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NCM 100 - FUNDAMENTALS OF NURSING PRACTICE This course provides the students with the overview of nursing as a science, an art and a profession. It deals with the concept of man as a holistic being comprised of bio- psychosocio and spiritual dimensions. It includes a discussion on the different roles of a nurse emphasizing health promotion, maintenance of health as well as prevention of illness utilizing the nursing process. It includes the basic nursing skills needed in the care of individual clients. I. Nursing as a Profession A. Profession 1. Definition 2. Criteria B. Nursing 1. Definition 2. Characteristics 3. Focus: Human Responses 4. Personal and professional qualities of a nurse C. History of Nursing 1. In the world 2. In the Philippines (include the history of own nursing school ) D. Development of modern nursing E. Growth of Professionalism 1. Profession a. Specialized Education b. Body of Knowledge c. Ethics d. Autonomy 2. Carpers four patterns of knowing a. Nursing science b. Nursing ethics c. Nursing Esthetics d. Personal Knowledge F. Overview of the Professional Nursing Practice 1. Level of Proficiency according to Benner (Novice, Beginner, Competent, Proficient, Expert) 2. Roles and Responsibilities of a Professional nurse 3. . Scope of Nursing Practice based on RA 9173 4. Overview of the Code of Ethics for Nurses/Filipino Bill of Rights/Legal Aspects 5. Professional/legal and moral accountability / responsibility G. Different Fields in Nursing 1. Institutional Nursing ( hospital staff nursing) 2. Community Health Nursing ( School nursing /industrial nursing/public health nursing ) 3. Independent nursing practice 4. Nursing in Education 5. Nursing in other fields H. Communication Skills 1. Effective communication 2. Purposes of therapeutic communication 3. Components of communication 4. Criteria for effective verbal communication 5. Guidelines for active & effective listening 6. Guidelines for use of touch 7. Developmental consideration in communication 8. Communicating with people who are a. Physically challenged b. Cognitively challenged c.
Aggressive 9. General guidelines for transcultural therapeutic communication I. Nursing Process 1. Assessment 2. Nursing Diagnosis (as a concept and process) 3. Planning (long-term, short-term, priority setting, formulation of objectives) 4. Intervention (collaborative, independent nursing interventions) 5. Evaluation (formative, summative) 6. Documentation of plan of care /reporting J. Health and Illness: 1. Recall concepts learned about man as an individual and as a member of the family 2. Define Health. Wellness and Illness 3. Explain the dimensions of wellness 4. Discuss the Health-Illness Continuum 5. Enumerate the stages of wellness and Illness 6. Describe the three levels of Prevention K. Levels of Care 1. Health Promotion 2. Disease Prevention 3. Health Maintenance
Course Name Course Description Course Outline
NCM 101-CARE OF INDIVIDUALS, FAMILY WITH MATERNAL AND CHILD HEALTH Principles and techniques of caring for the normal mothers, infants, children and family and the application of principles and concepts on family and family health nursing process. I. The Family and Family Health 1. Concepts/ Definition of family 2. Family structure and functions 3. Universal characteristics of families
Methods of Data Gathering 1. Criteria for Priority Setting 1. The Family Health Nursing Process 1. Facilitative 5. Planning a.2 nd . Review of records/reports & laboratory results 5. Categories of health care strategies and intervention 1. Methods & sources of evaluative data 3. health deficits & wellness potential/state level assessment: determining family’s ability to perform the family health tasks on each health threat. Human becoming: Methods/Processes 2. Types of records& reports XI. foreseeable crisis. Definition and importance of the family nursing care plan b. Organization & Functions of the Department of Health to achieve health goals for the Filipino people 1. foreseeable crisis or wellness potential V. Evaluation 1. ecomap. Evaluation criteria 5. Programs & services: 2. Goal and objective setting 2. Assessment of home & environment 6. Rehabilitative 4. Records in Family Health Nursing Practice 1. Implementing VII. Definition of family health nursing & family nursing process 2. Levels of Prevention in Family Health II. Strategies & approaches XII. Team approach to health care 1. Principles of family nursing process 3.Curative 3. Categories of nursing interventions in family nursing practice include: 1. Evaluation in Family nursing practice X. Characteristics of a healthy family 5. Direct IX. Health status of each family member 8. Nature & scope . Motivation-support for behavior chang3e/lifestyle modification VIII. Qualitative & quantitative data for evaluation 2. economic & cultural factors 7. health deficit. Health assessment of each family member 2. Social. initial database. Typology of Nursing Problems in Family Nursing Practice 1.Steps of the family health nursing process 4. Preventive 2. Observation 3. Values & practices on health promotion III. Interview 4. Statement of a Family Health Problem. Environmental health 3. family assessment guide IV. 1st level assessment: identify health threats. Tools used in family assessment: genogram. Facilitation k. Competency-based teaching 3. Family structure/characteristics/dynamics 6.Community Health Nursing Practice a. Maternal Health 4. Initial Assessment/data base for Family Nursing Practice 5. Steps in evaluation 4. Child health 5.health problem and cause/ contributing facts VI. Importance & uses 2. Family stages and tasks 6.4.
Definition and theories related to procreation b. Danger signs during labor & delivery 8. review of systems b. Leopold’s maneuver d. Physical & psychological preparation of the client: ƒ Explanation of the procedure. Functions and responsibilities d. nutritional status 9.Procreative Health a. Theories of labor onset 4.Specialized fields in Community Health Nursing a. Utilization of the nursing process in the prevention of genetic alteration and in the care of clients seeking services before & during conception XIV. Community mental health nursing XIII. breast care & adequate rest & exercise 13. Common signs of labor 5. Local & systematic physical changes including vital signs. AOG. Functional relationships of presenting part 3. passage. Common discomforts of the woman during labor and delivery 7. para). biographical data. Health history: past. current pregnancy (EDD. Provision of safety. Intrapartum (Process of Labor & Delivery) 1. gravid. Milestones of fetal development 6. potential. perineal care. medical history. Factors affecting labor & delivery process. Appropriate Nursing Diagnoses 9.passenger. Occupational health nursing c. Process of human reproduction c. Common tests for determination of genetic abnormalities e. Common teratogens and their effects 8.b. Role of the nurse 2. Danger signs of pregnancy 11. Mother and Child Health 1. School health nursing . Stages of labor & delivery 6. present. Therapeutic touch 11. Progress of labor 10. Normal changes during pregnancy a. The process of conception 4. Coping mechanisms of woman’s partner and family of the stresses of . power 2. Monitoring of progress of labor delivery 12. Estimating the EDC 7. Fetal circulation 5. menstrual history. safety & comfort measures e. Physiology of menstrual cycle 3. Constant feedback. gynecologic history. comfort & privacy (proper positioning. Care of clients experiencing labor & delivery process 10. Securing informed consent. Risk factors that will lead to genetic disorders d. Appropriate nursing Diagnoses 13. Antepartum/ Pregnancy 1. Basic concepts & principles c. Emotional changes including ‘angers in pregnancy’ c.g. Draping. Normal diagnostic/laboratory findings & deviations Pregnancy test Urine test Blood test (CBC) 12. Provision of personal hygiene. Anatomy & physiology of the male and female reproductive system 2. Addressing the needs of pregnant mothers XV. previous pregnancies & outcomes (TPAL score).
