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Pnap 4024 Anatomy N Physiology 1 Adpn 20 Jan 2022
Pnap 4024 Anatomy N Physiology 1 Adpn 20 Jan 2022
MINISTRY OF HEALTH
MALAYSIA
COURSE SYLLABUS
All rights reserved. No part of this publication may be reproduced, distributed, or transmitted
in any means, including photocopying, or other electronic or mechanical method without the
prior written permission of the Training Management Division, Ministry of Health Malaysia.
2. Unit/Topic Description
3. Assessment
1. COURSE DESCRIPTION
Course Description
Applied Anatomy and Physiology in Paediatric
Course Name :
Nursing I
1.
Course Code : PNAP 4024
This module provides a foundation for understanding the
anatomy and physiology of cardiovascular, respiratory,
endocrine, haematology, gastrointestinal tract, nephrology,
2. Synopsis : neurology system and alteration of its function in child.
This module also provides theoretical knowledges related
to etiology, pathogenesis and clinical manifestations of
various types of medical conditions and disorders in child.
Name (s) of
3. : As stipulated by the Training Institutions.
academic staff
Semester/Year
4. : Semester 1
offered
5. Credit Value : 4
Pre requisite
6. : Nil
(if any)
7. Course Learning Outcomes (CLOs):
CLO1 Outline the anatomy and physiology of cardiovascular, respiratory,
endocrine, haematology, gastrointestinal tract, body fluid and
electrolytes, nephrology and neurology in child. (CO1, CO2)
CLO2 Describe alteration of functions in cardiovascular, respiratory, endocrine,
haematology, gastrointestinal tract, body fluid and electrolytes,
nephrology and neurology in child. (CO1, CO2)
CLO3 Explain the etiology, pathogenesis and clinical manifestations of various
types of medical & surgical conditions and disorders in related system
among child (CO1, C2).
Lecture, Selected
CLO1 √ C2 Discussion response
/MCQ
Label Diagram
Lecture, /Quiz
C2
CLO2 √
Discussion
Extended
Written
Response
Lecture,
CLO3 √ C2 Discussion,
MCQ,
SEQ
TOTAL 3 - - - - - - -
Obesity
Short stature
Unit 4 Haemato-Oncology 10 2 0 - - 12 24
4.1 Physiology of CLO 1 1 0 - - 2 4
Hematological System 1-2
4.2 Altered physiology of
hematological function:
Anemia
Thalassemia
Hemophilia
3 1 0 - - 4 8
Other bleeding disorders:
Idiopathic
Thrombocytopenic
Purpura (ITP)
G6PD
Von Willebrand
Disease
4.3 Altered physiology of
childhood malignancies:
Acute
Lymphoblastic
Leukemia
Acute Myeloid CLO
Leukemia
Lymphomas 3
Brain tumour 3 0 0 - - 3 6
Neuroblastoma
Solid Tumor
-Nephroblastoma
- Retinoblastoma
-Bone tumors
-Soft tissue
sarcomas
Urinary System
7.2 Altered physiology of
nephrology function:
Urinary Tract
Infection & Acute
Pyelonephritis
Vesicoureteral
Reflux 4 1 0 - - 5 10
Acute Glomerular
Nephritis
Nephrotic Syndrome
Acute Kidney Injury CLO
Chronic Kidney 3
Diseases
7.3 Altered physiology of
urogenital conditions:
Phimosis
Hypospadias 2 1 0 - - 3 6
Epispadias
Hydrocele
Undescended testis
Inguinal Hernia
Unit 8 Neurologic System 9 3 0 - - 12 24
8.1 Applied anatomy & CLO
physiology of neurologic 1 1 0 - - 2 4
1-2
system
8.2 Altered physiology of
cerebral function:
Seizure
Febrile Seizure CLO
Epilepsy
3
Injury
Head Injury
7 2 0 - - 8 16
Structural defects
Cerebral Palsy
Hydrocephalus
Spinal Bifida
Infection
Bacterial meningitis
Viral Meningitis
Encephalitis
8.3 Altered physiology of 1 1 0 - - 2 4
Developmental 3
Disabilities
Developmental
Delay
Autism
ADHD
Sub Total 54 14 0 - - 68 136
Total
Continuous Assessment Percentage (40%) F2F NF2F
SLT
1. Selected Response & Short 30% 1 6 7
Answer
Total
Final Assessment Percentage (60%) F2F NF2F
SLT
1. MCQ 20% 1 4 5
2. SEQ 40% 1 7 8
Grand Total 80
12. Reading Material and References – Ref yang sediada tidak sesuai dan diubah
12.1 Hockenberry, M.J., & Wilson, D. (2011). Wong’s Nursing Care of Infants
and Children (10th ed.). Mosby Elsevier: St.Louis.
