cebu normal university -...

PUSON, BANTUGAN, SUSON & UGDORACION 2010

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Republic of the Philippines

Cebu Normal University College of Nursing

A UbD Syllabus in Nursing Care Management

Course Code: NCM 103

Course Title: Nursing Care Management 103

Placement: BSN III, 2nd Semester

Credits: 8 units Theory (8x 18= 144 hours)

8 units RLE (8x 51= 408 hours)

Vision of CNU

A multidisciplinary research university of education committed to build a strong nation.

Mission of CNU

To develop high-performing professionals and intellectuals proficient in generating new

knowledge toward a progressive and peaceful pluralistic society.

Course Description

This is an 8-unit course which focuses on the diagnostic procedures, nursing care,

medical and surgical management of psychopathophysiologic disturbances among

adult clients.

Goal

This course aims to equip students with knowledge in resolving issues of bodily

alterations focusing on the nursing perspective, the use of correct attitude in dealing

with clients with disease and or disorder and finally the refinement of skills in order to

apply quality nursing care.

Objectives

This course aims to provide BSN III students with the basic knowledge, attitude and skills

related to the study of the psychopathophysiological processes of diseases. This further

utilizes the nursing process as a framework for the care of the clients. Knowledge of the

psychopathophysiology will facilitate for formulation of nursing diagnosis and serve as

basis for quality nursing care.

Through this course, the Level III students will be able to synthesize and apply the

concepts, principles and skills in the nursing care management of adult clients.

Conceptual Framework of the Course

The nurses main responsibility is to focus care on the complexity of the human being.

The best way he can assure quality care depends on his in depth understanding of

nursing care and the familiarity of the disease process. Making use of Anatomy and

Physiology, Pathophysiology and Fundamentals of Nursing, a beginning student nurse is

exposed to the wide array of nursing care in different clinical conditions and will enable

them to initiate correct judgement on a specific condition.

Human Being is considered a tripartite being. Therefore caring is complex and differs

from each situation. Even if human being is complex, he maintains balance of these

components. In some situations wherein the balance is altered it creates disturbances in

the unity of the client’s general condition. The nurse being another person enters into


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the scene and immediately detect any variances of the clients condition and creates a

series of steps called the nursing process and applies it to the patient. The nursing

process is thought to be a correct method in dealing with the clients experience of

health alterations. Once the problem is resolved or prevented and even if the issue is

not alleviated, the nurse goes back to the first step and start the process once again

until the client receive the optimal care and the health alteration is alleviated.

Alterations in Homeostasis, Protection and Adaptation

Desired Results Assessment

Evidence Learning Experience

The students can skilfully and

competently apply the

concepts of nursing principles

and techniques to their nursing

practice with high degree of

competence and to develop a

practice and innovative nursing

practice.

Elements

Adaptation and Homeostasis

Concepts

Health and Illness Continuum

Cellular Adaptation & injury

Alterations in Body Defenses

Stress and Adaptation

Alteration in

Thermoregulation

Inflammation

Immunologic System

Related Diagnostic

Procedures Applied

Essential Questions

Explain health and illness

continuum?

How cellular injury happens?

What is stress?

Explain the inflammatory

process?

How does the immunologic

system works?

1. Pass the quiz

with 70%

passing rate

2. Submission of

acceptable

requirements

such as:

Soft/ hard

copy of

reports

A narrative

report on

the video

presentation

3. Case

Conference

Group /

Individual

Case

Conference

Explain

The importance of

understanding the

medical, surgical

and nursing

management of

alterations of bodily

defenses.

Interpret

The physiologic

occurrence of signs

and symptoms of the

different diseases

and its management

Apply

The techniques and

concepts to what

has been taught

inside the classroom

to its related learning

experience, see the

points of views of

client regarding the

physiologic changes

experienced during

the occurrence of

symptoms, and

experience of

diagnostic

procedure

Emphasize

With the client in

hospitals where

treatment is

rendered

Reflect

On the experiences

as a beginning nurse

practitioner to

enhance


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professional and

persona

competence

Alteration in Oxygenations



The students can competently apply

the nursing concepts in providing care

to clients with Alterations in pulmonary

functions, circulatory problems and

cardiovascular disorders with high

degree of competence and to

develop a creative and innovative

nursing practice utilizing adequate

knowledge, procedural skills and the

right values and attitudes.

