BS Nursing CHED cmo 14

COURSE SPECIFICATIONS
Course Name : THEORETICAL FOUNDATIONS IN NURSING
Course Code : TFN
Course : This course deals with the meta concepts of a person, health,
Description environment and nursing as viewed by the different theorists.
Likewise, it includes non-nursing theories such as systems,
developmental and change theories. It presents how these concepts
and theories serve as guide to nursing practice. It further deals with
health as a multifactorial phenomenon and the necessary core
competencies that the nurse needs to develop.
Course Credit : 3 units
Contact :
Hours/sem 54 lecture hours
Placement : 1st
Year, 1st
Semester
Course At the end of the course and given simulated conditions/situations,
Objectives: the student will be able to:
1. differentiate views given by various nursing theorists on person,
health, environment and nursing
2. describe the various non-nursing theories as applied to nursing
3. utilize selected nursing theories and non-nursing theories in the
care of clients
4. demonstrate selected competencies under the eleven key areas
of responsibilities pertinent to nursing
Course Outline : I. Overview
1. Definition of concept, theory, principle
2. Characteristics of a theory
3. Components of a theory
4. Purposes of nursing theory
5. Nursing paradigm
i. Different views of person, health, environment and nursing by
various nursing theorists
1. Florence Nightingale
2. Ernestine Weidenbach
3. Virginia Henderson
4. Faye Glenn Abdellah
5. Jean Watson
6. Dorothea Orem
7. Myra Estrine Levine
8. Martha Rogers
9. Dorothy Johnson
10. Callista Roy
11. Betty Neuman
12. Imogene King
13. Hildegard Perplau
14. Ida Jean Orlando
15. Joyce Travelbee
16. Madelline Leininger
17. Rosemarie Rizzo Parse
18. Joyce J. Fitzpatrick
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19. Anne Boykin and Savina Schoenhoffer
20. Margaret Neuman
21. Josephine E. Paterson
22. Loretta Zderad
III. Different Views of Non-nursing Theories:
1. Systems Theory
2. Change Theory
3. Developmental Theory
IV. Health as a Multifactorial Phenomenon
V. Interlinking Relationships of Factors Affecting Health
VI Care Enhancement Qualities including Core Values
VII. Competency-based Approach to the BSN Curriculum
VIII. Core competencies under the 11 Key Areas of Responsibility
Course Name : ANATOMY AND PHYSIOLOGY
Course Code : Ana/Physio
Course : This course deals with the physiologic concepts, principles and basic
Description anatomical structure.
Course Credit : 3 units lecture, 2 units lab
Contact :
Hours/sem 54 lecture hours, 108 lab hours
Pre-requisite : None
Placement : 1st
year, 2nd semester
Course
Objectives: At the end of the course and given specific situations/conditions, the
student should be able to:
1. describe the anatomic structures and physiologic
mechanisms/processes/systems involved in the following
physiologic concepts:
1.1 locomotion
1.2 fluid transport
1.3 gas exchange
1.4 fluid and electrolyte, acid/base dynamics
1.5 nutrition metabolism
1.6 chemical regulation
1.7 neural regulation
1.8 sensory intake
1.9 protection
1.10 awareness and response to the environment
1.11 reproduction
2. utilize basic anatomical facts and physiological concepts and
principles in the nursing care of individuals
Course Outline :
I. Anatomy
A. Definition
1. Types of Study
a. Systematic Anatomy
b. Regional Anatomy
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c. Surface Anatomy
B. Physiology
1. Definition
2. Types of Study:
a. According to the organism involved
b. According to levels of organism within
a given organism
C. Structural and Functional organization
1. Seven Structural Levels
a. Chemical
b. Organelle
c. Cell
d. Tissues
e. Organ
f. Organ System
g. Organism
D. Characteristics of Life
1. Organization
2. Metabolism
3. Responsiveness
4. Growth
5. Development
6. Reproduction
E. Homeostasis
