83578661 Syllabus Ncm 103 Final
Transcript of 83578661 Syllabus Ncm 103 Final
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F.L. VARGAS COLLEGE
Bagay Road, Caritan Centro
Tuguegarao City, Cagayan Valley
COLLEGE OF HEALTH SCIENCES
Course Name : CARE OF CLIENTS WITH PROBLEMS IN OXYGENATION, FLUID AND ELECTROLYTE BALANCE, NUTRITION AND METABOLISM AND ENDOCRIN
Course Code : NCM 103
Course Description : This course deals with the principles and techniques of nursing care management of sick clients across lifespan with emphasis on the adult
the older person,population group in any setting with alterations/problems in oxygenation, fluid and electrolyte balance, nutrition and metabolism and endocr
function.
Course Credit : 8 units lecture; 6 units RLE (1 unit skills lab, 5 units Clinical)
Contact Hours/ Semester : 144 lecture hours; 306 RLE hours
Pre-requisite : NCM 102
Placement : 3rd
year, 1st
semester
Course Objectives : At the end of the course and given relevant actual clients with problems in oxygenation, fluid and electrolyte balance, nutrition and metabo
and endocrine
function, the student should be able to:
1. 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.
OBJECTIVES INTERMEDIATE
COMPETENCIES
COURSE CONTENT TEACHING-LEARNING
ACTIVITIES
VALUES
INTEGRATION
TIME
FRAME
EVALUATI
At the end of the lecture
discussion, the students
will be able to:
1. Utilize the nursingprocess in the care of
1.Identify risk factors amongclients that contribute to the
development of problems in
Oxygenation- cardiovascular
risk factors (modifiable and
The different risk factors among clients that
contribute to the development of problems in
oxygenation:
Current respiratory problems History of respiratory disease
Pre-tests Case Analysis Small Group
Assertiveness Cooperation Participation
2.5 hours
After the discus
students will be
identify the modi
non-modifiable ri
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individuals, families
with problems in
oxygenation in
community and
hospital settings;
2. Ensure a wellorganized and
accurate
documentation
system;
3. Relate with client/sand their family and
the health team
appropriately;
4. Observe bioethicalconcepts/principles,
core values and
nursing standards in
the care of clients;
and,
5. Promote personaland professional
growth of self and
others.
non-modifiable). Lifestyle (smoking, alcoholism, exercisepatterns)
Presence of cough Presence of Chest Pain Lung Cancer Cardiovascular disease Stroke Tuberculosis Obesity Dietary assessment Medication history
Learning
Lecture Discussion Post test
Sensitivity that contribute development of
in oxygenation.
2. Identify significantsubjective data from client
history related to problems
in oxygenation.
a. Chief complaintsb. 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
Pre-tests Case Analysis Small Group
Learning
Lecture Discussion Postl test
Assertiveness Cooperation Participation Sensitivity
2 hours The students sable to identify
subjective dat
clients histo
enumerating the
chief complain
recording
information guide
eleven functional
3. Enumerate the principlesand techniques of physical
examination in assessing
the oxygenation status in
newborn, children, adults.
a. Inspection- gas exchange, perfusionb. Palpation- gas exchange, perfusionc. Percussion- gas exchanged. Auscultation- gas exchange- heart sound, breath
sounds, deviations, fluid transport
Demonstration Return
Demonstration
Lecture Discussion Post test
Assertiveness Cooperation Participation Sensitivity
3 hours The students will perform the
techniques in
examination and
principles in
assessing the
children, and
oxygen statu
comparing any d
from normal findi
4. Identify results andimplications of
diagnostic/laboratory
examinations of clients
with reference to
problems in Oxygenation.
Screening procedure- peak flow meter Diagnostic Procedures Non-invasive: Pulmonary: e.g. sputum microscopy, chest x-
ray, pulmonary function tests, smoke analyzer
Fagerstrom teststandardized degree of
Pre-tests Case Analysis Small Group
Learning
Lecture Discussion Post test
Assertiveness Cooperation Participation Sensitivity
2.5 hours Given actual lresults of a pat
student should b
identify deviatio
normal findings.
