DOA REMEDIOS T.

ROMUALDEZ MEDICAL FOUNDATION

TACLOBAN CITY

COLLEGE OF NURSING

COURSE NAME: NURSING CARE MANAGEMENT 104 (NCM 104) CARE OF CLIENTS ACROSS THE LIFESPAN WITH PROBLEMS IN PERCEPTION AND
COORDINATION

COURSE DESCRIPTION: This course deals with the concepts, principles and theories of human behavior and the care of individuals, population group experiencing
alterations in perception and coordination and psychosocial adjustment and those with maladaptive behaviors in varied settings.

COURSE CREDIT: 8 UNITS LECTURE, 6 UNITS RELATED LEARNING EXPERIENCE (RLE)

CONTACT HOURS/ SEM: 144 LECTURE HOURS, 306 RLE HOURS

PREREQUISITE: NCM 103

PLACEMENT: 3RD YEAR, 2ND SEMESTER

TERMINAL COMPETENCY: Given an actual client, population group, with problems in perception and coordination, adjustment and maladaptive behaviors, the
students should be able to:

1. Utilize the nursing process in the care of individuals, families in selected settings:
1.1. Assess with client/s his/her/ their condition/health status through interview, physical examination, interpretation of laboratory findings
1.2. Identify actual and at-risk nursing diagnosis
1.3. Plan appropriate nursing interventions with client/s and family with problems in perception and coordination.
1.4. Implement plan of care with client/s and family
1.5. Evaluate the progress of his/her/their client's conditions and outcomes of care
2. Apply nursing theories in the management of care of clients with problems in perception and coordination.
3. Live the core values cherished by the nursing profession:
A. Love of God
4. Ensure a well organized and accurate documentation system (Oral and Written)
```` 5. Relate with clients/s and their family and the health team appropriately and collaborate with the health care team members.
6. Observe bioethical concepts/principles, and the 11 key areas of responsibilities in the care of clients with problems in perception and coordination; and
7. Assume responsibilities for personal and professional growth.
8. Demonstrate leadership and management skills in the care of clients with problems in perception and coordination.
9. Utilize research findings to improve health care delivery system.



INTERMEDIATE
COMPETENCIES
CONTENT TEACHING-LEARNING ACTIVITIES RESOURCES EVALUATION
Given an adult
client with
responses to
Altered
Neurologic
Function, the
students will
be able to:

2. Identify client's
needs and
problems
based on history,
physical
assessment and
diagnostic exams.
ALTERED COGNITIVE-
PERCEPTUAL PATTERNS:
CLIENTS WITH
NEUROLOGIC DISORDERS

I. CONCEPT REVIEW:
A. ANATOMY, PHYSIOLOGY
AND FUNCTIONS OF THE
NEUROLOGIC SYSTEM

II. APPLICATION OF THE
NURSING PROCESS
A. ASSESSMENT
1. Subjective
Assessment
a. Nursing History
- Weakness
- Numbness
- Paresthesias
- Headache
- Pain
- Altered
Thinking
- Speech
Difficulty
- Vomiting
- Vertigo
- Ataxia
- Fainting
- Seizures
- Loss of
consciousness
- Altered sleep
patterns
CLASSROOM TF RLE TF Brunner and
Suddarth's
Textbook of
Medical
Surgical
Nursing,
12TH ed
S. C
Smeltzer,
B.G. Bare,
J.L. Hinkle

Black M.J.,,
Hawks H.J.
Medical
Surgical
Nursing,
Clinical
Management
for
positive
outcome
7th
Ed.,Sauders,
Elsevier
Indicators:
Paper & Pencil
Test

Multiple choice

Essay

Performace
Rating Scale
on Ret dem

Checklist to
evaluate case
studies

Submission of
satisfactory
written reports
on
comprehensive
history, NCP,
pharmacological
sheet
Lecture

Brain
storming


Sympo
sium

Seminar

Role
playing
8H SKILLS LAB HOSPITAL COMMUNITY
6H Demonstration/
Return
Demonstration on:

1. Physical assessment
on neurologic system,
musculoskeletal and
EENT

2.
Admission/discharge

3. Role play on health
teaching

4. Body Mechanics

5. Exercise ( Isotonic,
