CAGAYAN DE ORO COLLEGE – PHINMA Education Network

Syllabus

PEN Code :NUR 089 Credit :6 units (LECT)/5 units (RLE)

PEN Subject Title :Care of Clients with Problems Prerequisite :NUR 031/NUR 032
In Cellular Aberrations, Acute Biologic
Crisis including Emergency and Disaster
Nursing

A. Subject Description:
Nursing care concepts, principles and practice in the management and rehabilitation of clients with
cellular aberrations, acute biologic crisis and those in emergency and disaster situations incorporating intravenous
therapy (IVT). It includes the utilization of the nursing process and the core competencies under the eleven (11)
key areas of responsibility of a safe nursing practice in the Philippines.

B. Objectives:
At the end of the course, and given actual clients with problems in cellular aberrations, acute biologic crisis and
emergency, the student should be able to:
1. Utilize the nursing process in the care of individuals, families in community and hospital settings
having such disorders/alterations and situational emergencies;
2. Ensure a well-organized and accurate documentation system in the care of such clients as measures of
the outcome of nursing care;
3. Relate with the members of the health team appropriately the progress of patient’s recovery as response
to management rendered;
4. Observe bioethical concepts/ principles, core values and nursing standards in the care of clients
maintaining professionalism towards the other member of the health team, families and clients;
5. Promote personal and professional growth of self and others as the most important aspects of being an
angel of the sick room.

C. Subject Outline and Time Allotment:

Chapter TOPICS Dates
I. Orientation June 18, 2015
COC PHINMA  Mission, Vision, Core Values of COC PHINMA Mr. Joseph B. Abang, RN
Handbook
 Mission, Vision, Core Values of the College of
Nursing
COC PHINMA College
of Nursing Student  Course Introduction / Labeling
Handbook  Grading system
 Attendance
Course Syllabus  Class decorum
 Subject requirements

II. The Individual Across the Lifespan (CELLULAR

ABERRATION)
A. Review of the Normal Anatomy and Physiology of a
Unit 3
Cell
Chapter 16
 cell structure
(MS Bruner’s 13th
edition)  genetic code and protein synthesis
pages 315-365  mitosis
 cell cycle
 cells and tissues
B. Introduction to Cancer Concepts
C. Etiology of Cancer
D. Pathophysiology of Malignant Process
 proliferative process
E. Classification of Cancer by tissue origin
F. Characteristics of benign and malignant tumor
G. Invasion and Metastasis
 metastatic mechanisms
H. Role of immune system
I. Detection and prevention of cancer
 Primary
 Secondary
 tertiary
J. Diagnosis of cancer
  Tumor staging and grading
K. Management / Treatment of Cancer June 19, 2015
 surgery Mr. Joseph B. Abang, RN
 radiation therapy
 chemotherapy
 bone marrow transplantation
 thermal therapy
 biologic response modifier
 photodynamic therapy
 gene therapy
 unproven and unconventional therapy
L. Nursing Management of Patients with Cancer
M. Cancer Rehabilitation
N. Oncologic Emergencies
Systems Review for Care of Clients with Cancer June 25, 2015
The Succeeding Topics Utilizes the following formats: Mr. Joseph B. Abang, RN
 Pathophysiology
 Etiology
 Prevention
 Signs and Symptoms
 Diagnostic Tests
 Complications / Prognosis
 Collaborative Management
 Therapeutic
 Pharmacologic
 Surgical
 Nursing
 Discharge Planning
Unit 5 A. Respiratory System
Chapter 22  cancer of the larynx
(MS Bruner’s 13th
edition)
pages 506-513

Unit 5  lung cancer

Chapter 23  tumors of the mediastinum
(MS Bruner’s 13th
edition)
pages 554-557

Unit 6 B. Hematology
Chapter 33  Leukemia
(MS Bruner’s 13th  AML
edition)  CML
pages 896-909  ALL
 CLL
 AGNOGENIC MYELOID METAPLASIA
(AMM)
 HODGKIN’S DISEASE
 NON-HODGKIN’S LYMPHOMAS
(NHLS)
 MULTIPLE MYELOMA

Unit 7 C. Gastrointestinal System June 26, 2015

Chapter 35  Cancer of the Oral Cavity Mr. Joseph B. Abang, RN
(MS Bruner’s 13th
edition)
pages 964-968

Unit 7  Cancer of the Esophagus

Chapter 35
(MS Bruner’s 13th
edition)
pages 979-982
Unit 7  Gastric Cancer
Chapter 37
(MS Bruner’s 13th
edition)
pages 1022-1027

Unit 7  Colorectal Cancer

Chapter 38
(MS Bruner’s 13th
edition)
pages 1056-1065

Unit 8 D. Hepatobiliary System July 2, 2015

Chapter 39  cancer of the liver Mr. Joseph B. Abang, RN
(MS Bruner’s 13th
edition)
pages 1113-1118

