NCM 109 LEARNING PACKET ON RELATED LEARNING EXPERIENCE

RLE FOCUS UNIT: CARE OF HIGH-RISK PEDIATRIC CLIENT

COURSE CODE: NCM 109
COURSE TITLE: CARE OF MOTHER, CHILD AT RISK OR WITH PROBLEMS
(ACUTE OR CHRONIC)
YEAR LEVEL, ACADEMIC YEAR: LEVEL 2, 2nd SEMESTER SY 2020-2021
CLINICAL AREA OF ASSIGNMENT: PEDIATRIC INTENSIVE CARE UNIT(PICU)
DATE OF CLINICAL EXPOSURE:
NO. OF HOURS: 64

MODULE OVERVIEW
Nursing is a profession that requires intensive training on both theoretical and clinical
perspective. This module deals with the concepts, principles, theories, and techniques in the nursing
care of at risk/high risk/ sick clients during childbearing and childbearing years toward health promotion,
disease prevention, restoration and maintenance, and rehabilitation. The learners are expected to
provide safe, appropriate, and holistic nursing care to clients utilizing the nursing process.
Having gone through the theoretical inputs in the NCM 109 lecture, the next step that
you need to learn is on the application of these principles and techniques in the nursing care of
these clients.
For this 64- hour related learning experience, you will be catered to flexible clinical
learning experiences through this self-instructional module.
Remember, this might not be a substitute for the actual clinical experience, but this can
help you navigate through your patient care experiences in this alternative learning platform.
This module has the following parts:

Prepared by:
Rose Marie B. Lagasca, MAN
Clinical Instructor
 DESIRED
LEARNING MAP LEARNING This part provides the learning
OUTCOME outcomes for the learning unit

LEARNING After the identification of learning outcomes

FIRST STEP FIRST! for every unit, a tsk or input is provided that
ACTIVITIES leads you to the main concept

This portion provides the tasks based on

CLINICAL case simulations that will apply the main
THE BIG LEAP concepts and allow you to immerse in
SIMULATIONS
the caring experiences.

To check whethe the given learning

EXPLORE AND outcomes are met, you are given another
ARRIVAL CHECK task to assess the extent of
APPLY
understanding.

The module ends with suggested

LEARNING activities for the enrichment of learning
REFLECTION TIME and further application of what has
EXTENSION
been learned.

LEARNING MAP

At the end of this 64-hour related learning exposure, you are expected to:

1. Conduct pediatric assessment

2. Describe the normal characteristics of a pediatric client.
3. Assess pediatric client for normal growth and development.
4. Plan nursing care of a pediatric client such as instructing parents on how to take care of their
child
5. Identify areas related to pediatric assessment and care that could benefit from additional
nursing research or application of evidence -based practice.
6. Integrate knowledge and skills of a pediatric care and development and immediate care needs
with the nursing process to achieve quality maternal and child health nursing care.

FIRST STEP TO ACHIEVE YOUR OBJECTIVE

 You had your discussion on the concepts and principles of Maternal and Child Nursing in
NCM 109 lecture. You have also started knowing about the diagnostics, medical and nursing
management of these patients with varying concerns in Maternal and Child Nursing. Let us have
a review of these concepts and see how much you can recall.

A nurse’s responsibility includes the identification of concerns of patients upon

admission to any medical facility or during bedside rounds. Choose from among the following
patients who have problems involving maternal and child nursing by placing a (/) check mark and
an (X) if otherwise.
_____ People with asthma may experience asthma attacks because of RSV (Respiratory Syncytial
Virus) infection,
_____ More children are being diagnosed with DIABETES MELLITUS TYPE II
_____ Getting a flu vaccine during 2020-2021 is more important than ever because of the
ongoing COVID-19 pandemic.
_____ Aldrin is having a high-grade fever and rashes on the face and neck, and white spots on
the inside of the cheeks (kolpik spots).
_____ Charles a 3-year-old is having fever, weight loss, cough, and swollen glands.
_____ Melanie a 2-year-old had fever for 1 day then she shows active movement like playing,
dancing.

