Course Syllabus

Care of Clients with Problems in Cellular

Aberrations,
Acute Biologic Crisis including Emergency and
Disaster Nursing
NCM 67
Prepared by:
Richard Allan R. Soliven, RN, MSN
Mevelle A. Duque, RN, MN
Instructor
Approved by:
Pilar V. Domagsang, RN, MAN
Dean
June 2014
1st Semester
Central Mindanao University
College of Nursing

COURSE SYLLABUS
Course Number
: NCM 67
Course Name
: Care of Clients with Problems in Cellular Aberrations, Acute Biologic Crisis,
Emergency and Disaster Nursing
Course Description: It deals with the principles and techniques of nursing care management of sick
clients across the
lifespan with emphasis on the adult and older person with alteration/problems in cellular
aberration, acute biologic crisis, including emergency and disaster nursing and IV
Therapy.
Prerequisites
: NCM 64 - Care of clients with problems in inflammatory and immunologic response,
perception and coordination
NCM -Care of clients with maladaptive patterns of behavior
Units
: 6 units lecture, 5 units RLE (2units Skills Lab ; 3units Clinical)
Time Duration
: 108 lecture hours, 255 RLE Hours
Placement
: 4th year, 1st Semester
Terminal Competencies:
At the end of the course, and given actual clients with problems in cellular aberrations, acute biologic crisis
and emergency, the student should be able to:
1. Utilize the nursing process in the care of individuals, families in community and hospital settings.
- Assess with client/s his/her/their condition/health status through interview, physical
examination, interpretation of
laboratory findings
- Identify actual and potential nursing diagnosis.
- Plan appropriate nursing interventions with client/s and family for identified nursing diagnosis.
- Implement plan of care with client/s and family
- Evaluate the progress of his/her/their clients condition ad outcomes of care
2. Ensure a well organized and accurate documentation system
3. Relate with client/s and their family and the health team appropriately
4. Observe bioethical concepts/ principles, core values and nursing standards in the care of clients
5. Promote personal and professional growth of self and others

NATIONAL GOALS:
National
a.
b.
c.
d.
e.
f.
g.

Goals of the present administration of the Republic of the Philippines, especially on:
Ensuring growth with equity and stability
Investing in education and training
Putting the Philippines in the international map
Fighting poverty with good governance.
Improving peace and order, law enforcement and administration of justice.
Enhancing health care
Strengthening ethical and technological knowledge.

REGIONAL GOALS:
Regional Goals, especially on:
a. Securing peace and development in Mindanao.
b. Pursuing balance regional development.
VISION:
An academic paradise of higher learning actively committed to the total development of people for a
globally sustainable environment and a humane society.
MISSION:
To advance the frontiers of knowledge for economic prosperity, moral integrity; social and cultural
sensitivity, and environmental consciousness through equitable access to quality instruction, research,
extension and production.
GOALS
1. Provide high quality nursing program
2. Provide culturally diverse opportunities for students and faculty.
3. Engage in faculty and/or student research and scholarly activities that improve health and advance
nursing knowledge.

4. Deliver innovative health care in partnership with communities.

OBJECTIVES
1. Prepare graduates for the practice of professional nursing in general and specialized clinical settings.
2. Acknowledge diversity of values and ethics, culture, and ethnicity of all people.
3. Practice legal, ethico-moral, social responsibilities/ accountabilities.
4. Encourage the advancement of nursing science by creating milieu that fosters information literacy,
lifelong learning, and scholarly endeavors.
5. Support the improvement of health from the local to global arena through discovery, learning, and
engagement.
6. Conduct research and other scholarly activities to add to the body of specialized knowledge and
theory in nursing education activities.
7. Contribute to the improvement of nursing education through innovation, and participation in local to
global nursing education activities
8. Promote a positive societal view of professional nursing by increasing public awareness of nursing
contribution to health care.
9. Advocate for the improvement of the health care delivery system through changes in public policy
with regard to accessibility, effectiveness, and quality of health care.