puerperium 10. Monitoring of Vital signs. Biologic growth & development 7. responses to drug therapy. Safety measures: limitations in movement. emotional responses. amount & pattern of lochia.g. Water/oil bath. episiotomy 6. longitudinal ƒ Patterns of GD ƒ Individual differences 6. prompt referral for complications d. Possible complications during post partum : bleeding & infection 7. Preparation of health personnel XVI. abdomen circumference. family f. Cuddling B. Ballard’s score. relief of discomforts like breast engorgement and nipple sores. Definition 2. initiation of lactation. Measures to prevent complication: ensuring adequate uterine contraction to prevent bleeding. uterine involution. Support for the psychosocial adjustment of the mother e. Vital signs. Behavioral assessment & other significant information 4. 8. newborn. episiotomy b. Nursing care of the newborn 6. Regulation of temperature 12. Accurate documentation and reporting as needed 9. Concept on Growth & Development 1. Current trends in maternal and child care XVII. Anthropometric measurements (weight. Appropriate Nursing Diagnoses 8.pregnancy. l labor delivery. Preparation of the labor & delivery room 15. The Newborn A.. adequate monitoring. Development of mental function & personality development . Post Partum 1. Major factors influencing GD 4. Phases of Puerperium ƒ “Taking In” ƒ “Taking Hold” ƒ “Letting Go” 5. Cord care 10. head. Physiologic function & appearance ƒ Apgar. Health beliefs & practices of different cultures in pregnancy. Principles of growth & development (GD) 3. Burping 15. Newborn Screening 5. labor and delivery & puerperium 14. Maintaining patent airway 7. Review of systems. early ambulation. Foundations of GD ƒ Age Periods ƒ Methods of studying GD –cross-sectionals. Nursing care of mothers during post partum a. Psychological Changes on the Mother 4. Vestibular stimulation 14. wound care e. hygienic measures. Profile of the newborn 1. length. Eye prophylaxis 9. tub bath. Sensory stimulation (audio& tactile) 13. protection from falls. patent airway 3. Comfort measures: exercises. maintaining adequate nutrition c. Definition 2. other relevant measures) 2. Health teaching needs of mother. changing of diapers. Specific Body Changes on the Mother 3. chest. Vitamin K administration 11. provision of adequate clothing.
psychologic . Promotion of Health 5. Coping with concerns related to normal growth & Development. The Schooler and the Family 1. Promotion of health during infancy 5. Promotion of health during adolescence H.g. psychosocial.cognitive – moral – relational behaviorism 9. spiritual. and body image development 3. etc. Biologic. psychosocial. Definition of terms 2. teething. The Adolescent & the Family 1. Late adulthood a. social. e. Development of self-concept. Prevention of Injury G. Definition of terms 2. Coping with concerns related to normal growth & development 4. cognitive development. psychosocial. Adulthood 1. spiritual. Coping with concerns related to normal growth and development 4. separation anxiety. Growth & development – biologic. social & moral development 3. Theories of aging c. Physical. developmental milestone. language. cognitive. Nursing implications 2. cognitive. Growth & development of the infant ƒ biologic. spiritual and social development 3. development of social image. development milestones – fine & gross motor. Prevention of injury D. physiological. moral. developmental milestone. Prevention of Injury F. Nursing implications 3. Definition of terms 2. Development of sexuality C. social development.biological. 4.psychosexual – psychosocial . cognitive.8. Definition 2. Growth & development of the toddler – biologic. Theories. Promotion of health during school age period 5. temperament 3. psychosocial. Viewpoints on aging b.body image. The Preschooler and the Family 1. Definition of terms 2.Theories: . Middle adulthood a. Growth & development.proportional changes & maturation of systems. cognitive. Prevention of Injury E. cognitive. psychosocial development. The Toddler & the Family 1. Growth & development. The Infant and Family 1. Early adulthood a. social & self-concept development 3. moral and psychosocial development b. sexuality. self-esteem 10. moral.biologic. Coping with concerns related to normal growth & development 4. sociologic. moral & psychosocial development b. Promotion of health during toddlerhood 5. cognitive.
These disturbances are emphasized to facilitate the early recovery of clients. sincipital presentation b. Compound presentation .changes d. Types of fetal malposition 2. substance abuse. Fetal Malpresentation a. Problems of the Passenger a. Abruptio Placenta. Ectopic Pregnancy. Nursing implications Course Name Course Description NCM 102-CARE OF CLIENTS ACROSS THE LIFESPAN WITH MOTHER. Adaptive Process: . this course further deals with the common problems occurring during infancy to adolescence stage. Pregestational Conditions such as rheumatic heart disease.clients' psyche or psychologic state 2. Nursing Care of the High-Risk Labor & Delivery Client & her Family 1. More frequent monitoring of high risk clients: important during pregnancy. Fetal malposition 1. Vertex malpresentation 1. I.powers or uterine contractions . Gestational Condition such as Hyperemesis Gravidarum. Gestational Trophablastic disease (H-mole). psychological. Risk factors are anything that may be associated with a negative pregnancy outcome including physiological. Placenta Previa.nursing diagnoses Course Outline . Premature Rupture of membranes. High-Risk factors: may happen at anytime during the course of labor in a client who has been otherwise been healthy throughout her pregnancy & may be related to Stress/Stressor. Medical Management 3. vaginal evolving of breech 4. Nursing care 3. face presentation 3. maternal risks 3. HIV/AIDS.passenger or fetus .Nursing care of client with malpresentation . Spontaneous Abortion. brow presentation 2.passage way or pelvic bones & other pelvic structure . Needs of older persons e. socio-demographic or environmental factors 2. Mother A.assessment . . external cephalic version c. diabetes mellitus. Pregnancy-induced hypertension B. Shoulder presentation 1. labor & birth & the puerperium to help identify potential complication ensure early treatment & improve maternal-fetal outcomes II. Identifying Clients at Risk st 1. Breech presentation 1. three types 2. Utilization of the Nursing process in the care of the High-Risk Prenatal Client B. Anemia A. CHILD AND FAMILY-AT-RISK OR WITH PROBLEMS This course deals with the concept of disturbances & pre-existing health problems of pregnant women and the pathologic changes during intrapartum period. Begins with the 1 prenatal visit & continues through the puerperium. Rh Sensitization. Likewise. Incompetent Cervix.
