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Emilio Aguinaldo College
Congressional Road, Burol Main, Dasmariñas Cavite
Tel # (046) 416-4341 to42
http//www.eac.edu.ph
Course Name: CARE OF CLIENTS WITH PROBLEMS IN OXYGENATION, FLUID AND ELECTROLYTE BALANCE, NUTRITION AND METABOLISM AND ENDOCRINE
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 and the older person, population group in any setting with alterations/problems in oxygenation, fluid and electrolyte balance, nutrition and metabolism and endocrine 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 metabolism, 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 client’s 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.
EMILIO AGUINALDO COLLEGE
SCHOOL OF NURSING
COURSE SYLLABUS IN CARE OF CLIENTS WITH PROBLEMS IN OXYGENATION, FLUID AND ELECTROLYTE BALANCE, NUTRITION AND METABOLISM AND ENDOCRINE
TIMEFRAME/WEEK
INTERMEDIATE COMPETENCIES
COURSE CONTENT TEACHING-LEARNING ACTIVITIES
INSTRUCTIONAL MATERIALS
EVALUATION
ASSIGNMENT
REFERENCE
1_9hours
At the end of the unit, the students will be able to: 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
Lecture Discussion QuestioningPost test
PowerpointPresentationWhiteboard and marker
After the discussion, the students were able to identify the factors that contribute to the development of problems in oxygenation thru written evaluation examination.
Do an advance reading regarding subjective data from client history related to problems in oxygenation
1. Lippincott Williams &Wilkins. Introductory Medical Surgical nursing. 9th edition. 2007. Pp 337-405.
Cardiovascular disease
Stroke Tuberculosis Dietary
assessment Medication history
2.Learn significant subjective data from client history related to problems in oxygenation
a. Chief complaints b. 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-testsCase AnalysisSmall Group
LearningLecture Discussion Post test
Powerpoint PresentationWhiteboard and marker
The students should be able to identify significant subjective data from client’s history by enumerating the possible chief Complaints and recording relevant information guided by the eleven functional patterns.
Do an advance reading about the principles and techniques of physical examination in assessing the oxygenation status in newborn, children and adults.
1. Lippincott Williams &Wilkins. Introductory Medical Surgical nursing. 9th edition. 2007.
2. Barbara Kozier, Glenora erb, Audrey Berman and Shirlee Snyder. Fundamentals of Nurisng. 7th edition. 2004. P.272.
2_9hours
3. Enumerate the principles and techniques of physical
a. Inspection- gas exchange, perfusion b. Palpation- gas
Demonstration Return Demonstration
PowerpointPresentationWhiteboard and marker
The students were able to perform the
Do an advance reading on
1. Lippincott Williams &Wilkins. Brunner and Suddarth’s Textbook of Medical-Surgical Nursing. 12th edition.
examination in assessing the oxygenation status in newborn, children, and adults.
exchange, perfusion c. Percussion- gas exchange d. Auscultation- gas exchange- heart sound, breath sounds, deviations, fluid transport
Lecture Discussion Post test
proper techniques in physical examination and apply the principles in correctly assessing the newborn, children, and adult’s oxygen status by comparing any deviations from normal findings thru return demonstration.
principles and techniques of physical examination in assessing the oxygenation status in newborn, children, and adults.
2010. Pp.499-506.
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
Case Analysis Lecture Discussion
PowerpointPresentationWhiteboard and marker
Given actual laboratory results of a patient, the students were able to identify deviations from normal findings.
Answer Chapter 22 critical thinking questions of the textbook page 548
1. Lippincott Williams &Wilkins. Brunner and Suddarth’s Textbook of Medical-Surgical Nursing. 12th edition. 2010. Pp.507-514.
test Vascular: Doppler
ultrasonography Blood: pulse
oximeter Invasive Pulmonary:
bronchoscopy, ABG, 3horacentesis,
pulmonary angiography Cardiac: CO
determination, cardiac catheterization, CVP, hemodynamics monitoring, enzyme levels, Serum, Cholesterol
Vascular: angiography
Blood: CBC and bone marrow biopsy
3_9 hours
5. Illustrate the pathophysiologicmechanisms of the alterations in oxygen
a. Alteration in gas exchange – ventilator dysfunction, impaired perfusion b. Alteration in cardiac performance – heart rate problems, impaired stroke volume secondary to altered preload, afterload, myocardial contractility
Case AnalysisLecture Discussion
PowerpointPresentationWhiteboard and marker
The students were able to determine the pathophysiologic mechanisms in the different oxygenation problems.
