TAGUM DOCTORS COLLEGE, INC.

Nursing Program

NCM 113 Community Health Nursing 2

Population Groups and Community as Clients

Getting to Know the Course Instructor

Before we begin, allow me to introduce myself. I am Mam Myka,

I earned my degree of BS in NURSING at Ateneo de Davao
University.

Most of my experiences are in the hospital setting specifically

medical-surgical and ICU. I was a member of Davao Private
Duty Nurse Association, handling post ICU/CCU patients from
Davao Doctors College before I joined Tagum Doctors College,
Inc. I also worked as a Surgery Clinic Nurse in Prime Hospital,
Dubai for 4 years. While in Dubai, I did practice my teaching
skills, teaching caregiving to Filipino students who want to take
the accreditation from TESDA.

By Gods Grace, was given another opportunity to be with Tagum Doctors College as an Educators
for Nursing and I’m always happy to be a part of the team and to be part of your journey.

For this Rotation, I will be your Virtual/Online Clinical Instructor. I am looking forward to guiding
you in learning this rotation well. If you want to reach me for any RLE concerns, you can reach me
through the following:

For this week, we will be learning about NCM 114 Care of Older Adults. I am looking forward
to guiding you in learning this course well. If you want to reach me for any RLE-related concerns,
you can reach me through the following:

Contact No: Available upon request

Facebook/Messenger account: Myka Allene
E-mail address: catotonursingtdci@gmail.com
Consultation hours: THU: 8:00AM – 12:00NOON
 TAGUM DOCTORS COLLEGE, INC.
Nursing Program

Introduction to the Course

The course NCM 114 Care of Older Adults: This is the learning experiences of nursing students
on how to appropriately render care or nursing care management and best application of theories
to chronically ill and older clienteles.The learners are expected to provide safe, appropriate, and
holistic nursing care to elderly utilizing the nursing process. Presented below are the specific
details of this course:

Course NCM 114

Number:
Course Credits 2 Units Lecture (36 hours); 1 Unit RLE (51 hrs)

Placement: Third Year, First Semester

Prerequisite:

MTW
Schedule:

Classroom: Google Classroom Code: TBA

Requirements in Completing the RLE Activities

Since most of our sessions for this semester will be delivered through distance learning activities,
the submissions will also be primarily done online. To do this, you need to have access to the
following applications:

1. Microsoft Office/Google Docs

2. Microsoft PowerPoint/Google Slides
3. Google Classroom or Quipper (Will depend on the instructor in-charge)
4. Google Meet (or any other teleconferencing app, duly agreed by the whole group)
5. Internet connectivity

Please expect that you might need to print some parts of the worksheets in this module (i.e.,
documentation and transcribing parts). If any difficulties in participating in synchronous classes
are encountered, inform your instructor right away! For absences, secure an excuse slip from
your RLE supervisor.
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Nursing Program

Submissions must be submitted through the Learning Management System (LMS) so that it
will be traced and secured easily.

Daily Activities
Every week, you are expected to follow through the following deliverables:

Day 1 (Monday) Day 2 (Tuesday) Day 3 (Wednesday)

September 27, 2021
SYNCHRONOUS
Virtual Circle: 0630HRS
1.Initial Meeting with the
students. Distribution of RLE
Modules for the week
2. Deployment of Instructions
in the Googleclassroom.
Clincal Instructors will be on
monitoring mode
3. Completion of RLE Module
with different task.
September 28, 2021 September 29, 2021
ASYNCHRONOUS ASYNCHRONOUS
1. Checking of Attendance via Submission of Output via
google forms Video Presentation
2. Video/Film Viewing and (Prerecorded)
listening to Podcast
The Elderly Nursing Weekly Quiz
- Assessment of Elderly Clients Orientation of Next Week’s
4.) Preparation of Creative Activity
Video Journaling

Now that you are done acquainting yourself with the instructor and the course itself, please
proceed to Module 1: Assessment of an Elderly Client

Term: First Semester S.Y. 2021-2022

Dates: Week 1 – September 27-29, 2021
Class Schedule: MTW : 7:00AM – 3:00PM
No. of Hours: 8 HRS/DAY
 TAGUM DOCTORS COLLEGE, INC.
Nursing Program

MODULE 1:
Assessment of an Elderly Client

Instructions:

All output for this weeks RLE Activity must be handwritten, scanned and submitted to
corresponding emails of your Clinical Instructor.