CLASSROOM POLICIES
Attendance: Clinical Instructors are required to take attendance. Students are expected to attend all
classes. Students who are actively involved in their learning are more successful. Students are expected to
complete all class work and homework and participate in structured class discussions. 20% unexcused
absences is considered dropped before midterms, and will have a grade of 5.0 if 20% of absences is
acquired after midterms.
ALL students are expected to attend all classes. In the event of an absence due to extenuating
circumstances, the student is expected to notify the clinical instructor, get an admission slip
attached with an excuse letter sign by guardian or parent before admitting again to the class.
Should the student miss any quiz, group work, requirements during the day of absence, the
instructor is to not obliged to cater make-up for missed quizzes, group work and requirements
unless the reason for the absence is valid.
15 minutes late is already considered absent.
Electronic Device Use: Laptops and Hand-held devices are allowed in class for note-taking purposes, only.
The use of Hand-held devices that are iPOD capable are encouraged to facilitate downloadable information
as learning strategies and study tools. Cell phones must be turned off in class and are prohibited during
class hours.
Student/s will be ask to leave the classroom premises if the student will not follow proper decorum in class.
Instructors Expectations: The student will participate in discussions

GRADING SYSTEM
NCM 67 Lecture

3. Skills (30%)

A 20%
K 50%
S 30%
Total: 100%
1. Attitude (20%)

9 Subjective Parameters (18% - Refer to

CLB)
Attendance (2%)
- 10 points each meeting
- 5 points for late
- 0 points for absent
Note: More than 15 minutes late is
considered absent

2. Knowledge (50%)

Major Exams (30%)

Quizzes (20%)

Individual/Group Performance (10%)

o Reporting
o Group Presentation
Requirements (10%)
Assignments (10%)

Midterm Grade: A+K+S

Final Term Grade: A+K+S
Final Grade: Midterm Grade (40%) + Final Term
Grade (60%)

INTERMEDIATE
COMPETENCIES
After Every 3-hour
Lecture, the student
should be able to:
1. Identify the
appropriate assessment
technique
for each type of acute
biologic crisis
2. Enumerate
prioritization of the
assessment process
3. Define each type of
crisis
4. Trace the
pathophysiologic process
of each
disorder through diagram
representation
5. Enumerate the
different signs and
symptoms of 3each
disorder
6. Enumerate the
possible complications of
each disorder
7. Formulate appropriate
nursing diagnoses for
each disorder

CONTENT

TEACHING-LEARNING STRATEGY
Lecture

WELCOME AND INTRODUCTION

COURSE ORIENTATION
I. ACUTE BIOLOGIC CRISIS
A. Standard Assessment of the
Critically ill
-Focused History Taking
-Discriminating Physical
Examination
AIRWAY
BREATHING
CIRCULATION
HEMODYNAMIC STATUS
B. Pathologic Mechanisms leading
to Acute biologic crisis /multiorgan
system dysfunction/ emergency
1.
Cardiac failure
2.
Acute myocardial infarction
3.
Acute pulmonary failure
4.
Acute renal failure
5.
Stroke
6.
Increased intracranial
pressure
7.
Metabolic emergencies e.g.
DKA/HHNK
8.
Massive bleeding
9.
Extensive surgeries
10. Extensive burns
11. Poisoning
12. Emerging illnesses (SARS,
Avian Flu)
13. Multiple injuries

A. Class Discussion
B. Media
Presentations: Video,
Transparencies,
PowerPoint
C. Group
Presentations/ Case
Scenarios
D.Critical
Thinking
Exercises

No. of
hours
3
hours

6
hours

EVALUATION

RLE
Mock
Case
Studies
Hospital Duty on
ER, ICU, Medical
Ward and Sugical
Ward

A. Group/Individual
Activities
B. Critical Thinking
Assignments
C. Class Attendance/
Participation
D. Periodic Exams, Final
Examination
E. Critique of a Journal
Article/paper

1. Formulate appropriate
nursing diagnoses for
each disorder
2. Formulate SMART
objectives and outcome
criteria
3. Enumerate
appropriate nursing
interventions for each
disorder

C. Nursing Diagnoses
Taxonomy/Development of Outcome
Criteria
1.
Impaired Gas Exchange
2.
Inability to sustain
spontaneous ventilation
3.
Dysfunctional Ventilatory
Weaning Response
4.
Decreased cardiac output
5.
Altered tissue perfusion,
systemic
6.
Alteration in nutrition, less
than body requirements
7.
Fluid Volume Deficit
8.
Activity Intolerance

SPECIFIC OBJECTIVES

CONTENT

A. Class Discussion
B. Media
Presentations: Video,
Transparencies,
PowerPoint
C. Group
Presentations/ Case
Scenarios
D.Critical
Thinking
Exercises

D. Results/Implications of
Diagnostic
Laboratory Exams
1. Non-Invasive: ECG, cardiac rhythms
2. Invasive: ABG, Hemodynamic
monitoring, CVP, pulmonary
capillary wedge pressure (PCWP)

Concept Map NCP

Making

A. Group/Individual
Activities
B. Critical Thinking
Assignments
C. Class Attendance/
Participation
D. Periodic Exams, Final
Examination
E. Critique of a Journal
Article/paper

TEACHING-LEARNING STRATEGY
Lecture

1. Define each diagnostic

test
2. Identify the indications
for each test
3. Distinguish the
implivation of each result
4. Identify the possible
complications for each
test
5. Identify the
appropriate nursing
responsibilities for each
test

3
hours

A. Class Discussion
B. Media
Presentations: Video,
Transparencies,
PowerPoint
C. Group
Presentations/ Case
Scenarios
D.Critical
Thinking
Exercises
E. ECG Simulation
and Tracing
F. ABG Identification
Exercises.

