NCM 116 COURSE OUTLINE
Nursing Care of At-Risk and Sick Adult Clients with Acute and Chronic Alterations/Problems in
Nutrition, and Gastro-Intestinal, Metabolism and Endocrine, Perception and Coordination.
Responses of Acute and Chronic Alterations/Problems and its Pathophysiologic Basis
A. Nutritional-Metabolic Patterns/Responses to Altered Nutrition
1. Disturbances in Ingestion
▪ Gastro-esophageal Reflux (GERD)
▪ Hiatal Hernia
▪ Achalasia
2. Disturbances in Digestion
▪ Nausea and Vomiting
▪ Gastro-intestinal Bleeding
▪ Gastritis
▪ Peptic Ulcer
3. Disturbances in Absorption and Elimination
▪ Disorders of Intestinal Motility
▪ Mal-absorption Syndromes
▪ Structural and Obstructive Bowel Disorders
B. Nutritional-Metabolic Patterns/Responses to Altered Endocrine Function
1. Hyper function
2. Hypofunction
▪ Thyroid Gland
▪ Parathyroid
▪ Adrenal Glands
▪ Pituitary Gland
▪ Pancreas – Diabetes Mellitus
C. Responses to Altered Perception
1. Neurologic Disturbances
▪ Degenerative
❖ Multiple Sclerosis
❖ Parkinson’s Disease
❖ Myasthenia Gravis
▪ Cerebrovascular Disease
▪ Traumatic Lesions
❖ Head Injuries
❖ Spinal Injuries
▪ Neuropathies
2. Disturbances in Visual and Auditory Function
▪ Visual
❖ Cataract
❖ Glaucoma
❖ Detachment of the Retina
▪ Auditory
❖ Meniere’s Disease
❖ Hearing Impairment
D. Responses to Altered Coordination
1. Injuries
▪ Fracture
▪ Motor Vehicle Collision
▪ Sports Injury
2. Joint Disorders
▪ Osteoarthritis
▪ Gout
▪ Carpal Tunnel Syndromes
▪ Low Back Pains
3. Degenerative
▪ Osteoporosis