Republic of the Philippines

Islamic City of Marawi, Lanao del Sur

Mindanao State University – College of Health Sciences

Annex 1
COURSE DESIGN
(Instructional Plan)

Course Title: CARE OF CLIENTS WITH PROBLEMS IN NUTRITION AND GASTROINTESTINAL SYSTEM
DISORDERS (NSG 126)

Course Description: This course deals with the principles and techniques of nursing care management of sick clients across
lifespan in any setting with alterations/problems nutrition and gastrointestinal system. Students are expected
to utilize the nursing process in the care of individuals, families in community and hospital settings; ensure a
well-organized and accurate documentation system; relate with clients and their family and the members of
the healthcare team; observe bio-ethical concepts and principles, core values and nursing standards in the
care of clients; and promote personal and professional growth of self and others.

Introduction: The digestive system is composed of the gastrointestinal (GI) tract or the alimentary canal, salivary glands,
the liver, and the exocrine pancreas. The principal functions of the gastrointestinal tract are to digest and
absorb ingested nutrients and to excrete waste products of digestion. Most nutrients are ingested in a form
that is either too complex for absorption or insoluble and therefore indigestible or incapable of being
digested. Within the GI tract, much of these substances are solubilized and further degraded enzymatically
to simple molecules, sufficiently small in size and in a form that permits absorption across the mucosal
epithelium. This course describes the normal biochemical processes of intestinal secretion, digestion, and
absorption. Once these issues have been put in perspective, the course explores the pathogenesis of the
 important gastrointestinal diseases and the biochemical basis for their diagnosis and treatment. This course
will explore on the different alterations in the digestive system and how these changes affect the human
organism. Through the teaching-learning process embedded in this course design, students are expected to
understand the theoretical concepts on nutrition and digestive system responses and be able to translate
them into nursing competencies to safely and holistically care for patients with specific GI system alterations
in all clinical settings.

Course Outcomes: At the end of the course, a group of learners will be able to utilize the nursing process in the care of
individuals, families in selected 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 and evaluates the progress of his/her/their client’s condition
and outcomes of care. Furthermore, the group of learner will be able to:

1. Apply knowledge of physical, social, natural, sciences and humanities in formulating appropriate nursing
care plans for clients with alteration in nutrition and digestive system response.

2. Utilizes the nursing process in managing patients with alteration in nutrition and digestive system
response.

3. Apply guidelines and principles of evidence-based practice in nursing management.

4. Follow the guidelines in caring for patients with problems in nutrition and digestive system response
stipulated in the scope of nursing practice and adhering to the institutional policy.

5. Communicate effectively in establishing rapport with the patient, providing health teaching and nursing
interventions

6. Report and document data gathered honestly and accurately.

7. Apply principles of coordination, partnership with other members of the health care team.
8. Manage the nursing service unit in medical-surgical area.

9. Participate in the approved research activities.

10. Participate in the research trainings, symposia, and variety of avenues for continuing education related
to nursing care for patients with alteration in nutrition and digestive system response.

11. Utilize techno-intelligent tools in providing nursing care to patients with alteration in nutrition and
digestive system response such as development in the respiratory care modalities, advancement in the
pharmacological and non-pharmacological approach in providing individualized plan of care.

12. Uphold the nursing core values in the delivery of care to patients with alteration in nutrition and digestive
system response.
 Course Code: NSG 126
Course Title: Care of Clients with Problems in Nutrition and Digestive System Response
Instructor: Mr. Randy Ian F. Gallego

ASSESSMENT/
LEARNING COURSE LEARNING
TOPIC TA EVALUATION
OUTCOMES CONTENT STRATEGIES
TOOLS

At the end of the lesson A. The individual client with 4 I. Overview of Asynchronous Multiple choice
and given relevant problems in nutrition and hours the Digestive Online quiz by using
health care situations, digestive system per and Approach Google Forms
the students will be able response. sessio Gastrointestin
to: n al System Submission of
Lecture Video Essay on a topic
1. Recognize clients a. Anatomy and Physiology Presentation that the Instructor
who are at risk of has directed.
developing problems b. The Normal Journal sharing
nutrition and Gastrointestinal System
digestive system Function
response.
c. Risk factors among clients
2. Explain how these that contribute to the
risk factors development of problems
contribute to the in Nutrition and Digestive
development of System Response
problems in nutrition
and digestive system
response.