1. Negative feedback
2. Positive feedback
F. Terminology and the Body Plan
1. Directional Terms
2. Planes/Sections
3. Body Regions
4. Body Cavities
5. Serous Membranes
II. Cells, Tissues, Glands and Membranes
A. Cells
1. Cell Structure and Function
2. Whole Cell Activity
B. Tissues
1. Basic Tissue Types
a. Epithelial tissue
b. Connective tissue
c. Muscle tissue
d. Nervous tissue
e. Membranes
f. Inflammation
g. Tissue repair
C. The Chemistry of Life
1. Basic Chemistry
2. Chemical Reactions
3. Acids and Bases
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4. Water
5.Organic Molecules
III. The Respiratory System
A. Anatomy of the Respiratory System
1. Nose & Nasal Cavities
2. Pharynx
3. Larynx
4. Trachea
5. Bronchi & smaller air passages
6. Lungs
5. Pleural cavities
B. Ventilation and Lung Volumes
1. Phases of Ventilation
2. Mechanisms of Ventilation
3. Collapse of the Lung
4. Pulmonary volumes and capacities
C. Gas Exchange
D. O2 and CO2 transport in the Blood
E. Modification of Ventilation
IV. The Cardio Vascular System
A. The Heart
1. The Blood Vessels and Circulation of Blood
a. Structure & Function
b. Blood Vessels of the Pulmonary Circulation
c. Blood Vessels of the Systemic Circulation
d. The Physiology of Circulation
e. Control of Blood Vessels
f. Regulation of Arterial Pressure
B. The Blood
1. Function
2. Composition of Blood
a. Plasma
b. Cellular Content
c. WBC or Leukocytes
d. Platelets or Thrombocytes
3. Preventing Blood Loss
V. The Lymphatic System and Immunity
1. Functions
2. Lymphatic Vessels
3. Lymphatic Organs
4. Immunity
VI. The Digestive System
1. Activities in the Digestive System
2. Trunks or Layers of the Digestive Tract
3. Organs and Functions of the Digestive System
4. Movements and Secretions in the Digestive System
5. Metabolism
VII. The Endocrine System
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1. Hormones
2. The Endocrine Glands and their Hormones
3. Other Hormones
VIII. The Urinary System and Fluid Balance
1. Structure and function
2. Kidney
3. Ureters
4. Urinary Bladder
5. Urethra
IX. Fluids and Electrolytes
1. Body Fluid Compartments
2. Composition of Fluid in the body Fluid Compartments
3. Exchange between Body fluid Compartments
4. Regulation of Extracellular Fluid Composition
5. Regulation of Acid-Base Balance
6. Alterations in the Buffering Mechanism
X. The Integumentary System
1. Structure of the Skin
2. Accessory Skin Structures
XI. The Nervous System
1. Division of the Nervous System
2. Cells of the Nervous System
3. Central Nervous System
4. Peripheral Nervous System
5. Autonomic Nervous System
XII. The Special Senses
1. Major Groups
2. General Sense
3. Special Senses
XIII. The Skeletal System
1. Major Components
2. Connective Tissue
3. General Feature of Bone
4. General Classification of Bone Anatomy
XIV. The Muscular System
1. Characteristics of Skeletal muscle
2. Smooth Muscle Anatomy
3. Skeletal Muscle Anatomy
XV. The Reproductive System
1. Male Reproductive System
a. Parts
b. Physiology of male reproduction
2. Female Reproductive System
a. Parts
3. Physiology of the female reproduction
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Laboratory : Anatomical models, charts Sphygmomanometer
Supplies and Videos and CD ROMs Stethoscope
Equipment Preserved specimens and slides Microscope
Reflex hammer
Course Name : FUNDAMENTALS OF NURSING PRACTICE
Course Code : NCM 100
Course : This course provides the students with the overview of nursing as a
Description science, an art and a profession. It deals with the concept of man as a
holistic being comprised of bio- psycho- socio and spiritual
dimensions. It includes a discussion on the different roles of a nurse
emphasizing health promotion, maintenance of health as well as
prevention of illness utilizing the nursing process. It includes the basic
nursing skills needed in the care of individual clients.