12.2 Hockenberry, M.J., & Wilson, D. (2012). Wong’s Essential of Paediatric
Nursing. (9th ed.). Mosby Elsevier: St.Louis.
12.3 Hussain Imam Hj Muhammad Ismail, Hishamshah Mohd Ibrahim, Ng
Hoong Phak & Thomas, T.(2019). Paediatric Protocols for Malaysian
Hospitals. (4th ed.). Kementerian Kesihatan Malaysia: Kuala Lumpur.
12.4 Tortora, G.J., & Derrickson, B., (2010). Essentials of Anatomy &
TOTAL
UNIT 1:
CARDIOVASCULAR SYSTEM
CLO
2 1 0 - - 3 6
1-2
2. Learning Outcome and Assessment
Physiology of heart :
Intrinsic conduction system of the heart
Pathway of conduction system of the heart (ECG).
SA node
AV node
Bundle of His
Left and right bundle branches and Purkinje fibers
Cardiac cycle and heart sounds
Cardiac output, preload, afterload and contractility
4. Mode of Delivery
5. Student Activities
UNIT 1:
CARDIOVASCULAR SYSTEM
CLO
3 0 0 - - 3 6
3
2. Learning Outcome and Assessment
Outflow obstruction:
Pulmonary Stenosis (PS)
Aortic Stenosis(AS)
Coartation of Aorta (COA)
4. Mode of Delivery
5. Student Activities
UNIT 2:
RESPIRATORY SYSTEM
CLO
2 1 0 - - 3 6
1-2
2. Learning Outcome and Assessment
Mechanism of breathing
Respiratory volumes and capacities
Respiratory sounds
Gas exchange and transportation
Control of respiration
4. Mode of Delivery
5. Student Activities
UNIT 2:
RESPIRATORY SYSTEM
CLO
3 0 0 - - 3 6
3
2. Learning Outcome and Assessment
Passageway
Humidifier
ii. Altered physiology of respiratory functions related to selected conditions in
respiratory system:-
Acute Exacerbation of Bronchial Asthma - etiology and pathophysiology related
to:
Bronchial Asthma
Acute Asthma Attacks.
Common Respiratory Infections - etiology and pathophysiology related to:
Acute Bronchiolitis
Pneumonia
- Bacteria
- Virus
Upper Respiratory Tract Infections
- Acute Pharyngitis
- Acute Tonsillopharyngitis
4. Mode of Delivery
5. Student Activities
Canada: Elsiever.
7.6 Smeltzer, S.C. Bare, B.G., Hinkle, J.L., & Cheever, K.H., (2008). Textbook
of Medical-Surgical Nursing (11th ed..) Library of Congress: Philadelphia.
7.7 Guidelines for the Management of Childhood Asthma - Ministry of Health,
Malaysia and Academy of Medicine, Malaysia
7.8 Pocket Guide for Asthma Management and Prevention 2007 – Global
Initiative for Asthma (GINA)
7.9 Bousquet, J., Clark, T. J. H., Hurd, S., Khaltaev, N., Lenfant, C., O'byrne,
P., & Sheffer, A. (2007). GINA guidelines on asthma and
beyond. Allergy, 62(2), 102-112.
UNIT 3:
ENDOCRINE SYSTEM
CLO
1 1 0 - - 2 4
1-2
2. Learning Outcome and Assessment
4. Mode of Delivery
5. Student Activities
7.9
UNIT 3:
ENDOCRINE SYSTEM
CLO
3 0 0 - - 3 6
3
2. Learning Outcome and Assessment
- Short stature
3. Learning Experiences and Content Outline
Functions of endocrine hormones:
Pituitary gland
Anterior pituitary - Growth hormone, Adrenocorticotropic hormone,
Thyroid-stimulating hormone, Gonadotropic hormones, Melanocyte-
stimulating hormone, Prolactin
Posterior pituitary – Antidiuretic hormone
Pineal gland
Thyroid gland
T3 & T4
i.
