and family  Physiologic functioning
in chronic illness  Behavioral
F. Issues and trends in chronic  Safety
care H. Needs for self-care, life
support,
health maintenance
I. Health problems in chronic
illness care
J. Levels of care
K. Principles in the care of the
older persons
 Wellness
 Health promotion
 Chronic illness
 Recovery and
rehabilitation
 Quality of life
Nursing interventions for specific

CONTENT OBJECTIVES TIME MATERIALS TEACHING- VALUES EVALUATION MEASURES

FRAME LEARNING

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 ACTIVITIES
A. Key problem areas experienced by June 11 Loyalty
patients with chronic illness
B Quiz
health Given set of question June 18 – Graded
C. Risk factors associated with and July 17 Lecture Recitation Trustworthy The students would be able to handle situations
chronic illness scenarios/situations, Discussion Long exam Integrity in taking care of the patients with chronic illness
D. Patterns of illness of the older the students should be and older person.
persons able to:  PowerPoint
E. Comprehensive geriatric Presentatio The students would be able to give the factors
assessment 2. Utilize the n that affect normal functioning of the older
F. Nursing Diagnosis related to nursing process Student-Teacher person.
wellness and chronic illness in the care of Interaction  Demographics of aging
G. Problems related to the older patients with  Theories of aging
persons chronic illness  Socio-economic aspect of aging
 Physiologic functioning and care of the  The aging family, the well older person
 Behavioral older person. and their implications to care.
 Safety 3. Discuss special Role playing
H. Needs for self-care, life support, concerns, issues  Student- Simulation The students would able to give the theories of
health maintenance and trends in teacher activity aging and its subdivision and classification.
L. Health problems in chronic caring for interaction Brainstorming A. Psychosociologic theory
illness care chronically ill - Disengagement theory
M. Levels of care and the older - Activity theory
N. Principles in the care of the older person. - Life course theory
persons - Continuity theory
 Wellness B. Biologic theory
 Health promotion July 23 – Quiz C. 1. Generic theories
 Chronic illness Aug 7 Lecture discussion Graded recitation a. Error and fidelity theory
 Recovery and  Power Long exam b. Somatic mutation theory
rehabilitation point Role playing c. Glycation theory
 Quality of life presentatio Simulation 2.Non-generic theories
O. Nursing interventions for specific n activity a. Effect of temperature theory
problems of the older persons  Student- Brainstorming b. Nutrient deprivation
include care that support teacher c. Lipofusion theory

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  Wellness interaction
Nursing support The students would be able to specify the care of
Activity and exercise the older person in factors/ethnicity.
Stress management A. Factors that affect normal functioning of
 Physiologic functioning the older person.
Activity & exercise  Demographics of aging
Nutrition support  Theories of aging
Respiratory management  Socio-economic aspect of aging
Tissue perfusion Aug 13  The aging family, the well older
management person and their implications to
Electrolyte and acid-base Aug 14 – Quiz care.
balance management Aug 21 Graded recitation  Physical/physiological/biologi
Skin/wound Long exam cal
management Lecture discussion Role playing  Social and
Physical comfort  Power Simulation psychological/emotional
promotion point activity B. Cultural factors/ethnicity such as regard
 Behavioral Aug 27 – presentatio Brainstorming for elders. Perception of health.
Coping assistance 28 n C. Risk factors associated with chronic
Patient education  Student- illness.
Spiritual care teacher D. Pattern of illness of the older persons.
 Safety interaction E. Comprehensive geriatric assessment
Risk reduction activities Sept 3 – F. Nursing diagnosis related to wellness and
Management of the Oct 9 chronic illness.
environment G. Problems related to the older persons.
 Bioethical components  Physiologic functioning
of care  Behavioral
P. Community resources for care of  Safety
older persons H. Needs for self-care, life support, health
Q. Criteria for evaluation maintenance
 Indicators for wellness I. Health problems in chronic illness
 Responses to care J. Levels of care
R. Gerontological nursing concepts, K. Principle in the care of the older persons
standards of care  Wellness
S. Ethical aspects in the care of the  Health promotions