Learning Outcomes
At the end of this module, you are expected to:
1. Utilize the nursing process in the care of chronic illness and care of the older person.
2. Discuss special concerns issues and trends in caring for the chronically ill and the older
person.

As you start with this module, you are free to consult and coordinate with your assigned clinical
instructor. Be sure to get his/her email address and contact number for collaboration and
assistance. Just keep going, you can do it!

Task 1 (Print and Answer)

Pre- Assessment Test on Concept

Read the Questions carefully and select the correct answer based on your
assessment. ( Will be deployed via Google Classroom)

Task 2. Case Scenario : Individual

Task Comprehensive Assessment of an Elderly Client

Case Scenario
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Nursing Program

Mrs. D, a 68-year-old female with early stage Alzheimer disease, presents to the subacute
rehabilitation unit of a long-term care institution for short-term rehabilitation. She is 3 days
postoperative for an open reduction internal fixation (ORIF) of a left head of femur fracture
sustained after she fell down a flight of stairs.. Her daughter is at her bedside during the clinician’s
admission assessment and serves as the primary historian. The daughter states that “ Lisdan pa
gyud siya maglihok lihok tungod sa operasyon”. Her medical and surgical histories are significant
for psoriasis, “a touch of” emphysema, Cesarean section, and depression, a History of Transient
ischemic attack with Hypertension as one of her co-mordities.
Mrs. D, a widow and only child, lives in a “mother-daughter” home in a first-floor, 1-bedroom
apartment. She is financially “well-off”. Her daughter, her only child, lives in the second floor, 3-
bedroom apartment with her husband and 3 children all under the age of 12. Mrs. D attends a
social adult day care program 3 days a week and is able to prepare light cold meals, such as cereal
for breakfast or yogurt for a snack. She has dinner every night with her daughter’s family. Prior
to her diagnosis of Alzheimer’s approximately 2 years prior to this admission, she drank
approximately 4 glasses of wine a day. Since diagnosis she has only had glasses of non-alcoholic
wine to maintain a social appearance at family functions. Her daughter reports that she was a
pack-and-a-half per day smoker for over 40 years. Since her fall she has not asked for a cigarette.
She attends Catholic mass weekly. She was able to walk several blocks without fatigue. Her father
died of an unknown cancer and had rheumatoid arthritis, and her mother died of a hemorrhagic
stroke. At present Mrs. D is resting comfortably in bed, denies pain, and is unable to provide a
number on a pain scale of 1–10 due to incomprehension (She stated, “no hurt.”). Her medications
include donepezil (Aricept®), 5mg daily; multivitamin daily; sertraline (Zoloft®), 25 mg daily; and
topical steroid creams for psoriasis. She is allergic to penicillin. She also takes, Mefenamic Acid
500mgs q 4-6 hours when in pain.