Elements

Altered Pulmonary Function

Brief review of the anatomy and

physiology

Respiratory Infections

Obstructive Disorders

Restrictive Disorders

Disorders in the Pleural Spaces

Disorders of vascular origin

Respiratory Malignancies

Normal and Altered Erythrocyte

Function

Blood Components

Brief Review of anatomy and

physiology

Disorders in RBC

Altered and normal leukocyte

function

Review of anatomy and

physiology

Non-malignan WBC disorders

Normal and Altered Platelet

Review of Anatomy and

Physiology

Disorders of haemostasis

Altered Circulation

Normal Circulatory Dynamics

Altered Circulatory Functions

1. Pass the

paper-pencil

test and

classroom

exercise with

70 percent

passing

percentage

2. Submission of

acceptable

requirements

like

Reflection

Journal and

Portfolio

3. Group

Dynamics

4. Appropriate

Analogies

5. Online

Examination

Explain what are the various,

respiratory, circulatory

and cardiovascular

problems and

explicating all the

precipitating factors

and risk factors that

may lead to the

development of these

disease disorder

the pathognomonic

manifestations of the

disease disorders of the,

lungs, circulation and

the heart and the

reason why they

develop.

the

psychopathophysiologic

process of these diseases

from causes to

manifestations and its

complications

Interpret

various laboratory

results and

diagnostic tests

commonly done

among patients to

diagnose with

respiratory,

circulatory and

cardiovascular

problems

Apply

The nursing process

in the formulation of

nursing care plans for

the prevention,


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Altered cardiac Functions

Shock

Essential Questions

How does respiratory disorders

classified?

Give examples and explain

briefly each disease under its

category

Discuss how alterations in the

circulatory system develops

What are the diseases of the

blood?

How does the blood help our

body?

What are the nursing cares for

patients with disorders of the

blood?

What are the different disorders

affecting the cardiovascular

system?

Trace the

psychopathophysiologic process

of these cardiovascular disorders

from possible etiologies to

complications

What are the common

laboratory tests and diagnostic

examinations that can be done

to diagnose these various

cardiovascular disorders?

What are the medical, surgical

and pharmacologic

managements given and done

to clients with cardiovascular

disorders?

What nursing problems are

identifiable among clients with

cardiovascular problems?

What are the essential nursing

responsibilities that may aid

clients with cardiovascular

difficulties?

What are the different shock

disorders?

Trace the

psychopathophysiologic process

of these shock disorders from

possible etiologies to

complications

What are the common

laboratory tests and diagnostic

curative and

rehabilitation of

clients with altered

respiratory,

circulatory and

cardiac function

Results of recent

researches that

focuses on the

improvement of

nursing care among

clients with

respiratory,

circulatory and

cardiovascular

dilemmas

Innovative

techniques in the

care of clients with

respiratory, ciculatory

and cardiovascular

disorders with limited

and inadequate

resources

SEE THE POINT OF VIEW

of nurses taking care

of clients

cardiovascular

difficulties

Emphasize

with patients and

significant others

who have altered

respiratory,

circulatory and

cardiac functions

Reflect

• on the perceptions

and experiences of

individuals who take

care of patients with

respiratory, ciculatory

and cardiovascular

problems


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Alterations in Body Fluids and Electrolytes

examinations that can be done

to diagnose these various shock

disorders?

What are the medical, surgical

and pharmacologic

managements given and done

to clients with shock disorders?


identifiable among clients with

shock problems?



clients with shock problems?



The students can competently

apply the nursing concepts in

providing care to clients with

alterations in Fluid and Electrolyte

status with high degree of

competence and to develop a

creative and innovative nursing

practice utilizing adequate

knowledge, procedural skills and

the right values and attitudes.

Elements

Electrolyte imbalances

Fluid imbalances

Alterations in renal functions

Essential Questions:

What are the various disease

conditions associated with

altered fluid and electrolyte

status?

Trace the

psychopathophysiologic

process of these disease

conditions from possible

etiologies to complications

What are the common

laboratory tests and

diagnostic examinations that

can be done to diagnose

problems of fluid and

1. Pass the paper-

pencil test and

classroom

exercise with 70

percent

passing

percentage

2. Submission of

acceptable

requirements

like Reflection

Journal and

Portfolio

3. Group

Dynamics

4. Appropriate

Analogies

5. Evocative

discussion of a

client’s case

6. Interview

Learning

Feedback

Diary

7. Nursing Care

Plan Rubrics

8. Paper-Pencil

Test

9. Participative

lecture

EXPLAIN

what are the

different disease

disorders associated

with altered fluid and

electrolyte status

and explicating all

the precipitating

factors and risk

factors that may

lead to the

development of

these conditions

the pathognomonic

manifestations of

these disease

conditions and the

reason why they

develop.

the

psychopathophysiolo

gic process of these

altered states from

causes to

manifestations and

its complications

the pathophysiologic

basis of the different

conditions that

causes cellular


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electrolytes function?