Course Credit : 3units lecture, 2units RLE (Skills Lab)
Contact :
Hours/Sem 54 hours lecture, 102 RLE hours Skills Lab
Prerequisite : General Chemistry, Theoretical Foundations of Nursing
Co-requisite Anatomy & Physiology, Biochemistry
Placement : 1st
Year, 2nd
semester
Course At the end of the course and given actual or simulated situations
Objectives: /conditions, the student will be able to:
1. utilize the nursing process in the holistic care of client for the
promotion and maintenance of health
1.1 Assess with the client his/her health status and risk factors
affecting health
1.2 Identify actual wellness/at risk nursing diagnosis
1.3 Plan with client appropriate interventions for the promotion and
maintenance of health
1.4 Implement with client appropriate interventions for the
promotion and maintenance of health
1.5 Evaluate with client outcomes of a healthy status
2. ensure a well-organized recording and reporting system
3. observe bioethical principles and the core values (love of God,
caring, love country and of people)
4. relate effectively with clients, members of the health team and
others in work situations related to nursing and health; and,
5. observe bioethical concepts/ principles and core values and
nursing standards in the care of clients
Course Outline : I. Nursing as a Profession
A. Profession
1. Definition
2. Criteria
B. Nursing
1. Definition
2. Characteristics
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3. Focus: Human Responses
4. Personal and professional qualities of a nurse
C. History of Nursing
1. In the world
2. In the Philippines
(include the history of own nursing school )
D. Development of modern nursing
E. Growth of Professionalism
1. Profession
a. Specialized education
b. Body of knowledge
c. Ethics
d. Autonomy
2. Carpers four patterns of knowing
a. Nursing science
b. Nursing ethics
c. Nursing esthetics
d. Personal knowledge
F. Overview of the Professional Nursing Practice
1. Level of Proficiency according to Benner
(Novice, Beginner, Competent, Proficient, Expert)
2. Roles and Responsibilities of a Professional nurse
3. Scope of Nursing Practice based on RA 9173
4. Overview of the Code of Ethics for Nurses/Filipino Bill of
Rights/Legal Aspects
5. Professional/legal and moral accountability / responsibility
G. Different Fields in Nursing
1. Institutional nursing (hospital staff nursing)
2. Community health nursing (school nursing /industrial
nursing/public health nursing )
3. Independent nursing practice
4. Nursing in education
5. Nursing in other fields
H. Communication Skills
1. Effective communication
2. Purposes of therapeutic communication
3. Components of communication
4. Criteria for effective verbal communication
5. Guidelines for active & effective listening
6. Guidelines for use of touch
7. Developmental consideration in communication
8. Communicating with people who are
a. Physically challenged
b. Cognitively challenged
c. Aggressive
9. General guidelines for trans-cultural therapeutic
communication
I. Nursing Process
1. Assessment
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2. Nursing Diagnosis (as a concept and process)
3. Planning (long-term, short-term, priority setting,
formulation of objectives)
4. Intervention (collaborative, independent nursing
interventions)
5. Evaluation (formative, summative)
6. Documentation of plan of care /reporting
J. Health and Illness:
1. Recall concepts learned about man as an individual and as
a member of the family
2. Define health, wellness and illness
3. Explain the dimensions of wellness
4. Discuss the Health-Illness Continuum
5. Enumerate the stages of wellness and Illness
6. Describe the three levels of Prevention
K. Levels of Care
1. Health promotion
2. Disease prevention
3. Health maintenance
4. Curative
5. Rehabilitative
L. Basic Interventions to Maintain
1. Healthy lifestyle,
2. Oxygenation
3. Fluid and electrolyte balance
4. Nutrition
5. Elimination
6. Temperature regulation
7. Mobility and exercise
8. Hygiene and comfort,
9. Safety, security and privacy
10.Psychosocial and Spiritual Concerns
M. Meeting needs related to death and dying/grief and grieving
1. Concept of death and dying/grief and grieving
2. Care of the terminally ill patients and their families
3. Post mortem care
II. Nursing as an Art
1. Definition of Arts
2. Why is nursing an art?
3. Concepts related to the art of nursing
4. Self-awareness/concept (Who am I?)
5. Self enhancement (How do I become a better person?)
6. Caring : An Integral Component of Nursing
7. Nursing - Client relationship
8. Therapeutic communication
9. Focus of nursing
III. Health and Illness:
1. Recall concepts learned about man as an individual and
as a member of the family
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2. Define Health. Wellness and Illness
3. Explain the dimensions of wellness
4. Discuss the Health-Illness Continuum
5. Enumerate the stages of wellness and Illness
6. Describe the three levels of Prevention
Provides opportunity to demonstrate the various nursing procedures
Guide for RLE learned.