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nicotine dependence
Cardiac: ultrasound, ECG, 2-D echo, stress test Vascular: Doppler ultrasonography Blood: pulse oximeter Invasive: Pulmonary: bronchoscopy, ABG, 3horacentesis,
pulmonary angiography
Cardiac: CO determination, cardiaccatheterization, CVP, hemodynamics
monitoring, enzyme levels, Serum, Cholesterol
Vascular: angiography Blood: CBC and bone marrow biopsy
5. Determine the Patho-physiologic mechanisms of
the Alterations in
oxygenation
a. Alteration in gas exchangeventilatordysfunction, impaired perfusion
b. Alteration in cardiac performanceheart rateproblems, impaired stroke volume secondary
to altered preload, afterload, myocardial
contractility
c. Alteration in vascular integritytransportnetwork impairment
d. Alteration in oxygen carrying capacity of theblood- decreased circulating erythrocytes
(anemia), increased circulating erythrocytes
(polycythemia)
Pre-tests Case Analysis Small Group
Learning
Lecture Discussion Post test
Assertiveness Cooperation Participation Sensitivity
16 hours The students sable to determ
patho-physiologic
mechanisms
different ox
problems.
6. Enumerate Nursingdiagnoses taxonomy
pertinent to
problems/alteration in
Oxygenation.
a. Ineffective breathing patternb. Ineffective airway clearancec. Impaired gas exchanged. Inability to sustain spontaneous
ventilation
e. Dysfunctional 3entilatory weaningresponse
f. Decreased cardiac output (CO)g. Altered tissue perfusion systemich. Impaired gas exchange related to
altered O2 carrying capacity of blood
due to decreased
erythrocytes/hemoglobin
i. Activity intolerance related tomalnutrition tissue hypoxia
Pre-tests Case Analysis Small Group
Learning
Lecture Discussion Post test
Assertiveness Cooperation Participation Sensitivity
2 hours The students sable to identify
nursing
taxonomy pertine
derived assessme
pertinent prob
oxygenation.
7. Identify principles of variousmodalities of management
of clients with problems in
oxygenation taking into
a. For altered pulmonary function: Airway patency Oxygen therapy Adequate ventilation
Pre-tests Case Analysis Small Group
Learning
Assertiveness Cooperation Participation Sensitivity
4 hours The students sable to apply th
principles
management
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consideration the following
levels of care:
1. Health promotive2. Disease
preventive
3. Curative andrestorative
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 Prevention of complications
Lecture Discussion Post test
with proble
oxygenation
actual clinica
practice.
The students sable to pro
patients/client
proper teach
health p
disease preve
curative andrestoration.
8. EnumeratePharmacologic actions,
therapeutic uses, side
effects, indications,
contraindications, and
nursing responsibilities in
administering medications
clients with oxygenation
problems.
a. Pulmonary Bronchodilators Expectorants Antitussives Antihistaminesb. Cardiac Sympathomymetic agents Sympatholytic agents Anti-anginal agents Anti- arrhythmic agents Angiotensin converting enzyme inhibitors Antilipemic agents Anticoagulant agents Thrombolytics Peripheral vascular agentsc. Blood Hematinics Vitamin supplements
Pre-tests Case Analysis Small Group
Learning
Lecture Discussion Post test
Assertiveness Cooperation Participation Sensitivity
2 hours The students sable to enume
different p
cardiac, blood me
with their corre
pharmacologic
therapeutic use
effects, indicati
contraindications
nursing responsi
the different m
of clients with ox
problems.
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9. List th e purposes,indications, nursing
responsibilities for the
surgical and special
procedures in alterations in
oxygenation.
1. Safe and comprehensive perioperative nursingcare
1.1 Assessment and care during theperioperative period
1.2 Techniques in assisting the surgical teamduring the operation
1.3 Principles of safety, comfort and privacyduring the perioperative period
1.4 Nursing responsibilities during theperioperative period
Preoperativephysical,psychological, spiritual preparation
Intraoperativecirculating nursefunctions, scrub nurse functions
Postoperativeairway, breathings,circulation priorities. Meeting the
physical, psychological and spiritual
needs of the cliet.