Do a reporting in nursing diagnoses taxonomy
1. Lippincott Williams &Wilkins. Brunner and Suddarth’s Textbook of Medical-Surgical Nursing. 12th edition. 2010. Pp.518-632.
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)
6. Formulate nursing diagnoses taxonomy pertinent to problems/alteration in Oxygenation.
a. Ineffective breathing pattern b. Ineffective airway clearance c. Impaired gas exchange d. Inability to sustain spontaneous ventilation e. Dysfunctional 3entilatory 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
PowerpointPresentationWhiteboard and marker
The students were able to identify possible nursing diagnoses taxonomy pertinent to the derived assessment data to pertinent problems in oxygenation.
Do a reporting regarding principles of various modalities of management clients with problems in oxygenation
1. Lippincott Williams &Wilkins. Brunner and Suddarth’s Textbook of Medical-Surgical Nursing. 12th edition. 2010. Pp.518-632.
7. Learn principles of various
For altered pulmonary function:
ReportingLecture
PowerpointPresentationWhiteboard and
The students were
Do a reporting
1. Lippincott Williams &Wilkins. Brunner and Suddarth’s Textbook of
modalities of management of clients with problems in oxygenation taking into consideration the following levels of care: 1. Health promotion2. 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
Discussion marker able to apply the various principles in the management of clients with problems in oxygenation in the actual clinical nursing practice and wereable to provide the patients/clients with the proper teachings on health promotion, disease prevention and curative and health restoration.
about pharmacologic actions, therapeutic uses, side effects, indications, contraindications, and nursing responsibilities in administering medications
Medical-Surgical Nursing. 12th edition. 2010. Pp.518-632.
Hydration Prevention of
infection Prevention of
complications 4_9 hours
8. DescribePharmacologic actions, therapeutic uses, side effects, indications, contraindications, and nursing responsibilities in administering medications clients with oxygenation problems.
a. Pulmonary Bronchodilators Expectorants Antitussives Antihistamines
b. Cardiac Sympathomymeti
c agents Sympatholytic
agents Anti-anginal
agents Anti- arrhythmic
agents Angiotensin
converting enzyme inhibitors
Antilipemic agents
Anticoagulant agents
Thrombolytics Peripheral vascular agents c. Blood Hematinics Vitamin supplements
ReportingLecture DiscussionPost test
PowerpointPresentationWhiteboard and marker
The students were able to enumerate the different pulmonary, cardiac, blood medications, with their corresponding pharmacologic actions, therapeutic uses, side effects, indications and contraindications and nursing responsibilities in the different medications of clients with oxygenation problems
Answer Chapter 25 critical thinking questions of the text book page 680
1. Lippincott Williams &Wilkins. Brunner and Suddarth’s Textbook of Medical-Surgical Nursing. 12th edition. 2010. Pp.518-632.
9. State the purposes, indications, nursing responsibilities for the surgical and special
1. Safe and comprehensive perioperative nursing care
Case AnalysisLecture Discussion Post test
PowerpointPresentationWhiteboard and marker
The students were able to list the different
Do a reporting about risk factors
1. Lippincott Williams &Wilkins. Brunner and Suddarth’s Textbook of Medical-Surgical Nursing. 12th edition. 2010. Pp.636-679.
procedures in alterations in oxygenation.