Provides opportunity to care for a healthy/well client.
:
Laboratory Office Supplies such as:
Supplies and
Equipment Hospital forms and logbook
Equipment such as surgical instruments, hospital equipments like bed
pan, urinal, surgical beds, stethoscope, non-mercurial BP apparatus,
etc.
Fixtures such as chart rack, medicine and treatment cards rack
Audio visual equipments such as mannequin, models, videos, CD, etc.
Appliances such as footstool, wheel chair, stretcher etc.
Hospital linens
Course Name : HEALTH ASSESSMENT
Course Code : HA
Course : The course deals with concepts, principles & techniques of history
Description taking using various tools, physical examination (head to toe), psycho-
social assessment and interpretation of laboratory findings to arrive at
a nursing diagnosis on the client across the lifespan in community and
hospital settings.
Course Credit : 2 units lecture, 1 unit RLE
Contact :
Hours/sem 36 lecture hours, 51 RLE hours
Prerequisite : Theoretical Foundations of Nursing, General Psychology, Anatomy-
Physiology, Chemistry 2 & NCM 100
Placement : 1st
year, Summer
Course
Objectives: At the end of the course and given simulated and actual conditions/
situations, the student will be able to:
1. Differentiate normal from abnormal assessment findings;
2. Utilize concepts, principles, techniques and appropriate assessment
tools in the assessment of individual client with varying age group
and development; and,
3. Observe bioethical concepts/ principles and core values and nursing
standards in the care of clients.
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Course Outline :
I. Review of the Nursing Process
II. Health History Guidelines
A. Interview
1. Purpose
2. Structure
3. Guidelines of an effective interview III.
Health History
A. Personal profile
1. Chief complaint of present illness
2. Past health history
3. Current medications
4. Personal habits & patterns of living
5. Psychosocial history
a. Mental status assessment
 Children and adolescent
 Adults
B. Functional assessment
1. Adults
2. Physical activities of daily living (PADC)
3. Instrumental activities of daily living (IADL)
C. Functional Assessment Tests
1. Newborns - Apgar scoring system
2. Infants & children - MMDST
3. Adults
a. Katz Index of Independence in ADL
b. Barthel index
D. Review of systems (symptoms)
E. Assessment in pregnancy (e.g. LMP, EDC)
F. Pediatric additions to
A. health history (e.g. head circumference,
weight, height, immunization)
G. Geriatric additions to the Health History (e.g. immunization,
current prescription medications, over the counter medications,
ADL, social support, etc.)
III. Physical Examination
A. Preparation guidelines
B. PE guidelines
C. Techniques in physical assessment
1. Inspection
2. Auscultation
3. Percussion
4. Palpation
D. Continuing assessment
1. Pain
2. Fever
E. Pediatric adaptation
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1. General guidelines
2. Specific age groups
F. Geriatric adaptations
1. General guidelines
2. Modifications
G. Cultural considerations
1. Sequence of PE (adult/pedia/geriatric adaptations)
a. Overview
b. Integument
c. Head
d. Neck
e. Back
f. Anterior Truck
g. Abdomen
h. Musculoskeletal system
i. Neurologic system
j. Genitourinary system
H. Clinical alert
I. Documentation of findings
J. Patient & family education & home health teaching
IV. Diagnostic tests (routine laboratory exams)
V. Appropriate nursing diagnosis
Provides opportunity to demonstrate the various nursing procedures
Guide for RLE learned.
Provides opportunity to care for clients.
Laboratory : Assessment forms Patient’s chart
Supplies and Ophthalmoscope Watch with second hand
Equipment Otoscope Sphygmomanometer
Flashlight or penlight Stethoscope
Tongue depressor Gloves and lubricant
Ruler & tape Vaginal speculum and equipment for cytological
Thermometer bacteriological study
Tuning fork Reflex hammer
Safety pins Paper, pen and pencil
Cotton
Course Name : COMMUNITY HEALTH NURSING
Course Code : CHN
Course : This course focuses on the care of population groups and community
Description as clients utilizing concepts and principles in community health
development. It also describes problems, trends and issues in the
Philippine and global health care systems affecting community health
nursing practice.