2. Pulmonarya. Surgical procedurestracheostomy,
thoracostomy, lung resection, lobectomy,
pneumonectomy, thoracoplasty,
decortications
b. Special proceduresendotrcheal/trachealsuctioning and care, humidication, IPPB,
ventilator assist
3. Cardiaca. Surgical procedurescoronary aretery bypass,
pacemaker insertion, valve replacement,
repair of congenital abnormality, insertion of
ventricular assist device, heart plansplant
b. Special procedureslaser therapy, basic lifesupport, advance life support
3.1 Vasculara. Surgical proceduresendarterectomy,
aneurysmectomy, insertion of intravascular
stents
b. Special proceduresapplication ofantiembolic stockings
3.2 Blood forming organsa. Surgical proceduresbone marrow
aspiration, bone marrow transplant
b. Special proceduresblood componenttransfusion, reverse isolation
Pre-tests Case Analysis Small Group
Learning
Lecture Discussion Post test
Assertiveness Cooperation Participation Sensitivity
2 hours The students will list the differen
and special proce
clients with ox
problems and ide
nursing responsi
each procedure.
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At the end of the lecture
discussion, the students
will be able to:
1. Utilize the nursingprocess in the care of
individuals, families
with problems in
Fluids and electrolyte
imbalances in
community and
hospital settings.2. Ensure a well
organized and
accurate
documentation
system;
3. Relate with client/sand their family and
the health team
appropriately;
4. Observe bioethicalconcepts/principles,
core values and
nursing standards in
the care of clients;
and,
5. Promote personal andprofessional growth of
self and others.
10. Identify risk factorsamong clients that
contribute to the
development of problems in
Fluid and Electrolytes.
Potential factors for exceeding renal reservecapacity, dietary habits to include salt intake,
hypertension, infection, diabetes.
Pre-tests Case Analysis Small Group
Learning
Lecture Discussion Post test
Assertiveness Cooperation Participation Sensitivity
1.5 hours After the discussio
students will be a
identify the modif
non-modifiable ris
that contribute to
development of p
in fluid and electr
imbalances.
11. Enumerate theprinciples and techniques of
physical examination innewborn, children, adults,
deviations from normal.
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
Demonstration Return
Demonstration Lecture Discussion Post test
Assertiveness Cooperation Participation Sensitivity
2 hours The students will
perform the
techniques in examination and
principles in
assessing the
children, and adu
and electrolyte
status by compa
deviations from
findings.
12. Identify results andimplications of
diagnostic/laboratory
examinations of clients
with reference to
problems in
a. Diagnostic tests Non-invasive: electrolyte determination, intake
and output, KUB-IVP and ultrasound
Invasivebiopsyb.
Weightc. Vital Signs
Pre-tests Case Analysis Small Group
Learning
Lecture Discussion
Post test
Assertiveness Cooperation Participation Sensitivity
1.5 hours Given actual l
results of a pat
student should b
identify deviatio
normal findings.
13. Determine the Patho-physiologic Mechanisms of
Fluid and electrolyte
imbalances.
a. Volume impairmentfluid volume deficit, fluidvolume excess, third space fluid shift
b. Osmotic imbalanceshyponatremia,hypernatremia
c. Ionic concentration problemshypo- andhyperkalemia; hypo and hyperchloremia; hypo-
and hypermagnesemia; hypo- and
hyperphosphatemia
d. Acid and base imbalances metabolic acidosisand alkalosis; respiratory acidosis and alkalosis
Pre-tests Case Analysis Small Group
Learning
Lecture Discussion Post test
Assertiveness Cooperation Participation Sensitivity
12 hours The students s
able to determ
patho-physiologic
mechanisms
different fluid
electrolyte imbala
14. Enumerate Nursingdiagnoses taxonomy
pertinent to
problems/alteration in
Fluid and electrolyte
imbalance.