endometritis b. Problems with the Powers a.. Problems related to Maturity a. Large for Gestational Age (LGA) 3. Nursing care e. Prolapse umbilical cord 1. evaluation 4. Uterine prolapse e.evaluation d. Child A.Acute conditions of the neonates such as: a. Nursing Care of the High-Risk Newborn to Maturity 1. prematurity b. Problems with the Passageway Abnormal size or shape of the pelvis Cephalopelvic disproportion Shoulder Dystocen Nursing Care 5. Late postpartal hemorrhage subinvolution 2. wound infection c. Meconium aspiration syndrome c. Problems with the Psyche factors influencing the psyche of the client in labor the effect of fear/anxiety on labor progress nursing care C. Cleft palate. Sudden death syndrome (SDS) B. Meningitis. Thromboembolic disorders 4. contributing factors 3. Postpartal Psychiatric Disorder II. Common Health Problems That Develop During Infancy Example: Intussusception. Nursing Care of the High-Risk Postpartal Client 1. Imperforated anus.implementation . Autism/ADHD . Causes 2.assessment & nursing diagnoses 4. Small for Gestational Age (SGA) b. Precipitate labor and birth d. UTI 3. Early Postpartal Hemorrhage b. Hyperbilirubinemia e. Respiratory distress syndrome b. Hydrocephalus. Fetal Distress 1. Postpartal Puerperial infection a. Dystocia or difficult labor ƒ hypertonic uterine dysfunction ƒ hypotonic uterine dysfunction ƒ abnormal progress in labor ƒ retraction rings b. Febrile seizures. Hirchsprung's disease. Spina bifida. Premature labor c.planning . planning & implementation 5. Uterine rupture 6. postmaturity 2. Postpartal Hemorrhage a. Otitis Media. cause 2. Trisomy 21. Problems related to gestational weight a. Failure to thrive. Sudden infant death syndrome. Sepsis d. Colic. Signs/symptoms 3.
Determination of Categories of family health problems ƒ Health deficits ƒ Health threats ƒ Foreseeable crisis/stress points ƒ Enhanced capability for health promotion 3. Parameters for selecting nursing interventions: a. Scabies. Family Health Problem Identification a. Health Problems Most Common In School Aged Children Example: Diabetes mellitus. Child Abuse. Concepts. Rheumatic Arthritis. Rheumatic Fever. Promotes client safety. Standards of care & interventions that address acute and chronic illness 5. Disease prevention c. Impetigo F. Asthma. comfort & hygiene c. appropriate and available to the home community setting b. Health Problems Common In Toddlers Example: Burns. The Family with Health Problems 1. Component of care in acute and chronic illness . principles. Criteria of setting priorities among family health problems: ƒ Nature of the problem ƒ Magnitude of the problem ƒ Modifiability of the problem ƒ Preventive potential ƒ Salience 5. Programs and services that focus on primary & secondary prevention of communicable and non-communicable diseases a. Implementation of Individual & Family Health Nursing Care 1. Planning of Individual & Family Health Nursing Care 1. Tool of analysis ƒ Social determinants of health B. Principles of collaboration and advocacy to be considered to ensure continuity of care C. Identification of goal of care for priority problems 4. Pediculosis. Definition of contributing risk factors ƒ Predisposing factors ƒ Enabling factors ƒ Reinforcing factors 4.Restorative . Health promotion b. Health Problems Common In Preschooler Example: Leukemia. Applicable. phases and components in planning family health interventions 2. Poisoning. Health Problems Common In Adolescent III.C. Secondary assessment 2. Urinary Tract Infection (UTI) E. Cerebral Palsy D. Primary assessment b. Family A. Wilm's Tumor (Nephroblastoma). Examples of DOH Programs: ƒ National Tuberculosis Program – Direct Observed ƒ Short Course Treatment (NTP-DOTS) ƒ Integrated Management of Childhood Illness (IMCI) ƒ Control of Diarrheal Diseases (CDD) 3. Assessment of the Family Capability to perform health tasks a.
Risk factors among clients that contribute to the development of problems in the following: 1. scars. perfusion b. Palpation – focus on GIT for presence of masses. Fluid and electrolyte – potential factors for exceeding renal reserve capacity. Legal principles involved in documentation Course Name NCM 103 CARE OF CLIENTS ACROSS THE LIFESPAN WITH PROBLEMS IN OXYGENATION. Strategies in meeting health problems of family a.modifiable 2. Methods & tools in evaluating effectiveness of family health interventions 2. Percussion – gas exchange d. masses. Alternative strategies & approaches for specific problems & objectives E. Ensuring a well organized & accurate documentation & reporting 1. I. neuromuscular irritability. fluid transport 2. Inspection – color.thyroid enlargement d. texture of skin mucous membrane. Biobehavioral interventions and holistic care for individuals & Family with specific problems in oxygenation. systemic effects of endocrine malfunction ) -IPPA a. neck vein filling. metabolism and endocrine. Palpation – gas exchange . deviations . bruits c. Rehabilitativ e care 2. Palpation – organ . perfusion c. metabolic and endocrine function 3. fluid and electrolyte balance. Auscultation – gas exchange – heart sound. growth patterns. ascites. Oxygenation – cardiovascular risk factors (modifiable and non. ascites. breath sound. FLUID AND ELECTROLYTE BALANCE. Principles of behavior change 5. Palpation – edema. distention d. Concept & principles of collaboration & advocacy D. Metabolism and endocrine function ( focus on GIT. Oxygenation a. Inspection – color. Course Description Course Outline . infection. adults. Percussion – liver span. hypertension.d. Inspection – gas exchange. Evaluation of progress and outcome of care 1. fluid and electrolyte balance. Gastrointestinal Function – IPPA a. Referral System 6. Curative e. Ausculation – bowel sounds. dietary habits to include salt intake. Standard format 2. children. fluid d. rebound tenderness. Sources of evaluative data 3. deviations from normal: 1. texture of skin mucous membrane. Metabolic and endocrine function B. Auscultation – rates 3. The individual client with problems in oxygenation. growth patterns. METABOLISM AND ENDOCRINE This course deals with the principles and techniques of nursing care management of sick clients across lifespan in any setting with alterations/problems in oxygenation. fluid & electroyte balance. b. masses b. Ausculation – bruit c. Promoting behavior change b. Creating a supportive environment towards healthy lifestyle 4. characteristic of pulse c. Inspection – signs of dehydration. Percussion – abdomen for presence of air. metabolic & endocrine function: A. Fluid and electrolyte balance a. overhydration. ascites 4. Principles and techniques of physical examination in newborn. hand vein filling. diabetes 3. b.
