NCM 116

COLLEGE OF NURSING
Carlatan, San Fernando City, La Union

PHILOSOPHY
We believe in student centered approach to education and management.

We believe in achieving a lot with limited resources by knowing what other institutions are doing, adopting or
improving and using that can be applied to the College.

We believe that a strong continuing faculty and staff development program in the college is a vital component
of the total effort to attain the main goal of the College.

We believe in the stability and strength as a base for achieving quality education, relevant to national means and development of the total person.

We believe above all that giving honor and glory to God in everything we do, is most important in all official activities of the college.

VISION

We envision Lorma Colleges as an educational institution with a global perspective emphasizing quality, Christian values,
and leadership skills relevant to national development.

MISSION

To empower students for service anywhere in the world through Christian-inspired, quality-driven, and service-oriented education and training.
 INSTITUTIONAL GRADUATE ATTRIBUTES INSTITUTIONAL OUTCOMES
GOD FEARING IO1 Internalize the Christian values
IO2 Model the Christian values in their personal and professional lives.
DECISION MAKER, CRITICAL AND CREATIVE IO3 Generate ideas and insights utilizing appropriate judgment in decision making.
THINKER IO4 Utilize higher order thinking skills in decision making towards innovation and creating new
technologies
IO5 Apply innovative methods and new technologies to solve different problems and making
decisions effectively
EFFECTIVE COMMUNICATOR IO6 Communicate effectively ideas or knowledge through listening, speaking, reading, writing using
culturally appropriate language.
SERVICE-DRIVEN CITIZEN IO7 Imbibe the service-orientedness to oneself, to oneself, to one’s profession and towards the
community.
REFLECTIVE LIFE LONG LEARNER IO8 Commitment to continuously upgrade one’s education through readings, seminars and trainings
COMPETENT PROFESSIONAL IO9 Perform exceptional knowledge, skills and right attitude in accomplishing duties and
responsibilities beyond acceptable standards.

NURSING PROGRAM OUTCOMES INSTITUTIONAL VISION MISSION PHILOSOPHY

After 3 – 5years, the graduate will: OUTCOMES
1 exemplify Christian values, legal and ethico-moral principles in serving IO1; IO2; IO7   
individual clientele in various cross-cultural settings.
2 execute professional and social competence in the field of specialization in IO6; IO9   
accordance to national and international nursing standards.
3 develop a high level of comprehension for decision making and critical IO3; IO4; IO5; IO8   
thinking through continuous educational advancement necessary for
personal and professional empowerment.
 COURSE SYLLABUS

1. COURSE CODE : NCM 116

2. COURSE TITLE : CARE OF CLIENTS WITH PROBLEMS IN NUTRITION, AND GASTROINTESTINAL, METABOLISM
AND ENDOCRINE, PERCEPTION AND COORDINATION, ACUTE AND CHRONIC
3. PRE – REQUISITE : NCM 112
4. CO – REQUISITE : N/A
5. COURSE CREDIT : 5 Units Lecture, 4 Units RLE (1 Unit skills lab, 3 units clinical)
6. CONTACT HOURS/SEMESTER : 90 Lecture Hours/204 RLE Hours
5 Hours per Week (Lecture)/24 Hours per Week (RLE)
7. COURSE DESCRIPTION :
This course deals with concepts, principles, theories and techniques of nursing care of at risk and sick
adult clients in any setting with alterations/ problems in nutrition, gastro-intestinal, metabolism and
endocrine, perception and coordination, acute and chronic toward health promotion, disease prevention
and holistic nursing care to at-risk and sick adult client utilizing the nursing process.

8. LEVEL OUTCOMES AND RELATIONSHIP TO PROGRAM OUTCOMES

LEVEL 3 OUTCOMES NURSING PROGRAM OUTCOMES
At the end of the third year, given individuals, families, population groups, with physiologic and psychosocial 1 2 3
health problems and maladaptive patterns of behavior in varied health care settings with minimal supervision, the
students demonstrate safe, appropriate and holistic care utilizing the nursing process and applying research and
evidence based proactice.
1 Apply knowledge of physical, social, natural and health sciences, and humanities in the practice of   
nursing.
2 Provide safe, appropriate and holistic care to individuals, families, population groups and communities  
utilizing nursing process.
3 Apply guidelines and principles of evidence-based practice in the delivery of care.  
4 Practice nursing in accordance with existing laws, legal, ethical and moral principles.  
5 Communicate effectively in speaking, writing and presenting using culturally-appropriate language.   
6 Document to include reporting up-to-date client care accurately and comprehensively.   
7 Work effectively in collaboration with inter-intra- and multi-disciplinary and multi-cultural teams.  
8 Practice beginning management and leadership skills in the delivery of client care using a systems   
approach.
9 Conduct research with an experienced researcher.   
10 Engage in lifelong learning with a passion to keep current with national and global developments in   
general, and nursing and health developments in particular.
11 Demonstrate responsible citizenship and pride of being a Filipino   
12 Apply techno-intelligent care systems and process in health delivery.   
13 Adopt the nursing core values in the practice of the profession.   

