Piduca FINAL Syllabus Outcomes Based NCM103FINAL1

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University of the Cordilleras Baguio City College of Nursing Course Syllabus I. COURSE CODE: NCM 103 II. COURSE NAME: 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: 3rd year, 1st semester CREDIT: 8 units lecture; 6 units RLE (1 unit skills lab, 5 units Clinical); 144 lecture hours; 306 RLE hours PRE-REQUISITE: 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. VISION : 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. MISSION : UC’s mission is to provide functional knowledge and skills, dynamic interaction and leadership in various disciplines for a better quality of life.

Transcript of Piduca FINAL Syllabus Outcomes Based NCM103FINAL1

Page 1: Piduca FINAL Syllabus Outcomes Based NCM103FINAL1

University of the CordillerasBaguio City

College of Nursing

Course Syllabus

I. COURSE CODE: NCM 103

II. COURSE NAME: 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: 3rd year, 1st semester

CREDIT: 8 units lecture; 6 units RLE (1 unit skills lab, 5 units Clinical); 144 lecture hours; 306 RLE hours

PRE-REQUISITE: 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.

VISION : 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.

MISSION : UC’s mission is to provide functional knowledge and skills, dynamic interaction and leadership in various disciplines for a better quality of life.

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.

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

V. COURSE OUTCOMES

Course Outcomes

Description PO1 PO2 P03 PO4 PO5 PO6 PO7 PO8 PO9 PO10 PO11 PO12

CO1 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 client’s

condition and outcomes of care.

3 2 3 3 3 3 3 3 3 3 3 3

CO2 2. Ensure a well organized and accurate documentation system;

3 3 3 3 3 3 3 3 3 3 3 3

CO3 3. Relate with client/s and their family and the health team appropriately;

3 3 3 3 3 3 3 3 3 3 3 3

CO4 4. Observe bioethical concepts/principles, core values and nursing standards in the care of clients; and,

3 3 3 3 3 3 3 3 3 3 3 3

CO5 5. Promote personal and professional growth of self and others.

3 3 3 3 2 3 3 3 3 3 3 3

VI. COURSE CONTENT

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OBJECTIVES INTERMEDIATE COMPETENCIES

COURSE CONTENT TEACHING-LEARNING ACTIVITIES

TIME FRAM

E

GRADINGPERIOD

ASSESSMENT TOOL

At the end of the lecture discussion, the students will be able to:1. Utilize the

nursing process in the care of individuals, families with problems in oxygenation in community and hospital settings;

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.

1. Identify risk factors among clients that contribute to the development of problems in Oxygenation- cardiovascular risk factors (modifiable and non-modifiable).

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 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

Pre-tests Case Analysis Small Group

Learning Lecture

Discussion Post test

Pre-tests Case Analysis Small Group

Learning Lecture

Discussion Postl test

2.5 hours

2 hours

PRELIM Quiz (Objective)

Case Analysis Presentation

Role Play Analysis

Group Discussion

Group Presentation/ Report

2. Identify significant subjective data from client history related to problems in oxygenation.

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pattern Value-belief pattern

Output Presentation

Oral Graded Recitation

3. Enumerate the principles and techniques of physical examination in assessing the oxygenation status in newborn, children, adults.

a. Inspection- gas exchange, perfusion

b. Palpation- gas exchange, perfusion

c. Percussion- gas exchanged. Auscultation- gas exchange-

heart sound, breath sounds, deviations, fluid transport

Demonstration Return

Demonstration Lecture

Discussion Post test

3 hours

4. Identify results and implications 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 test – standardized degree of nicotine dependence

Cardiac: ultrasound, ECG, 2-D 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 Blood: CBC and bone marrow

biopsy

Pre-tests Case Analysis Small Group

Learning Lecture

Discussion Post test

2.5 hours

5. Determine the a. Alteration in gas exchange – Pre-tests 16

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Patho-physiologic mechanisms of the Alterations in oxygenation

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)