increased circulating erythrocytes(polycythemia) 2. diarrhea. hypernatremia c. stress test.g. b. Fluid and Electrolyte Balance: a. Volume impairment – fluid volume deficit. Alteration in oxygen carrying capacity of the blood – decreased circulating erythrocytes (anemia) .g. Ultrasound abdomen. Ionic concentration problems – hypo. Disturbances in absorption – malnutrition. impaired perfusion b. fluid volume excess.Blood: CBC. Impaired stroke volume secondary to altered preload. bone marrow biopsy 2. ƒ Non-invasive: e. liver function test . percutaneous transhepatic cholangiogram. Serum. Alteration in gas exchange – ventilatory dysfunction.Percussion – fluid. inflammatory bowel conditions d. third space fluid shift b. Disturbances in ingestion – problems in buccal cavity and esophagus b. Alterations in GIT function a. Cholesterol. thyroid scan ƒ Invasive: e. endocrine assay D. CVP. Pathophysiologic Mechanisms: 1. impaired diffusion.and Hyperfunction of the hypothalamus c.g. cardiac catheterization.and hypercalcemia. hypo. hypo. Glycosylated hemoglogin). malabsorption syndrome. Screening procedure – peak flow meter b. Results and implications of diagnostic/laboratory examinations of clients with reference to problems in: 1. Disturbances in elimination – bowel obstruction. chest x-ray. myocardial contractility c.and hyperphosphatemia d. afterload. hemodynamics monitoring. thoracentesis.and hypermagnesemia.Pulmonary: bronchoscopy. Alterations in oxygenation a. Metabolic and endocrine function – a.and hyperkalemia.Vascular: angiography. edema C. RBS. hemorrhoids. . Hypo. . gastric cancer c. Alterations in endocrine function a. blood sugar tests ( FBS. Screening: glucose tolerance test.and Hyperfunction of the pituitary organ b.and . enzyme levels. hypo and hyperchloremia. Ultrasound ƒ Invasive – biopsy. 2-D echo. . .Vascular: doppler ultrasonography .Pulmonary: e.Cardiac: CO determination. Acid and base imbalances – metabolic acidosis and alkalosis. Osmotic imbalances – hyponatremia. Fluid electrolyte imbalances a. KUB-IVP. Alteration in vascular integrity – transport network impairment d. ƒ Invasive: . Hypo.Blood: pulse oximeter . VS 3. sputum microscopy. Alteration in cardiac performance – heart rate problems. ECG. gastritis. ABG.Cardiac: ultrasound. Diagnostic procedures – ƒ Non-invasive: . intake and output. respiratory acidosis and alkalosis 3. GI x-ray. Hypo. Disturbances in digestion – peptic acid disease. Oxygenation: a. constipation 4. pulmonary angiography . hypo. pulmonary function tests. Weight. Diagnostic tests – ƒ Non-invasive: electrolyte determination. smoke analyzer Fagerstrom test – standardized degree of nicotine dependence.
Risk for fluid volume deficit b. Principles of Various Modalities of Management 1. Fluid volume deficit c. Principles of Management 1. Fluid and electrolyte imbalance a. Problems in glucose metabolism – hypoglycemia and Hyperglycemia E.and Hyperfunction of the adrenal organ f. Impaired gas exchange related to altered O2 carrying capacity of blood due to decreased erythrocytes/hemoglobin i. Health Promotive 2. Nursing Diagnoses taxonomy pertinent to problems/ alteration in: 1. Activity intolerance related to malnutrition. tissue hypoxia. Hypo. 2. Fluid volume deficit 4. Altered tissue perfusion systemic h. Alteration in nutrition more than body requirement c. Alteration in comfort: epigastric pain/abdominal pain e. Alterations in nutrition less than body requirement b. Alteration in nutrition less than body requirement b. High risk for injury related to electrolyte deficit/excess e. Hypo. Gastrointestinal function a.and Hyperfunction of the parathyroid organ e. Disease Preventive 3.Hyperfunction of the thyroid organ d. Decreased cardiac output (CO) g. Impaired integumentary integrity 3. Curative and restorative G. Endocrine function a. High risk for injury related to acid/base imbalance f. Fluid volume deficit c. Inability to sustain spontaneous ventilation e. Impaired gas exchange d. Activity intolerance F. Oxygenation a. Alteration in oral mucous membrane integrity d. Altered urinary elimination g. Fluid volume excess d. Ineffective airway clearance c. For altered pulmonary function ƒ Airway patency ƒ Oxygen therapy ƒ Adequate ventilation ƒ Drug therapy ƒ Hydration ƒ Removal of secretion ƒ Prevention of infection ƒ Prevention of complications ƒ Prevention of psychosocial problems ƒ Rehabilitation 2. For cardiac function ƒ Hemodynamics monitoring ƒ O2 therapy ƒ Drug therapy ƒ Hydration ƒ Prevention of infection ƒ Prevention of complications . Dysfunctional ventilatory weaning response f.and Hyperfunction of the gonads g. Hypo. Ineffective breathing pattern b.