9. COURSE OUTCOMES AND RELATIONSHIP TO LEVEL OUTCOMES

Course Outcomes Level Outcomes
At the end of the course, and given actual clients, population group, with 1 2 3 4 5 6 7 8 9 10
problems in inflammatory and immunologic response and perception and
coordination, the student should be able to:
1 Apply knowledge of physical, social, natural and health sciences D D D D D D D D D D
and humanities in the nursing care of at risk and sick adult clients
with problems in nutrition and gastro-intestinal, metabolism and
endocrine, perception and coordination, acute and chronic.
2 Provide safe, appropriate and holistic nursing care to at-risk and D D D D D D D D D D
sick adult clients with problems in nutrition and gastro-intestinal,
metabolism and endocrine, perception and coordination, acute and
chronic, utilizing the nursing process.
3 Apply guidelines and principles of evidence-based practice in the D D D D D D D D D D
delivery of care for at-risk and sick adult clients with problems in
nutrition and gastro-intestinal, metabolism and endocrine,
perception and coordination, acute and chronic.
4 Practice nursing in accordance with existing laws, legal, ethical D D D D D D D D D D
and moral principles and standards.
5 Communicate effectively in speaking, writing and presenting using D D D D D D D D D D
culturally appropriate language in the care of at risk and sick adult
clients.
6 Document to include reporting up-to-date client care accurately D D D D D D D D D D
and comprehensively in the care of at-risk and sick adult clients.
7 Work effectively in collaboration with inter-, intra-, and multi- P P P D D D D D D D
disciplinary and multi-cultural teams.
8 Practice beginning management and leadership skills in the care of P P P P P P P D D D
at-risk and sick adult client with alterations/problems in nutrition
and gastro-intestinal, metabolism and endocrine, perception and
coordination, acute and chronic.
9 Conduct research with an experienced researcher in the area of P P P P P P P P P P
care of at-risk and sick adult clients with alterations/problems in
 nutrition and gastro-intestinal, metabolism and endocrine,
perception and coordination, acute and chronic.
10 Engage in lifelong learning with a passion to keep current with D D D D D D D D D D
national and global developments in the care of at-risk and sick
adult clients with alterations/problems in nutrition and gastro-
intestinal, metabolism and endocrine, perception and coordination,
acute and chronic.
11 Demonstrate responsible citizenship and pride of being a Filipino. D D D D D D D D D D
12 Apply techno-intelligent care systems and processes in health care P P P P P P P D D D
delivery of care of at-risk and sick adult clients.
13 Adopt the nursing core values in the delivery of care to at-risk and D D D D D D D D D D
sick adult clients.
 Legend: I – Introduced; P – Performed with supervision; D – Demonstrated

10. COURSE COVERAGE

Teaching Learning Activities
Week Day CLASSROOM TOPICS Learning Classroom RLE Assessment Course
Resources Skills Clinical Tasks Outcomes
LOLS: Lorma Laboratory
College of 3 hours first
Nursing day.
Online
Learning 3 hours 2nd
System day
4 hours -
synchronous 2 hours 3rd
session day
4 hour
asynchronous
sessions
1 1 Re-orientation to the school policies, Student Handbook Lecture - Open Forum CO1
rules and regulations and other school Discussion
mandates
 1 UNIT I. Nutritional-Metabolic 1. Brunner and Flipped Lecture Conduct health Group CO1;
Patterns/Responses to Altered Suddarth’s video /Demonstratio history taking activity- CO2;
Nutrition Textbook of presentation n on NGT and physical Games on CO3; CO4
Medical- on examination and identification CO5;
insertion,
Digestive and Gastrointestinal Function Surgical fundamental review of of digestive CO6,
1. Review of Anatomy and Nursing, S. concepts of Lavage and CO7,
feeding, laboratory system
Physiology of the Digestive Smeltzer et digestive CO8, CO9
exams and parts/organs;
System al, 11th and enema and CO10,
diagnostic test to assessment
2. Assessment Edition, 2011 gastrointesti colostomy CO11
3. Diagnostic Examinations pp. 55-75; nal function client with techniques
care and
978-1067. alteration of GI and
irrigation
functions diagnostic
exam

2. Medical- - Health
Surgical assessment
Nursing
output
Concepts
and
Application -Return
2nd ed. 2009, demonstratio
J. Udan, 2nd n on NGT
Edition, 2009 insertion and
pp.269- feeding
320
-Return
demonstratio
n on
colostomy
care and
enema
2 1 4. Specific Disorders Interactive -SNAPPS - Output from CO3; CO4
A. Oral Discussion oral report CO5;
 Hiatal Hernia Lecture -NCP/ charting/ CO6,
 Diverticulum Drug study -Written CO7,
 GERD Reading output from CO8, CO9
 Achalasia assignment NCP/ CO10,
 on definition charting/ drug CO11
of study (RLE)
GERD/PUD
-Case
analysis
2 B. Gastric and Duodenal Creative SNAPPS Presentation CO3; CO4
 Gastrointestinal Bleeding Concept (Summarize CO5;
 Gastritis Mapping relevant History; CO6,
 Peptic Ulcer Disease narrow CO7,
differential; CO8, CO9
Analyze the CO10,
CO11,
CO12
CO13
3 1 C. Intestinal and Rectal Interactive Group -Oral CO3; CO4
 Constipation Online discussion presentation CO5;
 Fecal Incontinence Lecture from buzz CO6,
 Irritable Bowel Syndrome group CO7,
discussion CO8, CO9
CO10,
-Graded CO11,
recitation CO12
CO13
2 D. Malabsorption Syndrome 1. Brunner and Reading -Auntie Minnie Output from
E. Appendicitis Suddarth’s assignment case study “Auntie
F. Inflammatory Bowel Disease Textbook of on Minnie”
Medical-
assessment
Surgical
Nursing, S. and
Smeltzer et diagnostics of
al, 11th clients with
Edition, 2011 malabsorption
pp. 1067- syndrome/IBS
1110.
2. Medical-
-Interactive
Surgical
Discussion
 Nursing Lecture
Concepts
and Brainstorming
Application
Concept
2nd ed. 2009,
J. Udan, 2nd Mapping
Edition, 2009
4 1 G. Intestinal Obstruction pp.269- Assessment of SNAPPS Bedside oral CO7,
H. Hemorrhoids 320 Intenstinal (Summarize reporting CO8, CO9
I. Celiac Disease disorders from relevant History; CO10,
narrow CO11,
families/neighbo
differential; CO12
rs and friends CO13
Analyze the
Interactive
discussion
based from
conducted
interview