Mrs. D is lying in bed; she is awake, alert, and oriented to person but not to place or time. Her
Mini-Mental State Exam (MMSE) is 22/30 with errors in place, year, calculation, recall, and naming.
Her BMI is 28, and vital signs are 128/74, 84, and 22. Oxygen saturation is 89% on room air
(base line is 88%–91%). Her temperature is 98.4 F orally. Neurological exam reveals no focal
deficits. Her head is normocephalic. PERRLA. Tympanic membranes are pearly grey. Breath
sounds are diminished throughout with poor inspiratory effort; no adventitious sounds are
noted. Heart rate is regular with S1 and S2. Bowel sounds are auscultated in all 4 quadrants; and
her abdomen is soft, nontender, and without suprapubic tenderness. There is a vertical surgical
incision scar on her abdomen. An indwelling urinary catheter is in place draining clear, yellow
urine into a bedside drainage bag. Extremities are without edema, and distal pulses are 2+
palpable. Left hip surgical incision is clean and dry; staples are intact with mild erythema, no
warmth or swelling. Otherwise the skin is intact without evidence of tissue damage
from pressure. Silvery scales (psoriasis) noted on elbows and lower legs. The indwelling urinary
catheter is removed at midnight. The next afternoon the daughter asks the clinician why her
mother is wearing a “diaper” since her mother did not have trouble getting to the bathroom
prior to the fall and subsequent hospitalization. The clinician assesses and learns that, after the
 TAGUM DOCTORS COLLEGE, INC.
Nursing Program

urinary catheter was removed, Mrs. D did not call for assistance. The nursing assistant found her
during 4 a.m. rounds trying to get out of bed, and her bed linens were wet with urine. At
that time, the nursing assistant cleaned Mrs. D and applied an absorbent brief. Thereafter, the
day nursing assistant performed morning care and, again, placed an absorbent brief on Mrs. D.

List of Other Medicines during her Hospital Stay:

1.) Cefuroxime 750mg IV ANST (-) one dose 30 minutes prior to OR
2.) Metoclopramide 10 mg IVTT q8h PRN for vomiting
3.) Ranitidine 50mg IVTT q8h once on NPO;d/c once on DAT.
4.) Pencillin 1gm IVTT ANST (+ ) prio to OR; Hold and Shift to Cefuroxime.
5.) Elica cream apply to affected area BID.
6.) Hydrocortisone 125mgs IVTT q6h x 4 doses
7.) Aspirin 81 mgs 1 tab PO OD
8.) Clopidogrel 75mg 1 tab PO OD
9.) Feboxustat 20mg 1 tab PO OD
10.) Buscopan 10mg 1 tab PO OD
11.) Butamirate citrate 50mg/tab q8hrs 1 tab PO
12.) Ambroxol Hydrochloride 30 mg TID 1 tab PO
13.) Ibrupofen 200mg/cap 1 cap TID PO prn for pain

Task 3 : Video Link to watch:

 https://youtu.be/BVDLlWOaqkM - Geriatric Nursing Study Tips: How to for

the care of Older adult.
 https://youtu.be/ka8FDPjwLDo -Common Challenges in Home Health Care
 https://youtu.be/QWGU5iK5c8Q - Preparing the Care for Aging Patients
 https://youtu.be/Z7f5xkucTA0 - WHat is life in a Nursing Home
 https://youtu.be/oisUsBxvtcc _ Geriatric Assessment

Task 4: Make 1 Actual Priority Nursing Care Plan for the Case Scenario of Mrs D.

(See and download attached copy of NCP Form in the Google Classroom)

Task 5: Make 1 Drug Study – (Refer to the List of Medications of the Case Scenario
given. The Clinical Instructor will assign the specific drug)

(See and download attached copy of Drug Study Form in the Google Classroom)

Task 6: Make a creative Video Journaling (2 mins) on what are your Perceptions on
Care of the Adults, Expectations and Forseeable Learnings in this rotation.
(Upload your Video file in your Google drive. Only the link of the video will be
submitted in my email: catotonursingtdci@gmail.com )
 TAGUM DOCTORS COLLEGE, INC.
Nursing Program

Deadlines of submission will be the following:

Task 2 – Individual Task: October 4, 2021 0800HRS

Task 4 & 5 - Individual Task: October 4, 2021 0800HRS
Task 6 - Individual Task: October 4, 2021 0800HRS

References:

 Jennifer Kim and Sally Miller (2017). Geriatric Syndromes. Journal American Geriatric
Society.
 Maree, Bernoth (2016). Healthy Ageing and Aged Care

Reviewed by:

Nolie Roy E. Biclar RN MN

RLE Coordinator

Approved by:

Willyn B. Adrias RN MN
Dean of Nursing