outline

1. Medical Surgical Nursing
Credits: 11 Units
MONTHLY
B N WEEK TOPIC
1 Orientation to the Course, Policies and OBE format
2
CARE OF PATIENT WITH CELLULAR ABERRATION
1. Theories in the transformation of normal cells into cancer cells.
2. Differences of characteristics of normal cells and cancer cells.
3. Etiology of cancer
4. Theories of cancer causation
3
5. Diagnostic tests and procedures (invasive, noninvasive)
6. Pathophysiological changes that occur in cancer and its local effects and effects to various
organ systems.
7. Signs and symptoms of cancer.
8. Modes of spread of cancer cells.
9. Medical and Surgical modalities
10. Appropriate nursing management for cancer patient as to specific nursing problems
identified
11. Mgt of different Cancer diagnoses
a. Oropharyngeal CA
b. Laryngeal CA
4
c. GI CA
d. Lung CA
e. Breast CA
f. Cervical & Uterine CA
g. Prostate CA
h. Bladder CA
i. Hodgkin’s Disease
j. Multiple Myeloma
k. Bone CA
5
12. Oncologic Emergencies & Mgt
a. Metabolic
- Hypercalcemia
- Syndrome of Inappropriate Secretion of Antidiuretic Hormone (SIADH)
- Tumor Lysis Syndrome
- Disseminated Intravascular Coagulation (DIC)
- Consumption Coagulopathy
- Septic Shock
b. Obstructive
- Superior Vena Cava Syndrome (SVCS)
- Spinal Cord Compression
- Third Space Syndrome
- Intestinal obstruction
c. Infiltrative
- Pericardial effusion and Cardiac Tamponade
- Carotid Artery Rupture
6 MONTHLY EXAMINATIONS (Sept. 14-17, 2016)

2. PRELIMS
B N WEEK TOPIC
7-8
CARE OF THE CHRONICALLY ILL AND ELDERLY
1. Review Concepts of Chronic Illness
2. Define terms related to Gerontologic Nursing
3. Overview of Aging process
4. Core Competencies for Geriatric Nursing (By Kirsten Mauk)
5. Theories of aging
6. Leading causes of death in elderly patients
7. Age related changes
- Cardiovascular system
- Respiratory system
- Integumentary System
- Reproductive system
- G U system
- GI system
- Nutritional Health and sleep
- Nervous system
- Sensory system
8
8. Cognitive aspects of aging
9. Pharmacologic aspects of aging
10. Mental health problems in the Older Adult and Nursing Care
11. Other Geriatric Syndromes
12. Support in bereavement
13. Education
14. Research
15. Nurses Role
- Providing direct care
- Advocate
- Counselor
- Collaborative Role
16. Issues and Trends in Hospice
9
17. Review of pathophysiology of selected chronic conditions
18. Social Support and family in chronic illness
19. Issues and trends in chronic care
20. Legal Issues affecting the Older adult
21. Bioethical components of care
22. Community resources for care of older persons
9
HOSPICE PALLIATIVE CARE NURSING
1. Stages of death and dying.
2. Needs of patient and family members/caregivers
3. Nursing intervention of the patient/family/caregiver at any stage of the life situation
4. Bioethical and cultural beliefs and practices of the patient/family/caregiver
10
5. Differences of Hospice & Palliative
6. Principles of Palliative Care:
- Psychological, ethical, legal, and spiritual aspects of care
- Support system
7. Essential Components of Palliative Care
- Symptom control
- Effective communication
- Rehabilitation
- Continuity of care
8. Terminal care Issues and trends in palliative care
9. Agencies for hospice and palliative care
10. Pain Management
- WHO Ladder of Pain MGT
- Essential Pain Management
11. Multicultural Concepts of death and dying

