ncm 67 lecture syllabus

7/25/2019 NCM 67 Lecture Syllabus

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Course Syllabus

Care of Clients with Problems in CellularAberrations,

Acute Biologic Crisis including Emergency andDisaster Nursing

NCM 6Pre!ared by"

#ichard Allan #$ Soli%en, #N, MSNMe%elle A$ Du&ue, #N, MN

'nstructor

A!!ro%ed by"Pilar ($ Domagsang, #N, MAN

Dean

)une *+-st Semester

Central Mindanao .ni%ersityCollege of Nursing


2/22

C/.#SE S011AB.S

Course Number " NCM 6Course Name " Care of Clients with Problems in Cellular Aberrations, Acute Biologic Crisis,Emergency and Disaster NursingCourse Description" 't deals with the !rinci!les and techni&ues of nursing care management of sic2clients across the

lifes!an with em!hasis on the adult and older !erson with alteration3!roblems in cellularaberration, acute biologic crisis, including emergency and disaster nursing and '(

4hera!y$Prerequisites " NCM 6- 5 Care of clients with !roblems in inammatory and immunologic res!onse,!erce!tion and coordination NCM 5Care of clients with malada!ti%e !atterns of beha%iorUnits " 6 units lecture, 7 units #1E 8*units S2ills 1ab 9 :units Clinical;Time Duration " +< lecture hours, *77 #1E =oursPlacement " -thyear, stSemester

Terminal Competencies:At the end of the course, and gi%en actual clients with !roblems in cellular aberrations, acute biologic crisisand emergency, the student should be able to"

$ .tili>e the nursing !rocess in the care of indi%iduals, families in community and hos!ital settings$5 Assess with client3s his3her3their condition3health status through inter%iew, !hysical

e?amination, inter!retation oflaboratory @ndings

5 'dentify actual and !otential nursing diagnosis$5 Plan a!!ro!riate nursing inter%entions with client3s and family for identi@ed nursing diagnosis$5 'm!lement !lan of care with client3s and family5 E%aluate the !rogress of his3her3their clients condition ad outcomes of care

*$ Ensure a well organi>ed and accurate documentation system:$ #elate with client3s and their family and the health team a!!ro!riately-$ /bser%e bioethical conce!ts3 !rinci!les, core %alues and nursing standards in the care of clients7$ Promote !ersonal and !rofessional growth of self and others


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NATIONAL GOALS:

National oals of the !resent administration of the #e!ublic of the Phili!!ines, es!ecially on"a$ Ensuring growth with e&uity and stabilityb$ 'n%esting in education and trainingc$ Putting the Phili!!ines in the international ma!d$ ighting !o%erty with good go%ernance$e$ 'm!ro%ing !eace and order, law enforcement and administration of ustice$f$ Enhancing health careg$ Strengthening ethical and technological 2nowledge$

REGIONAL GOALS:#egional oals, es!ecially on"

a$ Securing !eace and de%elo!ment in Mindanao$b$ Pursuing balance regional de%elo!ment$

ISION:An academic !aradise of higher learning acti%ely committed to the total de%elo!ment of !eo!le for a

globally sustainable en%ironment and a humane society$

!ISSION:

4o ad%ance the frontiers of 2nowledge for economic !ros!erity, moral integrity9 social and culturalsensiti%ity, and en%ironmental consciousness through e&uitable access to &uality instruction, research,e?tension and !roduction$

GOALS$ Pro%ide high &uality nursing !rogram*$ Pro%ide culturally di%erse o!!ortunities for students and faculty$:$ Engage in faculty and3or student research and scholarly acti%ities that im!ro%e health and ad%ance

nursing 2nowledge$


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-$ Deli%er inno%ati%e health care in !artnershi! with communities$

O"#ECTIES$ Pre!are graduates for the !ractice of !rofessional nursing in general and s!eciali>ed clinical settings$*$ Ac2nowledge di%ersity of %alues and ethics, culture, and ethnicity of all !eo!le$:$ Practice legal, ethico5moral, social res!onsibilities3 accountabilities$-$ Encourage the ad%ancement of nursing science by creating milieu that fosters information literacy,

lifelong learning, and scholarly endea%ors$7$ Su!!ort the im!ro%ement of health from the local to global arena through disco%ery, learning, and

engagement$6$ Conduct research and other scholarly acti%ities to add to the body of s!eciali>ed 2nowledge and

theory in nursing education acti%ities$

$ Contribute to the im!ro%ement of nursing education through inno%ation, and !artici!ation in local toglobal nursing education acti%ities