Course Credit : 3 units lecture; 2 units RLE (0.5 Skills Lab; 1.5 Clinicals)
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Contact :
Hours/sem 54 lecture hours; 102 RLE hours
Prerequisite : NCM 100, Theoretical Foundations of Nursing, Health Assessment
Placement : 2nd
Year, 1st
semester
Course At the end of the course, the student will be able to:
Objectives: 1. Apply concepts and principles of community health development
in the care of communities and population groups.
2. Utilize the nursing process in the care of communities and
population groups.
a. Assess the health status of communities and population
groups to identify existing and potential problems.
b. Plan relevant and comprehensive interventions and
programs based on identified priority problems.
c. Implement appropriate plan of care to improve the health
status of the communities and population groups.
d. Evaluate the progress and outcomes of community health
nursing interventions and programs.
3. Ensure a well-organized recording and reporting system.
4. Share leadership/relate effectively with others in work situations
related to nursing and health.
Course Outline : I. Overview of Community Health Nursing
a. Community Health Nursing as a Field of Nursing Practice
i. The hallmark of community health nursing is that it is
population- or aggregate-focused.
ii. CHN is a synthesis of nursing and public health
practice
1. emphasis on the importance of the “greatest
good for the greatest number”
2. assessing health needs planning,
implementing and evaluating the impact of
health services on population groups
3. priority of health-promotive and disease-
preventive strategies over curative
interventions
4. tools for measuring and analyzing community
health problems; and
5. application of principles of management and
organization in the delivery of health services
to the community
iii. Basic concepts and principles of community health
nursing
1. The family is the unit of care; the community is
the patient and there are four levels of clientele
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in community health nursing.
2. The goal of improving community health is
realized through multidisciplinary effort.
3. The community health nurse works with and
not for the individual patient, family, group or
community. The latter are active partners, not
passive recipients of care.
4. The practice of community health nursing is
affected by changes in society in general and
by developments in the health field in
particular.
5. Community health nursing is part of the
community health system, which in turn is part of
the larger human services system.
iv. Roles of the nurse in caring for communities and
population groups
v. Brief history of community health/public Health
nursing practice in the Philippines
II. Community Health and Development Concepts, Principles and
Strategies
a. Primary Health Care Approach
i. Definition; PHC as a philosophy, approach, structure
and services
ii. Legal Basis of PHC in the Philippines iii.
Components of PHC
b. Health Promotion
i. Concept of health promotion (as embodied in the
Ottawa Charter, November 1986)
ii. Health promotion strategies:
1. Build healthy public policy
2. Create supportive environments
3. Strengthen community action
4. Develop personal skills
5. Reorient health services
iii. Examples of Theories/Models of Health Promotion:
Pender, Bandura, Green
c. Community organizing towards community participation in
Health
i. Definition of Community Organizing
1. CO Characteristics,
2. Process,
3. Phases
4. Goal
ii. Community participation in health: levels of
community participation, factors affecting community
participation
d. Capacity-building for sustainable community health
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Development towards community competence
i. Concept of a sustainable community health
development: integrated, community-based,
comprehensive
ii. Capacity-building strategies: health education,
competency-based training for community health
workers, supervision of lower level health workers
e. Partnership building and collaboration
i. Networking
ii. Linkage-building
iii. Multi-sectoral collaboration
iv. Interdisciplinary collaboration
v. Advocacy
III. The Community Health Nursing Process
a. Assessment of Community Health Needs
i. Components of community needs assessment:
1. health status
2. health resources
3. health action potential ii.
Community Diagnosis
1. Definition
2. Types of community diagnosis:
comprehensive, problem-oriented or focused
3. Steps in conducting the community diagnosis
iii. Tools used in community diagnosis: demography,
vital and health statistics, epidemiology
1. Demography
a. Definition and uses of demography
b. Components of demography
i. Describing population size ii.