Unit 8
Chapter 40  Cancer of the pancreas
(MS Bruner’s 13th
edition)
pages 1144-1147

Unit 8 E. Endocrine System

Chapter 42  Pituitary Tumors
(MS Bruner’s 13th
edition)
pages 1210-1211

Unit 8  Thyroid Tumor June 3, 2015

Chapter 42  Thyroid Cancer Mr. Joseph B. Abang, RN
(MS Bruner’s 13th
edition)
pages 1226-1231

Unit 8  PHEOCHROMOCYTOMA
Chapter 42
(MS Bruner’s 13th
edition)
pages 1235-1237

Unit 9 F. Urinary System

Chapter 45
 Cancer of the Kidney
(MS Bruner’s 13th
 Cancer of the bladder
edition)
pages 1344-1347

Unit 10 G. Reproductive System July 9, 2015

Chapter 47  Cancer of the Cervix Mr. Joseph B. Abang, RN
(MS Bruner’s 13th  Pregnancy related neoplasm
edition)  Cancer of the Uterus
pages 1429-1441  Cancer of the Vulva
 Cancer of the Vagina
 Cancer of the Fallopian Tubes July 10, 2015
Mr. Joseph B. Abang, RN
 Cancer of the Ovary

Unit 10
 Breast Cancer
Chapter 48
(MS Bruner’s 13th
edition)
pages 1456-1482

Unit 10  Cancer of the Prostate

Chapter 49
(MS Bruner’s 13th
edition)
pages 1495-1508
 Testicular cancer
Unit 10
Chapter 49
(MS Bruner’s 13th
edition)
pages 1509-1511

Unit 12 H. Integumentary System July 16, 2015

Chapter 56  skin cancer Mr. Joseph B. Abang, RN
(MS Bruner’s 13th
edition)
pages 1687-1701

Unit 13 I. Sensory
Chapter 58  Malignant tumors of the orbit
(MS Bruner’s 13th  Malignant tumors of the eyelid
edition)  Malignant tumors of the conjunctiva July 17, 2015
pages 1778-1780  Malignant tumors of the globe Mr. Joseph B. Abang, RN

Unit 15 J. Musculoskeletal System

Chapter 68  Bone cancer
(MS Bruner’s 13th
edition)
pages 2068-2073 K. Review of Concepts before term exam
PERIODICAL 1 TERM EXAMINATION July 20-25, 2015
II. The Individual Across the Lifespan (BIOLOGIC July 30, 2015
CRISIS)
A. Introduction to Biologic Crisis
B. Risk factor assessment
C. Screening procedures
D. Principles and techniques of PA
E. Implications of diagnostic/ laboratory examinations
F. Complications of Biologic Crisis
The Succeeding Topics Utilizes the following formats:
 Pathophysiology
 Etiology
 Prevention
 Signs and Symptoms
 Diagnostic Tests
 Complications
 Collaborative Management
 Therapeutic
 Pharmacologic
 Surgical
 Nursing
 Discharge Planning
Chapter 28 A. Cardiac Failure
(MS Bruner’s 13th B. Acute Myocardial infarction July 31, 2015
edition) C. Acute pulmonary failure
pages 712-748

Chapter 45 D. Acute renal failure August 6, 2015

(MS Bruner’s 13th E. Stroke
edition) F. Increased Intracranial pressure
pages 1321-1326 G. Metabolic emergencies – e.g. DKA/HHNK August 7, 2015
H. Massive Bleeding
I. Extensive surgeries
Chapter 57 A. Extensive Burns August 13, 2015
(MS Bruner’s 13th B. Poisoning
edition) C. Emerging illnesses (SARS, Avian Flu)
pages 1703-1739 D. Multiple injuries

Taxonomy of Nursing Diagnosis pertinent to acute biologic

crisis/multi-organ failure
 Principles of Various Modalities of Management
1. Health Promotive August 14, 2015
2. Disease Preventive
3. Curative
 Medical management
o Pharmacological management
o Surgical management
 Nursing management
o Nursing diagnosis
4. Restorative

Chapter 30 I. Lifesaving Interventions August 20, 2015

(MS Bruner’s 13th The Succeeding Topics utilizes the following formats:
edition)  Introduction
pages 810-  Primary Assessment and Resuscitation
 The SAFE Approach
 Shout for help
 Approach with care
 Free from danger
 Evaluate ABC
 Infection Risk
 Management after Resuscitation
 Complications
 Discharge Planning