What are the medical,

surgical and pharmacologic

managements given and

done to clients with Fluid and

Electrolyte problems?


identifiable among clients

with Fluid and Electrolyte

difficulties?



clients with alterations in Fluid

and Electrolyte function?

Overview of Anatomy and

Physiology of the Renal

System

Renal System disorders

affecting Pediatric clients

and Adult clients

Assessment of Clients with

Renal Disorders

Laboratory and Diagnostic

Procedures involving the

Renal System

Curative and Rehabilitative

Nursing Care Management of

individuals with Renal System

Disorders

discussion

10. Performance

Rating Scale in

Related

Learning

Experience

11. Reflection

Journal

12. Return

Demonstration

of different

nursing

procedures

13. Simulation of

situations for

analysis and

interpretation

degeneration that

leads to Problems

the Diagnostic

Procedures

necessary in the

diagnosing of the

disease conditions

the Medical-Surgical

Interventions

necessary in

preventing and

treating Renal

Diseases

INTERPRET

various laboratory

results and

diagnostic tests

commonly done

among patients to

diagnose problems

of fluid and

electrolytes

Different laboratory

and diagnostic

findings that shows

normal and

abnormal results and

associated

implications

Different

pathognomonic

signs that confirms

the Renal Disorders.

APPLY

The nursing process



the prevention,

curative and

rehabilitation of

clients with

alterations in fluid

and electrolytes

Results of recent

researches that

focuses on the

improvement of

nursing care among

clients with fluid and

electrolyte problems

Innovative

techniques in the


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fluid and electrolyte

with limited and

inadequate

resources

The nursing

process in the

formulation of

nursing care plans

for the

prevention,

curative and

rehabilitation of

clients with Renal

System Disorders

Results of recent

researches that

focuses on the

improvement of

nursing care

among clients

with Renal

Problems

Innovative

techniques in the

care of clients

with Renal System

Disorders with

limited and

inadequate

resources



of clients with

alterations in fluid

and electrolytes


of clients with Renal

System Disorders

of utilizing the

different isolation

techniques in

preventing the

complications of

diseases

EMPHATIZE

with patients and

significant others

who have problems

in altered fluid and

electrolytes function

with patients and


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Alterations in Metabolism, Nutrition and Endocrine Function

significant others

who are afflicted

with Renal Diseases

REFLECT

on the perceptions

and experiences of

individuals who take

care of patients with

fluid and electrolytes

difficulties

on the perceptions

and experiences of

individuals who are

taking care of

patients in the ward

and patients with

Renal Problems

on the possibilities of

behavioral changes

in individuals with

Renal Disorders in the

ward.



Preventive, Curative and

Rehabilitative Nursing Management

among clients with Endocrine

System Diseases

Elements

Alterations in GIT functions

Alterations in the oral cavity

Esophageal alterations

1. Evocative

discussion of a

client’s case

2. Interview

3. Learning

Feedback

Diary

4. Nursing Care

EXPLAIN

the pathophysiologic

basis of the different

conditions that

causes cellular

degeneration that

leads to Endocrine

Problems and


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Alterations in the Stomach

and Duodenum, Gastric

,Duodenal

Alterations in the small

intestines

Alterations in the large

intestines

Alterations in the

Hepatobiliary system

Overview of Anatomy and

Physiology of the Endocrine

System

Endocrine System disorders

affecting Pediatric clients

and Adult clients

Assessment of Clients with

Endocrine Disorders

Laboratory and Diagnostic

Procedures involving the

Endocrine System

Curative and Rehabilitative

Nursing Care Management of

individuals with Endocrine

System Disorders

Essential Questions

What is the pathophysiologic

basis of the disease

conditions that causes

Gastrointestinal and

Endocrine Disorders?

What are the different

medical-surgical and nursing

interventions that can be

employed and how will these

help in treating disorders

associated with

Gastrointestinal and

Endocrine Diseases?