1.1 Assessment and care during the perioperative period 1.2 Techniques in assisting the surgical team during the operation 1.3 Principles of safety, comfort and privacy during the perioperative period 1.4 Nursing 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 – tracheostomy, thoracostomy, lung resection, lobectomy, pneumonectomy, thoracoplasty, decortications b. Special procedures – endotrcheal/tracheal suctioning and care, humidication, IPPB,
surgical and special procedures for clients with oxygenation problems and identify the nursing responsibilities in each procedure.
among clients that contribute to the development of problems in Fluid and Electrolytes
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 support3.1 Vascular a. Surgical procedures – endarterectomy, aneurysmectomy, insertion of intravascular stents b. Special procedures – application of antiembolic stockings 3.2 Blood forming organs a. Surgical procedures – bone marrow aspiration, bone marrow transplant b. Special procedures – blood component transfusion, reverse isolation
5_9 hours
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,
Pre-testsReportingLecture Discussion Post test
PowerpointPresentationWhiteboard and marker
After the discussion, the students were able to identify the modifiable and non-modifiable
Do an advance reading on principles and techniques of physical examination
1. Lippincott Williams &Wilkins. Brunner and Suddarth’s Textbook of Medical-Surgical Nursing. 12th edition. 2010. Pp.264-309.
diabetes. risk factors that contribute to the development of problems in fluid and electrolyte imbalances.
in newborn, children, adults, deviations from normal
11. Demonstrate 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
LectureDiscussionDemonstrationReturnDemonstration
PowerpointPresentationWhiteboard and marker
The students were able to perform the proper techniques in physical examination and apply the principles in correctly assessing the newborn, children, and adult’s fluids and electrolyte balance status by comparing any deviations from normal findings.
Do an advance reading in Chapter 14 and answer Chapter 14 critical thinking questions of the textbook page 310
1. Lippincott Williams &Wilkins. Brunner and Suddarth’s Textbook of Medical-Surgical Nursing. 12th edition. 2010. Pp.264-309.
6_9 hours
12.Identify results and implications of diagnostic/laboratory examinations of clients with reference to Fluid and
a. Diagnostic tests Non-invasive:
electrolyte determination, intake and output, KUB-IVP and
Pretest Lecture Discussion Post test
PowerpointPresentationWhiteboard and marker
Given actual laboratory results of a patient, the student were able to
Do an advance reading on pathophysiologic mechanism
1. Lippincott Williams &Wilkins. Brunner and Suddarth’s Textbook of Medical-Surgical Nursing. 12th edition. 2010. Pp.264-309.
Electrolyte imbalances
ultrasound Invasive – biopsy
b. Weight c. Vital Signs
identify deviations from normal findings.
s of fluid and electrolyte imbalances.
13. Determine the Patho- physiologic Mechanisms of Fluid and electrolyte imbalances.
a. Volume impairment – fluid volume deficit, fluid volume excess, third space fluid shiftb. Osmotic imbalances – hyponatremia, hypernatremia c. Ionic concentration problems – hypo- and hyperkalemia; hypo and hyperchloremia; hypo- and hypermagnesemia; hypo- and hyperphosphatemiad. Acid and base imbalances – metabolic acidosis and alkalosis; respiratory acidosis and alkalosis
Lecture DiscussionPost test
PowerpointPresentationWhiteboard and marker
The students were able to determine the pathophysiologic mechanisms in the different fluid and electrolyte imbalances
Do an advance reading on nursing diagnoses taxonomy pertinent to problems/alteration in Fluid and electrolyte imbalance.
1. Lippincott Williams &Wilkins. Brunner and Suddarth’s Textbook of Medical-Surgical Nursing. 12th edition. 2010. Pp.264-309.
7_9hours
14. Explain Nursing diagnoses taxonomy pertinent to problems/alteration in Fluid and electrolyte imbalance.
a. Risk for fluid volume deficitb. Fluid volume excess c. Fluid volume deficit d. High risk for injury related to electrolyte deficit/excess e. High risk for injury related to acid/baseimbalance f. Altered urinary elimination g. Impaired integumentary integrity
Case AnalysisLecture Discussion
PowerpointPresentationWhiteboard and marker
The students were able to identify possible nursing diagnoses taxonomy pertinent to the derived assessment data to pertinent problems in fluid and
Do a reporting about principles of various modalities of management of clients with problems in fluid and electrolyte imbalances
1. Lippincott Williams &Wilkins. Brunner and Suddarth’s Textbook of Medical-Surgical Nursing. 12th edition. 2010. Pp.264-309.
electrolyte imbalances.