Case Analysis Small Group

Learning Lecture

Discussion Post test

hours

Prioritization of Nursing DiagnosisNCP Analysis Presentation

Reaction Paper

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

a. Ineffective breathing pattern

b. Ineffective airway clearance

c. Impaired gas exchanged. Inability to sustain

spontaneous ventilatione. 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/hemoglobin

i. Activity intolerance related to malnutrition tissue hypoxia

Pre-tests Case Analysis Small Group

Learning Lecture

Discussion Post test

2 hours

7. Identify principles of various

a. For altered pulmonary function:

Pre-tests Case Analysis

4 hours

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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

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 Prevention of

complications

Small Group Learning

Lecture Discussion

Post test

8. Enumerate Pharmacologic actions, therapeutic uses, side effects, indications, contraindications, and nursing responsibilities in

a. Pulmonary Bronchodilators Expectorants Antitussives Antihistaminesb. Cardiac Sympathomymetic agents Sympatholytic agents

Pre-tests Case Analysis Small Group

Learning Lecture

Discussion Post test

2 hours

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administering medications clients with oxygenation problems.

Anti-anginal agents Anti- arrhythmic agents Angiotensin converting

enzyme inhibitors Antilipemic agents Anticoagulant agents Thrombolytics Peripheral vascular agentsc. Blood Hematinics Vitamin supplements

Group Presentation

Case Analysis

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

1. Safe and comprehensive perioperative nursing care1.1Assessment and care during

the perioperative period1.2Techniques 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 – circulating nurse functions, scrub nurse functions

Postoperative – airway, breathings, circulation priorities. Meeting the physical, psychological and spiritual needs of the cliet.

2. Pulmonarya. Surgical procedures –

Pre-tests Case Analysis Small Group

Learning Lecture

Discussion Post test

2 hours

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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

3.1Vasculara. Surgical procedures –

endarterectomy, aneurysmectomy, insertion of intravascular stents

b. Special procedures – application of antiembolic stockings

3.2Blood forming organsa. Surgical procedures – bone

marrow aspiration, bone marrow transplant

b. Special procedures – blood component transfusion, reverse isolation

Prelim Exam

Quiz (Objective)

Role Play Analysis

At the end of the lecture discussion, the students will be able to:

1. Utilize the nursing process in the care of

10. Identify risk factors among clients that contribute to the development of problems in Fluid and Electrolytes.

Potential factors for exceeding renal reserve capacity, dietary habits to include salt intake, hypertension, infection, diabetes.

Pre-tests Case Analysis Small Group

Learning Lecture

Discussion Post test

1.5 hours

MIDTERM

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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/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.

Group Discussion

Group Presentation/ Report

Output Presentation

Prioritization of Nursing DiagnosisNCP Analysis Presentation

11. Enumerate the principles and techniques of physical examination in newborn, 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

2 hours

12.Identify results and implications 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

Invasive – biopsyb.Weightc. Vital Signs

Pre-tests Case Analysis Small Group

Learning Lecture

Discussion Post test

1.5 hours

13.Determine the Patho-physiologic Mechanisms of Fluid and electrolyte imbalances.

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 hypermagnesemia; hypo- and hyperphosphatemia

d. Acid and base imbalances – metabolic acidosis and alkalosis; respiratory acidosis and alkalosis

Pre-tests Case Analysis Small Group

Learning Lecture

Discussion Post test

12 hours

14.Enumerate Nursing diagnoses 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/excesse. High risk for injury related to

acid/base imbalancef. Altered urinary elimination

Pre-tests Case Analysis Small Group

Learning Lecture

Discussion Post test

2 hours

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g. Impaired integumentary integrity

Oral Graded Recitation

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

promotiveb. Disease

preventivec. Curative and

restorative

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 –

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

Pre-tests Case Analysis Small Group

Learning Lecture

Discussion Post test

12 hours

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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 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 Acidosis- base bicarbonate deficit

Determination and management of cause

Drug therapy Dietary management Supportive management

Reaction Paper

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Prevention of complication

Prevention of psychosocial problems

Rehabilitationf. 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

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

Group

PresentationCase Analysis

16. Enumerate Pharmacologic 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

Pre-tests Case Analysis Small Group

Learning Lecture

Discussion Post test

2.5 hours

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Potasium-losing Osmotic diuretics

d. Vitamin D supplements

Midterm Exam

Quiz (Objective)

Role Play Analysis

Group Discussion

Group Presentation/ Report

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

Renal dysfunction a. Major surgical

procedures – nephrectomy, 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

2.5 hours

At the end of the lecture discussion, the students will be able to:1. Utilize the

nursing process in the care of individuals, families with problems in nutrition and metabolism in community and hospital settings.

