Instructor

Dr. Dhenalyn Aquino

Clinical Instructor

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Overview

 

SOUTHERN LUZON STATE UNIVERSITY

COLLEGE OF ALLIED MEDICINE

Lucban, Quezon

 

               

 

 

 

VISION STATEMENT: A 21st Century state university providing a student-centered learning experience, preparing graduates in their chosen profession, creating and disseminating knowledge in the service to the communities, the nation, and the world.

 

MISSION STATEMENT: The University is committed to prepare its students for a rapidly changing world by providing a quality education. It shall also increase the knowledge base through research; convert new intellectual property into economic development; and provide expertise and innovative solutions to business, governments, and others who seek assistance

 

CORE VALUES:

 

                              GO – God-loving

                                    S – Service-oriented

                                    L – Leadership by Example

                                    S – Sustained Passion of Excellence

                                    U – Undiminished Commitment to Peace and Environment Advocacy

 

COLLEGE OF ALLIED MEDICINE GOALS AND OBJECTIVES:

  1. To produce locally and globally competent, committed, gender-sensitive and self-reliant health professionals.
  2. To develop caregivers, health leaders and educators, imbued with sound moral values, equipped with scientific knowledge, and skills in research.
  3. To produce graduates trained in community service and protection of the environment.

 

PROGRAM EDUCATIONAL OBJECTIVES

Goals and Objectives

1

2

3

 

1.

Develop a professional nurse with compassion, competence, confidence, conscience and committed individual with love of people and country.

2.

Shows competence on the following: safe and quality nursing care, management of resources and environment, health education, legal, ethico-moral responsibilities, personal and professional development, quality improvement, research, record management, communication, collaboration and teamwork among co-workers in the workplace.

3.

Demonstrate advance professional competency and shall continue to assume responsibility for professional development and utilize research findings in the practice of the profession.

 

 

 

COURSE SYLLABUS

1.     Course Code                               :       MAN 112

2.     Course Title                                 :       Medical Surgical Nursing II

3.     Pre-requisite                               :       none

5.     Credit/ Class Schedule             :       6 units, Saturday class

                                                                        Aug. 13, 20; Sept. 3, 10, 24; Oct. 1, 15, 22, Nov. 5, 12, 26; Dec. 3

 

6.     Course Description                   :       This course deals with the application of the different medical and surgical nursing concepts. It includes alteration in cognitive-perceptual patterns such as neurologic disorders; problems in inflammatory and immunologic reactions; cellular aberrations; acute biologic crisis including emergency and disaster nursing.

 

 

 

7.    Program Outcomes and Relationship to Program Educational Objectives:

 

Program Outcomes

Program Educational Objectives

1

2

3

4

5

6

a

Utilize the nursing care process in the care of clients across the lifespan with problems in in cognitive-perceptual patterns; inflammatory and immunologic reactions; and acute biologic crisis including emergency and disaster nursing

b

Apply the nursing theories in the care and management of clients.

c

Observe the core values cherished by the nursing profession such as love of God, country, people, and the bioethical principles and legal dimensions in the care of the client; and

d

Demonstrate leadership and management skills in the care of a group of clients in the community and hospital setting utilizing research findings. 

 

 

8.     Course Objectives and Relationship to Program Outcomes:

 

Course Objective

Program Outcomes

a

b

c

d

 

1

Utilize the skills, knowledge and attitude gained in the care and management of clients with problems in neurologic, visual and auditory disorders, inflammatory and immunologic reactions; cellular aberrations, acute biologic crisis, emergency and disaster nursing.

2

Perform systematic and comprehensive physical assessment of clients with medical and surgical problems related to the concepts learned

3

Interpret deviations from normal findings in the physical assessment, diagnostic and laboratory examinations done to clients.

4

Perform correctly the different nursing procedures and techniques in the care and management of clients with such medical and surgical conditions.

5

Explain the pathophysiological processes that occur in clients with such medical – surgical conditions

6

Provide appropriate health teachings to clients suffering from such conditions

7

Appreciate the pharmacological  and other treatment modalities in the management of clients with the above-mentioned condition

8

Apply the concepts  of 11 key areas of nursing responsibilities in the care and management of clients

 

9.     Course Outline and Timeframe:

 

Week

Topics

 

UNIT I – CARE OF CLIENTS WITH NEUROLOGIC DISORDERS

  1. Anatomy and physiology of the nervous system
  2. Assessment: physical exams, diagnostic tests and other laboratory tests to confirm problems in neurologic functions
  1. Assessing neurologic functions – mental status, cranial nerves functioning, cerebellar functioning, sensory and motor functions, reflexes
  2. Non – invasive diagnostic tests – Skull X- ray, CT scan, MRI, EEG, Ultrasonography, Doppler scanning
  3. Invasive diagnostic exams -  lumbar puncture, myelography, cerebral angiography, digital venous angiography, electromyography, nerve conduction velocity, different blood exams
  1. Nursing diagnoses associated with clients having neurologic disorders
  2. Health promotion, restoration and maintenance related to neurologic disorders
  3. Disturbances in cerebral function – altered LOC, increased ICP, headache, seizure and epilepsy, head injury, cerebral infection, CVD, CVA, intracranial aneurysm