Plan Rubrics

5. Paper-Pencil

Test

6. Participative

lecture

discussion

7. Performance

Rating Scale in

Related

Learning

Experience

8. Reflection

Journal

9. Return

Demonstration

of different

nursing

procedures

10. Simulation of

situations for

analysis and

interpretation

11. Online Exam

12. Interactive

classroom quiz

gastrointestinal

alterations

the Diagnostic

Procedures

necessary in the

diagnosing of the

disease conditions

the Medical-Surgical

Interventions

necessary in

preventing and

treating Endocrine

diseases

INTERPRET

Different laboratory

and diagnostic

findings that shows

normal and

abnormal results and

associated

implications

Different

pathognomonic

signs that confirms

the Endocrine

Disorders and

gastrointestinal

problems.

APPLY

The nursing process



the prevention,

curative and

rehabilitation of

clients with

Endocrine System

Disorders and

gastrointestinal

alterations

Results of recent

researches that

focuses on the

improvement of

nursing care among

clients with GIT and

Endocrine Problems

Innovative

techniques in the


GIT and Endocrine

System Disorders with


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Assessment Criteria for the Requirements

The student is assessed according to:

1. Written Mid-term and Final Examination

At the middle and the end of the semester, and multiple choice examination

will be given to all students with 70% as the passing rate. The criterion for test

construction is focused application of nursing care in the field of nursing

practice.

2. Daily quizzes and quiz bowl result

3. Simulation exercises

4. Assignments and Group works

5. The grade is calculated on the following formula 40% on quizzes, 40% on term

examinations, 10% on Assignments and 10% on Group Dynamics. The final

grade of this subject is calculated based on 50% Midterms and 50% Final

Term.

Assessment Grades

Students should refer to the CNU-Graduate School related policies and

procedures manual for detailed information in grading, etc.

limited and

inadequate

resources



of clients with GIT

and Endocrine

System Disorders

EMPHATIZE

with patients and

significant others

who are afflicted

with GIT and

Endocrine Diseases

REFLECT

on the perceptions

and experiences of

individuals who are

taking care of

patients in the ward

and patients with GIT

and Endocrine

Problems

on the possibilities of

behavioral changes

in individuals with GIT

and Endocrine

Disorders in the ward.


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Bibliography

Black, Joyce M. and Jane Hokanson Hawkinson. Medical-Surgical Nursing. 7th edition.

USA:

Elsevier Saunders, 2004

Bullock, B. et al,. (2000). Focus on Pathophysiology. Lippincott Williams and Wilkins

Bruner et. al., Medical-Surgical Nursing; Lippincot, Philadelphia. 1998

Davis, C., et al. (2000). An Introduction to Nursing Physiology. Philadelphia: JB Lippincott

Company

Diseases: A Nursing Process Approach to Excellent Care. 4th Edition. USA: Lippincott

Williams

and Wilkins. 2006

Ignatavius, Donna D. and Workman, M. Linda. Medical-Surgical Nursing. 5th edition.

USA:

Elsevier Inc. 2006

Kozier, B. et al. (2004). Fundamentals of Nursing. 5th Edition. Singapore: Pearson

Education Asia Pte Ltd.

Nettina, S.M. (2007). Lippincott Manual of Nursing Practice Handbook. 3rd Ed.

Philadelphia: Lippincott Williams and Wilkins

Pilliteri, A. Maternal and Child Nursing, 5th edition. Lippincott Williams and Wilkins

Porth, Carol et, al. Pathophysiology: Concept of Altered Health States. 6th edition.

Philadelphia,

USA: Lippincott Williams and Wilkins. 2002

Smeltzer, Suzanne C., et al. Brunner and Suddarth’s Textbook of Medical-Surgical

Nursing. 11th

edition. USA: Lippincott Williams and Wilkins 2008.

Sommers, Marilyn et. al. Diseases and Disorders: A Nursing Therapeutics Manual. 3rd

Edition.

Philadelphia, USA: F. A. Davis Company 2007.

WEBSITES:

http://www.medscape.net

www.classmarker.com

www.youtube.com

Prepared by:

Mr. Dominon B. Puson

Mr. Jose B. Bantugan

Mr. Emiliano Ian B. Suson II, RN MAN

Mr. Jerald S. Ugdoracion, RN MN

http://www.medscape.net/

http://www.classmarker.com/

http://www.youtube.com/


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Approved by:

Dr. Daisy R. Palompon

Dean College of Nursing

cebu normal university -...

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