Thyroxin
Pancreas
Insulin
Somastatin
Glucagon
Adrenal glands
Steroids, Cortisol and cortisone
Gonadotrophic hormone
5. Student Activities
UNIT 4:
HAEMATOLOGICAL SYSTEM
CLO
1 1 0 - - 2 4
1-2
2. Learning Outcome and Assessment
4. Mode of Delivery
5. Student Activities
UNIT 4:
HAEMATOLOGICAL SYSTEM
CLO
3 1 0 - - 4 8
3
2. Learning Outcome and Assessment
Thalassaemia
Anemia
Nutritional (iron,
Folate, Vit B12)
Haemolytic
(congenital, acquired)
Aplastic anaemia
Diagram
Blood loss
/Quiz
Haemophilia
Idiopathic Extended
Thrombocytopenic purpura Written
(ITP) & Other Bleeding Response
Disorders (SEQ)
3. Learning Experiences and Content Outline
Functions of hematological system:
Carrier of gases, nutrients and waste products.
Clot formation
Transport of processed molecules
i. Protection against foreign substances
Transport of regulatory molecules
Maintenance of body temperature
pH and osmosis regulation.
4. Mode of Delivery
5. Student Activities
UNIT 4:
HAEMATOLOGICAL SYSTEM
CLO
3 0 0 - - 3 6
3
2. Learning Outcome and Assessment
Level of
1 2 3 4 5 Assessment
Taxonomy
LO1 Explain altered physiology of
hematological system related
to selected conditions
Childhood Selected
malignancies response
√ C2
Cancer of the /MCQ
blood Label
Nervous System Diagram
Tumours /Quiz
Extended
LO2 Explain altered physiology of
hematological system related Written
to selected conditions Response
Other solid tumour (SEQ)
√ C2
- Retinoblastoma
- Nephroblastoma
- Bone tumor
- Soft tissue sarcomas
3. Learning Experiences and Content Outline
5. Student Activities
HAEMATOLOGICAL SYSTEM
CLO
3 0 0 - - 3 6
3
2. Learning Outcome and Assessment
Learning Outcome:
CLO Assessment of Learning
Level of
1 2 3 4 5 Assessment
Taxonomy
LO1 Explain altered physiology of
hematological system related Selected
to selected conditions response
Oncological /MCQ
emergencies Label
Diagram
Acute Tumor Lysis
√ C2 /Quiz
Syndrome
Febrile neutropenia Extended
Hyperleukocytosis Written
Spinal cord Response
compression & seizures (SEQ)
Superior & Inferior
vena cava obstruction
3. Learning Experiences and Content Outline
Altered physiology of hematological functions related to selected conditions –
Oncologies emergencies
4. Mode of Delivery
5. Student Activities
UNIT 5:
CLO
2 0 0 - - 2 4
1-2
2. Learning Outcome and Assessment
5. Student Activities
UNIT 5:
GASTRO INTESTINAL TRACT SYSTEM
CLO
2 1 0 - - 3 6
3
2. Learning Outcome and Assessment
√ C2
Selected
response
/MCQ
LO2 Altered physiology of Gastro Label
Intestinal Tract system related Diagram
to selected conditions: /Quiz
Acute Gastroenteritis Extended
(AGE) Written
Feeding issues and √ C2 Response
constipation (SEQ)
Malnutrition MCQ, SEQ
Acute & Chronic
Hepatobiliary Disorders
ii. Alteration in alimentary and elimination functions in Gastro Intestinal Tract system.