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CLASSROO! POLICIES

Atten$ance: Clinical 'nstructors are re&uired to ta2e attendance$ Stu$ents are e%pecte$ to atten$ allclasses& Students who are acti%ely in%ol%ed in their learning are more successful$ Students are e?!ected tocom!lete all class wor2 and homewor2 and !artici!ate in structured class discussions$ *+G une?cusedabsences is considered dro!!ed before midterms, and will ha%e a grade of 7$+ if *+G of absences isac&uired after midterms$

ALL stu$ents are e%pecte$ to atten$ all classes& In t'e e(ent o) an absence $ue to e%tenuatin*circumstances+ t'e stu$ent is e%pecte$ to noti), t'e clinical instructor+ *et an a$mission slipattac'e$ -it' an e%cuse letter si*n b, *uar$ian or parent be)ore a$mittin* a*ain to t'e class&S'oul$ t'e stu$ent miss an, qui.+ *roup -or/+ requirements $urin* t'e $a, o) absence+ t'einstructor is to not obli*e$ to cater ma/e0up )or misse$ qui..es+ *roup -or/ an$ requirementsunless t'e reason )or t'e absence is (ali$&

7 minutes late is already considered absent$

Electronic De(ice Use: 1a!to!s and =and5held de%ices are allowed in class for note5ta2ing !ur!oses, only$4he use of =and5held de%ices that are iP/D ca!able are encouraged to facilitate downloadable informationas learning strategies and study tools$ Cell !hones must be turned oF in class and are !rohibited duringclass hours$

Student3s will be as2 to lea%e the classroom !remises if the student will not follow !ro!er decorum in class$

Instructor1s E%pectations:4he student will !artici!ate in discussions


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GRADING S2STE!NC! 34 Lecture

A H *+GI H 7+GS H :+GTotal: 5667

1. Attitude (20%)

Subecti%e Parameters 8


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'N4E#MED'A4EC/MPE4ENC'ES

C/N4EN4 4EAC='N51EA#N'N S4#A4E0 E(A1.A4'/N

1ecture No$ ofhours

#1E

After E%ery :5hour1ecture, the student

should be able to"$ 'dentify thea!!ro!riate assessmenttechni&uefor each ty!e of acutebiologic crisis*$ Enumerate!rioriti>ation of theassessment !rocess:$ De@ne each ty!e ofcrisis-$ 4race the!atho!hysiologic !rocessof eachdisorder through diagram

re!resentation7$ Enumerate thediFerent signs andsym!toms of :eachdisorder6$ Enumerate the!ossible com!lications ofeach disorder$ ormulate a!!ro!riatenursing diagnoses foreach disorder

9ELCO!E AND INTRODUCTION

COURSE ORIENTATION

I& ACUTE "IOLOGIC CRISISA& Stan$ar$ Assessment o) t'eCriticall, ill 08ocuse$ istor, Ta/in* 0Discriminatin* P',sicalE%amination A'#LA0 B#EA4='N C'#C.1A4'/N =EM/D0NAM'C S4A4.S

"& Pat'olo*ic !ec'anisms lea$in*to Acute biolo*ic crisis ;multior*an

s,stem $,s)unction; emer*enc,$ Cardiac fai lure*$ Acute myocardial infarction:$ Acute !ulmonary failure-$ Acute renal failure7$ Stro2e6$ 'ncreased intracranial

!ressure$ Metabolic emergencies H e$g$

DIA3==NI


8/22

$ ormulate a!!ro!riatenursing diagnoses foreach disorder*$ ormulate SMA#4obecti%es and outcomecriteria

:$ Enumeratea!!ro!riate nursinginter%entions for eachdisorder

C& Nursin* Dia*nosesTa%onom,;De(elopment o) OutcomeCriteria

$ 'm!aired as E?change*$ 'nability to sustain

s!ontaneous %entilation

:$ Dysfunctional (entilatoryLeaning #es!onse

-$ Decreased cardiac out!ut7$ Altered tissue !erfusion,

systemic6$ Alteration in nutrition, less

than body re&uirements$ luid (olume De@cit


9/22

$ De@ne each !rinci!leof modalities ofmanagement*$ Perform each !rinci!letechni&ue accurately:$ De@ne life maintaining

inter%ention-$ 'dentify the indicationsfor each7$ Enumerate theinter%entions for each6$ 'dentify the indicationsfor each Psychosocialand beha%ioralinter%entions$ Enumerate theinter%entions for eachPsychosocial andbeha%ioral inter%ention

E& Principles o) !ana*ement$ Determination and management ofCause*$ 1ife sa%ing inter%entions" 5Basic 1ife su!!ort 5Ad%anced Cardiac 1ife su!!ort

5irst aid Measures 5luid #esuscitation:$ 1ife Maintaining 'nter%entions" 5Airway management and careof !atients with %entilator 5Parenteral uid administration8blood and blood com!onent thera!y 5'nter%entions for hemodynamicinstability 5Continuous hemodynamicmonitoring 5'nter%entions for Nueral#egulation 5luid and Electrolyte Problems 5Nutrition

5Perio!erati%e Problems-$ Psychosocial and beha%ioralinter%entions" 5measures to relie%e an?iety5body image alterations 5fear, de!ression5grie%ing 5 critical care concerns"5se?uality 5immobility,5s!irituality 5slee! de!ri%ation 5sensory o%erload7$ Su!!orti%e management6$ Pre%ention of com!lication

$ #ehabilitation5!ulmonary, cardiac,neurologic

A$ Class DiscussionB$ MediaPresentations" (ideo,

4rans!arencies,PowerPointC$ rou!