No. of
hours
6
hours

RLE
A. Actual Handson on how to
operate
the
equipment
on
ICU, ER, Medical
Ward,
Surgical
Ward
hospital
exposure/duty
B.
Demo/Return
Demo
on
administration of
ECG,
O2
Saturation,
C.
Actual
exposure
on
patients
with
cardiac monitor.
D. Field Trip on
Hospital
with
sophisticated
equipments

No. of
hours

TEACHING-LEARNING
STRATEGY
A. Group/Individual
Activities
B. Critical Thinking
Assignments
C. Class Attendance/
Participation
D. Periodic Exams, Final
Examination
E. Critique of a Journal
Article/paper

1. Define each principle

of modalities of
management
2. Perform each principle
technique accurately
3. Define life maintaining
intervention
4. Identify the indications
for each
5. Enumerate the
interventions for each
6. Identify the indications
for each Psychosocial
and behavioral
interventions
7. Enumerate the
interventions for each
Psychosocial and
behavioral intervention

E. Principles of Management
1. Determination and management of
Cause
2. Life saving interventions:
-Basic Life support
-Advanced Cardiac Life support
-First aid Measures
-Fluid Resuscitation
3. Life Maintaining Interventions:
-Airway management and care
of patients with ventilator
-Parenteral fluid administration
(blood and blood component therapy
-Interventions for hemodynamic
instability
-Continuous hemodynamic
monitoring
-Interventions for Nueral
Regulation
-Fluid and Electrolyte Problems
-Nutrition
-Perioperative Problems
4. Psychosocial and behavioral
interventions:
-measures to relieve anxiety
-body image alterations
-fear, depression
-grieving
- critical care concerns:
-sexuality
-immobility,
-spirituality
-sleep deprivation
-sensory overload
5. Supportive management
6. Prevention of complication
7. Rehabilitation-pulmonary, cardiac,
neurologic

INTERMEDIATE
COMPETENCIES

CONTENT

A. Class Discussion
B. Media
Presentations: Video,
Transparencies,
PowerPoint
C. Group
Presentations/ Case
Scenarios
D.Critical
Thinking
Exercises
E. Seminar on BLS,
ACLS for health care
providers.
F. B. Field Trip on Red
Cross, and other
agencies that has
the capability to
train BLS and ACLS

9
hours

A. Actual Handson oppurtunities

on
ICU,
ER,
Medical
Ward,
Surgical
Ward
hospital
exposure/duty.
B. Demo/ Return
Demo on Blood
Transfusion.
C. Field Trip on
Red Cross, ICU,
and
other
agencies

A. Group/Individual
Activities
B. Critical Thinking
Assignments
C. Class Attendance/
Participation
D. Periodic Exams, Final
Examination
E. Critique of a Journal
Article/paper

TEACHING-LEARNING STRATEGY
Lecture

No. of
hours

RLE

EVALUATION
No. of
hours

1. Identify the
pharmacologic
management for each
crisis
2. Identify the
mechanism of action,
indication,
contraindication, adverse
effects and side effects
of each drug
3. Distinguish each
classification
4. Enumerate the nursing
responsibilities
appropriate for each
pharmacologic
management
1. Define each type of
special and surgical
procedure
2. Enumerate
appropriate nursing
responsibilities

F. Pharmacologic Actions
Therapeutic use, side effects,
indications, contraindication, nursing
responsibilities
1. Analgesics
2. Narcotics
3. Corticosteroids
4. Antihypertensive
5. Vasopressors
6. Antibiotics
7. Parenteral fluids

A. Class Discussion
B. Media
Presentations: Video,
Transparencies,
PowerPoint
C. Group
Presentations/ Case
Scenarios
D.Critical
Thinking
Exercises

6
hours

Drug Study
actual clients

on

A. Group/Individual
Activities
B. Critical Thinking
Assignments
C. Class Attendance/
Participation
D. Periodic Exams, Final
Examination
E. Critique of a Journal
Article/paper

G. Nursing Responsibilities for

specific
surgical and special procedures
a. Surgical procedure coronary
bypass, angioplasty, skin

A. Class Discussion
B. Media
Presentations: Video,
Transparencies,
PowerPoint
C. Group
Presentations/ Case
Scenarios
D.Critical
Thinking
Exercises

6
hours

A.. Field Trip on

institutions with
advance
life
support systems,
and cardiac and
coronary units.