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
promotive b. Disease
preventive c. 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
Lecture Discussion Oral Recitation
PowerpointPresentationWhiteboard and marker
The students were able to apply the various principles in the management of clients with problems in fluid and electrolyte imbalance in the actual clinical nursing practice.
The students were able to provide the patients/clients with the proper teachings on health promotion, disease prevention and curative and health restoration.
Do a reporting about Pharmacologic actions, therapeutic uses, side effects, indications, contraindications, and nursing responsibilities in administering medications clients in fluid and electrolyte imbalances.
1. Lippincott Williams &Wilkins. Brunner and Suddarth’s Textbook of Medical-Surgical Nursing. 12th edition. 2010. Pp.264-309.
c. Electrolyte Deficit – hyponatremia, hypokalemia, hypocalcemia, hypomagnesemia, hypophosphatemia • Determination and management of cause • Drug therapy – electrolyte replacement • Dietary management • Supportive management • Prevention of complication • Prevention of psychosocial problems • Rehabilitation d. Electrolyte Excess – hyperkalemia, 7ypercalcaemia, 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 • Prevention of complication • Prevention of psychosocial problems • Rehabilitation f. Respiratory Alkalosis – carbonic and acid deficit • Determination and management of cause • Drug therapy • Dietary
management • Supportive management • Prevention of complication • Prevention of psychosocial problems • Rehabilitationg. Respiratory Acidosis – carbonic acid excess • Determination and management of cause • Drug therapy • Dietary management • Supportive management • Prevention of complication • Prevention of psychosocial problems • Rehabilitation
8_9 hours
16. GivePharmacologic 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
Lecture Discussion Questioning
PowerpointPresentationWhiteboard and marker
The students should be able to enumerate the different medications in managing clients with fluid and electrolyte imbalances, with their corresponding pharmacologi
Do an advance reading on purposes, indications, nursing responsibilities for the surgical and special procedures in alterations in fluid and electrolyte
1. Lippincott Williams &Wilkins. Brunner and Suddarth’s Textbook of Medical-Surgical Nursing. 12th edition. 2010. Pp.264-309.
Potasium-losing Osmotic diuretics
d. Vitamin D supplements
c actions, therapeutic uses, side effects, indications and contraindications and nursing responsibilities in the different medications.
imbalances.
17. Name 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 Lecture Discussion Questioning
PowerpointPresentationWhiteboard and marker
The students were able to list the different surgical and special procedures for clients with fluid and electrolyte imbalance and identify the nursing responsibilities in each procedure.
Do a reporting on risk factors among clients that contribute to the development of problems in Nutrition and Metabolism
1. Lippincott Williams &Wilkins. Brunner and Suddarth’s Textbook of Medical-Surgical Nursing. 12th edition. 2010. Pp.264-309.
9_9 hours
18. Determine risk factors among clients that contribute to the development of problems in Nutrition and Metabolism.
Risk factors related to malnutrition, obesity.
Lecture DiscussionQuestioning Post test
PowerpointPresentationWhiteboard and marker
After the discussion, the students were able to identify the modifiable and non-modifiable risk factors
Do an advance reading on significant subjective data from client history related to
1. Lippincott Williams &Wilkins. Brunner and Suddarth’s Textbook of Medical-Surgical Nursing. 12th edition. 2010. Pp.1117-1243.
that contribute to the development of problems in nutrition and metabolism.
problems in nutrition and metabolism
19. Identify significant subjective data from client history related to problems in nutrition and metabolism.
a. Chief complaints b. 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
Pre-tests Lecture Discussion
Questioning
PowerpointPresentationWhiteboard and marker
The students were able to identify significant subjective data from client’s history by enumerating the possible chief complaints and recording relevant information guided by the eleven functional patterns
Answer Chapter 41 critical thinking questions of the textbook pages 1242-1243
1. Lippincott Williams &Wilkins. Brunner and Suddarth’s Textbook of Medical-Surgical Nursing. 12th edition. 2010. Pp.1117-1243.
Value-belief pattern
10_9 hours
20. Demonstrate the principles and techniques of physical examination in newborn, children, adults, deviations from normal.
