NCM 112- CARE OF CLIENTS WITH PROBLEMS IN OXYGENATION, FLUID AND ELECTROLYTES,

INFECTIOUS, INFLAMMATORY AND IMMUNOLOGIC RESPONSE, CELLULAR ABERRATIONS, ACUTE AND

CHRONIC

Course Description: This course deals with the principles and techniques of nursing care management of
sick clients across the lifespan with emphasis on the adult and older person, population group, in any
setting with perioperative nursing, alterations/ problems in oxygenation, fluid and electrolyte balance,
nutrition, metabolism and endocrine functions. The learners are expected to provide nursing care to at
risk and sick adult clients utilizing the nursing process.

Course Outline

Concepts in the Care of At Risk and Sick Adult Clients

A. Health Care Situations

 Global
 National
 Local
B. Chronic Illness
C. Cultural and Health Ethnic disparities and culturally competent care
D. Perioperative Nursing Care
 Preoperative Care
 Intraoperative Care
 Postoperative Care

Nursing Care of At Risk and Sick Adult Clients with alterations/problems in oxygenation, fluid and
electrolytes acid-base balance, infectious, inflammatory and immunologic response, cellular aberrations,
acute and chronic.

A. Assessment
 Subjective Data
o History
 Objective Data
o Physical Assessment
o Focus
 Assessment
o Diagnostic and Laboratory Tests
B. Analysis/Nursing Diagnosis
C. Planning
 Planning for Health Promotion
 Planning for Health Restoration and Maintenance
D. Implementation of Care of Clients
1. Independent Nursing Care
 o Physiologic Care
o Psychosocial Care
o Spiritual Care
2. Interdependent Care
o Pharmacological
o Therapeutics
o Complementary and Alternative Therapies
o Nutritional and Diet
o Surgical Intervention
o Radiation Therapy
o Chemotherapy
o Immunologic Therapy
E. Client Education
F. Evaluation of the Outcomes of Care
G. Reporting and Documentation of Care

Responses to alterations/problems and its pathophysiologic basis in Oxygenation, Fluid and Electrolytes
and Acid-Base Balance, Infectious, Inflammatory and Immunologic Response, Cellular Aberrations, Acute
and Chronic

1. Oxygenation Problems Oxygenation-Ventilation

 Nursing Care of Clients with Upper Airway Disorder
 Nursing Care of Clients with Gas-Exchange Disorders
 Oxygenation Transport
o Hematologic Disorder
o Anemia
o Oxygenation-Perfusion
o Hypertension Coronary Artery Disease
o Acute Coronary Syndrome
o Vascular Disorders
2. Fluids, Electrolytes and Acid-Base Imbalances
 Fluid Imbalances
 Electrolyte Imbalances
 Acid-Base Imbalances
 Urinary Elimination Disorders
o Urinary Tract Disorders
o Neurogenic Disorders
o Kidney Disorders
3. Infectious and Inflammatory Disorders
 Infectious Disorders of Adults
o Pneumonia
o Tuberculosis
o Covid19
o Ebola
 o MERS CoV
o H1N1
o Hepatitis
o Sexually Transmitted Disease
 Inflammatory Disorders (All body systems)
o Gastro Intestinal System
 Inflammatory Bowel Disease, Crohn’s and Ulcerative Colitis,
Appendicitis, Peritonitis
 Pancreatitis
 Cholecystitis
o Urinary System
 Cystitis
 Urolithiasis
o Reproductive
 Pelvic Inflammatory Disease
 Benign Prostatic Hypertrophy
o Skin
 Systemic Lupus Erythematosus
4. Immunologic Disorders
 Diabetes Mellitus
 Acute Glomerulonephritis
 Hypersensitivity
 Rheumatoid Arthritis
 Transplant Rejection
5. Cellular Aberrations
 Breast
 Lung
 Colon/Rectum
 Liver
 Cervix, Uterine
 Prostate
 Leukemia
 Thyroid
 Stomach
 Ovary
 Nasopharyngeal

Evidence Based Practices for the Care of Clients with Alterations/Problems in Oxygenation, Fluid,
Electrolytes and Acid-Base Balance, Infection, Inflammation and Immunologic Response, Cellular
Aberrations Acute and Chronic.

1. Importance of evidence-based practice

2. Clinical questioning using PICOT format
3. Appraisal of collected evidences
 4. Integration of evidences to care of clients
5. Evaluation of outcomes of evidence-based nursing
6. Documentation

Relevant Legal, Moral and Ethical Standards of Care

1. Patient’s Bill of Rights

2. Non-disclosure and other HIV related laws
3. Perioperative-related laws
4. Advance directives, living will
5. RA 4921 Scope of Cancer Detection and Diagnostic Center of Dr. Jose Reyes Memorial Hospital
6. Ethical Principles on beneficence, non-maleficence, autonomy and justice
7. Scope of Nursing Practice based on RA 9173

A. Inter professional care maps

B. Collaborative care of clients
a. Oxygenation problems
b. Fluid Electrolytes and Acid-Base Imbalances
c. Infectious and Inflammatory Disorders
d. Immunologic Disorders
e. Cellular Aberration
C. Health Advocacy Programs
a. Tobacco-free programs
b. Healthy lifestyle
c. Non-communicable Disease Programs
d. Professional Decorum

Filipino Culture Values and Practices in Relation to the Care of at Risk and Sick Adult Clients with
Alterations/Problems in Oxygenation, Fluid Electrolytes and Acid-Base Balance, Infectious, Inflammatory
and Immunologic Response, Cellular Aberrations Acute and Chronic.

On-line Databases/Journal Articles Related Assessment and Provision of Care for at Risk and Sick Adult
Clients with Alterations/Problems in Oxygenation, Fluid Electrolytes and Acid-Base Balance, Infectious,
Inflammatory and Immunologic Response, Cellular Aberrations, Acute and Chronic.

Roles and Responsibilities of a Nurse in Adult Health Care.