3. Differentiate between
 modifiable and non-
modifiable risk
factors

4. Demonstrate logical,
analytical and critical
thinking skills in
determining clients at
risk of developing
problems in nutrition
and digestive system
response.

At the end of the lesson B. Principles and techniques 4 II. Objective Asynchronous Objective
and given relevant of physical examination in hours Assessment Online Examination
health care situations, new-born, children, adults, per of the in Approach
the students will be able deviations from normal in sessio Nutrition and Written work with
to: clients with problems in n Digestive Rubrics for the
Nutrition and Digestive System Collaborative individual and
1. Perform physical System Response. Learning thru group activity
examination utilizing simulation
the four techniques a. Inspection – color, activity:
to clients having lesions, masses instructional
problems in Nutrition b. Palpation – turgor, multimedia will
and Digestive tenderness, masses, be played
System Response body showing the
c. temperature, techniques to
2. Demonstrate the four tenderness perform physical
techniques in d. Percussion assessment
conducting physical e. Auscultation
examination to
clients experiencing C. Significant subjective data
problems in Nutrition from the client history
 and Digestive related to problems in
System Response Nutrition and Digestive
System Response.

a. Chief complaints

b. Relevant information, to
include eleven functional
patterns.

At the end of the lesson D. Results, nursing 4 III. Diagnostic Asynchronous Written Essay
and given relevant considerations, and hours Evaluation of Online Exam of Case
health care situations, implications of per the in Nutrition Approach Profile
the students will be able diagnostic/laboratory sessio and Digestive
to: examinations of clients n System Lecture Video Portfolio of
with reference to problems Function Presentation Reaction Paper
1. Describe the in Nutrition and Digestive
laboratories and System Response: Concept mapping
diagnostic
examinations a. Diagnostic tests – Use of
required for patients instructional
having problems in  Non-invasive: X-ray, media using
Nutrition and UTZ, UA, SE, MRI video-clips of
Digestive System diagnostic
Response.  Invasive – CBC, Serum evaluation
Cholesterol, SGPT and procedures
SGOT, Serum Albumin,
2. Explain the Endoscopy, HbSAg,
implications of the Upper GI Series, Lower
results of the GI Series, Gastric
laboratory and Analysis, Cytology
diagnostic Examination, Rectal
procedures Exam, CEA, Liver
Biopsy
3. Discuss nursing
responsibilities for
each diagnostic
procedure

a. Display appropriate
attitude in providing
patient safety and
privacy when
assisting patients
during diagnostic
procedures.

At the end of the lesson E. Pathophysiologic 4 IV. Pathophysiol Asynchronous Objective

and given relevant Mechanisms hours ogy Nutrition Online Examination
health care situations, Nutrition and Digestive per and Digestive Approach
the students will be able System Disorders sessio System Individual Oral
to: n Disorders Lecture video Revalida
a. Upper GI Disorders: presentation
i. Trace the Stomatitis, Gastritis, Concept Map
pathophysiology of Gastroenteritis, Peptic Output
each classification of Ulcer Disease, GERD, Concept Mapping Presentation
disorders Achalasia, Hiatal
Hernia Case Analysis
ii. Explain the flow of b. Lower GI Disorders: Brainstorming
pathophysiology of Polyps, Hemorrhoids,
each classification of Dumping Syndrome,
disorders Intestinal Obstruction,
Appendicitis, Crohn’s
iii. Identify clinical Disease, Ulcerative
manifestations of Colitis, Irritable Bowel
each alteration Syndrome, Diverticular
Disease, Peritonitis
iv. Determine the c. Diseases of the
clinical implication of Digestive Accessory
manifestation of Organs: Hepatitis,
each disorder Cholelithiasis,
Cholecystitis,
Pancreatitis
v. Utilize nursing
process in the care
d. Problems in Nutrition:
of patients
Malnutrition, Anorexia
Nervosa, Bulimia
vi. Demonstrate logical, Nervosa
analytical and critical
thinking skills in
understanding the
nature of various
problems in Nutrition
and Digestive
System Response.