A. Group/Individual
Activities
B. Critical Thinking
Assignments
C. Class Attendance/
Participation
D. Periodic Exams, Final
Examination
E. Critique of a Journal
Article/paper

grafting,
b. Special procedures advanced
life support, parenteral
hyperalimentation,
ventilatory support, fluid
resuscitation, first
aid measure including
emergency wound
and trauma management,
IV therapy
H. Safe and comprehensive
perioperative nursing care
a. Assessment and care during
the perioperative period
b. Techniques in assisting the
surgical team during the
operation
c. Principles of safety, comfort
and privacy during the
perioperative period
d. Nursing responsibilities during
the perioperative period

1. Identify the different

ethical concerns in
patient care
2. Formulate a discharge
plan specific for each
disorder
3. Identify the guidelines
in accurate recording
and documentation

I. Bioethics: Principles and

application
of bioethics in the care of the
clients
-Patients rights
-Confidentiality
-The Informed Consent
-Advance Directives
J. Appropriate discharge plan
including
health education
K. Accurate recording and
documentation

A. Class Discussion
B. Media
Presentations: Video,
Transparencies,
PowerPoint
C. Group
Presentations/ Case
Scenarios
D.Critical
Thinking
Exercises

3
hours

A.
Actual
application
of
principles
of
bioethics
in
affiliating
hospitals.
B.
Actual
application
of
health teachings,
discharge
planning
and
accurate
recording
and
documentation
during
hospital
duty.

A. Group/Individual
Activities
B. Critical Thinking
Assignments
C. Class Attendance/
Participation
D. Periodic Exams, Final
Examination
E. Critique of a Journal
Article/paper

INTERMEDIATE
COMPETENCIES

CONTENT

TEACHING-LEARNING STRATEGY
Lecture

1. Define emergency and

disaster terms

II. Disaster and Emergency

A. Definition of Emergency and
other terminologies
-Disaster
-Trauma

1. Define TRIAGE
2. Identify objectives for
triaging
3. Differentiate START
triage from MILITARY
triage in terms of
procedure protocol and
indications Identify the
color coding and patient
classification process for
each type of triaging
4. Identify the types of
Personal Protective
Equipment and
indications for each
5. Enumerate hazardous
materials
6. Identify the possible
effects of each
hazardous material to
health
7. Identify
decontamination
measures
8. Identify biologic
warfares and agents
9. Enumerate
appropriate
management and

B. Triage
A. Definition of emergency
B. Types of emergency
C. Triage
1. Objectives
2. START triage
3. Military triage
D. Hospital emergency incident
command system
E. Incident command education
F. Hospital operations plan
G. Personal protective equipment
H. Hazardous materials
I. Decontamination
J. Biological warfare and biological
agents
K. Blast injuries
L. Natural disasters
M. Stress reactions
Post traumatic
Stress disorder critical incident
stress management
Debriefing
N. Nurses role in disaster and
emergency

A. Class Discussion
B. Media
Presentations: Video,
Transparencies,
PowerPoint
C. Group
Presentations/ Case
Scenarios
D.Critical
Thinking
Exercises
E. Attend Seminars
on Emergency and
Disaster Nursing
F. Field Trip on the
various agencies.
A. Class Discussion
B. Media
Presentations: Video,
Transparencies,
PowerPoint
C. Group
Presentations/ Case
Scenarios
D.Critical
Thinking
Exercises
E. Field Trip on the
various agencies.

No. of
hours
1
hour

8
hours

EVALUATION

RLE
A.
Actual
Exposure on the
Emergency room.
A. Field Trip on
the
various
Emergency
Disaster
agencies.

A. Group/Individual
Activities
B. Critical Thinking
Assignments
C. Class Attendance/
Participation
D. Periodic Exams, Final
Examination
E. Critique of a Journal
Article/paper

A.
Actual
affiliation
on
Emergency Room
on
affiliating
hospitals
B. Fieldtrip on
different hospitals
that
has
an
advance Triaging
capability.