2 J. Gastrointestinal and Special Flipped video Journaling/reflec Quiz CO7,

Nutrition Modalities discussion tive journal CO8, CO9
K. Malnutrition TESTMOZ CO10,
CO11,
CO12
CO13
5 1,2 UNIT II. Nutritional-Metabolic Group Buzz Demonstration Output from CO1;
Patterns/Responses to Altered Discussion of NGT picture CO2;
Endocrine Function feeding, making CO3; CO4
gavage and activity CO5;
Comic Strip/
1. Metabolic and Endocrine lavage CO6,
A. Hepatic Disorders Picture making CO7,
 Liver Cirrhosis activity Return CO8, CO9
 Hepatitis demonstratio
n (RLE –
SKILLS)
6 1 B. Biliary Case Analysis SNAPPS Bedside oral
 Cholecystitis (Summarize reporting
 Cholelithiasis relevant History;
narrow
differential;
Analyze the

2 PRELIM EXAMINATION

7 1 C. Endocrine  Online Journaling/reflec Evaluation of

(Hypofunction/Hyperfunction) Classroom tive journal reflective
 Pituitary Disorders Discussion journal
2  Thyroid Disorders  Buzz Group Nursing Care Online Quiz
 Parathyroid Disorders Discussion Plan (SOAPIE)
Making and Testmoz
documentation

8 1  Adrenal Disorders  Textbook Case analysis Graded

 Pancreatitis Assignments recitation

2  Diabetes Mellitus • Small group Reflective Presentation CO2;

o Classification Task Journals and upload of CO3:
o Pathophysiology oriented digital posters CO4:
o Clinical discussion
Manifestations • Textbook CO5; CO6
o Assessment and assignment
Diagnostic Findings s
 Digital
Posters of
endocrine
disorders
9 1  Acute Complications of • Infographics Nursing Care Presentation CO2;
Diabetes Plan (SOAPIE) CO3:
o Hypoglycemia Making and CO4:
o Hyperglycemia • Textbook documentation
o Diabetic assignment CO5; CO6
Ketoacidosis s
o Hyperosmolar Group Quiz
Nonketotic
Syndrome
o Microvascular
complications
 Diabetic Neurophathies
10 1 UNIT III. Alteration in Perception and • Smeltzer S., et • Textbook Lecture/ Chart reading Oral CO1;CO2;
Coordination al., (2013). Reading Demonstration and Recitation CO3;CO4;
Textbook of / Film Viewing documentation CO5; CO6
Medical- on
A. Disturbances in Musculoskeletal
Surgical Nursing
Function 13th Edition A. Musculo- Patient history
1. Risk Factors Assessment and • Nettina et al., skletal Care taking/ physical
Screening Procedures (2014). Modalities examinations of
2. Significant Subjective Data from Lippincott, clients with
Client – relevant information based Manual of 1. The patient disturbances in
on chief complaints, functional Nursing in a Cast, musculoskeletal
Practice, 10th Crutches,
patterns, including psychosocial functions
edition Canes,
and behavioral assessment • Lemone and walkers,
Burke (2014). Splints or
3. Principles and Techniques of Medical- Braces
Physical Examination in Adults Surgical nursing • Interactive
and Deviations from Normal 5th Edition Lecture 2. Nursing
a. Inspection: Posture and Gait, Discussion management
of Patient with
ADL, Swelling, Atrophy,
External
Deformity, Muscle Strength, Fixation
Discharge
Pen – Paper
b. Palpation: Deviation/Limitation 3. Nursing
Exam/
 in ROM, Tenderness, • Powerpoint Management TESTMOZ
Deformity of Joints, Muscle presentation of Patient with
Size and Strength, Crepitation Tractions
on Movement of Joints,
Presence of Subcutaneous
Nodules
Palpation: Turgor, Tenderness,
Masses, Body Temperature,
Tenderness
2 4. Results and Implications of • Smeltzer S., et • Powerpoint Individual Case • Pencil – CO1;CO2;
Diagnostic/Laboratory Examinations al., (2013). presentation study Paper CO3;CO4;
of Client Textbook of Exam CO5; CO6
Medical-
a. Non-Invasive: i.e.
Surgical Nursing
Electromyogram (EMG) 13th Edition
• Nettina et al.,
b. Invasive: Biopsy, Cerebrospinal (2014). • Picture Gallery Reflective • Presentati
& Synovial Fluid Determination, Lippincott, • Flipped Video journal on
Serum Calcium, Phosphorus, Manual of presentation
Alkaline Phosphatase Nursing
Practice, 10th
Determination
edition
• Lemone and
Burke (2014).
Medical-
Surgical nursing
5th Edition “Aunt Minnie” • Recitation