 

  1. Disturbance in peripheral nerve function – cranial nerve disorders, trigeminal neuralgia, Bell’s palsy, Guillain – Barre syndrome
  2. Autoimmune disorders affecting nervous system – Multiple Sclerosis, Parkinson’s disease, myasthenia gravis, amyotrophic lateral sclerosis, Huntington’s chorea

 

 

  1. Disturbances in spinal cord function – spinal cord injury, herniated intervertebral disk, spinal cord tumor
  2. Degenerative diseases affecting nervous system – dementia, Alzheimer’s disease, multiple sclerosis, Parkinson’s Disease, Huntington’s, ALS
  3. Different  management approaches – pharmacologic and surgical interventions

 

UNIT II – CARE OF CLIENTS WITH VISUAL DISORDERS

  1. Anatomy and physiology of the visual system
  2. Assessment: subjective and objective data obtained through physical exams, diagnostic tests and other laboratory tests to confirm problems in visual functions
  1. Assessing visual system – corneal reflex, ocular motility, cover – uncover test, visual acuity, visual fields, color vision, central area blindness
  2. Non – invasive diagnostic tests – fundus photography, ophthalmic radiography, MRI, ultrasonography, visual evoked response, slit – lamp exam, Amler grid test, refractometry, flourecein angiography, corneal staining
  1. Nursing diagnoses associated with clients having visual disorders
  2. Health promotion, maintenance and restoration related to visual disorders
  3. Alterations in visual functions, correctible refractive disorders – myopia, hyperopia, presbyopia, astigmatism, aphakia
  4. Extraocular disorders – inflammation and infections: hordeolum, chalazion, conjunctivitis, keratitis, strabismus, corneal disorders, ocular melanoma
  5. Intraocular disorders – uveitis, cytomegalovirus retinitis, endopthalmitis, panopthalmitis, sympathetic ophthalmia, cataracts, retinopathy, retinal detachment, glaucoma
  6. Ocular manifestations of systemic diseases – AIDS, DM, hypertension, down’s syndrome, SE, thyroid disease, infection, vitamin deficiencies.
  7. Different  management approaches – pharmacologic and surgical interventions

 

UNIT III – CARE OF CLIENTS WITH AUDITORY DISORDERS

  1. Anatomy and physiology of the auditory system
  2. Assessment: subjective and objective data obtained through physical exams, diagnostic tests and other laboratory tests to confirm problems in auditory functions
  1. Assessing auditory system – direct observation, otoscopy, tests for auditory acuity, tests for vestibular functions, test for nystagmus
  2. Non – invasive diagnostic tests – test for auditory functions, Weber, Rinne, Tympanometry, test for vestibular functions, platform posturography, Rota chair assessment
  3. Invasive diagnostic exams – arteriography, test for vestibular functions, electronystagmography, blood tests, ear drainage culture, test for presence of CSF and issue specimens
  1. Nursing diagnoses associated with clients having auditory disorders
  2. Health promotion, maintenance and restoration related to auditory disorders
  3. Disturbances in the external and middle ear – conductive hearing loss, external otitis, otitis media, mastoiditis, otosclerosis, tympanosclerosis
  4. Disturbances in the inner ear – sensori-neural hearing loss, labyrinthitis, Meniere’s acoustic neuroma
  5. Different  management approaches – pharmacologic and complementary or alternative therapy

 

UNIT IV – CARE OF CLIENTS WITH PROBLEMS IN INFLAMMATORY AND IMMUNOLOGIC REACTIONS

  1. Anatomy and physiology of the immune system
  2. Immune system components, non-specific inflammatory response, specific immune response, types of immunity
  3. Normal immune responses – infection and inflammation
  4. Altered immune response – hypersensitivity reactions, autoimmune disorders, tissue transplant
  5. Impaired immune response – HIV infection
  6. Assessment, diagnostic and laboratory exams confirming the disorder
  7. Health promotion, maintenance and restoration related to immune disorders
  8. Different  management approaches – pharmacologic and complementary or alternative therapy

 

UNIT V – CARE OF CLIENTS WITH CELLULAR ABERRATIONS

  1. Anatomy and physiology – normal cell growth and cell cycle
  2. Incidence, mortality, etiology and risk factors for cancer development
  3. Pathophysiology of cancer and theories of cancer development
  4. Types and characteristics of neoplasms or tumor
  5. Grading and staging of cancer using TNM
  6. Assessment – manifestations seen in cancer patients
  7. Different  management approaches
  8. Different nursing interventions/ procedures related to care of cancer patients
  9. Nutrition and dietary needs
  10. Cancer prevention and control – screening and early detection