3. - Christians
- Catholics
- Islams
- Buddhist
- Jews
- Hindus
10-11
I. Nursing Management in Terrorism & Disaster
A. Disaster
1. Components of Disaster Management
2. Phases of Disaster Nursing
a. Mitigation
b. Preparedness
c. Response
d. Recovery
3. Triage Categories in Disaster
4. Psychological reactions to disaster
5. Different Level of PPE
a. Levels A, B, C, D
6. Disaster Levels
a. Levels 1,2,3
7. Types of Disaster
a. Natural
- Typhoon / Hurricanes
- Earthquakes
- Landslides
- Flooding
- Volcanic Eruptions
- Tsunamis
b. Man-made
- Bombing
- Fire / Wild Fires
- Ionizing Radiation
c. Emerging Illnesses/ Superbug Infections:
- SARS, Avian Flu, AH1N1, MERS-CoV, VRE, MRSA, ESBL, New Delhi Metallo
Betalactamase, Clostridium Difficile, MDRO, Brukholderia cepacia, EBOLA,
Zika Virus, Acinetobacter Baumannii
8. Ethical Dilemmas
9. Emergency Preparedness & Evacuation Plan
10. Philippine Disaster Plan
a. NDRRMC
b. “Yolanda” Rehabilitation Program
B. Terrorism
1. Agents of Terrorism: Pathologic effects, Manifestations, Transmissibility & Treatment
a. Biologic
b. Chemical
c. Radiologic
2. Protective Equipment & Decontamination Procedure
3. Surveillance & Reporting Procedures
4. Debriefing Process
5. Surveillance and reporting procedures for acts of bioterrorism or weapons of mass
destruction.
6. Incident Command System
12 PRELIMINARY EXAMINATION ( OCT. 26-29, 2016)

4. FINALS
B N WEEK TOPIC
13
NURSING MANAGEMENT OF PATIENTS IN ACUTE BIOLOGIC CRISIS
A. Circulatory
1. ACS (MI,STEMI, NSTEMI, Unstable Angina)
2. Dysrhythmias
3. Heart Failure
4. Aortic Aneurysm
5. Massive Bleeding
6. Cardiac tamponade
14-15
7. Shock
- Different Types
8. SIRS
- Causes
1. Pathophysiology
2. Mgt
- Complications
9. MODS
- Causes of MODS
- Patho Theories
1. Pathophysiology
- Stages of MODS
- Diagnostic tool
- Mgt of MODS
B. Respiratory
- Acute Respiratory Failure
- ARDS
- PE
C. Metabolic
- ARF
- Metabolic Encephalopathy
a. Hepatic Coma / Encephalopathy
b. DKA
c. HHNS
- Thyroid Crisis
- Addissonian Crisis
- Burns
D. Neurologic
- Stroke / CVA/ Brain Attack
- Increased ICP
- Cerebral Aneurysms
16-17
EMERGENCY NURSING
A. Scope and Practice of Emergency Nursing
B. Issues in Emergency Nursing
C. Principles of Emergency Care Nursing
- Triage
- Primary survey & resuscitation interventions
- 2ndary survey & resuscitation interventions
- Care of the ER patient
- Disposition
- Case management
- Patient / Family health teaching
D. Triage
- Hospital Triage
- Common Hospital Emergency Codes
1. Code Blue

5. 2. Rapid Response Team
3. Code Red (fire)
4. Code Black (bomb threat, bioterrorism)
5. Code Pink (infant abduction)
6. Code Gray (violence)
E. Violence in the Emergency Dept/ Room
- Gunfire
- Prisoners under guard
- -Feuding Gangs / Families
F. Providing Holistic Care in the ER
- Patient-focused interventions
G. Family-focused interventions
H. Limiting Health Risks Exposures during Emergency
I. Helping Family Cope with Sudden Death during Emergency
J. Caring for Emergency Staff
K. Management in Emergency Situations:
- Pathology
- Manifestations
- Treatment
II. Common Emergencies
1. Airway Obstruction
2. Bleeding, Shock
3. Multiple Trauma/ Injuries
4. Intra-abdominal Injuries
5. Crush Injuries
6. Violence
a. Sexual Assault
b. Human bites
7. Fractures
8. Wounds
9. Acute Alcohol Intoxication
- ETOH Withdrawal syndrome
10. Delirium Tremens
III. Environmental Emergencies
1. Heat-related
- Heat exhaustion
- Heat stroke
2. Cold-related
- Frost bite
- Hypothermia
3. Submersion Injuries
- Near-drowning
4. General Poisoning Mgt
- Corrosive
- non -corrosive
5. Overdose
6. Anaphylactic reaction
7. Animal Bites and Stings
8. High -Altitude Related Problems
9. Decompression Syndrome
10. Carbon Monoxide Poisoning
11. Food Poisoning
18 FINAL EXAMINATIONS (DEC. 12-15, 2016)