Etiology and pathophysiology
Acute Gastroenteritis (AGE)
Feeding issues and constipation
Malnutrition
Acute & Chronic Hepatobiliary Disorders
4. Mode of Delivery
5. Student Activities
UNIT 5:
GASTRO INTESTINAL TRACT SYSTEM
CLO
2 1 0 - - 3 6
3
2. Learning Outcome and Assessment
4. Mode of Delivery
5. Student Activities
UNIT 5:
GASTRO INTESTINAL TRACT SYSTEM
CLO
2 1 0 - - 3 6
3
2. Learning Outcome and Assessment
5. Student Activities
UNIT 6:
BODY FLUID AND ELECTROLYTES
CLO
2 0 0 - - 2 4
1-2
2. Learning Outcome and Assessment
4. Mode of Delivery
5. Student Activities
UNIT 6:
BODY FLUID AND ELECTROLYTES
CLO
3 1 0 - - 4 8
1-2
2. Learning Outcome and Assessment
5. Student Activities
UNIT 7:
NEPHROLOGY SYSTEM
CLO
1 0 0 - - 1 2
1-2
2. Learning Outcome and Assessment
5. Student Activities
UNIT 7:
NEPHROLOGY SYSTEM
Pyelonephritis
Vesicoureteral Reflux (VUR)
Acute Glomerular Nephritis
Nephrotic Syndrome
Acute Kidney Injury
Chronic Kidney Diseases
CLO
4 1 0 - - 5 10
3
2. Learning Outcome and Assessment
4. Mode of Delivery
5. Student Activities
UNIT 7:
NEPHROLOGY SYSTEM
CLO
2 1 0 - - 3 6
3
2. Learning Outcome and Assessment
4. Mode of Delivery
5. Student Activities
UNIT 8:
NEUROLOGY SYSTEM
CLO
1 1 0 - - 2 4
1-2
2. Learning Outcome and Assessment
i. Diagram of neurology system – central and peripheral nervous system, neuron and
brain
Anatomy of neurology system :
Central nervous system
Nervous tissue -structure and function
Brain and spinal cord
Protection of Central Nervous System
Peripheral Nervous System
Structure of nerve- Cranial nerve, spinal nerve and nerve plexuses
4. Mode of Delivery
5. Student Activities
UNIT 8:
NEUROLOGY SYSTEM
CLO
7 1 0 - - 8 16
3
2. Learning Outcome and Assessment
Injury
Head Injury /Traumatic brain injury
Head concussion
Structural defects
Cerebral Palsy
Hydrocephalus
Spinal Bifida
Infection
Bacterial meningitis
Viral Meningitis
Encephalitis
4. Mode of Delivery
5. Student Activities
UNIT 8:
NEUROLOGY SYSTEM
CLO
1 1 0 - - 2 4
3
2. Learning Outcome and Assessment
4. Mode of Delivery
5. Student Activities
PLO1 CLO1
Integrate knowledge
of biomedical, clinical Demonstrate
and nursing sciences knowledge and skills
in guiding the practice in performing
of paediatric nursing assessment, relevant
and promotion of diagnostic procedures
child health. and therapeutic
interventions to child
with various medical
PLO3 conditions and
Demonstrate clinical diseases (CO1,
competence (CO3.1) CO3.1, CO3.3, C3,
in performing a range P4,A3)
of clinical task and
making appropriate
adjustment based on
clinical decisions.
PLO4
Communicate
effectively (CO3.3),
teaming with
healthcare
professionals, client,
family and
community (CO3.2)
for effective
therapeutic alliance
PLO1 CLO2
PLO8
Demonstrate ability to
exercise social
responsibilities with
compliance to
organizational and
professional ethics
(CO5) for sustainable
practice in paediatric
nursing practice
CLO3 1.2.3
Explain the Discuss the management and nursing
importance of health care of Acyanotic Heart Disease.
education to child, 1.3.3
parents and caregiver Discuss the management and nursing
to create awareness, care for Cyanotic Heart Diseases.
promotion and 1.4.3
prevention of medical Discuss medical and surgical
conditions and management of common acquired heart
diseases (CO1, diseases.
4.5.2
Differenciate specific nursing
interventions and management of
bleeding conditions.
4.6.3
Explain nursing care management for
childhood cancer and common side
effects.
4.7.3
Describe the therapeutic management for
oncology emergencies.
5.2.3
Discuss the therapeutic management for
acute gastroenteritis and chronic
diarrhea.
PLO1 CLO3 5.4.3
Integrate knowledge Discuss the Describe the therapeutic management,
of biomedical, clinical management and nursing interventions and preventive
and nursing sciences holistic care based on measures for malnutrition.
in guiding the practice ethical principles, 5.5.3
of paediatric nursing transcultural diversity Discuss the therapeutic management for
and promotion of and professional hepatobilliary disorders.
child health. practice. 6.2.3
Explain therapeutic management for
urinary tract infection and acute
PLO4 pyelonephritis.