hypocalcemia.hypernatremia. hypercalcemia.electrolyte ƒ Supportive management ƒ Prevention of infection ƒ Prevention of complication ƒ Prevention of psychosocial problems ƒ Rehabilitation 5. Electrolyte deficit – hyponatremia.sodium ƒ Supportive management ƒ Prevention of infection ƒ Prevention of complication ƒ Prevention of psychosocial problems ƒ Rehabilitation 6. Electrolyte excess. Fluid volume excess ƒ Determination and management of cause ƒ Drug therapy – diuretics. Fluid volume deficit ƒ Determination and management of cause ƒ Hydration ƒ Blood transfusion as needed ƒ Drug therapy . Oxygen carrying capacity of the blood ƒ Blood component replacement ƒ O2 therapy ƒ Drug therapy ƒ Hydration ƒ Prevention of infection ƒ Prevention of complications ƒ Prevention of psychosocial problems ƒ Rehabilitation 4. Metabolic Alkalosis – Base bicarbonate excess ƒ Determination and management of cause ƒ Drug therapy ƒ Dietary management ƒ Supportive management ƒ Prevention of complication ƒ Prevention of psychosocial problems ƒ Rehabilitation . hyperphosphatemia ƒ Determination and management of cause ƒ Drug therapy – electrolyte replacement ƒ Dietary management ƒ Supportive management ƒ Prevention of complication ƒ Prevention of psychosocial problems ƒ Rehabilitation 8.ƒ Prevention of psychosocial problems ƒ Rehabilitation 3. hypomagnesemia. hypermagnesemia. electrolytes ƒ Dietary restriction . hyperkalemia. hypophosphatemia ƒ Determination and management of cause ƒ Drug therapy – electrolyte replacement ƒ Dietary management ƒ Supportive management ƒ Prevention of complication ƒ Prevention of psychosocial problems ƒ Rehabilitation 7. hypokalemia.
Disturbances in Digestion ƒ Determination and management of cause ƒ Hydration ƒ Drug therapy ƒ Dietary management ƒ Supportive management ƒ Prevention of infection ƒ Prevention of complication ƒ Prevention of psychosocial problems ƒ Rehabilitation 14. Disturbances in Elimination ƒ Determination and management of cause . Respiratory Alkalosis – Carbonic acid deficit ƒ Determination and management of cause ƒ Drug therapy ƒ Dietary management ƒ Supportive management ƒ Prevention of complication ƒ Prevention of psychosocial problems ƒ Rehabilitation 11. Disturbances in Ingestion ƒ Determination and management of cause ƒ Hydration ƒ Drug therapy ƒ Dietary management ƒ Supportive management ƒ Prevention of infection ƒ Prevention of complication ƒ Prevention of psychosocial problems ƒ Rehabilitation 13. Respiratory Acidosis – Carbonic acid excess ƒ Determination of cause ƒ Drug therapy ƒ Dietary management ƒ Supportive management ƒ Prevention of complication ƒ Prevention of psychosocial problems ƒ Rehabilitation 12.9. Metabolic Acidosis – Base bicarbonate deficit ƒ Determination and management of cause ƒ Drug therapy ƒ Dietary management ƒ Supportive management ƒ Prevention of complication ƒ Prevention of psychosocial problems ƒ Rehabilitation 10. Disturbances in Absorption ƒ Determination and management of cause ƒ Hydration ƒ Drug therapy ƒ Dietary management ƒ Supportive management ƒ Prevention of infection ƒ Prevention of complication ƒ Prevention of psychosocial problems ƒ Rehabilitation 15.
Pharmacologic actions. Parenteral fluids – ƒ hypotonic ƒ hypertonic ƒ isotonic solutions 5. Electrolyte ƒ Sodium ƒ Potassium ƒ Calcium ƒ Magnesium ƒ Phosphate 6.ƒ Hydration ƒ Drug therapy ƒ Dietary management ƒ Supportive management ƒ Prevention of infection ƒ Prevention of complication ƒ Prevention of psychosocial problems ƒ Rehabilitation 16. biliary and pancreatic function ƒ Determination and management of cause ƒ Hydration ƒ Drug therapy ƒ Dietary management ƒ Supportive management ƒ Prevention of infection ƒ Prevention of complication ƒ Prevention of psychosocial problems ƒ Rehabilitation H. Fluid a. and nursing responsibilities: 1. hepato-biliary and pancreatic function ƒ Antiemetics . side effects. Cardiac ƒ Sympathomymetic agents ƒ Sympatholytic agents ƒ Anti-anginal agents ƒ Anti-arrhythmic agents ƒ Angiotensin converting enzyme inhibitors ƒ Antilipemic agents ƒ Anticoagulant agents ƒ Thrombolytics ƒ Peripheral vascular agents 3. therapeutic use. Disturbances in hepatic. contraindication. Gastrointestinal. Blood ƒ Hematinics ƒ Vitamin supplements 4. Pulmonary ƒ Bronchodilators ƒ Expectorants ƒ Antitussives ƒ Antihistamines 2. Diuretics ƒ Potassium-sparing ƒ Potassium-losing ƒ Osmotic diuretics 7. Vitamin D supplements 8. indications.