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 older person Quiz  Chronic illness
T. Current trends and issues in the Graded recitation  Recovery and rehabilitation
care of the older person Long exam  Quality of life
U. Evidence based interventions in Role playing L. Nursing interventions for specific
the care of older persons. Simulation problems of the older persons include
Lecture discussion activity care that support.
 Power Brainstorming  Wellness
point Nutrition support
presentatio Activity ans exercise
n  Stress management, physiologic
 Student- functioning
teacher Activity and exercise
interaction Nutrition support
Respiratory management
Tissue perfusion management
Electrolyte and acd-base balance
management
Skin/wound management
Physical comfort promotion
 Behavioral coping assistance
Patient education
Spiritual care
 Safety
Risk reduction activities
Management of the environment
 Bioethical component of care
M. Community resources for care of older
persons
N. Criteria for evaluation
 Indicators for wellness
 Response to care
O. Gerentological nursing concepts,
standards of care
P. Ethical aspects in the care of the older

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 person
Q. Current trends and issues in the care of
the older persons
R. Evidenced based interventions in the care
of the older person.
CONTENT OBJECTIVES
4.Solution Development Tools
Prioritization Matrix
* Process Decision Program
Chart (PDPC)
*Tree Diagram
5.Quality Monitoring Tools
* Control Chart
* Histogram
* Radar Chart
G. Quality Circles and Quality
Terms
H. Quality Improvement Activities
Clinical Practice Guidelines
 Clinical Pathways

 Utilization Review
 Complaints Analysis
 Morbidity and Mortality
Meetings
 Sentinel Events Monitoring
 Credentialing and Clinical
Privileging
 Variance Reporting and Analysis

Lecture
Quiz

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I Chronic Illness

Aug 29-
Given set of questions Oct 8
and

CONTENT OBJECTIVES TIME MATERIALS TEACHER-LEARNING EVALUATION MEASURES

FRAME ACTIVITIES
A. Key Problem Areas Experienced By scenarios/situations, the students Discussion Graded recitation
Patients With Chronic Illness. should be able to: Long exam
A. Review of the Pathophysiology of 1. Utilize the nursing process  PowerPoint Brainstorming determine the key problem areas
selected chronic conditions: Heart in the care of patients with Presentation Role playing experienced by patients with chronic
Disease, Hypertension, Chronic chronic illness and care of Student-Teacher Simulation activity illness.
Obstructive Pulmonary Disease, the older person. Interaction
Diabetes, Cancer, Dementia, Stroke. 2. Discuss special concerns, Also the students would be able to
B. Specific assessment focus and issues and trends in caring handle situations in taking care of the
Management of the above for chronically ill and the patients with chronic illness and older
conditions. older person person.
C. Health Education in Chronic Illness
D. Behavioral Management in Chronic The students would be able to give the
Illness factors that affect normal functioning of
 Coping interventions for the older persons.
powerlessness, hopelessness,
sensory deprivation, sleeplessness  Demographics of Aging
etc.  Theories of Aging
 Social Support System and Family in Lecture  Socio-economic Aspects of
Chronic Illness Discussion Aging
E. Issues and Trends in Chronic Care  The Aging Family The Well
II Care of the Older Persons  PowerPoint Older Person and their
A. Factors that affect normal Presentation Implications to Care.
functioning of the older person Student-Teacher The students also able to give the
 Demographics of Aging Interaction theories of aging and its subdivision and
 Theories of Aging Quiz classification.