Communicate 6.3.3
effectively (CO3.3), Explain therapeutic management for
teaming with nephrotic syndrome & acute glomerular
healthcare nephritis.
professionals, client, 6.4.3
family and Explain therapeutic management for
community (CO3.2) acute kidney injury.
for effective 6.5.3
therapeutic alliance Explain therapeutic management for
chronic kidney disease.
MARKING GUIDE
Criteria Weight- Poor (0) Low (1) Fair (2) Good (3) Excellent (4) Score
age (Totally (Mostly (Remotely (Somewhat (Directly
unrelated) unrelated) related) related) relevant)
1. 1 Not Shows attempt Shows attempt Good Excellent
Organization of organized, to organize, but to organize, organization organization and
write-up discussion discussion discussion and discussion discussion are
makes no makes little jumps around, are logical logical
sense sense start and end
unclear Writing is Writing is free of
Errors are Enough errors generally error errors in
frequent and in style or Enough errors free, but some grammar,
distracting; grammar occurs in style or errors in punctuation,
therefore is that they grammar occurs language or sentence structure,
hard to become that they grammar may capitalization and
determine distracting. become occur. spelling.
meaning. distracting.
2. 4 Provide little Insufficient Some pertinent Discusses Discusses
Content or no information on background pertinent pertinent
information background and information not background background
on significance. discussed. information. information.
background
and Some Explains Explains Clearly explains
significance. information is significance of significance of significance of the
accurate but the activity but the activity but activity.
Information is enough errors some some
inaccurate or are made to be information is information is Information is
with many distracting. inaccurate. inaccurate. consistently
errors. accurate.
Very brief Brief discussion Good discussion
No discussion discussion of of issues. of issues. Excellent
of issues. issues. discussion of
issues.
3. 3 Provides very Provides little Provides Demonstrates Demonstrates
Criteria Weight- Poor (0) Low (1) Fair (2) Good (3) Excellent (4) Score
age (Totally (Mostly (Remotely (Somewhat (Directly
unrelated) unrelated) related) related) relevant)
4. 0.5 No conclusion A poor A fair A good An excellent
Conclusion conclusion conclusion conclusion conclusion which 2
which does not which indicates which indicates is concisely
indicate an reasonable considerable written. It
attempt to analysis and analysis and provides
synthesize the synthesis of synthesis of concluding
activity ideas relating to ideas relating to remarks that
the activity. the activity. shows an analysis
and synthesis of
ideas relating to
the activity.
5. 0.5 No reference Citation is References are Most references All citations are
References & or citation in inappropriate to outdated (> 3 are cited in text included in the 2
Citation text. the activity. years) / wrong and discussion.
format. appropriately
provided in Five or more
references list. references used
and documented
according to the
APA format.
6. 1 Write-up very Do not conform Appearance is Appearance is Excellent
Aesthetics disorganized. to the required acceptable but a generally good; formatting and 4
format. lot could be only few appearance;
improved. elements need conform to the
to be improved required format
TOTAL 40
Comment:
…………………………………………………………………………………………………
…………………………………………………………………………………………………
…………………………………………………………………………………………………
………………………………………………………………
= ( ………… x 20 ) ÷ 40
= ………………….
Examiner’s Signature
………………………………...
( )
Date:
MARKING GUIDE
Name of Students:…………………………………………………………………………….
Name of examiner:……………………………………………………………………………
Criteria Weight- Poor (0) Low (1) Fair (2) Good (3) Excellent (4) Score
age (Totally (Mostly (Remotely (Somewhat (Directly
unrelated) unrelated) related) related) relevant)
6. 1 Presentation Presentation is Presentation is Presentation is well Excellent
Creativity very not organized organized and organized and presentation 4
/ disorganized even though acceptable with good multi-media with attractive
Aesthetics and not use any with the help of simple multi- presentation. multi-media
multi-media. multi-media media application.
presentation. application.
TOTAL SCORE 80
Comments:
…………………………………………………………………………………………………
…………………………………………………………………………………………………
…………………………………………………………………………………………………
…………………………………………………………………………………………………
…………………………………………………………………………………………………
= (……………./80 ) x 20%
= ……………….
Examiner’s Signature
………………………………
( )
Date:
TOTAL 100%
1.3.3
Discuss the management
and nursing care for
cyanotic heart disease
TOTAL 31 14 7 39 13 16 120