A. Group/Individual
Activities
B. Critical Thinking
Assignments
C. Class Attendance/
Participation
D. Periodic Exams, Final
Examination
E. Critique of a Journal
Article/paper

protocol for warfares

10. Define blast injuries
11. Identify appropriate
medical and nursing
actions for each
12. Define different
natural disasters
13. Identify appropriate
action plans for specific
natural disasters
14. Define specific types
of stress reaction
15. Enumerate
appropriate nursing
actions for
Each type of stress
reaction.
16. Enumerate and apply
the nurses role in
disaster and emergency

INTERMEDIATE
COMPETENCIES

CONTENT

1.Discuss the importance

of Intravenous
Parenteral Therapy for
the patient as well as
the nurse.
2. Describe the roles and
responsibilities of
nurses in IV therapy.
3. Recognize the
ethicolegal implications
of
IV Therapy.
4. Identify the roles and
functions of ANSAP.
5. Present the difference
between RA 9163 to
RA 7160 in terms of IV
Therapy requirements
6. Identify and discuss
the parts and functions
of
the vascular, peripheral
and integumentary

I. IV THERAPY
A. Philosophy
B. Definition
C. Basic Foundation of IV Therapy
1. Historical background of IV therapy
2. Ethico-legal aspects of IV therapy
2.1 Role of ANSAP
2.2 Difference between RA 9173 and RA
7160
3. Standards of IV therapy
D. Review of Anatomy and Physiology of
the vascular system
E. Peripheral and Integumentary System
F. Fluid and Elecrolyte therapy
1. Types of Fluids/ Solution and uses
2. Drug Interaction with IV fluids
3. Handling of IV solutions, blood
products and components

TEACHING-LEARNING STRATEGY
Lecture
A. Lecture-discussion
B. Obtain and submit
a copy of the
Standard operating
procedure (SOP)
from local hospital
about IV therapy.
C. Powerpoint
presentation of the
anatomy of the
vascular, peripheral
and integumenary
system
D. Lecture
demonstration

No. of
hours
3
hours

EVALUATION

RLE
A.
Actual
applications of IV
therapy in the
affiliating hospital
areas.

RETURN
DEMONSTRATION
MOVING EXAM

systems.
7. Enumerate the types
of fluids/solutions and
identify the indication for
each

1. Utilize the nursing

process in the care of
Clients undergoing IV
therapy.
2. Identify the
appropriate sites for
Venipuncture.
3. Describe the steps in
the procedure for
performing a
venipuncture using
selected techniques
4. Demonstrate function,
usage, care and
maintenance of supplies
and equipment utilized in
the administration of IV
therapy
5. Observe principles of
strict asepsis during
the actual
implementation of the
intravenous therapy
practice.

INTERMEDIATE
COMPETENCIES

G. Nursing process in IV therapy

H. Venipuncture Technique on Adult &
children
-Prescribed cannula and indications of
each
-Color, gauge
-Ideal period of usage of an IV set,
indications
-Process in keeping a set sterile
I. Complications of IV therapy
J. Infection Control & Microbiology
Principles
K. Demonstration of Procedure
L. Documentation of Activity

3
hours

CONTENT

A.
Actual
applications of IV
therapy in the
affiliating hospital
areas.

TEACHING-LEARNING STRATEGY
Lecture

No. of
hours

RLE

EVALUATION

1. Trace the normal cell

Cycle correctly
2. Define terms in the
cellular aberration
concept with confidence
3. Distinguish each term
appropriately.

A. Video clip
presentation of the
cell cycle
B. lecture discussion
C. Field trip on
cancer institutions

3
hours

A. Actual Hospital
Exposure
on
Actual
Cancer
patient clients.
B.
Actual
and
Ideal Case Study
with Case sharing
B. Field trip on
cancer
institutions

RETURN
DEMONSTRATION
MOVING EXAM

1. Trace confidently on
Pathophysiologic process
of cellular aberration
through diagram
representation
2. Identify the
prevalence of different
cancers in different local
and international regions

II. CELLULAR ABERRATIONS

A. Review of the Cellular Physiology
1. The cell cycle
2. Differentiation
3. Proliferation
B. Characteristics of Benign and
Malignant neoplasms
1. Terminology
2. Neoplasm
3. Benign
4. Malignant
-cancer cell characteristics
-Invasion and metastasis
-Tumor Growth
-General effects
C. General Pathophysiology of
Cellular Aberration
Epidemiology: Local & International
a. lung
b. breast
c. uterine
d. prostate
e. colorectal
f. skin

A. Collage making

3
hours

Assignments
Journal
reading with
summary

1. Describe the role of

proto-oncogenes and
anti-oncogens in the
transformation of a
normal life line to a
cancer cell line
2. Name the steps in the
transformation of normal
cells to cancer cells by
carcinogens to cancer
3. Identify the risk
factorscorrectly.
4. Identify the preventive
measures to specific risk
factors correctly.
5. State how lifestyle can

