Академический Документы
Профессиональный Документы
Культура Документы
College of Nursing
COURSE SYLLABUS
(2008)
NURSING 106
CARE OF CLIENTS ACROSS THE LIFESPAN WITH PROBLEMS IN INFLAMMATORY AND IMMUNOLOGIC REACTIONS, CELLULAR ABERRATIONS,
ACUTE BIOLOGIC CRISIS, INCLUDING EMERGENCY AND DISASTER NURSING AND IV THERAPY
Prepared by:
Course Description: NCM 106 deals with the principles and techniques of nursing care management of sick clients across the lifespan in varied settings, with
alterations/problems in inflammatory and immunologic function, cellular aberration, acute biologic crisis, including emergency and disaster nursing IV therapy.
Values to be integrated:
National Institutes
of Health Web site
on the immune
system
http://rex.nci.nih.go
v/PATIENTS/INFO
_TEACHER/books
helf/NIH_immune/in
dex.html
8. The Inflammatory Response Differentiate acute
Acute Inflammation inflammation from
-Vascular Response chronic inflammation
-Cellular Response
-Acute Phase Response
-Inflammatory Mediators
-Inflammatory Exudates
Chronic Inflammation
Palpation:
-Turgor
-Tenderness
-masses
-body temperature
D. Diagnostic tests and Nursing
responsibilities
A. Non-invasive
-Urinalysis
-C and S Define each diagnostic Lecture-discussion
-X-Ray test Paper and
Simulation (Lumbar pen quiz
B. Invasive Identify the indications tap)
-CBC for each test
-Antistreptolysin titer
-Biopsy Identify the possible
-Blood Chemistry complications for each
-Lumbar tap test
-ELISA
-Western blot Identify the appropriate
-Immunoelectrophoresis nursing responsibilities
for each test
Hypersensitivity Reactions
LATEX ALLERGY
Transplantation Immunopathology
Host-Versus-Graft Disease
Graft-Versus-Host Disease
Autoimmune Disease
Immunologic Tolerance
Describe the
alterations in immune
function that occur in
persons with AIDS
I. Nursing Responsibilities for specific Define each type of Photo presentation Paper and
surgical and special procedures special and surgical of nursing pen quiz
procedure procedures
Thyroidectomy Return
Incision and drainage, etc. demonstration
A. Surgical Procedures-debridement,
incision and drainage, excision
B. Special procedures: Define the following:
1. Universal Precaution 1.Universal Precaution Lecture
2. Reverse Isolation 2.Reverse Isolation demonstration
3. Medical Asepsis 3.Medical Asepsis
4. Surgical Asepsis 4.Surgical Asepsis
Demonstrate the
proper technique of
each procedure
a. lung
b. breast
c. uterine
d. prostate
e. colorectal
Demonstrate each
technique of physical
examination
Cervical Cancer
Prostate Cancer
Colorectal cancer
Other tests:
A. Tumor markers
B. Radioisotope scan
C. MRI
I. Pathophysiologic Mechanisms leading to
manifestations Lecture-discussion Paper and
Define each type of (Story-telling style) pen quiz
A. Lung Cancer cancer
B. Breast Cancer
C. Uterine Cancer Trace the
D. Colorectal Cancer pathophysiologic
E. Prostate Cancer process of each
F. Non-Hodgkin Lymphoma disorder through
G. Kidney Cancer (Renal Cell) diagram representation
H. Melanoma
I. Basal Cell carcinoma Enumerate the different
J. Thyroid Cancer signs and symptoms of
K. Leukemia each disorder
L. Brain Cancer
Enumerate the
possible complications
of each disorder
Formulate appropriate
nursing diagnoses for
each disorder
Enumerate appropriate
nursing interventions
for each disorder
Childhood Cancers
Cite the early warning
Medullablastoma signs of cancer in
Glioma children
Neuroblastoma
Wilm’s Tumor Discuss possible
Retinoblastoma concerns of adult
Ewing’s Sarcoma survivors of childhood
Osteosarcom cancer
J. Nursing Diagnoses Formulate appropriate Group
Taxonomy/Development of Outcome nursing diagnoses for formulation of NCP
Criteria each disorder
Formulate SMART
A. Potential for Infection objectives and
B. Disturbance in Body Image outcome criteria
C. Activity Intolerance
D. Potential for alteration in nutrition; less Enumerate appropriate
than body requirements nursing interventions
E. Alteration in oral Mucous Membrane for each disorder
Integrity
F. Alteration in Comfort
G. Fluid Volume Deficit
2 minute
Define each principle of role play for each
K. Principles of Various Modalities of modalities of group
Management Against CANCER management
1. Health promotion
2. disease Cite examples of each
prevention principle
3. Curative
4. Restorative
N. Pharmacologic Actions
Therapeutic use, side effects, Identify the
indications, contraindication, nursing pharmacologic
responsibilities management for
cancer
1. Biotherapy
Classification Identify the mechanism
Cytokines of action, indication,
Monoclonal Antibodies contraindication,
Cellular Therapies adverse effects and
Immunodilators side effects of each
Retinoids drug
Distinguish each
classification
H. Bioethics: Principles and application of Identify the different Video clip Paper and
bioethics in the care of the clients ethical concerns in presentation pen quiz
-Patient’s rights patient care showing scenes for
-Confidentiality medical series
-The Informed Consent shows (i.e. House,
-Ethics of decision MD, Grey’s
-Advance Directives anatomy)
Formulate a discharge
plan specific for each
disorder
Surgical Procedures:
Special procedures:
1. Radiation therapy
2. Cervical Implants
3. Reverse Isolation
Identify the different Case analysis
P. Appropriate discharge plan including ethical concerns in Paper and
health education patient care pen Quiz
A. Standard Assessment of the Critically Ill Identify the appropriate Video clip Porth C.M. (2002).
-Focused History Taking assessment technique presentation of an Pathophysiology: Paper and
-Discriminating Physical Examination for each type of acute emergency Concepts of Altered pen quiz
AIRWAY biologic crisis situation Health States (6th
BREATHING ed., pp. 500-
CIRCULATION Enumerate 504,564-566,777-
HEMODYNAMIC STATUS prioritization of the 781, 1163-1164,
assessment process 1174-1178,1433-
1437).
Philadelphia:
B. Pathophysiologic Mechanisms leading to Lippincott Williams
manifestations Lecture-discussion and Wilkins
Define each type of Video clip
1. Cardiac Failure crisis presentation of
2. Acute Myocardial Infarction specific situations Related web sites:
3. Acute Renal Failure Trace the showing the crisis
4. Stroke pathophysiologic Burns:
process of each http://www.bt.cdc.g
disorder through ov/masscasualties/
diagram representation pdf/burns-
masscasualties.pdf
Enumerate the different
signs and symptoms of Food poisoning:
each disorder http://www.health.vi
c.gov.au/foodsafety
Enumerate the /downloads/poison
possible complications _prevent.pdf
of each disorder
Red cross
Formulate appropriate guidelines in
nursing diagnoses for chemical poisoning:
each disorder http://www.redcross
.org/static/file_cont
Enumerate appropriate 157_lang0_67.pdf
nursing interventions
for each disorder SARS and
Emerging
Infections
Terrorism:
http://www.bioterror
ism.uab.edu/EI/sar
s/sars.pdf
9. Extensive Burns
(include staging and area computation)
10. Poisoning
11. Multiple Injuries
12`. Emerging illness (SARS, Avian Flu)
-Disaster
-Trauma
5 Categories of Severity
1. Black/ Expectant
2. Red/ Immediate
3. Yellow/Observation
4. Green/Wait (Walking wounded)
5. White/Dismiss Identify different Interview hospital
hospital operation admin. For
C. Hospital Operations Plan plans in local and prepared hospital
international hospitals operations plan
Paper and
D. Types of Emergency with Photo presentation pen quiz
appropriate nursing interventions
Define each type pf Lecture-discussion
8. Airway obstruction emergency
9. Myocardial Infarction
10. Near drowning Enumerate the signs
11. Hemorrhage and symptoms
12. Head/Chest/abdominal
Trauma Identify the appropriate
13. Poisoning and Overdose medical and nursing
14. Hypo/Hyperthermia actions for each
15. Snake bite/Animal bites
16. Nitrogen Narcosis
17. Fractures
18. Spinal cord Injury
Identify
decontamination
measures
Identify appropriate
medical and nursing
actions for each
Identify appropriate
action plans for specific
natural disasters
N. Nursing Responsibilities for specific Define each type of Simulation Paper and
surgical and special procedures special and surgical Lecture Discussion pen quiz
[Preoperatively and procedure Lecture
Postoperatively] Demonstration Return
-positioning demonstration
-dos and donts
-bedside equipment Enumerate appropriate
-activity structuring nursing responsibilities
perioperatively
Safe and comprehensive perioperative
nursing care
Cite examples
of cases needing
universal precaution
Demonstrate
the correct steps in
universal precaution
V. IV THERAPY
Discuss the importance Lecture-discussion Paper and
A. Philosophy of Intravenous Pen Quiz
Parenteral Therapy for
the patient as well as
B. Definition the nurse. Illustration
and
Describe the roles and pinpointing
C. Basic Foundation of IV Therapy responsibilities of the different
1. Historical background of IV nurses in IV therapy. IV therapy
therapy access points
2. Ethico-legal aspects of IV Recognize the ethico- Obtain and submit
therapy legal implications of a copy of the Moving Exam
2.1 Role of ANSAP IV Therapy. Standard operating
2.2 Difference between RA 9173 procedure(SOP)
and RA 7160 Identify the roles and from local hospital
3. Standards of IV therapy functions of ANSAP. about IV therapy.
Demonstrate function,
J. Infection Control & Microbiology usage, care and
Principles maintenance of
supplies and
equipment utilized in
K. Demonstration of Procedure the administration of IV
Documentation of Activity therapy Return-
demonsration
Observe principles of with an IV
strict asepsis during Therapy
the actual Certified
implementation of the Clinical
intravenous therapy Instructor
practice.