Developing outcome criteria for clients with problems in oxygenation. humidification. Special procedures – application of antiembolic stockings 6. decortication b. feeding per nasogastric. Surgical procedures – bone marrow aspiration. Special procedures blood component transfusion. urinary diversion b. Assessment and care during the perioperative period 2. Techniques in assisting the surgical team during the operation 3. Pulmonary a. hemodialysis. Principles. bladder training. Special procedures – laser therapy. Principles of safety. cystectomy.ƒ Anticoagulant ƒ Hematinics agents ƒ Laxatives and stool softeners ƒ Antipruritus ƒ Vitamin supplement ƒ Antacids ƒ antihyperlipidemics ƒ Antispasmodics ƒ Antidiarrheal 9. Surgical procedures – endarterectomy. insertion of ventricular assist device. Nephrostomy. Surgical procedures – tracheostomy. Appropriate discharge plan including health education .Vascular a. Gastrointestinal and endocrine dysfunction a.Nephrectomy. Nursing responsibilities during the perioperative period K. renal transplants. gastrectomy. gastrointestinal bypass. G tube. advance life support 3. gastrostomy tubes. heart transplant b. reverse isolation 5. Special procedures – parenteral hyperalimentation. comfort and privacy during the perioperative period 4. ileostomy b. fluid and electrolyte balance. valve replacement. bone marrow transplant b. insertion of intravascular stents b. thoracostomy. cystoclysis/bladder irrigation 6. metabolic and endocrine function L. concept and application of bioethics in the care of clients M. fluid and electrolyte balance. Steps/pointers in decision making and prioritization with client/s having problems in oxygenation. lobectomy. Special procedures – Endotracheal/tracheal suctioning and care. thoracoplasty. ventilatory assist 2. jejunostomy. administering medications via NGT. colostomy care and irrigation. Major surgical procedures . J tube. pacemaker insertion. hot sitz bath J. Safe and comprehensive perioperative nursing care 1. nursing responsibilities for the following surgical and special procedures 1. Endocrine function Corticosteroids Alpha-adrenergic blocking agents Betaadrenergic blocking agents Tyrosine inhibitors Dopamine receptor antagonists Glucocorticoids Parathyroid hormone agents Thyroid hormone agents I. colostomy. Cardiac a. dietary planning for common GT and endocrine problems. Surgical procedures – gastrostomy. aneurysmectomy. lung resection. pneumonectomy. Purpose. indications. repair of congenital abnormality. ureterostomy. IPPB. hemorrhoidectomy.peritoneal dialysis. basic life support. Renal dysfunction a. Special procedures . Surgical procedures – coronary artery bypass. metabolic and endocrine function N. Blood forming organs a.
sight . ADJUSTMENT AND MALADAPTIVE BEHAVIORS This course deals with the concepts. ultrasound. deformity. Percussion: reflexes 2. electroencephalogram (EEG). sight . ophthalmoscopy.Perception and Coordination – a. Inspection: loss of consciousness (LOC). lumbar puncture. Palpation: tenderness. swelling. cerebrospinal & synovial fluid determination. Visual Auditory ƒ Non-invasive diagnostic procedures visual acuity. body temperature. muscle size and strength. discharge b. sensitivity c. Palpation: deviation/limitation in range of motion (ROM). Inspection: posture and gait. hearing. bleeding b. tenderness. electronystagmography. muscle strength c. discharge b. slit lamp. Locomotion Assessment a. Alterations in Perception and Coordination Risk factors assessment and screening procedures among clients that contribute to the development of problems in perception and coordination B. Children & adults and deviations from normal in perception & coordination 1. papillary changes. deformity. muscle strength. serum A. functional patterns. CT scan ventriculogram b. ear culture. masses. Principles and techniques of physical examination in newborn. discharge. papillary changes. Palpation: pain. I. Neurologic Assessment a. Palpation: turgor. Visual and auditory assessment a. ƒ Invasive diagnostic procedures: cerebral angiography. ADL. tenderness. Accurate recording and documentation Course Code Course Description Course Outline NCM 104 . . population group experiencing alterations in perception and coordination and psychosocial adjustment and those with maladaptive behaviors in varied settings. posture. presence of subcutaneous nodules c. magnetic resonance imaging (MRI). tenderness. Results and implications of diagnostic/laboratory examinations of clients with reference to problems in: 1. Neural regulation ƒ Non-invasive diagnostic procedures: Skull x-ray. atrophy. ADL. Inspection: hearing. gait.O. visual field testing. presence of mass/lesions 3. tenderness D. crepitation on movement of joints. principles and theories of human behavior and the care of individuals. muscle strength. including psychosocial and behavioral assessment C. Significant subjective data from client – relevant information based on chief complaints. Locomotion ƒ Non-invasive diagnostic procedures: electromyogram (EMG) ƒ Invasive diagnostic procedures: biopsy. audiometry ƒ Invasive diagnostic procedures: CT scan.CARE OF CLIENTS ACROSS THE LIFESPAN WITH PROBLEMS IN PERCEPTION AND COORDINATION. deformity of joints.
Disturbances in auditory perception: deafness/hearing loss. Locomotion a. absence of visual perception. Supportive management for visual/auditory impaired d. Prevention . Impaired swallowing d. Determination and management of cause b. Determination and management of cause b. Airway patency c. Psychosocial interventions j. obstructive problems 3. Knowledge deficit c. Degenerative disorders d. Potential for injury e. Knowledge deficit 3. Seizure precaution k. Infections/Inflammatory disorders b. Locomotion a. Pathophysiologic mechanisms of Alterations in perception and coordination 1. Oxygen therapy d. Alteration in sensory perception: visual/auditory b. Traumatic injuries e. degenerative changes. Ineffective individual coping g. Drug therapy f. trauma. b. Altered state of consciousness 2. Potential for infection c. Disturbance in self-concept e. inflammatory /infection. Drug therapy c. Neural regulation a. Head ache ad pain e. Congenital disorders f. Abnormalities in the curvature of the spine c. Principles of Management for altered Perception coordination 1. . Removal of secretion h. meniere’s syndrome. Visual and auditory a. Prevention of complications m. Disturbances in visual perception: blindness. Potential for injury e. Neural regulation a. alkaline phosphatase determination E. Activity intolerance f. Altered cerebral tissue perfusion b. Self esteem disturbance d. traumatic interferences with visual perception. Impaired verbal communication c. Bone tumors F. inflammatory disturbances: neoplastic disturbances. Prevention of infection i.calcium. disturbances of hearing. Rehabilitation 2. Impaired physical mobility d. Alteration in comfort: pain/pruritus b. Visual and auditory perception a. Knowledge deficit 2. Seizures c. Visual and auditory perception a. Neural regulation a. Adequate ventilation e. Hydration g. Nursing Diagnoses taxonomy pertinent to problems/ alteration in Perception and Coordination 1. phosphorus. Motor disturbances b. Altered nutrition G. Sensory deviations d. Increased ICP precaution l. congenital and neonatal visual disturbances.