D. Carcinogenesis and Causes of

Cancer
Oncogenesis Risk factors:
1. Gender and site
2. Age
3. Race and ethnicity
4. Genetics
5. Hormonal Factors
6. Immunologic Factors
7. Oncogenic Viruses
8. Drugs and Chemicals
9. Radiation
-ionizing
-UV
-electromagnetic
-radon
9. Lifestyle
-smoking
-nutrition/diet

A. Discussion
B. Role-Playing

3
hours

A. Actual Hospital
exposure
on
patients with the
different types of
cancer.
B.
Tracing
of
actual
pathophysio of an
actual client.
C. Presentation of
pathophysio
on
case studies.
D.. Actual and
Ideal Case Study
with Case sharing
E. Field trip on
cancer
institutions
A. Show actual
oncogens that are
present
in
hospital setting.
B. Show actual
clients
with
lifestyles
contributing
to
cancer risk (eg.
Cigarette
smoking)
C. Actual Hospital
exposure
on
patients with the
different types of
cancer.

Quizzes
Oral Quizz

contribute to the cancer

risk through increased
exposure to carcinogenic
agents

INTERMEDIATE
COMPETENCIES
1. Identify significant
subjective data that
should be obtained
necessary to be used as
the basis of rendering
patient care and
management.
2. Identify each
technique of physical
examination
3. Identify the indication
and contraindication of
each technique
4. Demonstrate each
technique of physical
examination
5. Define the danger
signs of cancer

1. Define each diagnostic

test
2. Identify the indications
for each test
3 .identify the possible
complications for each
test
4. Identify the

-obesity
-psychosocial factors

-viruses

D.. Actual and

Ideal Case Study
with Case sharing
E.
Community
Health Nursing
F. Field trip on
cancer
institutions
TEACHING-LEARNING STRATEGY

CONTENT
Lecture
F. Significant subjective data from
the client
- family history
- chief complaints
- functional patterns
- psychosocial and behavioral
assessment
G. Principles and techniques of
physical
examination in all age groups,
deviations
from normal
1. Breast-Self examination
2. Testicular Examination
3. Digital Rectal Examination
The 9 Danger Signs [ CAUTION UP ]
cellular aberration
1. Inspectionvasculature,symmetry,movem
ent,
nodules,
discharges,
masses
2. Auscutation-heart
sounds,breath
sounds,bowel
sounds,vascular sounds,friction
rub
3. Palpation-masses
tenderness
,nodules ,lesions ,tenderness
4. Percussion-gas patterns ,areas
of
flatness
and
dullness
liverspan masses, ascites
H. Diagnostic tests and Nursing
responsibilities
Lung Cancer A. Chest X-Ray
B. Sputum Cytology
Breast Cancer A,Mammogram
B. Clinical Breast Exam
C. MRI
D. Tissue Sampling

A. Role-play
B.
Lecturedemonstratio
n
C. Group
presentation
D. Jingle making
contest

A. Photo
presentation
with
lecture
discussion

No. of
hours
3
hours

6
hours

EVALUATION

RLE
A. Actual Hospital
Exposure
on
Actual
Cancer
patient clients.
B.
Actual
and
Ideal Case Study
with Case sharing
C.
Community
Health Nursing
E. Field trip on
cancer
institutions

A. Actual Hospital
Exposure
on
Actual
Cancer
patient clients.
B.
Actual
and
Ideal Case Study
with Case sharing
B. Field trip on

Case analysis
Return
demonstration

appropriate nursing
responsibilities
for each test

INTERMEDIATE
COMPETENCIES
1. Define each type of
cancer
2. Trace the
pathophysiologic process
of each disorder through
diagram representation
3. Enumerate the
different signs and
symptoms of each
disorder
4.Enumerate the
possible complications of
each disorder
5. Formulate appropriate
nursing diagnoses for
each disorder
6. Enumerate
appropriate nursing
interventions for each
disorder

Uterine Cancer A. transvaginal

sonography
B. hysteroscopy
C. sonohysterography
D. Biopsy Punch
Cervical Cancer A. Pap smear with
staging
Prostate Cancer A. Digital rectal
examinanition
B. Prostate-Specific
Antigen
Colorectal cancer A. Fecal Occult
blood test
B. Sigmoidoscopy
C. Colonoscopy
D. Double- contrast
barium enema
CT SCAN
Other tests:
A. Tumor markers
B. Radioisotope scan

cancer
institutions

CONTENT

TEACHING-LEARNING STRATEGY
Lecture

I. Pathophysiologic Mechanisms
leading to
manifestations
Cellular aberrations
a. Solid tumors lung cancer, breast,
uterine
cancer, prostate cancer, colorectal,
brain cancer
b. Liquid tumors lymphomas,
leukemias