Describing population
composition
iii. Describing spatial distribution
c. Sources of demographic data
2. Vital and health statistics
a. Definition and uses of vital and health
statistics
b. Common vital and health statistical
indicators
i. Fertility rates
ii. Mortality rates
iii. Morbidity rates
3. Epidemiology
a. Definition and uses of epidemiology
b. Epidemiologic concepts and principles
i. Multiple Causation Theory or
Ecologic Concept of Disease
1. Agent-Host-Environment
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2. Models: web, wheel and
triad
ii. Natural history of disease
iii. Levels of disease prevention
iv. Concept of causality and
association
c. Epidemiologic approach focusing on:
i. Descriptive epidemiology
ii. Analytical epidemiology
b. Planning of Community health nursing services
i. Principles in community health planning
ii. Bases for developing a community health plan
1. health status
2. health resources
3. health action potential
iii. Steps in making a plan: the planning cycle
iv. Context in developing the community health plan
1. Philippine health care delivery system
a. Executive Order 102 (The Department
of Health)
b. RA 7160 (Local Health Systems)
c. Levels of Health Care and Referral
System
2. Global health situation (Millennium
Development Goals)
3. National health situation (FOURmula One)
4. Primary health care as an approach to health
care delivery
IV. Implementing the community health nursing services
a. Components of program implementation
i. Coordinating the health program
ii. Monitoring health programs
iii. Supervising the program staff
b. National health programs of the DOH
i. Family health services
1. Maternal health
2. Family planning
3. Child health
a. Infant and young child feeding
b. Expanded program on immunization
c. Integrated management of childhood
illness
4. Nutrition program
5. Oral health program
6. Essential health packages for the adolescent,
adult men and women and older Persons
ii. Control of non-communicable diseases
1. Integrated community-based non-
communicable disease prevention program
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2. Programs for the prevention of other non-
communicable diseases
a. National prevention of blindness
b. Mental health and mental disorders
c. Renal disease control program
d. Community-based rehabilitation
program
iii. Control of communicable diseases
1. National TB Program-Directly Observed
Treatment, short-course (NTP-DOTS)
2. National Leprosy Control Program
3. Schistosomiasis Control Program
4. Filariasis Control Program
5. Malaria Control Program
6. RabiesControl Program
7. Dengue Control Program
8. Sexually-Transmitted Infections and AIDS
Control Program
iv. Environmental Health
1. Water supply sanitation
2. Proper excreta disposal
3. Solid waste management
4. Vector control
5. Food sanitation
6. Air pollution
7. Proper housing
c. Specialized fields of community health nursing
i. School health nursing
ii. Occupational health nursing
iii. Community mental health nursing
V. Evaluating community health nursing services
a. Definition of evaluation
i. Types of evaluation: quantitative, qualitative
ii. Aspects of evaluation: process, impact and outcome iii.
Methods and tools of evaluation
iv. Evaluation indicators
b. Quality Assurance: Sentrong Sigla Movement
VI. Recording and Reporting
a. Family Health Service Information System
b. Components of FSHIS
i. Family Treatment Record ii.
Target Client List
iii. Reporting Forms
iv. Output Reports
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Guide for RLE Provide opportunity to practice bag technique and other nursing
procedures
Provide for actual care of individual, family, population group and
community as client. Requires competencies with emphasis on health
promotion and disease prevention
Equipment and
Materials CHN Bag complete with relevant equipment and supplies
(these could be
found in
nursing skills
lab and in the
community)
Course Name : MICROBIOLOGY AND PARASITOLOGY
Course Code : Micro/Para
Course : This course is designed to assist students in the study of important
Description microorganisms and parasites. It explains the physiology and
pathogenic properties of bacteria, fungi and viruses as an introduction to
disease causation, their biology, the infections they cause, host
response to these infections and their mode of transmission,
prevention, treatment and nursing responsibilities.
The laboratory experiences provide specimen collection, handling and
processing of specimens for isolation and identification of
microorganisms and parasites involved in the infectious processes.
Course Credit : 3 units lecture, 1 unit laboratory
Contact :
Hours/sem 54 lecture hours, 54 lab hours
Prerequisite : General Chemistry, Anatomy and Physiology
Placement : 2nd
year, 1st
semester
Course At the end of the course and given simulated/actual
Objectives situations/conditions, the student will be able to:
1. Apply the concepts and principles of microbiology and parasitology
in the care of individuals.