Isometric, ROM)

6. Massage
techniques
Exposure to actual
clients
with problems in
perception and
coordination

Submission of
requirements

Discussion of diagnosis

Assist in medical and
surgical procedures

Actual administration
of'
drugs to assigned
client

Recording and
reporting of
care rendered to
patients
and response to drugs

Health education to
individualsk, group of
clients and significant
others
Written objectives on
home visits

Actual performance of
nursing procedures
needed
at home for
continuous
care such as:
a. Physiotherapy
b. ROM
c. Preventive measures
to prevent bedsores
d. feeding
e. Bathing

Ward class/ Bedside
care

Home visit of selected
patient for follow-up
care

Emphasis on
preventive
and rehabilitative
aspect
of care




INTERMEDIATE
COMPETENCIES
CONTENT TEACHING-LEARNING ACTIVITIES RESOURCES EVALUATION


















3. Prepare client
for diagnostic
examination

- Aphasia
- Changes in memory or
recent or memory events
- Changes in ability to concentrate

b. Functional Health Patterns

2. Objective Data
a. Assessing Neurologic Function
- Mental Status Assessment
- Cranial Nerve Assessment
- Cerebella Function
- Equilibratory Coordination
- Non Equilibratory
- Sensory Function
- Motor Function
- Reflexes

b. Diagnostic Examination
- Noninvasive Tests:
Structure:
- Skull X-ray
- CT Scan
- MRI

Function:
- EEG
- Evoked Potential Studies
- Neuropsychological Testing
- Functional MRI
- Positron Emission Test
CLASSROOM TF RLE TF Brunner and
Suddarth's
Textbook of
Medical
Surgical
Nursing,
12TH ed
S. C
Smeltzer,
B.G. Bare,
J.L. Hinkle

Black M.J.,,
Hawks H.J.
Medical
Surgical
Nursing,
Clinical
Management
for
positive
outcome
7th
Ed.,Sauders,
Elsevier
Indicators:
Paper & Pencil
Test

Multiple choice

Essay

Performace
Rating Scale
on Ret dem

Checklist to
evaluate case
studies

Submission of
satisfactory
written reports
on
comprehensive
history, NCP,
pharmacological
sheet
Lecture

Brain
storming


Sympo
sium

Seminar

Role
playing
8H SKILLS LAB HOSPITAL COMMUNITY
6H 7. Technique in
transferring patient:
a. bed to chair
b. chair to bed
c. bed to stretcher

8. Dressing and
bandaging
9. Application of splints

10. Turning of patients
with cast

11. Skin care and
Turning of patient in
traction

12. Care of the
unconsious patient
a. general care
b. eye shield
c. application of foot
board
d. application of
handroll
e. application of
trochanter roll
f. feeding, bowel and
bladder care
Exposure to
actual clients
with problems
in perception
and
coordination

Submission of
requirements

Discussion of
diagnosis

Assist in
medical and
surgical
procedures

Actual
administration
of drugs

Recording and
reporting of
care rendered
to patients
and response
to drugs

Health
education to
individualsk,
group of
clients and
significant
others
Written
objectives on
home visits

Actual
performance of
nursing
procedures
needed
at home for
continuous
care such as:
a. Physiotherapy
b. ROM
c. Preventive
measures
to prevent
bedsores
d. feeding
e. Bathing

Ward class/
Bedside care

Home visit of
selected
patient for
follow-up
care

Emphasis on
preventive
and rehabilitative
aspect
of care

INTERMEDIATE
COMPETENCIES
CONTENT TEACHING-LEARNING ACTIVITIES RESOURCES EVALUATION
- Vascular Abnormalities
- Ultrasonongraphy
- Doppler Scanning

b.2 Invasive Tests
Structure:
- Lumbar Puncture
- Myelography
- Cerebral Angiography
- Digital Venous Angiography

Function:
- Peripheral Nerve Studies
- Electromyography
- Nerve Conduction Velocity
- Muscle of Nerve Biopsy
- Genetic (Cellular Assessment)

b.3. Laboratory Examinations

- Complete Blood Count (CBC)
- Prothrombin Time (PT)
- Partial Thrombiplastin Time
- International Normalized Ratio
- Electrolytes and Blood Glucose