3.3 Gastrointestinal 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
Lecture Discussion Demonstration Return Demonstration
PowerpointPresentationWhiteboard and marker
The students were able to perform the proper techniques in physical examination and apply the principles in correctly assessing the newborn, children, and adult’s nutritional and metabolic status by comparing any deviations from normal findings.
Do a reporting on results and implications of diagnostic/laboratory examinations of clients with reference to problems in Nutrition and Metabolism.
1. Lippincott Williams &Wilkins. Brunner and Suddarth’s Textbook of Medical-Surgical Nursing. 12th edition. 2010. Pp.1117-1243.
21. Analyze 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
Lecture DiscussionQuestioningPost test
PowerpointPresentationWhiteboard and marker
Given actual laboratory results of a patient, the student should be able to identify deviations from normal findings
Do an advance reading pathophysiologic mechanisms of the Alterations in Nutrition and Metabolism
1. Lippincott Williams &Wilkins. Brunner and Suddarth’s Textbook of Medical-Surgical Nursing. 12th edition. 2010. Pp.1117-1243.
(gastroscopy, duodenoscopy),
proctosigmoidoscopy and rectal examination
11_9 hours
22. Determine the Pathophysiologic 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
d Disturbances in elimination – bowel obstruction, hemorrhoids, diarrhea and constipation.
Pre-tests Lecture DiscussionQuestioning
PowerpointPresentationWhiteboard and marker
The students were able to determine the pathophysiologic mechanisms in the different nutritional and metabolic problems.
Do an advance reading on nursing diagnoses taxonomy pertinent to problems/alteration in Nutrition and Metabolism.
1. Lippincott Williams &Wilkins. Brunner and Suddarth’s Textbook of Medical-Surgical Nursing. 12th edition. 2010. Pp.1117-1243.
23. Specify 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
Pre-tests Lecture DiscussionQuestioning
PowerpointPresentationWhiteboard and marker
The students should be able to identify possible nursing diagnoses taxonomy pertinent to the derived assessment
Do a reporting regarding principles of various modalities of management of clients with problems in
1. Lippincott Williams &Wilkins. Brunner and Suddarth’s Textbook of Medical-Surgical Nursing. 12th edition. 2010. Pp.1117-1243.
pain/abdominal pain e. Fluid volume deficit
data to pertinent problems in nutrition and metabolism.
Nutrition and Metabolism
12_9 hrs MIDTERM EXAMINATION13_hrs 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 Disturbances in digestion • Determination and
management of cause
• Drug therapy • Dietary management • Supportive
management • Prevention of
complication • Prevention of
psychosocial problems
Pre-tests Lecture DiscussionQuestioning
PowerpointPresentationWhiteboard and marker
The students were able to apply the various principles in the management of clients
Do a Research
Do an advance ReadingDo a reporting
1. Lippincott Williams &Wilkins. Brunner and Suddarth’s Textbook of Medical-Surgical Nursing. 12th edition. 2010. Pp.1117-1243.
• Rehabilitation Disturbances in absorption • Determination and
management of cause
• Drug therapy • Dietary management • Supportive
management • Prevention of
complication • Prevention of
psychosocial problems
• Rehabilitation Disturbances in elimination • Determination and
management of cause
• Drug therapy • Dietary management
Supportive management
Prevention of complication
Prevention of psychosocial problems
Rehabilitation Disturbances in
hepatic, biliary and pancreatic functions
Determination
and management of cause
Drug therapy Dietary
management Supportive
management Prevention of
complication
25. List 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 Antihyperlipide
mics Antispasmodic
s Antidiarrheal
Lecture Discussion QuestioningPost test
PowerpointPresentationWhiteboard and marker
The students were able to enumerate the different pulmonary, cardiac, blood medications, with their corresponding pharmacologic actions, therapeutic uses, side effects, indications and contraindications and nursing responsibilities in the different medications of clients with nutrition and metabolism
Do a reporting about purposes, indications, nursing responsibilities for the surgical and special procedures in alterations in Nutrition and Metabolism
1. Lippincott Williams &Wilkins. Brunner and Suddarth’s Textbook of Medical-Surgical Nursing. 12th edition. 2010. Pp.1117-1243.
disorders.14_9 hours
26. Know 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 Lecture DiscussionQuestioning
PowerpointPresentationWhiteboard and marker
The students were able to list the different surgical and special procedures for clients with nutrition and metabolism problems and identify the nursing responsibilities in each procedure.