 

UNIT VI – CARE OF CLIENTS IN ACUTE BIOLOGIC CRISIS

  1. Anatomy and physiology and assessment techniques in caring for clients in acute biologic crisis
  2. Different biologic crises – shock, systemic inflammatory response syndrome, multiple organ dysfunction syndrome, respiratory failure, acute respiratory distress syndrome
  3. Etiology, pathophysiology, assessment and diagnostics, management and nursing interventions of respective crisis
  4. Critical care of clients in acute biologic crisis
  5. Management approaches

 

UNIT VII – EMERGENCY AND DISASTER NURSING

  1. Different emergency and disaster events
  2. Competencies for nurses responding to mass casualty incidents
  3. Nursing roles in emergency and disaster events
  4. Prevention, planning, preparation in any emergency or disaster event
  5. Disaster management – levels of disaster, emergency care, triage

 

 

  1. Required Readings:

 

Berman, A. &. (2014). Kozier and Erb's Fundamentals of Nursing Concepts, Process, and Practice. Pearson.

Boyer, M. J. (2010). Study Guide for Brunner and Suddarth's Textbook for Medical - Surgical Nursing 12th Edition.

Hinkle, J. &. (2014). Brunner & Suddarth's Textbook of Medical - Surgical Nursing 13th Ed. Lippincott Williams & Wilkins.

Monahan, F. (2008). Medical - Surgical Nursing Health and Illness Perspectives 8th Edition.

 

11. Suggested Readings and References:

 

Balita, C., The Ultimate Nursing Guide, 2011

Udan, J., Fundamentals of Nursing 8th Edition, 2009

Nursing Journals (published or online)

 

 

12. Course Requirements:

 

PowerPoint presentation/ Student reporting

Skills Demonstration

Seminar and workshops

Educational trip and other interactive activities

Reaction/Reflection/Position Papers

Research Proposal

                                               

13. Grading System:

                               

                                Attendance and attitude                                     15%                                       

                                Oral report/ presentation                                    20%

                                Written Reports                                                    10%

                                Research                                                               15%

                                Class Participation                                              15%

                                Exams                                                                   20%

                                Others                                                                      5%

                                                                                                           100%

 

14. Classroom Polices:

        All students are encouraged to read and understand the contents of the student’s manual in order to be oriented on the policies and guidelines, their duties and responsibilities as a student, and sanction/s for offense/s committed. Students are also expected to comply with the following classroom and course policies.

  1. Attendance – The subject is a face to face course and requires regular attendance to classes. Likewise, the student is also expected to attend and participate to activities or undertakings held outside the classroom. In case of unavoidable class absence, the student should notify the professor and be responsible for whatever the student missed.
  2. Making up for missed examinations – Student who cannot take the examination due to illness or other valid reasons can be given consideration only after presenting documents to justify his/her absence. The student in consultation with the professor shall make prior notice/approval for schedule of make-up examination.
  3. Use of electronic device - Cellphones should be turned off or muted during class. In case of emergency calls, the student must step outside the classroom so as not to cause distractions. Use of laptops for taking notes or report is allowed as a privilege, not a right. However, any indication that it is used for other purposes like checking mails, facebook, chat, games etc. will result in the loss of this privilege.  
  4. Requirements for the subject – All course requirements should be submitted on time. The student scheduled to have his/her report shall make sure availability of necessary gadget/equipment needed in his/her report so as not to cause any delay.
  5. A student who exhibits dishonesty, disruptive and disrespectful behavior is at risk for corresponding sanction stipulated in the student’s manual.

 

 

15. Consultation Hours:

                Every Monday and Tuesday (MT)     at 1:00 – 3:00 PM

                               

  1. Course Outcomes and Relationship to Course Objectives/Program Outcomes:

 

Course Outcomes

A student completing this course should at the minimum be able to:

Program Outcomes

a

b

c

d

1

Utilize the knowledge, skills and attitude in the care of clients with disorders learned in the classroom and in clinical setting

2

Appreciate the mechanisms by which the different disorders occur in humans

3

Apply the concepts and principles in the care and management of clients with the different disorders learned

4

Distinguish factors that place clients at risks for specific disorders

5

Explain and analyze the pathophysiologic changes that take place in clients with specific disorders

6

Appreciate the diagnostic procedures, laboratory tests and their implications to the care and management of clients with such conditions

7

Design comprehensive nursing care plan specific to clients with disease conditions

8

Utilize the nursing process in the care of clients with disease conditions

9

Ensure a well-organized and accurate documentation system

10

Observe bioethical concepts/ principles and core values and nursing standards in the care of clients

11

Apply concepts on the 11 key areas of responsibility required for nurses in relation to management of patient with certain disease condition

 

 

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