A. Lecture-discussion

No. of
hours
6
hours

RLE
A. Actual Hospital
Exposure
on
Actual
Cancer
patient clients.
B.
Actual
and
Ideal Case Study
with Case sharing
C. Field trip on
cancer
institutions

EVALUATION

1. Cite the early warning

signs of cancer in
children
2. Discuss possible
concerns of adult
survivors of childhood
cancer

Childhood Cancers
Medulla blastoma
Glioma
Neuroblastoma
Wilms Tumor
Retinoblastoma
Ewings Sarcoma
OsteosarcomA

A. Field trip on
cancer institutions

3
hours

1. Formulate appropriate
nursing diagnoses for
each disorder
2. Formulate SMART
objectives and outcome
criteria
3. Enumerate
appropriate
nursing interventions
for each disorder

J. Nursing Diagnoses
Taxonomy/Development of Outcome
Criteria
A. Potential for Infection
B. Disturbance in Body Image
C. Activity Intolerance
D. Potential for alteration in nutrition;
less
than body requirements
E. Alteration in oral Mucous Membrane
Integrity
F. Alteration in Comfort
G. Fluid Volume Deficit
K. Principles of Various Modalities
of
Management Against CANCER
1. Health promotion
2. disease
prevention
3. Curative
4. Restorative

Group formulation of
NCP

3
hours

2 minute role play

for each
Group

1.5
hours

1.

Define each
principle of
modalities of
management
2. Cite examples
of each
principle

A. Actual Hospital
Exposure
on
Actual
Cancer
patient clients.
B.
Actual
and
Ideal Case Study
with Case sharing
C. Field trip on
cancer
institutions
A. Actual Hospital
Exposure
on
Actual
Cancer
patient clients.
B.
Actual
and
Ideal Case Study
with Case sharing
C. Field trip on
cancer
institutions

A. Actual Hospital
Exposure
on
Actual
Cancer
patient clients.
B.
Actual
and
Ideal Case Study
with Case sharing
C. Field trip on
cancer
institutions

INTERMEDIATE
COMPETENCIES

CONTENT

TEACHING-LEARNING STRATEGY
Lecture

1. Distinguish each type

o
cancer staging
2. Define each principle
of
management
3. Enumerate
appropriate
nursing responsibilities
and interventions for
each principle of
management

M. Principles of Management
1. Cancer Staging:
Cancer naming Mnemonics
TNM classification
Clinical staging
Metastatic Spread
2. Prevention of Infection
3. Hydration
4. Blood component replacement
5. 0xygen therapy
6. Prevention of Complications
7. Rehabilitation

1. dentify the
pharmacologic
management for cancer
2. Identify the
mechanism
of action, indication,
contraindication, adverse
effects and side effects
of each drug
3. Distinguish each
classification
4. Enumerate the nursing
Responsibilities
appropriate for each
pharmacologic
management
5. Identify Special
considerations in
chemotherapeutic drugs
preparation
1. Define each type of
special and surgical
procedure
2. Enumerate
appropriate nursing
responsibilities
perioperatively

N. Pharmacologic Actions
Therapeutic use, side
effects,indications, contraindication,
nursing responsibilities
1. Cellular aberrations
a. Anticancer agent
b. Analgesics
c. Narcotics
d. Corticosteroids
e. Antibiotics
f. Antipruritus
g. Analgesics, opioids

O. Nursing Responsibilities for

specific surgical and special
procedures [Preoperatively and
Postoperatively]
Cellular aberration
a. Major surgical procedures: lobectomy,
pneumonectomy.
mastectomy, nephrectomy,
prostatectomy, colectomy,

Lecture discussion
Quiz bowl style

No. of
hours
1.5
hours

1.5
hours

Lecture-discussion

1.5
hours

RLE
A. Actual Hospital
Exposure
on
Actual
Cancer
patient clients.
B.
Actual
and
Ideal Case Study
with Case sharing
C.Providing
Consistent
Care
to Ca pt.
D.
Community
Health Nursing
E.. Field trip on
cancer
institutions
A. Actual Hospital
Exposure
on
Actual
Cancer
patient clients.
B.
Actual
and
Ideal Case Study
with Case sharing
C. Oral Revalida
on Pharmacologic
Management
of
CA pt.
D Administration
of Meds for CA
patient
E. Field trip on
cancer
institutions