Do an advance reading on risk factors among clients that contribute to the development of problems in Endocrine Function.
1. Lippincott Williams &Wilkins. Brunner and Suddarth’s Textbook of Medical-Surgical Nursing. 12th edition. 2010. Pp.1117-1243.
27. Recognize risk factors among clients that contribute to the development of problems in Endocrine Function.
Risk factors related to endocrine hypo or hyperfunctioning.
Pre-tests Lecture Discussion Questioning
PowerpointPresentationWhiteboard and marker
After the discussion, the students were able to identify the modifiable and non-modifiable risk factors that contribute to the development of problems in endocrine functioning.
1. Lippincott Williams &Wilkins. Brunner and Suddarth’s Textbook of Medical-Surgical Nursing. 12th edition. 2010. Pp.1246-1285.
15_9 28. Differentiate A. Chief complaints Pre-tests PowerpointPresentation
The students Do an 1. Lippincott Williams &Wilkins.
hours significant subjective data from client history related to problems in endocrine functioning
B. 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
Lecture Discussion
Questioning
Whiteboard and marker
were able to identify significant subjective data from client’s history by enumerating the possible chief complaints and recording relevant information guided by the eleven functional patterns
advance reading on principles and techniques of physical examination in newborn, children, adults, deviations from normal in the endocrine system
Brunner and Suddarth’s Textbook of Medical-Surgical Nursing. 12th edition. 2010. Pp.1246-1285.
29. Demonstrate 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,
Lecture Discussion DemonstrationReturn Demonstrsation
PowerpointPresentationWhiteboard and marker
The students were able to perform the proper techniques in physical examination and apply the principles in correctly assessing the
Answer Chapter 42 critical thinking questions of the text book pages 1287-1288
1. Lippincott Williams &Wilkins. Brunner and Suddarth’s Textbook of Medical-Surgical Nursing. 12th edition. 2010. Pp.1246-1285.
edema • Others – weight, delayed healing of wounds
newborn, children, and adult’s endocrine functioning by comparing any deviations from nor
30. Evaluate 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
Lecture Discussion QuestioningPost test
PowerpointPresentationWhiteboard and marker
Given actual laboratory results of a patient, the student were able to identify deviations from normal findings.
Do an advance reading on pathophysiologic mechanisms of the Alterations in endocrine functioning.
1. Lippincott Williams &Wilkins. Brunner and Suddarth’s Textbook of Medical-Surgical Nursing. 12th edition. 2010. Pp.1246-1285.
assay.16_9 hours
31. Determine the Pathophysiologic mechanisms of the Alterations in endocrine functioning.
a. Hypo- and Hyperfunction of the pituitary organ b. Hypo- and Hyperfunction of the hypothalamus c. Hypo- and Hyperfunction of the thyroid organ d. Hypo- and Hyperfunction of the parathyroid organ e. Hypo- and Hyperfunction of the adrenal organ f. Hypo- and Hyperfunction of the gonads g. Problems in glucose metabolism – hypoglycemia and hyperglycemia (IDM, NIDDM)
Pre-tests Case Analysis Lecture DiscussionRecitation
PowerpointPresentationWhiteboard and marker
The students should be able to determine the patho-physiologic mechanisms in the different endocrine problems.
Do a reporting about nursing diagnoses taxonomy pertinent to problems/alteration in endocrine functioning
1. Lippincott Williams &Wilkins. Brunner and Suddarth’s Textbook of Medical-Surgical Nursing. 12th edition. 2010. Pp.1246-1285.