- Coagulation Studies
- Serum Osmolarity
- Toxicology
CLASSROOM TF RLE TF Brunner and
Suddarth's
Textbook of
Medical
Surgical
Nursing,
12TH ed
S. C
Smeltzer,
B.G. Bare,
J.L. Hinkle

Black M.J.,,
Hawks H.J.
Medical
Surgical
Nursing,
Clinical
Management
for
positive
outcome
7th
Ed.,Sauders,
Elsevier
Indicators:
Paper & Pencil
Test

Multiple choice

Essay

Performace
Rating Scale
on Ret dem

Checklist to
evaluate case
studies

Submission of
satisfactory
written reports
on
comprehensive
history, NCP,
pharmacological
sheet
Lecture

Brain
storming


Sympo
sium

Seminar

Role
playing
8H SKILLS LAB HOSPITAL COMMUNITY
6H g. Skin care

13. Basic audiologic and
eye's exam
a. Instillation
b. Irrigation

14. Crutch walking and
other assistive device
Exposure to
actual clients
with problems
in perception
and
coordination

Submission of
requirements

Discussion of
diagnosis

Assist in
medical and
surgical
procedures

Actual
administration
of drugs

Recording and
reporting of
care rendered
to patients
and response
to drugs

Health
education to
individualsk,
group of
clients and
significant
others
Written
objectives on
home visits

Actual
performance of
nursing
procedures
needed
at home for
continuous
care such as:
a. Physiotherapy
b. ROM
c. Preventive
measures
to prevent
bedsores
d. feeding
e. Bathing

Ward class/
Bedside care

Home visit of
selected
patient for
follow-up
care

Emphasis on
preventive
and rehabilitative
aspect
of care

INTERMEDIATE
COMPETENCIES
CONTENT TEACHING-LEARNING ACTIVITIES RESOURCES EVALUATION
Given an adult
client with
responses to
Altered
Neurologic
Function, the
students will
be able to:

2. Identify client's
needs and
problems
based on history,
physical
assessment and
diagnostic exams.
ALTERED COGNITIVE-
PERCEPTUAL PATTERNS:
CLIENTS WITH
NEUROLOGIC DISORDERS

I. CONCEPT REVIEW:
A. ANATOMY, PHYSIOLOGY
AND FUNCTIONS OF THE
NEUROLOGIC SYSTEM

II. APPLICATION OF THE
NURSING PROCESS
A. ASSESSMENT
1. Subjective
Assessment
a. Nursing History
- Weakness
- Numbness
- Paresthesias
- Headache
- Pain
- Altered
Thinking
- Speech
Difficulty
- Vomiting
- Vertigo
- Ataxia
- Fainting
- Seizures
- Loss of
consciousness
- Altered sleep
patterns
CLASSROOM TF RLE TF Brunner and
Suddarth's
Textbook of
Medical
Surgical
Nursing,
12TH ed
S. C
Smeltzer,
B.G. Bare,
J.L. Hinkle

Black M.J.,,
Hawks H.J.
Medical
Surgical
Nursing,
Clinical
Management
for
positive
outcome
7th
Ed.,Sauders,
Elsevier
Indicators:
Paper & Pencil
Test

Multiple choice

Essay

Performace
Rating Scale
on Ret dem

Checklist to
evaluate case
studies

Submission of
satisfactory
written reports
on
comprehensive
history, NCP,
pharmacological
sheet
Lecture

Brain
storming


Sympo
sium

Seminar

Role
playing
8H SKILLS LAB HOSPITAL COMMUNITY
6H Demonstration/
Return
Demonstration on:

1. Physical assessment
on neurologic system,
musculoskeletal and
EENT

2.
Admission/discharge

3. Role play on health
teaching

4. Body Mechanics

5. Exercise ( Isotonic,
Isometric, ROM)

6. Massage
techniques
Exposure to actual
clients
with problems in
perception and
coordination

Submission of
requirements

Discussion of diagnosis

Assist in medical and
surgical procedures

Actual administration
of'
drugs to assigned
client

Recording and
reporting of
care rendered to
patients
and response to drugs

Health education to
individualsk, group of
clients and significant
others
Written objectives on
home visits

Actual performance of
nursing procedures
needed
at home for
continuous
care such as:
a. Physiotherapy
b. ROM
c. Preventive measures
to prevent bedsores
d. feeding
e. Bathing

Ward class/ Bedside
care

Home visit of selected
patient for follow-up
care

Emphasis on
preventive
and rehabilitative
aspect
of care