A. Basic Life Support August 21, 2015

B. Advanced Cardiac Life Support
C. First Aid Measures
D. Fluid Resuscitation

II. Life maintaining interventions August 27, 2015

III. Psychosocial and Behavioral Interventions

IV. Supportive Management

V. Prevention and Complication

VI. Rehabilitation (pulmonary, cardiac, neurologic)

VII. Pharmacologic Management (actions, therapeutic use,

side effects, indications, contraindications and nursing August 28, 2015
responsibilities)
 Analgesics
 Narcotics
 Corticosteroids
 Antihypertensive
 Vasopressors
 Antibiotics
 Parenteral fluids
IX. Surgical Management
Unit 4 I. Safe and Comprehensive Peri-operative Nursing Care September 3, 2015
Chapter 18-20 a. Assessment and care
(MS Bruner’s 13th b. Techniques in assisting the surgical team
edition) c. Principles of safety, comfort and privacy
pages 396-444 d. Nursing responsibilities
II. Principles, concept and application of bioethics in the
care of client with the disorder

III. Developing outcome criteria with problems in

inflammatory and immunologic reaction, cellular September 4, 2015
aberration, acute biologic crisis / multi-organ failure,
including emergency and disaster preparedness

IV. Appropriate discharge plan including health education

Accurate recording and documentation
 V. Review of Concepts before Term Exam
PERIODICAL 2 TERM EXAMINATION September 7-12, 2015
Unit 16 III. Disaster & Emergency September 17, 2015
Chapter 71 A. Definition of Emergency
(MS Bruner’s 13th B. Types of Emergency
edition) C. Triage
pages 2147-2178 1. Objectives
2. START Triage September 18, 2015
3. Military Triage
Unit 16
Chapter 71 D. Hospital Emergency Incident Command System September 24, 2015
(MS Bruner’s 13th E. Incident Command Education
edition) F. Hospital Operations Plan
pages 2147-2178 G. Personal Protective Equipment September 25, 2015
H. Hazardous Materials

Unit 16 October 1, 2015

Chapter 72 I. Decontamination
(MS Bruner’s 13th J. Biological Warfare and Biological Agents
edition) K. Blast Injuries
pages 2182-2189 L. Natural disasters October 2, 2015
M. Stress Reactions
N. Nurses Role in Disaster and Emergency

Unit 3 IV. Intravenous Parenteral Therapy October 8, 2015

Chapter 14 A. Basic Foundation of IV Therapy
(MS Bruner’s 13th • Philosophy
edition) • Historical Background of IV Therapy
pages 282-290 • Standards and competencies of IV Therapy
B. Content
• Review of Anatomy and Physiology of the Vascular
Peripheral and October 9, 2015
Integumentary System
• Fluid and Electrolyte Therapy
• Venipuncture Technique on Adult and Children

Unit 3 • Complications of IV Therapy October 15, 2015

Chapter 14 • Infection, Control & Microbiology
(MS Bruner’s 13th • Demonstration of Procedure
edition) • Documentation Activity October 16, 2015
pages 282-290 D. Performance Scale for IV Therapy
Review of Concepts Before Term Exam
PERIODICAL 3 TERM EXAMINATION October 19-23, 2015
FINAL EXAM October 19-23, 2015

E. Textbook:
 Smetlzer, S. et al. (2009) Brunner and Suddarth`s Textbook of Medical-Surgical Nursing vol. 1 and 2. 12 th
edition.Lippincott Williams and Wilkins
 Black, J. & Hawks, J. H., (2009) Medical-Surgical Nursing: Clinical Management for Positive Outcomes
vol. 1 and 2 8th edition. Elsivier

F. Course Requirements
Requirements Due Date
Case Study Presentation
Hypothetical Analysis Incorporated in
the Class

G. Grading System:

The Final Grade is computed as follows:

FG = (0.17 x P1) + (0.17 x P2) + (0.16 x P3) + (0.50 x FE)

The Periodic 1 Grade is computed as follows:

First Period Grade = 1/2 CS + 1/2 TE
 Class Standing = 30 % (QRAP) + 50% Unit/Long Test + 20 % Conduct (C-A-R-E)

The Periodic 2 Grade is computed as follows:

Second Period Grade = 1/2 CS + 1/2 TE
Class Standing = 30 % (QRAP) + 50% Unit/Long Test + 20 % Conduct (C-A-R-E)

The Periodic 3 Grade is computed as follows:

Third Period Grade = 1/2 CS + 1/2 TE
Class Standing = 30 % (QRAP) + 50% Unit/Long Test + 20 % Conduct (C-A-R-E)

H. Contact Information

Mr. JOSEPH BAHIAN ABANG, RN

INSTRUCTOR
Medical-Surgical Nursing-3

Ms. ANALYN NADUMA, RN

INSTRUCTOR
Medical-Surgical Nursing-3

Mr.
INSTRUCTOR
Medical-Surgical Nursing-3

Validated and Approved by:

ROSITA P. GUTIERREZ, RN, MN Date: ______________________

Dean, College of Nursing