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 Socio-economic Aspects of Aging Graded recitation A. Psychosociologic theory
 The Aging Family The Well Older Long exam - disengagement theory
Person and their Implications to Brainstorming - activity theory
Care. Role playing - life – course theory
 Physical/physiological/Biological Simulation activity - continuity theory

CONTENT OBJECTIVES TIME MATERIALS TEACHER-LEARNING EVALUATION MEASURES

FRAME ACTIVITIES
 Social and Psychological B. Biologic theories
Emotional C. 1. Generic theories
a. Error & fidelity theory
B. Cultural Factors/ethnicity b. Somatic mutation theory
such as regard for elders, c. Glycation theory
perception of health Lecture Quiz 1. Non-genetic theories
C. Risk factors associated with Discussion Graded recitation a. Effect –of- temperature
chronic Long exam theory
illness  PowerPoint Brainstorming b. Nutrient deprivation theory
D. Pattern of illness of the Presentation Role playing c. Lipofuscin theory
older persons Student-Teacher Simulation activity
E. Comprehensive geriatric Interaction The students would be able to specify the
assessment care of the older persons in cultural
F. Nursing Diagnosis related factors/ethnicity.
to Wellness & Chronic A. Factors that affect normal
Illness functioning of the older person
G. Problems related to the  Demographics of Aging
older persons  Theories of Aging
 Physiologic functioning  Socio-economic Aspects of Aging
 Behavioral  The Aging Family The Well Older
 Safety Person and their Implications to
H. Needs for Self-Care, life Care.
support, health  Physical/physiological/Biological
maintenance Social and Psychological Emotional
I. Health Problems in chronic B. Cultural Factors/ethnicity such as

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 illness regard for elders, perception of
J. Levels of care health
K. Principles in the care of the C. Risk factors associated with chronic
older persons illness
 Wellness D. Pattern of illness of the older

CONTENT OBJECTIVES TIME MATERIALS TEACHER-LEARNING EVALUATION MEASURES

FRAME ACTIVITIES
 Health promotion persons
 Chronic illness E. Comprehensive geriatric
 Recovery and assessment
rehabilitation F. Nursing Diagnosis related to
 Quality of Life Wellness & Chronic Illness
L. Nursing Interventions for Lecture Quiz G. Problems related to the older
specific problems of the Discussion Graded recitation persons
older persons include car Long exam  Physiologic functioning
that support  PowerPoint Brainstorming  Behavioral
 Wellness Presentation Role playing  Safety
Nutrition Support Student-Teacher Simulation activity H. Needs for Self-Care, life support,
Activity & Exercise Interaction health maintenance
 Stress Management I. Health Problems in chronic illness
physiologic functioning J. Levels of care
Activity & exercise K. Principles in the care of the older
Nutrition support persons
Respiratory management  Wellness
Tissue perfusion  Health promotion
management  Chronic illness
Electrolyte and Acid –based Recovery and rehabilitation
balance management  Quality of Life
Skin/wound management L. Nursing Interventions for specific
Physical comfort promotion problems of the older persons
 Behavioral include car
Coping assistance that support

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 Patient education  Wellness
Spiritual care Nutrition Support
 Safety Activity & Exercise
Risk reduction activities  Stress Management physiologic
Management of the functioning

CONTENT OBJECTIVES TIME MATERIALS TEACHER-LEARNING EVALUATION MEASURES

FRAME ACTIVITIES
Lecture Quiz Activity & exercise
Environment Discussion Graded recitation Nutrition support
 Bioethical component of Long exam Respiratory management
care  PowerPoint Brainstorming Tissue perfusion management
M. Community resources for Presentation Role playing Electrolyte and Acid –based
care of older persons Student-Teacher Simulation activity balance management
N. Criteria for evaluation Interaction Skin/wound management
 Indicators for wellness Physical comfort promotion
 Responses to care  Behavioral
O. Gerontological Nursing Coping assistance
concepts, standards of care Patient education
P. Ethical aspects in the care Spiritual care
of the older persons  Safety
Q. Current trends and issues Risk reduction activities
in the care of the older Management of the environment
person.  Bioethical components of care
R. Evidence based M. Community resources for care of
interventions in the care older persons
of the older persons. S. Criteria for evaluation
 Indicators for wellness
 Responses to care
T. Gerontological Nursing
concepts, standards of care
U. Ethical aspects in the care of the
older persons

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 V. Current trends and issues in the
care of the older person.
W. Evidence based interventions in
the care of the older persons.

Prepared by: Approved by:

Marissa S. Fernandez, MAN, RN Alpha S. Non, MSN, LPT, RN

Instructor Dean, College of Nursing

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