2. Utilize principles and techniques in the collection, handling of
specimens and identification of microorganisms and parasites
involved in the infectious processes.
Course Outline : I. Scope of Microbiology
1. Organisms that make up the microbial world and the
development of microbiology
2. Microorganisms
3. Division of microbiology
4. Significance of microbiology
5. Practical applications of microbiology
6. Evolution of microbiology
7. Basic laboratory equipment and procedures in the study of
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bacteria
II. Microbial Control
1. Techniques for controlling pathogenic microorganisms
2. Surgical and medical asepsis
3. Antimicrobial agents in therapy
III. Infection and Host Resistance
1. Infection and bacterial invasion
2. Host response to infection
a. Non-specific host resistance
b. Specific host resistance
c. Vaccines in the elimination of disease
IV. Pathogenic Microorganisms and Parasitic Helminthes
1. Normal human microbial flora and microorganisms pathogenic
to man
2. Protozoan and helminthes diseases of man
V. Microbial Disease of the Different Organ System
1. Skin and eye
2. Nervous system
3. Cardiovascular system
4. Respiratory system
5. Digestive system
6. Urinary and reproductive system
Course Name : CARE OF MOTHER, CHILD AND FAMILY
Course : Principles and techniques of caring for the normal mothers, infants,
Description children and family and the application of principles and concepts on
family and family health nursing process.
Course Credit : 4 units lecture, 4units RLE [1unit Skills Lab/3units Clinical]
Contact :
Hours/Sem 72 lecture hours, 204 RLE hours
Prerequisite : FNP, Health Assessment, Anatomy and Physiology
Co-requisite : Microbiology and Parasitology
Placement : 2nd
year, 1st
semester
Course At the end of the course, given actual or simulated situations
Objectives: /conditions involving the client (normal pregnant woman, mother,
and/or newborn baby, children and the family), the student will be able
to:
1. Utilize the nursing process in the holistic care of client for the
promotion and maintenance of health.
1.1 Assess with the client his/her health condition and risk factors
affecting health
1.2 Identify wellness /at risk nursing diagnosis
1.3 Plan with client appropriate interventions for health promotion
and maintenance of health
1.4 Implement with client appropriate interventions for health
promotion and health maintenance taking into consideration
51

relevant principles and techniques
1.5 Evaluate with client the progress of one’s health condition and
outcomes of care.