11 1 5. Pathophysiologic Mechanisms • Smeltzer S., • Reading Nursing Care Oral CO3; CO4
a. Infections/Inflammatory et al., (2013). assignments Plan (SOAPIE) Recitation CO5;
Disorders: Paget’s Disease, Textbook of via Google Making and CO6,
Osteomyelitis Medical- classroom/Ed documentation CO7,
b. Abnormalities in the curvature Surgical modo CO8, CO9
of the spine Nursing 13th CO10,
 c. Degenerative Disease: Edition CO11,
Osteoporosis, Gout, • Nettina et al., Pen-paper CO12
Osteomalacia, Osteoarthritis (2014). exam/ CO13
d. Traumatic Injuries: Contusion, Lippincott, TESTMOZ
Strain, Sprain, Joint Dislocation, Manual of
Fracture, Amputation Nursing • Powerpoint
e. Congenital Disorders: Muscular Practice, 10th presentation
Dystrophy edition
• Lemone and
6. Nursing Diagnoses Taxonomy Burke (2014).
a. Alteration in Comfort: Medical- • Online Health Guide
Surgical Classroom (brochure)
Pain/Pruritus
nursing 5th discussion
b. Knowledge Deficit Edition
c. Impaired Physical Mobility
d. Disturbance in Self-Concept
e. Altered Nutrition
7. Principles of Management
a. Determination and Nursing Care
Plan
Management of Cause
 Phillips 66
b. Drug Therapy
c. Supportive Management:
Immobility Precaution
d. Removal of Secretion
e. Prevention of Infection
f. Prevention of Complications
Rehabilitation
2 8. Pharmacologic Actions, Therapeutic • Smeltzer S., • Online Lecture/ Drug Study Oral CO3; CO4
Use, Side Effects, Indications, et al., (2013). Classroom Demonstration Recitation CO5;
Contraindication and Nursing Textbook of discussions /Video CO6,
Medical- Presentation/ CO7,
Responsibilities
Surgical CO8, CO9
a. Antibiotics Nursing 13th • Textbook Guided CO10,
b. Anti-inflammatory Agents Edition assignments Practice in CO11,
c. Corticosteroids • Nettina et al., 1. Ambulation CO12
 (2014). with CO13
9. Purpose, Indications, Nursing Lippincott, A. crutches
Responsibilities for the Following Manual of B. cane Reflective • Pen –
Nursing • Reflective C. walker Journaling Paper
Surgical and Special Procedures
Practice, 10th Journaling/ex D. application Exam/
a. Surgical Procedures: edition perience of cast TESTMOZ
Internal/External Fixation, • Lemone and discussion B.
Amputation, Bone Resection, Burke (2014). through
Open Reduction, Tenorrhaphy, Medical- Google
Spinal Fusion Surgical classroom
b. Special Procedures: nursing 5th
Edition Return
Application of Casts, Tractions,
Demonstration
Braces, Crutch Walking
12 1 10. Safe and Comprehensive • Smeltzer S., • Online Nursing Care Oral CO3; CO4
Perioperative Nursing Care et al., (2013). Classroom Plan (SOAPIE) Recitation CO5;
a. Assessment and Care During the Textbook of discussions Making and CO6,
Medical- documentation CO7,
Perioperative Period
Surgical CO8, CO9
Nursing 13th • Textbook • Pencil – CO10,
b. Techniques in Assisting the Edition assignments Paper CO11,
Surgical Team During the • Nettina et al., Exam CO12
Operation (2014). CO13
c. Principles of Safety, Comfort and Lippincott,
Privacy During the Perioperative Manual of
Nursing • Experience
Period
Practice, 10th discussion
d. Nursing Responsibilities During edition Reflective
the Perioperative Period • Lemone and Journaling
Burke (2014).
Medical-
Surgical
nursing 5th
Edition
 1 11. Steps/Pointers in Decision Making • Smeltzer S., Classroom Nursing Care Oral CO3; CO4
and Prioritization with Client/s et al., (2013). discussions Plan (SOAPIE) Recitation CO5;
Having Problems in Perception Textbook of Making and CO6,
Medical- documentation CO7,
and Coordination
Surgical CO8, CO9
12. Principles, Concept and Application Nursing 13th CO10,
of Bioethics in the Care of Edition CO11,
Clients • Nettina et al., CO12
13. Developing Outcome Criteria for (2014). Brain dumping Reflective Online CO13
Clients with Problems in Lippincott, via online Journaling Course
Perception and Coordination Manual of Peerwise Summary
Nursing question sharing Quiz Bee
14. Appropriate Discharge Plan
Practice, 10th and
Including Health Education edition rationalization
15. Accurate Recoding and • Lemone and
Documentation Burke (2014).
Medical- Experience Pen – Paper
Surgical discussion Exam/
nursing 5th TESTMOZ
Edition
2 MIDTERM EXAMINATION

13 1 B. Disturbances in Neurologic • Smeltzer S., Lecture Activated Oral CO3; CO4

Function et al., (2013). Discussion Demonstration Recitation CO5;
1. Risk Factors Assessment and Textbook of CO6,
Medical- CO7,
Screening Procedures
Surgical CO8, CO9
2. Significant Subjective Data from Nursing 13th CO10,
Client – relevant information based Edition CO11,
on chief complaints, functional • Nettina et al., CO12
patterns, including psychosocial (2014). Flipped Video Formulation of Pen – Paper CO13
and behavioral assessment Lippincott, teaching plan for Exam /
3. Principles and Techniques of Manual of clients with TESTMOZ
Nursing problems in
Physical Examination in Adults and
Practice, 10th Inflammation
Deviations from Normal edition and Immunity
a. Neurologic Assessment • Lemone and
 a.1. Inspection: LOC, Hearing, Burke (2014).
Sight, Papillary Changes, Gait, Medical-
Posture, ADL, Muscle Strength, Surgical
nursing 5th
Discharge
Edition
a.2. Palpation: Tenderness,
Muscle Strength
a.3. Percussion: Reflexes
2 4. Pathophysiologic Mechanisms • Smeltzer S., • Powerpoint Lecture on SNAPPS Oral CO3; CO4
a. Neural Regulation et al., (2013). presentation Nursing Recitation CO5;
a.1. Increased ICP Textbook of Management CO6,
a.2. Headache Medical- of the Patient CO7,
a.3. Intracranial Aneurysm Surgical with altered Ward class CO8, CO9
a.4. Head Injuries Nursing 13th consciousness discussion CO10,
a.5. Brain Stroke (TIA & CVA) Edition through CO11,
b. Neurologic Disorders • Nettina et al., • Flipped video Glascow Pencil – CO12
b.1. Cranial Abnormalities (2014). Coma Scale Paper Exam CO13
(Hydrocephalus, Lippincott, Monitoring,
Encephalocele) Manual of Care of Bed
b.2. Spina Bifida Nursing Ridden and
(Myelomeningocele, Practice, 10th Unconscious
Meningocele) edition patients,
b.3. Seizure Disorder • Lemone and Assisting the
Burke (2014). • Brainstorming patient Web
Medical- Undergoing conferencing
Surgical Lumbar
nursing 5th Puncture
Edition