2. Ensure a well organized and accurate documentation system;

3. Relate with client/s and their family and the health team appropriately;

18. Identify risk factors among 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

1 hour FINALS

19. Identify significant subjective 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

2 hours

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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.

Sexuality-reproductive pattern

Coping-stress tolerance pattern

Value-belief pattern

Output Presentation

Oral Graded Recitation

Prioritization of Nursing Diagnosis

NCP Analysis Presentation

20. Enumerate the principles and techniques of physical examination in newborn, children, adults, deviations from normal.

3.3Gastrointestinal function – IPPA Inspection- color, texture

of skin, mucous membrane, growth patterns, scars, masses

Auscultation- bowel sounds, bruits

Palpation – focus on GIT for presence of masses, ascites, rebound tenderness, distention

Percussion – liver span, masses

Demonstration Return

Demonstration Lecture

Discussion Post test

1.5 hours

21.Identify results and implications of diagnostic/laboratory examinations of clients with reference to problems in Nutrition and Metabolism.

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

Pre-tests Case Analysis Small Group

Learning Lecture

Discussion Post test

1.5 hours

22. Determine the Patho-physiologic mechanisms of the Alterations in Nutrition and Metabolism.

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

Pre-tests Case Analysis Small Group

Learning Lecture

Discussion Post test

12 hours

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d. Disturbances in elimination – bowel obstruction, hemorrhoids, diarrhea and constipation.

Reaction Paper

23.Enumerate Nursing diagnoses taxonomy pertinent to problems/alteration in Nutrition and Metabolism.

a. Alteration in nutrition less than body requirement

b. Alteration in nutrition more than body requirement

c. Alteration in oral mucous membrane integrity

d. Alteration in comfort: epigastric pain/abdominal pain

e. Fluid volume deficit

Pre-tests Case Analysis Small Group

Learning Lecture

Discussion Post test

1.5 hours

24. Identify 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

A. Disturbances in ingestion 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

Pre-tests Case Analysis Small Group

Learning Lecture

Discussion Post test

12 hours

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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 and pancreatic functions Determination and

management of cause Drug therapy Dietary management Supportive management Prevention of

complication Prevention of

psychosocial problems Rehabilitation

25. Enumerate Pharmacologic 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

2 hours

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Group Presentation

Case Analysis

26. List the purposes, indications, nursing responsibilities for the surgical and special procedures in alterations in Nutrition and Metabolism.

a. Surgical procedures – gastrostomy, gastrectomy, colostomy, hemorrhoidectomy, gastrointestinal bypass, ileostomy

b. Special procedures – parenteral hyperalimentation; 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

2.5 hours

At the end of the lecture discussion, the students will be able to:1. Utilize the

nursing process in the care of individuals, families with problems in endocrine functioning in community and hospital settings.

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/principl

27. Identify risk factors among 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

1.5 hours

28. Identify significant subjective 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

Pre-tests Case Analysis Small Group

Learning Lecture

Discussion Post test

2 hours

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es, core values and nursing standards in the care of clients; and,

5. Promote personal and professional growth of self and others.

pattern Value-belief pattern

29.Enumerate the principles and techniques of physical examination in newborn, children, adults, deviations from normal in the endocrine system.

Inspection- color, texture of skin, mucous membrane, growth patterns, obesity

Auscultation – bruit, heart sounds, breath sounds

Palpation- organ-thyroid enlargement, masses, edema

Percussion- fluid, edema Others – weight, delayed

healing of wounds

Demonstration Return

Demonstration Lecture

Discussion Post test

1.5 hours

30.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 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.