a. Risk for fluid volume deficitb. Fluid volume excessc. Fluid volume deficitd. High risk for injury related to electrolyte
deficit/excess
e. High risk for injury related to acid/base
Pre-tests Case Analysis Small Group
Learning
Lecture Discussion Post test
Assertiveness Cooperation Participation Sensitivity
2 hours The students s
able to identify
nursing
taxonomy pertine
derived assessme
pertinent problem
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imbalance
f. Altered urinary eliminationg. Impaired integumentary integrity
and electrolyte im
15.Identify principles of variousmodalities of management
of clients with problems in
fluid and electrolyte
imbalances taking into
consideration the following
levels of care:
a. Health promotiveb. Disease preventivec. Curative and
restorative
a. Fluid Volume Deficit Determination and management of
cause
Hydration Blood transfusion as needed Drug therapyelectrolyte Supportive management Prevention of infection Prevention of complication Prevention of psychosocial problems Rehabilitation
b. Fluid Volume Excess Determination and management of
cause
Drug therapydiuretics, electrolytes Dietary restrictionsodium Supportive management Prevention of infection Prevention of complication Prevention of psychosocial problems Rehabilitation
c. Electrolyte Deficithyponatremia,hypokalemia, hypocalcemia,
hypomagnesemia, hypophosphatemia
Determination and management ofcause
Drug therapyelectrolyte replacement Dietary management Supportive management Prevention of complication Prevention of psychosocial problems Rehabilitation
d. Electrolyte Excesshyperkalemia,7ypercalcaemia, hypermagnesemia,hyperphosphatemia
Determination and management ofcause
Drug therapyelectrolyte replacement Dietary management
Pre-tests Case Analysis Small Group
Learning
Lecture Discussion Post test
Assertiveness Cooperation Participation Sensitivity
12 hours The students sable to apply th
principles
management
with problems
and e
imbalance in t
clinical nursing The students s
able to pro
patients/client
proper teach
health p
disease preve
curative and
restoration.
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Supportive management Prevention of complication Prevention of psychosocial problems Rehabilitation
e. Metabolic AlkalosisBase bicarbonate exces Determination and management of
cause
Drug therapy Dietary management Supportive management Prevention of complication Prevention of psychosocial problems Rehabilitation
a. Metabolic Acidosis- basebicarbonate deficit
Determination and management ofcause
Drug therapy Dietary management Supportive management Prevention of complication Prevention of psychosocial problems Rehabilitation
f. Respiratory Alkalosiscarbonic and aciddeficit
Determination and management ofcause
Drug therapy Dietary management Supportive management Prevention of complication Prevention of psychosocial problems Rehabilitation
g. Respiratory Acidosiscarbonic acid excess Determination and management of
cause
Drug therapy Dietary management Supportive management Prevention of complication Prevention of psychosocial problems Rehabilitation
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16. EnumeratePharmacologic actions,
therapeutic uses, side effects,
indications, contraindications,
and nursing responsibilities in
administering medications
clients in fluid and electrolyte
imbalances.
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
Pre-tests Case Analysis Small Group
Learning
Lecture Discussion Post test
Assertiveness Cooperation Participation Sensitivity
2.5 hours The students s
able to enume
different medica
managing clients
and electrolyte im
with their corre
pharmacologic
therapeutic use
effects, indicati
contraindications
nursing responsithe different med
17. List th e purposes,indications, nursing
responsibilities for the
surgical and special
procedures in alterations in
fluid and electrolyte
imbalances.
Renal dysfunction
a. Major surgical proceduresnephrectomy, nephrostomy,
cystectomy, uterostomy, renal
transplants, urinary diversion
b. Special procedures- peritoneal dialysis,hemodialysis, bladder training,
cystoclysis/bladder irrigation
Pre-tests Case Analysis Small Group
Learning
Lecture Discussion Post test
Assertiveness Cooperation Participation Sensitivity
2.5 hours The students will
list the differen
and special proce
clients with f
electrolyte imbal
identify the
responsibilities
procedure.At the end of the lecture
discussion, the students
will be able to:
1. Utilize the nursingprocess in the care of
individuals, families
with problems in
nutrition and
metabolism in
community and
hospital settings.
2. Ensure a wellorganized and
accurate
documentation
system;
3. Relate with client/sand their family and
the health team
18. Identify risk factorsamong clients that
contribute to the
development of problems
in Nutrition and
Metabolism.