You are now on duty in the PEDIATRIC INTENSIVE CARE UNIT (PICU) of Ilocos
Training and Regional Medical Center. In this 64-hour duty, you are expected to
handle and manage the care of patients in the PEDIATRIC Intensive Care Unit. You
are assigned to take care of at least 1 patient. You will be performing the
following nursing responsibilities:
 Assist in Receiving in the admission
 Vital Signs Monitoring
 Physical Assessment
 Administering medication
 Intake and output Monitoring (I&O)
 Educate mother on the importance of caring a child with
 Planning of Nursing Care Plans
 Patient Care Documentation
 In your provision of the nursing care, you are reminded of the following behaviors:

 Professional behaviors – engage appropriate legal and ethical behaviors.

 Communication – communicate effectively with your patient, SO and the health team
 Clinical Decision-Making – develop critical thinking skills to make responsible decisions
related to assessing the patient.
 Caring Interventions – maintaining a safe environment for the patient, including assessing
social, cultural, and spiritual influences

Children with acute asthma exacerbations frequently present to an emergency department

with signs of respiratory distress. The most severe episodes are potentially
life-threatening. Effective treatment depends on the accurate and rapid
assessment of disease severity at presentation. This statement addresses the
assessment, management, and disposition of pediatrics patients with a
known diagnosis of asthma who present with an acute asthma exacerbation,
especially preschoolers at high risk for persistent asthma. Guidance includes
the assessment of asthma severity, treatment considerations, proper
discharge planning, follow-up, and prescription for inhaled corticosteroids to
prevent exacerbation and decrease chronic morbidity.

THE BIG LEAP

CASE SCENARIO:

Admitted a three-year-old male child named C. Advincula with a complaint of coughing for 2 weeks. Coughing is
present every night. He has also hadARRIVAL
a mild fever, butCHECK
his temperature has not been measured at home. His parents
have been using a decongestant/antihistamine syrup and albuterol syrup which were left over from a sibling.
Initially the cough improved but it worsened over the next 2 days. He is noted to have morning sneezing and nasal
congestion. He has had similar episodes in the past, but this episode is worse. He has no known allergies to foods or
medications. He is admitted to Pediatric Intensive Care Unit bed 2 per stretcher. His attending physician is Dr. Betty
de la Cuesta.
 TASKS: To immerse yourself in the care management of your patient, let’s take note of the detailed
description of your patient care tasks. Using the Case Scenario assigned to you, you are expected to
perform the following: (TASKS MAY VARY ACCORDING TO WHAT YOU HAVE COME UP FOR EACH
SCENARIO please see list of suggested RLE learning activities)

 Do an admission procedure, fill up the KARDEX

• Conduct a patient history taking and physical assessment of your patient following the
format by the Lorma College of Nursing Patient History and Physical Assessment Form.

• Formulate a Nursing Care Plan for you patient based on 3 prioritized problems using the
Lorma College of Nursing NCP Form. Integrate your nursing care interventions significant to
bioethical and legal standards in patient care.

• Prior to administering the patient’s medications, you are required to make a drug study of
all medications required by your patient in oral or parenteral form and document it. Use the
Lorma Colleges Drug Study Format for your documentation.

• Submit an article report/case journal using APA format with references. Use Lorma
College of Nursing Journal format.

You will be graded based on your output:

EVALUATION PARAMETERS (please see portfolio)

Patient history and Physical Assessment 20pts 20%

Nursing Care Plan 30pts 30%

Drug Study Report 30 pts per drug 15%
FDAR 30pts/day 15%
Journal 20pts 20%
TOTAL 100%

REFLECTION TIME
REFLECTION
“the BEST way to stay motivated and keep on moving forward is to surround yourself with
people that have the same goals and objectives. Our Goal is to give you that
confidence you need to stay focused on your goal of BEING AN AMAZING
NURSE someday…”
You may relate your experiences and observations for this activity.

OPTION: you can also ask the student to conduct interviews, case study (please see list of
suggested rle activities)

MODULE EVALUATION

Before we move on to the next topic, I would want to listen to your feedback for this RLE
learning packet. Kindly rate each area with a scale of 1-5 with 1 as the lowest and 5 as the
highest.

EVALUATION RATING
1. Comprehensive Content
2. Relevance of Content
3. Clarity of the text and the message
4. Alignment of the assessment activities to learning outcomes

REFERENCES:
Palompon, Daisy (2020) Developing Self-Learning Modules for flexible Learning in the Related Learning
Experience, ADPCN Webinar August 3, 2020.