14 1 b.4. Peripheral Neuropathies • Smeltzer S., • Powerpoint Individual case Peer CO3; CO4
(Guillian-Barrè Syndrome et al., (2013). presentation study Critiquing CO5;
or GBS ) Textbook of CO6,
b.5. Neuromuscular disease Medical- Reflective CO7,
(Myasthenia Gravis, Surgical journals CO8, CO9
Multiple Sclerosis, Nursing 13th • Flipped video Pencil – CO10,
Parkinson’s Disease, Edition Paper Exam CO11,
Nursing care
 Huntington’s Chorea) • Nettina et al., plan making CO12
b.6. Cranial Nerve Disorder (2014). CO13
(Trigeminal Neuralgia, Lippincott,
Bell’s Palsy) Manual of • Concept Gallery Walk
b.7. Spinal Cord Injuries Nursing Mapping of neurologic
b.8.Reye’s Syndrome Practice, 10th disorders
edition
• Lemone and
Burke (2014).
Medical-
Surgical
nursing 5th
Edition
2 6. Nursing Diagnoses Taxonomy • Smeltzer S., • Powerpoint Individual case Recitation CO3; CO4
a. Neural Regulation et al., (2013). presentation study CO5;
a.1. Altered Cerebral Tissue Textbook of CO6,
Medical- CO7,
Perfusion
Surgical CO8, CO9
a.2. Impaired Verbal Nursing 13th CO10,
Communication Reflective
Edition CO11,
journals
a.3. Impaired Swallowing • Nettina et al., CO12
a.4. Potential for Injury (2014). • Flipped video Pen and CO13
Lippincott, Nursing care Paper Exam/
a.5. Activity Intolerance
Manual of plan making TESTMOZ
a.6. Ineffective Individual
Nursing
Coping
Practice, 10th • Nursing Care Nursing Care
a.7. Knowledge Deficit edition Plan Making Plan
• Lemone and
Burke (2014).
Medical-
Surgical
nursing 5th
Edition
15 1 7. Principles of Management • Smeltzer S., • Powerpoint Demonstration Oral CO3; CO4
a. Neural Regulation et al., (2013). Livestreaming of procedures Recitation CO5;
a.1. Determination and Textbook of presentation CO6,
 Management of Cause Medical- CO7,
a.2. Airway Patency Surgical CO8, CO9
a.3. Oxygen Therapy Nursing 13th Chart reading CO10,
Edition QUIZ BEE CO11,
a.4. Adequate Ventilation
• Nettina et al., CO12
a.5. Drug Therapy (2014). • Flipped video CO13
a.6. Hydration Lippincott, presentation
a.7. Removal of Secretion Manual of
“Auntie Minnie”
a.8. Prevention of Infection Nursing
a.9. Psychosocial Interventions Practice, 10th
a.10. Seizure Precaution edition
• Lemone and • Concept Gallery Walk
a.11. Increased ICP Precaution
Burke (2014). mapping (Class
a.12. Prevention of Medical- exhibit)
Complications Surgical
a.13. Rehabilitation nursing 5th
Edition