Risk factors related to malnutrition, obesity. Pre-tests Case Analysis Small Group
Learning
Lecture Discussion Post test
Assertiveness Cooperation Participation Sensitivity
1 hour After the discussio
students will be a
identify the modif
non-modifiable ris
that contribute to
development of p
in nutrition and
metabolism.
19.Identify significantsubjective data from client
history related to problems
in nutrition and
metabolism.
a. Chief complaintsb. 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
Pre-tests Case Analysis Small Group
Learning
Lecture Discussion
Post test
Assertiveness Cooperation Participation Sensitivity
2 hours The students shou
able to identify sig
subjective data fr
clients history by
enumerating the
chief complaints a
recording relevan
information guide
eleven functional
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appropriately;
4. Observe bioethicalconcepts/principles,
core values and
nursing standards in
the care of clients;
and,
5. Promote personal andprofessional growth of
self and others.
Sexuality-reproductive pattern Coping-stress tolerance pattern Value-belief pattern
20. Enumerate theprinciples and techniques of
physical examination in
newborn, children, adults,
deviations from normal.
3.3 Gastrointestinal functionIPPA Inspection- color, texture of skin,
mucous membrane, growth patterns,
scars, masses
Auscultation- bowel sounds, bruits Palpationfocus on GIT for presence of
masses, ascites, rebound tenderness,distention
Percussionliver span, masses
Demonstration Return
Demonstration
Lecture Discussion Post test
Assertiveness Cooperation Participation Sensitivity
1.5 hours The students will
perform the
techniques in
examination and
principles in
assessing the
children, and nutritional and
status by compa
deviations from
findings.
21. Identify results andimplications of
diagnostic/laboratory
examinations of clients
with reference to
problems in Nutrition and
Metabolism.
a. Non-invasive: ultrasound of the abdomen, stoolculture
b. Invasive: to include: barium swallow,esophagoscopy, biopsy, cytology examination,
gastric secretion analysis, endoscopy
(gastroscopy, duodenoscopy),
proctosigmoidoscopy and rectal examination
Pre-tests Case Analysis Small Group
Learning
Lecture Discussion Post test
Assertiveness Cooperation Participation Sensitivity
1.5 hours Given actual labo
results of a patien
student should be
identify deviation
normal findings.
22.Determine the Patho-physiologic mechanisms of
the Alterations in Nutrition
and Metabolism.
a. Disturbances in ingestionproblems in buccalcavity and esophagus
b. Disturbances in digestionpeptic acid disease,gastritis and gastric cancer
c. Disturbances in absorptionmalnutrition,malabsorption syndrome and inflammatory
bowel conditions
d. Disturbances in eliminationbowel obstruction,hemorrhoids, diarrhea and constipation.
Pre-tests
Case Analysis Small Group
Learning
Lecture Discussion Post test
Assertiveness
Cooperation Participation Sensitivity
12 hours The students s
able to determ
patho-physiologic
mechanisms
different nutritio
metabolic problem
23. Enumerate Nursingdiagnoses taxonomy
pertinent to
problems/alteration in
Nutrition and Metabolism.
a. Alteration in nutrition less than body requirementb. Alteration in nutrition more than body
requirement
c. Alteration in oral mucous membrane integrityd. Alteration in comfort: epigastric pain/abdominal
paine. Fluid volume deficit
Pre-tests Case Analysis Small Group
Learning
Lecture Discussion Post test
Assertiveness Cooperation Participation Sensitivity
1.5 hours The students s
able to identify
nursing
taxonomy pertine
derived assessme
pertinent probnutrition and met
24.Identify principles of variousmodalities of management
of clients with problems in
Nutrition and Metabolism
A. Disturbances in ingestion Determination and management of
cause
Drug therapy
Pre-tests Case Analysis Small Group
Learning
Assertiveness Cooperation Participation Sensitivity
12 hours The students sable to apply th
principles
management
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taking into consideration
the following levels of care:
4. Health promotive5. Disease
preventive
6. Curative andrestorative
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 complication Prevention of psychosocial problems Rehabilitation
E. Disturbances in hepatic, biliary andpancreatic functions
Determination and management ofcause
Drug therapy Dietary management Supportive management Prevention of complication Prevention of psychosocial problems Rehabilitation
Lecture Discussion Post test
with proble
nutrition
metabolism in
clinical nursing
The students sable to pro
patients/client
proper teach
health p
disease preve
curative andrestoration.