vii. Display appropriate

attitude in providing
patient safety and
privacy when
providing care for
patients having
problems in Nutrition
and Digestive
System Response
At the end of the lesson F. Nursing diagnoses 4 V. Nursing Asynchronous Summative quiz
and given relevant taxonomy pertinent to hours Diagnoses of Online
health care situations, problems/ alteration in per Nutrition and Approach Journal Reports
the students will be able Nutrition and Digestive sessio Digestive
to: System Response n System
Pathologies Student
1. Formulate nursing a. Acute pain Presentation:
diagnosis of clients students will be
experiencing b. Risk for deficient fluid required to
problems in Nutrition volume present an
and Digestive assigned
System Response c. Risk for imbalanced immunologic
nutrition, less than body disease and its
requirements corresponding
2. Develop nursing care nursing
plan for clients d. Risk for imbalanced diagnosis.
experiencing nutrition, more than
problems in Nutrition body requirements An interactive
and Digestive e. Knowledge deficient discussion and
System Response (learning need) critique will
regarding condition, follow.
3. Demonstrate logical, prognosis, treatment
analytical and critical regimen, self-care, and Journal reading
thinking skills in discharge needs
developing nursing Case analysis
care plans for client f. Constipation
experiencing
problems in Nutrition g. Diarrhea
and Digestive
System Response h. Disturbed body image
At the end of the lesson H. Principles of therapeutic 4 VI. Nursing and Asynchronous Objective
and given relevant management of problems in hours Medical Online examination
health care situations, Nutrition and Digestive per Management Approach
the students will be able System Response sessio for Nutrition Written output of
to: n and Lecture Video journal and case
a. Determination and Digestive Presentation analysis.
1. Define and explain management of cause System
the principles of Disorders Case analysis
each management b. Drug therapy
for patient
experiencing c. Prevention of infection
abnormalities in
Nutrition and d. Supportive
Digestive System management
Response.
e. Prevention of
complications
2. Discuss the
indications and f. Rehabilitation
contraindications of
each therapeutic
management.

3. Integrate nursing
process in the care
of clients receiving
different therapeutic
modalities.

4. Discuss nursing
responsibilities for
each therapeutic
modality.
At the end of the lesson I. Pharmacologic actions, 4 VII. Pharmacolo Asynchronous Objective
and given relevant therapeutic uses, side effects, hours gic Online Examination
health care situations, indications, contraindications, per Intervention Approach
the students will be able and nursing responsibilities: sessio s for Submission of
to: n Nutrition Generic Flipped Powerpoint Slides
 Anti-emetics and Activity where
of all
Digestive key ideas will be pharmacologic
1. Explain appropriate  Anti-coagulants System pre-recorded by drugs with
pharmacologic Disorders the Instructor andcomplete drug
management for  Anti-ulcer Drugs students will be study
each client given specific
experiencing  Antidiarrheal Drugs drugs for them to Written work
problems in Nutrition research further.
and Digestive  GI Stimulants They shall
System Response. enhance
 Gallstone Solubilizing understanding
2. Describe and explain Agents and presentation
pharmacologic of the topics into
actions, indications,  Laxatives and Stool one full-blown
side effects Softeners drug study
contraindications and presentation.
nursing  Antihyperlipidemic
responsibilities for
each medication  Vitamin Supplements
given clients having
problems in Nutrition
and Digestive
System Response.

At the end of the lesson J. Perioperative care 4 VIII. Operative Asynchronous Summative
and given relevant hours intervention Online Evaluation
health care situation, the a. Preoperative – pre- per s for Approach
students will be able to: operative medications sessio Nutrition
n and Multiple choice
1. Describe different b. Intraoperative – Digestive Lecture Video quiz by using
surgical interventions anaesthetic agents – System Presentation Google Forms
required for patients general, spinal, blocks Disorders
having alteration in
Nutrition and c. Postoperative –
Digestive System analgesics, opioids,
Response. antipyretics, antibiotics

2. Discuss nursing I. Purpose, indications,

responsibilities and nursing responsibilities for
complications for the following surgical and
each phase of special procedures for
perioperative period. Nutrition and Digestive
System disorders:

3. Perform a. Nissen Fundoplication

appropriately the b. Gastrectomy
procedures done to c. Vagotomy
patients experiencing d. Pyloroplasty
problems in Nutrition e. Gastric Resection
and Digestive f. Appendectomy
System Response. g. Colon Resection
h. Hemorrhoidectomy
i. Paracentesis
j. Lithotripsy
k. Laparoscopic
Procedures
l. Pancreatectomy

Prepared by: Noted by: Noted by:

Mr. Randy Ian Gallego, Faculty Dr. Athena Jalaliyah D. Lawi, Chairperson Dr. Naima D. Mala, Dean