1 8. Pharmacologic Actions, Therapeutic • Smeltzer S., • Textbook Drug study Oral CO3; CO4
Use, Side Effects, Indications, et al., (2013). Reading Recitation CO5;
Contraindication and Nursing Textbook of CO6,
Medical- CO7,
Responsibilities
Surgical • Lecture Reflective Pen – Paper CO8, CO9
a. Neural Regulation Nursing 13th discussion journals CO10,
Exam/
a.1. Anti-convulsants Edition TESTMOZ CO11,
a.2. Osmotic Diuretics • Nettina et al., Formulate a CO12
a.3. Corticosteroids (2014). teaching plan to CO13
a.4. Antibiotics Lippincott, the client and
Manual of family with
a.5. Antipyretics
Nursing neurosurgeries
a.6. Anti-inflammatory Agents
Practice, 10th
9. Purpose, Indications, Nursing edition Nursing care
Responsibilities for the Following • Lemone and plan for clients
Surgical and Special Procedures Burke (2014). with ICP
a. Neural Regulation Medical- monitoring,
a.1. Surgical Procedures: Surgical stroke and
 Craniotomy, Cranioplasty, nursing 5th seizures
Ventriculo-Peritoneal Shunt Edition
a.2. Special Procedures: ICP
Monitoring, Seizure
Precaution
2 10. Safe and Comprehensive • Smeltzer S., • Classroom Nursing care Oral CO3; CO4
Perioperative Nursing Care et al., (2013). discussion plan Recitation CO5;
a. Assessment and Care During the Textbook of CO6,
Medical- CO7,
Perioperative Period
Surgical CO8, CO9
b. Techniques in Assisting the Nursing 13th CO10,
Surgical Team During the Edition CO11,
Operation • Nettina et al., CO12
c. Principles of Safety, Comfort and (2014). Case analysis Reflective Case analysis CO13
Privacy During the Lippincott, journaling with rubrics
Perioperative Period Manual of
Nursing
d. Nursing Responsibilities During
Practice, 10th
the Perioperative Period edition
11. Steps/Pointers in Decision • Lemone and
Making and Prioritization with Burke (2014).
Client/s Having Problems in Medical-
Perception and Coordination Surgical
12. Principles, Concept and nursing 5th
Edition
Application of Bioethics in the
Care of Clients
13. Developing Outcome Criteria for
Clients with Problems in
Perception and Coordination
14. Appropriate Discharge Plan
Including Health Education
15. Accurate Recoding and
Documentation
16 1 UNIT IV: Disturbances in Visual and • Smeltzer S., • Powerpoint Lecture/Demo Chart reading Oral CO3; CO4
 Auditory Function et al., (2013). presentation ns-tration and Recitation CO5;
1. Risk Factors Assessment and Textbook of /Video documentation CO6,
Screening Procedures Medical- Presentation CO7,
Surgical on CO8, CO9
2. Significant Subjective Data from
Nursing 13th a. Instillation of CO10,
Client – relevant information based Edition Eye CO11,
on chief complaints, functional • Nettina et al., Medications, CO12
patterns, including psychosocial (2014). Eye CO13
and behavioral assessment Lippincott, Irrigation,
3. Principles and Techniques of Manual of • Class Application Patient History Pen – Paper
Physical Examination in Newborn, Nursing Discussion of Eye and physical Exam
Practice, 10th Dressing or assessment
Children & Adults and Deviations
edition Patch
from Normal • Lemone and b. Instillation of
a. Visual And Auditory Burke (2014). Ear
Assessment Medical- Medications
a.1. Inspection: Hearing, Surgical Irrigating the
Sight, Papillary nursing 5th External
Changes, Discharge, Edition Auditory
Canal
Bleeding
4. a.2. Palpation: Pain, Tenderness,
Presence of Mass/Lesions
1 5. Results and Implications of • Smeltzer S., • Assignment Individual Case Oral CO3; CO4
Diagnostic/Laboratory et al., (2013). to outline study Recitation CO5;
Examinations of Clients Textbook of portion of the CO6,
Medical- textbook CO7,
a. Non-Invasive: Visual Acuity,
Surgical CO8, CO9
Visual Field Testing, Nursing 13th Reflective CO10,
Ophthalmoscopy, Slit Lamp, Edition journal CO11,
Audiometry • Nettina et al., CO12
b. Invasive: CT Scan, (2014). CO13
Electronystagmography, Ear Lippincott,
Culture, Sensitivity Manual of
Nursing
Practice, 10th
 edition
• Lemone and
Burke (2014). • Brainstorming “Aunt Minnie” • Pencil –
Medical- Individual flipped Paper
Surgical video making Exam
nursing 5th
Edition

2 6. Pathophysiologic Mechanisms • Smeltzer S., • Powerpoint Individual case Recitation CO3; CO4
a. Disturbances in Visual et al., (2013). presentation study CO5;
Perception: Blindness, Textbook of CO6,
Medical- CO7,
Inflammatory Disturbances,
Surgical CO8, CO9
Neoplastic Disturbances, Traumatic Nursing 13th CO10,
Interferences with Visual Edition Pen-paper CO11,
Reflective
Perception, Absence of Visual • Nettina et al., • Class Exam/ CO12
journals
Perception, Congenital and (2014). discussion TESTMOZ CO13
Neonatal Visual Disturbances Lippincott,
Manual of
Nursing
Practice, 10th
edition
• Lemone and SNAPPS
Burke (2014). • Flipped video
Medical-
Surgical
nursing 5th
Edition
17 1 b. Disturbances in Auditory • Smeltzer S., • Powerpoint Reflective Oral CO3; CO4
Perception: Deafness/Hearing et al., (2013). presentations Journals and Recitation CO5;
Loss, Inflammatory/Infection, Textbook of Journal sharing CO6,
Medical- CO7,
Trauma, Meniere’s Syndrome,
Surgical CO8, CO9
Degenerative Changes, Nursing 13th CO10,
Disturbances of Hearing, Edition CO11,
Obstructive Problems • Nettina et al., CO12
 (2014). • Lecture Individual case CO13
Lippincott, discussion study
Manual of Pen and
Nursing Paper Exam
Practice, 10th
edition
• Lemone and
Burke (2014). • Case analysis
Medical- Drug study
Surgical Case
nursing 5th analysis w/
Edition rubrics