. Locomotion a. tympanoplasty. Osmotic diuretics c. Visual and auditory perception a. Maladaptive Patterns of Behavior . contraindication. external auditory canal irrigation. Psychosocial interventions f. Anti-inflammatory agents c. tractions. myringotomy. therapeutic use. tenorrhaphy. Steps/pointers in decision making and prioritization with client/s having problems in perception coordination. Locomotion a. mastoidectomy. Visual and Auditory perception a. enucleation. Special procedures: ICP monitoring. Prevention of infection f. Special procedures: application of casts. Rehabilitation 3. Safe and comprehensive perioperative nursing care 1 Assessment ad care during the perioperative period 2. open reduction. Techniques in assisting the surgical team during the operation 3. ventriculoperitoneal shunt b. Purpose. and nursing responsibilities for perception and coordination 1. Corticosteroids I. concept and application of bioethics in the care of clients M. Antipyretics f. Special procedures: instillation of otic solution. Determination and management of cause b. Supportive management: immobility precaution d. seizure precaution 2. adjustment or adaptation L. comfort and privacy during the perioperative period 4. Antibiotics b. Removal of secretion e. keratoplasty. cranioplasty. Surgical procedures: internal/external fixation. Pharmacologic actions. indications. side effects. cataract procedures. Principles. Drug therapy c. Neural regulation a. Surgical procedures: craniotomy. Rehabilitation H. spinal fusion. Prevention of complication g. Corticosteroids c. Antibiotics e. Principles of safety. Nursing responsibilities during the perioperative period K. Prevention of complications g. b. crutch walking J. Antibiotics 3. Appropriate discharge plan including health education O. Anti-inflammatory agents 2. fenestration b. Developing outcome criteria for clients with problems in in perception coordination and adjustment/adaptation N. bone resection. Surgical procedures: iridectomy. indications. amputation. Corticosteroid d. Mydriatic agents d. Anti-convulsants b. Miotic agents b. nursing responsibilities for the following surgical and special procedures in perception and coordination 1.of infection e. Neural regulation a. braces. Accurate recording and documentation II. Locomotion a. hearing aide device 3.
Thought content e. Defining Characteristics a. Somatoform and Sleep Disorders 1. Presentation: Appearance. Manifestations of the various anxiety disorders 2. Severe/Panic level of anxiety b. Planning and Implementation a. Moderate level of anxiety ƒ Recognize anxiety ƒ Insight into the anxiety ƒ Cope with the threat ƒ Promote relaxation response C. Alteration in role performance e. Nursing Diagnosis ƒ Impaired adjustment ƒ Sleep Pattern Disturbance ƒ Alteration in comfort ƒ Ineffective individual coping ƒ Self care deficit c. Psychophysiologic Response Continuum a. Stream of talk c. Levels of Anxiety b. Anxiety Response and Anxiety Disorders 1. Ineffective individual coping d. General sensorium and intellectual status g. Emotional state and reaction d. Neuro-vegetative dysfunction f. behavior b. Severe/Panic level of anxiety ƒ Establish a trusting relationship ƒ Self-awareness ƒ Protect patient ƒ Modify environment ƒ Encourage activity b. Insight and judgment 3. Plan/Implementation ƒ Patient teaching ƒ Establish a daily routine ƒ Promote adequate nutrition and sleep ƒ Expression of emotional feelings ƒ Recognize relationship between stress/coping and . Assessment ƒ Physical conditions affected by stress ƒ Physical and behavioral characteristics of sleep related disorders ƒ Specific somatoform disorders ƒ Prevalence ƒ Core Symptoms b. Elements and guide to mental status examination a. Predisposing and precipitating factors affecting problems in psychosocial adaptation 2. Principles and techniques of Psychiatric Nursing Interview 4. Moderate level of anxiety c. Nursing Diagnosis a.A. mobility. Diagnostic Exams: psychological tests and Laboratory Examinations B. Psychophysiologic Responses. Self care deficit 3. Assessment 1.
relaxation techniques. Dissociative Disorders 4. hobby c.g. e. Depression and Suicide c. Self-concept b. manifestations of an abused client/victims of violence 3. Spouse/Partner Abuse 2. Help client cope with stress and emotions ƒ deep breathing and relaxation techniques ƒ distraction techniques.g. problemsolving strategies. Grief Reactions b. Abuse a. physical exercise. Promote client safety b. Child abuse b. E. Abuse and Violence 1. listen to music. Role performance f. Assessment a. Family Violence 3. Assessment a. Emotional Responses and Mood Disorders 1. being able to function in daily life. Characteristic. Planning Implementation a. Help promote client’s self esteem ƒ refer to client’s as “survivor” rather than victim ƒ establish social support system in community 5. Self ideal d. Motor activity c. distraction ƒ Problem-focused coping strategies e. Types of emotional responses & mood disorders a. learn to manage stress and emotions. Personal identity/Healthy personality 4. Evaluation a. guided imagery. deep breathing. talk with others. Nursing Diagnosis a. Nursing Diagnosis ƒ Altered nutrition ƒ Dysfunctional grieving ƒ Constipation ƒ Fatigue ƒ Hopelessness ƒ Powerlessness ƒ Altered Role Performance ƒ Self care deficit . Mania 2. role-playing d. Mood b. Gradual progress in being able to keep self safe. Language thought process 3. Evaluation ƒ Decrease visits to MDs with physical complaints ƒ Decrease use of medications and more (+) coping ƒ Technique ƒ ƒ D.physical symptoms Limit time spent on physical complaints Limit primary and secondary gains ƒ Coping Strategies ƒ Emotion-focused coping strategies e. Posttraumatic Stress Disorder 2. Body image c. Self-esteem e. .g.
Enhance social skills e. Enhance role performance H. Patient for violence directed to others 4. Set limits to clients socially unacceptable behaviors c. Altered role performance c. Types of Schizophrenia 2. Dementia and other cognitive disorders 4. Assessment: a. Create a structures and schedules but non-demanding environment e. Delirium. perceptual functions. Delusional disorders 3. Evaluation: Have the clients psychotic symptoms disappeared? Safety G. Ensure that nutritional and fluid balance needs are met 5. Coping with socially inappropriate behaviors f. Closely monitor for the side effects or antidepressants/anti-manic agents h. Types of Personality Disorders 2. Interventions for delusions e. Safety issues b. Symptoms/Characteristics of each type 3. interpersonal relations. Promote safety of client and others and right to privacy and dignity b. Planning/Implementation: a. Compare mood and effect before and after treatment c. Help the client cope. ADL. Impaired social interaction d.ƒ Self esteem disturbance ƒ Sleep pattern disturbance ƒ Social isolation ƒ Spiritual distress ƒ Potential for violence directed to self 4. Ensure that the physiologic needs are met 8. Evaluation a. Establish trust c. Substance-related Disorders . Listen closely for behavioral cues to suicidal thoughts d. Assist only when he cannot perform g. related behavior & physical problems 6. Changes in clients perception of quality life F.Nursing Diagnosis a. Ineffective individual coping b. Assessment: through process. problem solve and control emotions d. Plan/Implementation a. Nursing Diagnosis: ƒ Risk for violence: self-directed or directed at others ƒ Altered though process ƒ Sensory/Perceptual alterations ƒ Impaired verbal communications ƒ Self-care deficit ƒ Social isolation ƒ Ineffective individual coping ƒ Altered health maintenance 7. Promotes client safety b. Social Responses and Personality Disorders 1. Promote independence by encouraging client to perform f. Begin a therapeutic relationship b. Schizophrenia and other Psychotic and Cognitive Disorders 1. Ensure safety of clients with low esteem c. affective response. Planning/Implementation a. Use therapeutic communication d.