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25. EnumeratePharmacologic actions,
therapeutic uses, side
effects, indications,
contraindications, and
nursing responsibilities in
administering medications
clients with Nutrition and
Metabolism problems.
Antiemetics Anticoagulants Hematinics agents Laxatives and stool softeners Antipruritus Vitamin supplement Antacids Antihyperlipidemics Antispasmodics Antidiarrheal
Pre-tests Case Analysis Small Group
Learning
Lecture Discussion Post test
Assertiveness Cooperation Participation Sensitivity
2 hours The students s
able to enume
different p
cardiac, blood me
with their corre
pharmacologic
therapeutic use
effects, indicati
contraindications
nursing responsi
the different mof clients with
and metabolism d
26. List th e purposes,indications, nursing
responsibilities for the
surgical and special
procedures in alterations in
Nutrition and Metabolism.
a. Surgical proceduresgastrostomy, gastrectomy,colostomy, hemorrhoidectomy, gastrointestinal
bypass, ileostomy
b. Special proceduresparenteralhyperalimentation; feeding per nasogastric,
jejunostomy, gastrostomy tubes; colostomy care
and irrigation, dietary planning for common GT
and endocrine problems; administering
medications via NGT, J tube, G tube; hot sitz bath
Pre-tests Case Analysis Small Group
Learning
Lecture Discussion Post test
Assertiveness Cooperation Participation Sensitivity
2.5 hours The students will
list the differen
and special proce
clients with nutr
metabolism prob
identify the
responsibilities
procedure.
At the end of the lecture
discussion, the students
will be able to:
1. Utilize the nursingprocess in the care of
individuals, families
with problems in
endocrine functioning
in community and
hospital settings.
2. Ensure a wellorganized and
accurate
documentation
system;
3. Relate with client/sand their family andthe health team
appropriately;
4. Observe bioethicalconcepts/principles,
27. Identify risk factorsamong clients that
contribute to the
development of problems
in Endocrine Function.
Risk factors related to endocrine hypo or hyper-functioning.
Pre-tests Case Analysis Small Group
Learning
Lecture Discussion Post test
Assertiveness Cooperation Participation Sensitivity
1.5 hours After the discussio
students will be a
identify the modif
non-modifiable ris
that contribute to
development of p
in endocrine func
28.Identify significantsubjective data from client
history related to problems
in endocrine functioning.
A. Chief complaintsB. 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
Pre-tests Case Analysis Small Group
Learning
Lecture Discussion Post test
Assertiveness Cooperation Participation Sensitivity
2 hours The students shou
able to identify sig
subjective data fr
clients history by
enumerating the
chief complaints a
recording relevan
information guide
eleven functional
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core values and
nursing standards in
the care of clients;
and,
5. Promote personaland professional
growth of self and
others.
29. Enumerate theprinciples and
techniques of physical
examination in
newborn, children,
adults, deviations
from normal in the
endocrine system.
Inspection- color, texture of skin, mucousmembrane, growth patterns, obesity
Auscultationbruit, heart sounds, breathsounds
Palpation- organ-thyroid enlargement, masses,edema
Percussion- fluid, edema Othersweight, delayed healing of wounds
Demonstration Return
Demonstration
Lecture Discussion Post test
Assertiveness Cooperation Participation Sensitivity
1.5 hours The students will
perform the
techniques in
examination and
principles in
assessing the
children, and
endocrine functi
comparing any d
from normal findi30. Identify results and
implications of
diagnostic/laboratory
examinations of clients
with reference to
problems in endocrine
functioning.
a. Screening: glucose tolerance test Non-invasive: e.g. GI x-ray, ultrasound
abdomen, Radio-iodine 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 transhepaticcholangiogram, 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.