1 Nursing Diagnoses Taxonomy • Smeltzer S., • Flipped video Nursing Care Recitation CO3; CO4
a. Alteration in Sensory Perception: et al., (2013). presentation Plan making CO5;
Visual/Auditory Textbook of via Google CO6,
Medical- classroom CO7,
b. Potential for Infection
Surgical CO8, CO9
c. Self – esteem Disturbance Nursing 13th CO10,
d. Potential for Injury SNAPPS
Edition CO11,
e. Knowledge Deficit • Nettina et al., CO12
7. Principles of Management (2014). Nursing Care CO13
a. Determination and Management Lippincott, plan
of Cause Manual of Ward class
Nursing • Buzz groups discussion
b. Drug Therapy
Practice, 10th
c. Supportive Management for edition
Visual/Auditory Impaired • Lemone and
d. Prevention of Infection Burke (2014). Pen-paper
e. Psychosocial Interventions Medical- exam/
f. Prevention of Complication Surgical TESTMOZ
Rehabilitation nursing 5th • Textbook
Edition reading
2 8. Pharmacologic Actions, Therapeutic • Smeltzer S., • Interactive Drug study Oral CO3; CO4
Use, Side Effects, Indications, et al., (2013). Lecture CO5;
 Contraindication and Nursing Textbook of discussion Recitation CO6,
Responsibilities Medical- CO7,
a. Miotic Agents Surgical CO8, CO9
Nursing 13th CO10,
b. Corticosteroids
Edition CO11,
c. Mydriatic Agents • Nettina et al., CO12
d. Antibiotics (2014). Reflective CO13
Lippincott, Textbook Journal Pencil –
Manual of reading Paper Exam
Nursing
Practice, 10th
edition
• Lemone and
Burke (2014).
Medical-
Surgical
nursing 5th
Edition
2 9. Purpose, Indications, Nursing • Smeltzer S., • Flipped video Lecture Nursing Care Oral CO3; CO4
Responsibilities for the Following et al., (2013). Discussion Plan making Recitation CO5;
Surgical and Special Procedures Textbook of CO6,
Medical- CO7,
a. Surgical Procedures:
Surgical CO8, CO9
Iridectomy, Cataract Nursing 13th CO10,
Procedures, Enucleation, SNAPPS
Edition CO11,
Keratoplasty, Mastoidectomy, • Nettina et al., Pen – Paper CO12
Tympanoplasty, Myringotomy, (2014). • Flipped video Return Ward class Exam/ CO13
Fenestration Lippincott, presentation demonstration discussion TESTMOZ
b. Special Procedures: Instillation Manual of of otic/optic
Nursing instillation
of Otic Solution, External
Practice, 10th
Auditory Canal Irrigation, edition
Hearing Aide Device • Lemone and
Burke (2014). • Brain Guided
Medical- dumping practice on
Surgical auditory canal
 nursing 5th irrigation
Edition
18 1 10. Safe and Comprehensive • Smeltzer S., • Review Nursing care Oral CO3; CO4
Perioperative Nursing Care et al., (2013). discussions plan Recitation CO5;
a. Assessment and Care During the Textbook of CO6,
Medical- CO7,
Perioperative Period
Surgical CO8, CO9
b. Techniques in Assisting the Nursing 13th CO10,
Surgical Team During the Edition CO11,
Operation • Nettina et al., CO12
c. Principles of Safety, Comfort and (2014). • Powerpoint Dialogic Pen – Paper CO13
Privacy During the Perioperative Lippincott, presentation reflective Exam
Period Manual of Journaling
Nursing
d. Nursing Responsibilities During
Practice, 10th
the Perioperative Period edition
• Lemone and
11. Steps/Pointers in Decision Making Burke (2014).
and Prioritization with Client/s Medical- • Buzz groups
Having Problems in Surgical
Perception and Coordination nursing 5th
Edition
1 12. Principles, Concept and Application • Smeltzer S., • Power point Nursing Care Oral CO3; CO4
of Bioethics in the Care of Clients et al., (2013). presentation Plan making Recitation CO5;
13. Developing Outcome Criteria for Textbook of CO6,
Medical- SNAPPS CO7,
Clients with Problems in Perception
Surgical CO8, CO9
and Coordination Nursing 13th CO10,
14. Appropriate Discharge Plan Edition CO11,
Including Health Education • Nettina et al., Pen – Paper CO12
15. Accurate Recoding and (2014). • Brainstorming Ward class Exam/ CO13
Documentation Lippincott, discussion TESTMOZ
Manual of
Nursing
Practice, 10th
edition
 • Lemone and
Burke (2014). • Lecture Youtube
Medical- discussion Channel
Surgical Documentary
nursing 5th series
Edition

2 FINAL EXAMINATIONS

11. COURSE REQUIREMENTS:

a. Exams and quizzes
b. Professional nursing portfolio
c. Virtual Class Exhibit
d. Flipped Video
e. Web conferencing
f. Comic Strip Making
g. Digital Poster/infographics
h. Youtube Channel Documentary series

12. TEXTBOOK
 Hinkle, Cheever (2014)., Textbook of Medical - Surgical Nursing 14th Edition

13. SUGGESTED READINGS AND REFERENCES

 Smeltzer S., et al., (2013). Textbook of Medical- Surgical Nursing 13th Edition
 Nettina et al., (2014). Lippincott, Manual of Nursing Practice, 10th edition
 Lemone and Burke (2014). Medical- Surgical Nursing: Critical Thinking in Client Care, 5th Edition
 Udan, J., (2012). Medical Surgical Nursing, 2nd Edition

ADDITIONAL RESOURCES
 Johansson, M (2012). Aphasia and Communication in Everyday Life, (http://urn.kb.se/resolve?urn=urn:nbn:se:uudiva-173130)
14. COURSE EVALUATION