intoxication & withdrawal 2. . Altered nutrition b. Encourage expression of fears and concerns c. Enhance self esteem . Is the client free of medical complications? J. Anxiety 4. Sexual dysfunctions a. Fluid volume deficit d. Ineffective individual coping c. Assessment: a. Evaluation a. Did the client express his feelings openly? b. Powerlessness c. Self esteem disturbance e. Convey an attitude of acceptance b. Disturbance in body image f. Gender Identity disorders 2. Implementation a. Planning/Implementation a. Types of eating Disorders a. Sexual dysfunction 4. Sexual Disorders 1. Anorexia Nervosa b. Eating Disorders 1. Convey an attitude of acceptance to the patient b. Set limit on manipulative behavior d. Did the client practice alternative to deal with stressful situation? I. Paraphilias b. Assessment: a. Manifestations of substance abuse. Symptoms. Educate regarding sexual functioning d. Evaluation a. Provide client education on basic nutritional needs 5. Did the client attain ideal body weight within 5%-10% of normal? b. Assist client to develop non-food coping strategies c. Confront the client’s denial c. Nursing Diagnosis a. Ensure adequate nutrition 4. Encourage verbalization of feelings e. Did the client verbalize acceptance of responsibility for his behavior? c. Altered family process f. Anxiety c. Ineffective denial b. Explain the effects of the substance in the body f. Health history 3. Complications 3. Help client deal with body image issues d. Planning/Implementation a. Knowledge deficit f. Assessment a. Nursing Diagnosis a. Ineffective individual coping d. Altered nutrition: less than body requirement d. Ineffective individual coping e. Altered family process 3. Altered role performance g. Establish nutritional eating disorders b. Impaired social interaction e. Altered sexuality pattern b.1. Was the client able to develop non-food coping strategies? c. Difficulties in sexual performance and satisfaction b. Etiology b. Nursing Diagnosis a. Bulemia Nervosa 2.
Evaluation III. Pervasive Developmental Disorder b. Health status b. Definition of screening b. Risk factor assessment 1. Primary and secondary sources of data about population a. Health risks b. Environmental pollution 3. Use of typology of family health nursing problems C. COPD and Asthma 4. Categories of health problems in family health nursing practice a. Screening guidelines & procedures a. Elevated d. Overweight/obesity c. Health deficits b. Actual & potential health problems of the population group 1. Disruptive Disorders 2. Alcohol drinking f. Disenfranchisement e. Survey d. Family health assessment: to determine family capability to perform health tasks 2. Planning and Implementation 5. Health threats c. Record review c. Smoking e. 4.K. Types of disorders a. First level assessment b. Diabetes mellitus. Children and Adolescents 1. Areas for risk factor assessment a. Health resources c. Reinforcing factors 4. Foreseeable crisis/stress points 3. Health-related problems 2. Assessment of population group and their families 1. Treatment considerations for the client in the home and a. Definition of health problems a. Cancer. Physical inactivity & sedentary lifestyle d. Second level assessment c. Mental Retardation c. Emotional Disorders of Infants. cholesterol e. Assessment of family capability to perform health tasks a. Groups ƒ Demographic/statistical records ƒ Results of surveys and observations 3. Community settings. Interview b. Participant observation e. Nursing Diagnoses 3. Population Group A. Victimization . Methods of data gathering: a. . Screening guidelines for: Hypertension. Focus group discussion B. Importance of risk factor assessment 2. Types of screening programs c. Issues of vulnerability of population groups a. Nutrition/diet b. Powerlessness d. Predisposing factors b. Enabling factors c. Contributing risk factors a. Limited control c.
Objectives: addresses the risk factors related to the identified health problems 4. Priority agencies for collaboration. Activities b. principles. Creating a supportive environment towards healthy lifestyle d. Salience D. phases and components in planning health programs & nursing interventions.gov. categories of evaluation & sources of evaluative dat6a b. Principles of collaboration.f. strategies in people’s participation 2. Socio-economic factors 6. Recording reporting of statistical data & vital Source: http://www. strategies for lifestyle changes: promoting proper nutrition. Other health agencies/facilities c. Planning of care of population group 1. Strategies in meeting health problems of population group b. Goal: addresses the health problems & are stated in terms of health status change b. Preventive potential e. Support/interest groups in the community c. Support activities 5. Criteria for setting priorities among health problems of population groups & their families a. Agerelated vulnerability b. health education process.ph/chedwww/index. Health center b. networking & advocacy work: a. networking and advocacy to ensure program implementation & sustainability 7. Nature of problem b. promoting physical activity & exercise. Developmental activities d.free environment e. Alternative strategies & approaches for specific problems & objectives G. Accurate documentation & reporting in the health center for individual clients & families: focus charting a. Principles of behavior change. Strategies for participatory approach in evaluation. Promoting behavior change c. Definition & characteristics of appropriate goals/objectives of care of priority problems a. Magnitude of the problem c. Implementation with community appropriate plan of care to improve health status of population group a.ched. Socio-economic 5. standard and outcome/target indicators 6. Factors affecting the issue of vulnerability a. Concept & principles of community organizing & social mobilization. categories of strategy a. Modifiability d. Local government units (LGUs) E. Evaluation with community of progress and outcomes of care a. advocacy & networking F. promoting a smoke. Service c. Components of evaluation: criteria. Definition of strategy activities. Legal principles involved in documentation b.php/eng/content/download/274/1632/file/ . Programs & services focus on primordial & primary prevention of communicable & non-communicable diseases 3. Concepts.
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