TEACHING LEARNING GUIDE FOR ENHANCEMENTS SY 2013-14 2 nd Semester

Course Code: NCM 108.1

nd

Placement: Level 4; 2 Sem

Course Name:

Time/Venue:

Intensive Practicum
8:00 am-12:00 nn/CIT 1
Topic: Hematologic Conditions: Leukemia

Topic Description:
Leukemia is a malignant disease of the blood organs. It is also the most common
malignancy in children and young adults.
Students Assigned:
Agnes

Jamero

Magbago

Nacario

Raagas

Apostol

Lapizar

Madria

Nolasco

Villarojo

Learning Outcomes:
Beginning Role on Client Care:
Apply learned knowledge in the care of patients.
Beginning Role on Leadership and Management:
Collaborate with other members of the healthcare team.
Beginning Role on Research:
Update and research on different therapies and/or managements.
General Objectives:
At the end of 8 hours of discussion, the students will be able to gain knowledge
regarding the topic and verbalize full understanding of the topic. They will also be able
to apply the knowledge gained on the classroom to the hospital setting as well as in
giving health teachings.
Specific Objectives:
At the end of 4 hours of discussion, the students will be able to :
a) Differentiate the two types of leukemia
b) Identify the clinical manifestations of the condition
c) Identify the different nursing diagnoses related to the condition
Bibliography:
Black, J., & Hawks, J. (2008). Medical-Surgical Nursing Clinical Management for
Positive Outcomes 8th edition. Singapore: Elsevier.
TEACHINGINTERMEDIATE
COMPETENCIES

CONTENT

LEARNING
ACTIVITIES

REFER

Demonstrates

I.

knowledge based
on health/illness
status of

II.

individual/groups
III.
Establishes
collaborative

IV.
V.

relationship with
colleagues and
other members of
the health team.

VI.

VII.
VIII.

Introduction
A. Etiology
B. Risk Factors
C. Pathophysiology
Acute Leukemia
A. Acute Lymphoblastic Leukemia (ALL)
B. Acute Nonlymphoblastic Leukemia (ANLL)
Chronic Leukemia
A. Chronic Myelogenous Leukemia (CML)
B. Chronic Lymphocytic Leukemia (CLL)
Clinical Manifestations
Diagnostic Studies
A. Complete Blood Count (CBC)
B. Bone Marrow Aspiration (BMA)
C. Others
1. Lumbar Puncture
2. Radiography
3. MRI
4. CT Scan
5. Lymhoangiography (Lymph Node biopsy)
Medical Management
A. Acute Leukemia
1. Destruction of Neoplastic Cells
i.
Chemotherapy
ii.
Radiation Therapy
iii.
Targeted therapy
2. Treat/Prevent Tumor Lysis Syndrome
3. Replace Cells and control Infection
B. Chronic Myelogenous Leukemia
1. Targeted Therapy
C. Chronic Lymphocytic Leukemia
1. Chemotherapy
2. Targeted Therapy
Nursing Management
Surgical Management
A. Bone Marrow Transplantation

Problem-

Medical

based

Surgical

learning

Nursing

Manage

for Posit

Outcom

edition (
Hawks)