COURSE REQUIREMENT Total Weight (%) COURSE REQUIREMENT Total Weight (%)
(Lecture Component) (RLE Component)
A. Term Grade A. Term Grade
1. Class Standing 66.67% (2/3)
 Attendance (5%) 1. Rotation Grades 80%
Note: 1) 6 synchronous classes per term hence a perfect Rotation grade is computed with the following:
FOR SKILLS LAB
attendance is computed as 6/6 x60%+40% x 5%
 Competencies (60%)
2) For every absence, deduct 1 from the 6 total number Note: Competency Grade= (total score) / (total #
attendance every term and go on computation using the of items) = ______ X 60 = ______ / 5 = ______
abovementioned transmutation. + 40 = _______ %
3) Disregarding the minutes, 3 accumulated tardiness is  Requirements (30%)
equivalent to 1 day of absence.  Related Journals and other Assessment
Tasks (20%)
 Recitation and Other Assessment Tasks (15%)  Quizzes & Case Study (30%)
Note: 1) 5 points minimum, increment of 1 for every correct  Affective (10%)
answer made by the student (10 points maximum). 2) For  Attendance – 5%
other assessment tasks, a standard rubric or pointing system Note: There are 9 synchronous meetings for every
rotation, therefore, a perfect attendance is computed
will be followed as agreed upon the nursing faculty. using the 60%-40% transmutation
 Quizzes (46.67%)  Attitude – 5%
Transmutation Formula = Total Score X 60% + 40%  Uniform – 5%
Total # of Items (If with Major Exam, 20% will be added to the 80% of
Competencies and Requirements)
 Average Rotation Grade = Rotation Grade 1 +
Rotation Grade 2 + Rotation Grade
3….Rotation Grade n / 3 (# of Rotation
Grades)
FOR LEARNING PACKET
 Competencies (50%)
Note: Competency Grade= (total score) /
(total # of items) = ______ X 60 = ______ / 5
= ______ + 40 = _______ %
 Requirements (30%)
 Related Journals and other Assessment
Tasks (20%)
 Quizzes & Case Study (30%)
 Affective (10%)
 Attendance – 5%
 There are 9 synchronous meetings for every
 rotation, therefore, a perfect attendance is
computed using the 60%-40% transmutation
 Attitude – 5%
 Completion task – 5%
2. Term Examination 33.33% (1/3) 2. Term Examination 20%
TOTAL 100% TOTAL 100%
B. Final Final Grade B. Final Final Grade
1. Preliminary Grade 30% a. Preliminary Grade 30%
2. Midterm Grade 30% b. Midterm Grade 30%
3. Final Grade 40% c. Final Grade 40%
TOTAL 100% TOTAL 100%
NOTE: For professional nursing subjects the final final grade is Transmutation Formula = (total score) / (total # of items) = ______
computed as follows: X 50 = ______ / 5 = ______ + 50 = _______ % (Score of
 80% of the Tentative Final Final Grade Competencies)
(Prelim+Midterm+Final)
+ 20% of the Comprehensive Exam

15. CLASSROOM POLICIES (as per Student Handbook)

A. Professional Decorum (pg. 15)
Student of Lorma Colleges, College of Nursing are expected to behave properly at all times especially if in the school premises. The guidelines are as
follows:
1. Courteously knock on every door before entering any room, wait for acknowledgment then introduce self.
2. Maintain a moderate tone voice anywhere especially along the corridors, classrooms and patient’s room.
3. Greet patients, relatives, teachers, employees and peers as you meet them.
4. Friendliness is encouraged but always maintains professionalism since too much familiarity may compromise the respect for each other.
5. Confidentiality on patient’s information should be observed.
6. Practice and maintain good posture at all times.
7. Students are not allowed to go out of the hospital compound for their snacks/meals.
8. Bringing in prepared foods should only be eaten at the designated places.
9. Allowed time for snacks is 15 minutes and 30 minutes for mealtime in any given shift.
 10. Students must observe humility, tactfulness and respect when dealing with others. Always observe the Code of Ethics for Nurses and practice the
Golden Rule in everyday life.
11. Students must wear the prescribed uniform at all times with dignity and respect and should be worn only in the school and hospital premises.
12. Students are not allowed to entertain visitors while on duty. Should an emergency occur where an immediate member of the family is involved,
permission from the clinical instructor must be sought first and accomplish a hospital visitation form.
13. Gambling, smoking and drinking of alcoholic beverages and drug use are strictly prohibited.
14. In case of emergency, the unit’s telephone may be used with permission from the staff and the Clinical Instructor. Otherwise, use of the unit’s
telephone is not allowed.
15. Promptness at all times, in all occasions and in any setting must be observed.
16. Students must strictly adhere to the hospital/community/school policies, rules and regulations.
17. Students should not loiter around while in school premises. These preceding guidelines professional decorum are not limited to as written. Other
guidelines for social norms and general behavior are written in the Lorma Colleges’ Student Handbook and must strictly observe.

B. Classroom (pg. 16)

1. The students are required to wear the prescribed college uniform in the given day.
Monday/Thursday – institutional uniform with blue slacks
Tuesday/Friday – clinical uniform (without apron for females) with black shoes
Wednesday/Saturday – clinical uniform (without apron for females) with black shoes
2. The students should strictly comply with the policies stated above, in terms of punctuality, attendance, compliance to the requirements, etc.
3. Every semester, there are three major examinations, namely Prelims, Midterms and Final Examinations.
4. Any forms of misconduct like cheating, behaviors, etc. will be subjected to disciplinary action.

NOTE: Students are advised to read the student handbook from pages 8 – 20. Any amendments to the student handbook and/or new issued policies,
rules and regulations the administration and the college deemed necessary, shall be applied automatically to the student/s currently enrolled in the
college.
 16. CONSULTATION HOURS

Name of Instructor Day Time

Marisol Jane T. Jomaya

Course Title Date Date Prepared by Reviewed by Noted by Recommending Approved by

Effective Revised Approval
Nursing Care
Management with
Problems in
Nutrition, Marisol Jane T. Jomaya, Marisol Jane T. Jomaya, RN, Edwin N. Aljentera Marites C. Pagdilao, RN, Pacita G. Apilado, Ph.D.
1st Semester,
Gastrointestinal, August RN, MAN MAN Head, Level III MAN Executive Director,
SY 2021-2022
Metabolism, 19, 2021 Chairman, OBE Committee Dean, CON Academic Affairs
Endocrine,
Musculoskeletal, Teresita A. Ferrer
Perception and CON Assistant Dean,
Coordination Academic