Pre-tests Case Analysis Small Group

Learning Lecture

Discussion Post test

2.5 hours

31. Determine the a. Hypo- and Hyperfunction of the Pre-tests 10

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Patho-physiologic mechanisms of the Alterations in endocrine functioning.

pituitary organb. Hypo- and Hyperfunction of the

hypothalamusc. Hypo- and Hyperfunction of the

thyroid organd. Hypo- and Hyperfunction of the

parathyroid organe. Hypo- and Hyperfunction of the

adrenal organf. Hypo- and Hyperfunction of the

gonadsg. Problems in glucose

metabolism – hypoglycemia and hyperglycemia (IDM, NIDDM)

Case Analysis Small Group

Learning Lecture

Discussion Post test

hours

32.Enumerate Nursing diagnoses taxonomy pertinent to problems/alteration in endocrine functioning.

a. Alterations in nutrition less than body requirement

b. Fluid volume deficitc. Activity intolerance

Pre-tests Case Analysis Small Group

Learning Lecture

Discussion Post test

1.5 hours

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

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

Pre-tests Case Analysis Small Group

Learning Lecture

Discussion Post test

2.5 hours

34. Identify principles of various modalities of management of

Determination and management of cause

Drug therapy - diuretics, electrolytes

Pre-tests Case Analysis Small Group

Learning

12 hours

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clients with problems in endocrine functioning taking into consideration the following levels of care:a. Health

promotiveb. Disease

preventivec. Curative and

restorative

Dietary management Supportive management Prevention of complication Prevention of psychosocial

problems Rehabilitation

Lecture Discussion

Post test

Final Exam

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 CO 1 CO2 CO3 CO4Lecture/ Discussion 50% 50% 50% 50%Group Work 25% 25% 25% 25%Case Analysis/Study 230% 23% 23% 23%Film Viewing 2% 2% 2% 2%Total 100% 100% 100% 100%

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VIII. ASSESSMENT TOOLS (AT)

IX. COMPUTATION OF SCORES

NCM 103 A Grade: Prelims: PG = 60% CS + 40% Exam

Midterms RMG = 60% CS+40% ExamMG = 50% PG +50% RMG

Finals: RFG = 40%CS +60% ExamFG= 25% PG +25 % RMG +50% RFG

NCM 103-BPrelims: PG= 60% CS +40% Exam (CS= 30% Rotational Grade+ 20% Skills Lab +10% E-Learning)

Midterms: RMG =60% CS+40% Exam (CS= 30% Rotational Grade+ 20% Skills Lab +10% E-Learning) 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

AT CO 1 CO2 CO3 CO4Quiz(Essay and Recall)

50% 50% 50% 50%

Group Presentation 25% 25% 25% 25%Case Study Presentation

230% 23% 23% 23%

Film Analysis/Reaction

2% 2% 2% 2%

Total 100% 100% 100% 100%

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X. REFERENCES:

1. Commission on Higher Education Memorandum No. 14 Series of 20092. Nettina S.,(2001), The Lippincott’s Pocket Manual of Nursing Practice, New York: Lippincott 3. Marieb, E., (2006), Essentials of Human Anatomy and Physiology, Pearson Education South Asia PTE. LTD. 4. Brunner, L. and Suddarth, D., (2008), Textbook of Medical-Surgical Nursing, Philadelphia: Lippincott 5. Black, J and Hawks, J., (2008), Medical Surgical Nursing: Clinical Management for Positive Outcomes, Philadelphia: Lippincott6. Lemone, P. and Burke, K., (2004) Medical Surgical Nursing: Critical Thinking in Client Care, NJ: Pearson Prentice Hall7. Sharon Lewis, (2007) Medical Surgical Nursing: Assessment and Management of Clinical Problems, Mosby

Prepared by: Evaluated by: Approved by: Noted by:

Mr. Michael Joel C. Piduca, RN, MAN Eddieson Pasay-an,Ph.D,RN Dr. Marian Grace Gascon Dr. CLEOFAS BASAEN

Instructor Area Head Dean VPAA