32. Enumerate Nursing diagnoses taxonomy pertinent to problems/alteration in endocrine functioning
a. Alterations in nutrition less than body requirement b. Fluid volume deficit c. Activity intolerance
Pre-tests Lecture Discussion Recitation
PowerpointPresentationWhiteboard and marker
The students were able to identify possible nursing diagnoses taxonomy pertinent to the derived assessment data to pertinent problems in endocrine
Do reporting on Pharmacologic actions, therapeutic uses, side effects, indications, contraindications, and nursing responsibilities in administerin
1. Lippincott Williams &Wilkins. Brunner and Suddarth’s Textbook of Medical-Surgical Nursing. 12th edition. 2010. Pp.1246-1285.
functioning. g medications clients with endocrine problems.
33. Name 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 Lecture Discussion Questioning
PowerpointPresentationWhiteboard and markerHandouts
The students were able to apply the various principles in the management of clients with problems in endocrine functioning in the actual clinical nursing practice and were able to provide the patients/clients with the proper teachings on health promotion, disease prevention and curative and health restoration.
Do a reporting about principles of various modalities of management of clients with problems in endocrine
1. Lippincott Williams &Wilkins. Brunner and Suddarth’s Textbook of Medical-Surgical Nursing. 12th edition. 2010. Pp.1246-1285.
17_9 hours
34. Know the principles of various modalities
Determination and management of cause
Pre-tests Lecture Discussion
PowerpointPresentationWhiteboard and marker
The students were able to enumerate
Do an advance reading on
1. Lippincott Williams &Wilkins. Brunner and Suddarth’s Textbook of Medical-Surgical Nursing. 12th edition.
of management of clients with problems in endocrine functioning taking into consideration the following levels of care:
a. Health promotive b. Disease
preventivec. Curative and
restorative
Drug therapy - diuretics, electrolytes
Dietary management
Supportive management
Prevention of complication
Prevention of psychosocial problems
Rehabilitation
Questioning the different pulmonary, cardiac, blood medications, with their corresponding pharmacologic actions, therapeutic uses, side effects, indications and contraindications and nursing responsibilities in the different medications of clients with endocrine problems
purposes, indications, nursing responsibilities for the surgical and special procedures in alterations in endocrine functioning.
2010. Pp.1246-1285.
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 Lecture Discussion Questioning
PowerpointPresentationHandoutsWhiteboard and marker
The students were able to list the different surgical and special procedures for clients with endocrine problems and identify the nursing responsibilitie
Do a documentation on return demonstration done for the whole unit.
1. Lippincott Williams &Wilkins. Brunner and Suddarth’s Textbook of Medical-Surgical Nursing. 12th edition. 2010. Pp.1246-1285.
s in each procedure.
Guide for RLE: Provide opportunities to demonstrate the procedures for oxygenation, fluid electrolytes balance, nutrition and metabolism, endocrine functions, and intra-operative care.
Regarding the intra-operative care experience, provide opportunities for the following:
1. Act as a circulating nurse in THREE (3) MAJOR SURGICAL CASES IN THE HOSPITAL SETTING
2. Act as a scrub nurse in AT LEAST THREE (3) MAJOR SURGICAL CASES IN THE HOSPITAL SETTING ONLY
In the event that the required competencies are not developed within the allotted hours/weeks, the nursing student/s shall be made to “extend” his/her Related
Learning Experience (RLE) exposure until the expected competencies are satisfactorily achieved.
To standardize documentation, a prescribed form shall be completed right after the related clinical experience.
Provide opportunities for actual hospital and community experiences to ensure that competencies are developed.
GRADING SYSTEM:
Class Standing 25%
Attendance 10% Recitation 20% Quizzes 30% Assignment 20%
Project 20%
100%
Class Standing 25%
Prelim 15%
Midterm 15%
Finals 15%
RLE 30%
100%
REFERENCE:
1. Lippincott Williams &Wilkins. Introductory Medical Surgical nursing. 9th edition. 2007.2. Barbara Kozier, Glenora Erb, Audrey Berman and Shirlee Snyder. Fundamentals of Nurisng. 7th edition. 2004.1. Lippincott Williams &Wilkins. Brunner and Suddarth’s Textbook of Medical-Surgical Nursing. 12th edition. 2010
EMILIO AGUINALDO COLLEGE
SCHOOL OF NURSING
COURSE SYLLABUS