Pre-tests Case Analysis Small Group
Learning
Lecture Discussion Post test
Assertiveness Cooperation Participation Sensitivity
2.5 hours Given actual labo
results of a patien
student should be
identify deviation
normal findings.
31.Determine the Patho-physiologic mechanisms of
the Alterations in
endocrine functioning.
a. Hypo- and Hyperfunction of the pituitary organb. Hypo- and Hyperfunction of the hypothalamusc. Hypo- and Hyperfunction of the thyroid organd. Hypo- and Hyperfunction of the parathyroid
organ
e. Hypo- and Hyperfunction of the adrenal organf. Hypo- and Hyperfunction of the gonadsg. Problems in glucose metabolismhypoglycemia
and hyperglycemia (IDM, NIDDM)
Pre-tests Case Analysis Small Group
Learning
Lecture Discussion Post test
Assertiveness Cooperation Participation Sensitivity
10 hours The students s
able to determ
patho-physiologic
mechanisms
different
problems.
32. Enumerate Nursingdiagnoses taxonomy
pertinent to
problems/alteration inendocrine functioning.
a. Alterations in nutrition less than bodyrequirement
b. Fluid volume deficitc. Activity intolerance
Pre-tests Case Analysis Small Group
Learning Lecture Discussion Post test
Assertiveness Cooperation Participation Sensitivity
1.5 hours The students s
able to identify
nursing
taxonomy pertinederived assessme
pertinent prob
endocrine functio
33. EnumeratePharmacologic actions,
Corticosteroids Alpha-adrenergic blocking agents Pre-tests Case Analysis Assertiveness Cooperation
2.5 hours The students sable to apply th
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therapeutic uses, side
effects, indications,
contraindications, and
nursing responsibilities in
administering medications
clients with endocrine
problems.
Beta-adrenergic blocking agents Tyrosine inhibitors Dopamine receptor antagonists Glucocorticoids Parathyroid hormone agents Thyroid hormone agents Insulin Oral hypoglycemic agents
Small GroupLearning
Lecture Discussion Post test
Participation Sensitivity
principles
management
with proble
endocrine func
the actual
nursing practic
The students sable to pro
patients/client
proper teach
health pdisease preve
curative and
restoration.
34.Identify principles of variousmodalities of management
of clients with problems in
endocrine functioning
taking into consideration
the following levels of care:
a. Health promotiveb. Disease preventivec. Curative and
restorative
Determination and management of cause Drug therapy - diuretics, electrolytes Dietary management Supportive management Prevention of complication Prevention of psychosocial problems Rehabilitation
Pre-tests Case Analysis Small Group
Learning
Lecture Discussion Post test
Assertiveness Cooperation Participation Sensitivity
12 hours The students s
able to enume
different p
cardiac, blood me
with their corre
pharmacologic
therapeutic use
effects, indicati
contraindications
nursing responsi
the different m
of clients with
problems.
35. List th e purposes,indications, nursing
responsibilities for the
surgical and special
procedures in alterations in
endocrine functioning.
a. Surgical proceduresthyroidectomy,parathyroidectomy
b. Special proceduresmonitoring ofblood glucose levels; maintenance of
blood glucosediet, exercise, drugs
Pre-tests Case Analysis Small Group
Learning
Lecture Discussion Post test
Assertiveness Cooperation Participation Sensitivity
2.5 hours The students will
list the differen
and special proce
clients with
problems and ide
nursing responsi
each procedure.
References:
1. Lippincott Williams & Wilkins. The Lippincott Manual of Nursing Practice7thedition. 2001.2. Marieb, Elaine N. Essentials of Human Anatomy and Physiology8thedition. Pearson Education South Asia PTE. LTD. 20063. Brunner and Suddarth. Textbook of Medical-Surgical Nursing12th edition. 2010
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Prepared by: Recommending Approval:
FREIDA MICHELLE BONNIT-TAJA, RN, MAN KATLYN C. MANGUPAG, RN, MSN
Instructor OIC, COLLEGE OF HEALTH SCIENCES
Approved by:
MR. JOSEPH B. FURIGAY
Director for Instruction