A..Actual
and
Ideal Case Study
with Case sharing
B. Hospital Basic
Care on CA postop pt.
C. Field trip on
cancer
institutions

EVALUATION

colostomy, bone marrow transplant,

urinary diversion
b. Special procedure: brachytherapy,
radiation therapy
Reverse isolation, chemotherapy,

LECTURE TENTATIVE SCHEDULE

A R E A S
ORIENTATION
I. ACUTE BIOLOGIC CRISIS
A. Standard Assessment of the Critically ill
B. Pathologic Mechanisms leading to Acute biologic crisis
/multiorgan system dysfunction/ emergency
C. Nursing Diagnoses Taxonomy/Development of Outcome
Criteria
D. Results/Implications of Diagnostic Laboratory Exams
E. Principles of Management
ONE HOUR EXAM
F. Pharmacologic Actions
G. Nursing Responsibilities for specific surgical and special
procedures
H. Safe and comprehensive perioperative nursing care
I.
Bioethics: Principles and application of bioethics in the care of
II.
the clients
J. Appropriate discharge plan including health education

SCHEDULE OF
LECTURE
6/4/2012

No. of Hours

6/5/12
6/11/12 & 6/12/12

3 hours
6 hours

6/18/12

3 hours

6/19/12 & 6/25/12

6/26/12; 7/2/12; &
7/3/12
7/9/10
7/9/10 & 7/10/12
7/16/12 &

6 hours
9 hours

7/17/12
7/23/12

3 hours
1 hour

7/23/12

1 hour

3 hour

1 hour
5 hours
3 hours

K. Accurate recording and documentation

II. Disaster and Emergency
A. Definition of Emergency and other terminologies
B. Triage

MIDTERM EXAM
I. IV THERAPY
FIELD TRIP (joint field trip LEC/RLE)
II. CELLULAR ABERRATIONS
A. Review of the Cellular Physiology
B. Characteristics of Benign and Malignant neoplasms
C. General Pathophysiology of Cellular Aberration
Epidemiology: Local & International
D. Carcinogenesis and Causes of Cancer
F. Significant subjective data from the client
G. Principles and techniques of physical examination in all age groups,
deviations from normal
H. Diagnostic tests and Nursing responsibilities
I. Pathophysiologic Mechanisms leading to manifestations
Childhood Cancers
J. Nursing Diagnoses Taxonomy/Development of Outcome Criteria
K. Principles of Various Modalities of
Management Against CANCER
M. Principles of Management
N. Pharmacologic Actions
O. Nursing Responsibilities for specific surgical and special procedures
[Preoperatively and Postoperatively]

7/23/12

1 hour

7/24/12
7/24/12; 7/30/12 &
7/31/12
TOTAL HOURS

1 hour
8 hours

8/6/12 & 8/7/12

8/9-11/12

6 hours

8/20/12
8/20/12
8/21/12

1.5 hours
1.5 hours
3

8/27/12
8/28/12
8/28/12

3 hours
1.5 hours
1.5 hours

9/3-4/12
9/10-11/12
9/17/12
9/18/12
9/24/12

54 hours

6
6
3
3

hours
hours
hours
hours
1.5

9/24/12
9/25/12
9/25/12

1.5
1.5
1.5

TOTAL HOURS

42

REFERENCES:
Textbooks:
1. Brunner and Suddarth's Textbook of Medical-Surgical Nursing 11th Edition by Smeltzer, Bare, et al.
2. Cancer Nursing Care in Context by Jessica Corner & Christopher Bailey
3. Medical-Surgical Nursing Management for Positive Outcomes. By Joyce M. Black
4. Oncology Nursing 5th Ed by Martha E. Langhorne et al.
5. Pathophysiology: Concepts of Altered Health States 2nd Ed by Kathleen Schmidt Prezbindowski
6. Understanding Medical Surgical Nursing by Linda Williams & Paula Hopper.
Ebooks:
1. ABC of Conflict and Disaster
2. Acute Medicine: A Handbook for Nurse Practitioners by Lisa Carroll
3. Brunner and Suddarth's Textbook of Medical-Surgical Nursing 11th Edition by Smeltzer, Bare, et al.
4. Disaster Nursing and Emergency Preparednes: for Chemical, Biological, and Radiological Terrorism and
Other Hazards by: Tener Goodwin Veenema
5. Oncology Nursing in Practice by Janice Gabriel
6. Weapons of Terror: Freeing the world of nuclear, biological and chemical arms by Weapons of Mass
Destruction Commission. (WMDC)