Presentations3 CaseScenariosD$Critical 4hin2ingE?ercisesE$ Seminar on B1S,AC1S for health care!ro%iders$$ B$ ield 4ri! on #edCross, and otheragencies that hasthe ca!ability totrain B1S and AC1S

hours

A$ Actual =ands5on o!!urtunitieson 'C., E#,Medical Lard,Surgical Lardhos!ital

e?!osure3duty$B$ Demo3 #eturnDemo on Blood

4ransfusion$C$ ield 4ri! on#ed Cross, 'C.,and otheragencies

A$ rou!3'ndi%idualActi%ities

B$ Critical 4hin2ingAssignments

C$ Class Attendance3Partici!ation

D$ Periodic E?ams, inalE?amination

E$ Criti&ue of a )ournalArticle3!a!er



1ecture No$ ofhours

#1E No$ of hours


10/22

$ 'dentify the!harmacologicmanagement for eachcrisis*$ 'dentify themechanism of action,

indication,contraindication, ad%erseeFects and side eFectsof each drug:$ Distinguish eachclassi@cation-$ Enumerate the nursingres!onsibilitiesa!!ro!riate for each!harmacologicmanagement

8& P'armacolo*ic Actions4hera!eutic use, side eFects,indications, contraindication, nursingres!onsibilities$ Analgesics*$ Narcotics

:$ Corticosteroids-$ Antihy!ertensi%e7$ (aso!ressors6$ Antibiotics$ Parenteral uids



Presentations3 CaseScenariosD$Critical 4hin2ingE?ercises

6hours

Drug Study onactual clients






$ De@ne each ty!e ofs!ecial and surgical!rocedure*$ Enumerate

a!!ro!riate nursingres!onsibilities

G& Nursin* Responsibilities )orspeci


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$ 'dentify the diFerentethical concerns in!atient care*$ ormulate a discharge!lan s!eci@c for eachdisorder

:$ 'dentify the guidelinesin accurate recordingand documentation

I& "ioet'ics: Principles an$applicationo) bioet'ics in t'e care o) t'eclients5Patients rights5Con@dentiality

54he 'nformed Consent5Ad%ance Directi%es#& Appropriate $isc'ar*e planinclu$in*'ealt' e$ucation=& Accurate recor$in* an$$ocumentation



Presentations3 CaseScenariosD$Critical 4hin2ingE?ercises

:hours

A$ Actuala!!lication of!rinci!les of bioethics inaliatinghos!itals$

B$ Actuala!!lication ofhealth teachings,discharge!lanning andaccuraterecording anddocumentationduring hos!italduty$







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1ecture No$ ofhours

#1E

$ De@ne emergency and

disaster terms

II& Disaster an$ Emer*enc,

A& Deardous

materials6$ 'dentify the !ossibleeFects of eachha>ardous material tohealth$ 'dentifydecontaminationmeasuresardous materials'$ Decontamination

)$ Biological warfare and biologicalagents

I$ Blast inuries1$ Natural disastersM$ Stress reactions Post traumatic Stress disorder critical incidentstress management Debrie@ngN$ Nurses role in disaster andemergency

A$ Class Discussion

B$ MediaPresentations" (ideo,

4rans!arencies,PowerPointC$ rou!Presentations3 CaseScenariosD$Critical 4hin2ingE?ercisesE$ ield 4ri! on the%arious agencies$

bindows2i6$ .nderstanding Medical Surgical Nursing by 1inda Lilliams O Paula =o!!er$

Eboo/s:$ ABC of Conict and Disaster*$ Acute Medicine" A =andboo2 for Nurse Practitioners by 1isa Carroll:$ Brunner and SuddarthRs 4e?tboo2 of Medical5Surgical Nursing thEdition by Smelt>er, Bare, et al$-$ Disaster Nursing and Emergency Pre!arednes" for Chemical, Biological, and #adiological 4errorism and

/ther =a>ards by" 4ener oodwin (eenema7$ /ncology Nursing in Practice by )anice abriel6$ Lea!ons of 4error" reeing the world of nuclear, biological and chemical arms by Lea!ons of MassDestruction Commission$ 8LMDC;

ncm 67 lecture syllabus

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