2. Ensure a well-organized recording and reporting system
3. Observe bioethical principles and the core values (love of God,
4. Relate effectively with clients, members of the health team and
others in work situations related to nursing and health
Course Outline : I. The Family and Family Health
1. Concepts/ Definition of family
2. Family structure and functions
3. Universal characteristics of families
4. Characteristics of a healthy family
5. Family stages and tasks
6. Levels of prevention in family health
II. The Family Health Nursing Process
1. Definition of family health nursing & family nursing process
2. Principles of family nursing process
3.Steps of the family health nursing process
4. Initial assessment/data base for family nursing practice
5. Family structure/characteristics/dynamics
6. Social, economic & cultural factors
7. Health status of each family member
8. Values & practices on health promotion III.
Methods of Data Gathering
1. Health assessment of each family member
2. Observation
3. Interview
4. Review of records/reports & laboratory results
5. Assessment of home & environment
6. Tools used in family assessment: genogram, ecomap, initial
database, family assessment guide
IV. Typology of Nursing Problems in Family Nursing Practice
1. 1st level assessment: identify health threats, foreseeable
crisis, health deficits & wellness potential/state
2. 2nd
level assessment: determining family’s ability to perform
the family health tasks on each health threat, health
deficit, foreseeable crisis or wellness potential
V. Statement of a Family Health Nursing Problem- health problem
and
cause/ contributing factors or health condition and factors related
with non-performance of family health tasks
VI. Developing the Care Plan
1. Priority setting: criteria
2. Defining/setting goals/objectives
3. Specifying intervention plan
4. Developing the evaluation plan, specifying methods/tools
VII. Categories of nursing interventions in family nursing practice
include:
52

1. Human becoming: methods/processes
2. Competency-based teaching
3. Motivation-support for behavior chang3e/lifestyle modification
VIII. Categories of health care strategies and intervention
1. Preventive
2.Curative
3. Rehabilitative
4. Facilitative
5. Facilitation
6. Direct
IX. Evaluation
1. Qualitative & quantitative data for evaluation
2. Methods & sources of evaluative data
3. Steps in evaluation
4. Evaluation criteria
5. Evaluation in family nursing practice
X. Records in Family Health Nursing Practice
1. Importance & uses
2. Types of records& reports
XI. Mother and Child Health
1.Procreative health
a. Definition and theories related to procreation
b. Process of human reproduction
c. Risk factors that will lead to genetic disorders
d. Common tests for determination of genetic abnormalities
e. Utilization of the nursing process in the prevention of
genetic alteration and in the care of clients seeking
services before & during conception
XII. Antepartum/ Pregnancy
1. Anatomy & physiology of the male and female
reproductive system
2. Physiology of menstrual cycle
3. The process of conception
4. Fetal circulation
5. Milestones of fetal development
6. Estimating the EDC
7. Common teratogens and their effects
8. Health history: past, present, potential, biographical data,
menstrual history, current pregnancy (EDD, AOG, gravid,
para), previous pregnancies & outcomes (TPAL score),
gynecologic history, medical history, nutritional status
9. Normal changes during pregnancy
a. Local & systematic physical changes including vital
signs, review of systems
b. Emotional changes including ‘angers in pregnancy’
c. Leopold’s maneuver
10. Danger signs of pregnancy
11. Normal diagnostic/laboratory findings & deviations
Pregnancy test
53

Urine test
Blood test (CBC)
ultrasound
12. Appropriate nursing diagnoses
13. Addressing the needs and discomforts of pregnant mothers
14. Prenatal exercises
15. Preparation for labor and delivery
XIII. Intrapartum (Process of Labor & Delivery)
1. Factors affecting labor & delivery process- passenger,
passage, power (primary and secondary) and placenta
2. Functional relationships of presenting part
3. Theories of labor onset
4. Common signs of labor
5. Stages of labor & delivery
6. Common discomforts of the woman during labor and
delivery
7. Danger signs during labor & delivery
9. Care of clients experiencing labor & delivery process
10. Physical & psychological preparation of the client:
 Explanation of the procedure, Securing informed
consent, provision of safety, comfort & privacy (proper
positioning, draping, constant feedback, therapeutic
touch
11. Monitoring of progress of labor delivery
12. Provision of personal hygiene, safety & comfort
measures e.g. perineal care, management of labor pain,
bladder and bowel elimination
13. Coping mechanisms of woman’s partner and family of the
stresses of pregnancy, labor and delivery & puerperium
14. Preparation of the labor & delivery room
15. Preparation of health personnel
XIV. Post Partum
1. Definition
2. Specific body changes on the mother
3. Psychological changes on the mother
4. Phases of puerperium
 “Taking In”
 “Taking Hold”
 “Letting Go”
5. Monitoring of vital signs, uterine involution, amount & pattern
of lochia, emotional responses, responses to drug therapy,
episiotomy healing
6. Possible complications during post partum : bleeding &
infection
8. Nursing care of mothers during post partum
a. Safety measures: limitations in movement, protection
from falls, provision of adequate clothing, wound care
54

e.g. episiotomy
b. Comfort measures: exercises, initiation of lactation,
relief
of discomforts like breast engorgement and nipple
sores, hygienic measures, maintaining adequate
nutrition
c. Measures to prevent complication: ensuring adequate
uterine contraction to prevent bleeding, adequate
monitoring, early ambulation, prompt referral for
complications
d. Support for the psychosocial adjustment of the mother
e. Health teaching needs of mother, newborn, family
f. Accurate documentation and reporting as needed
9. Health beliefs & practices of different cultures in pregnancy,
labor delivery, puerperium
10. Current trends in maternal and child care
11. Family planning
a. Natural methods- Standard Days Method (SDM) with cycle
beads, Billing’s Method, sympto-thermal method, lactation
amenorrhea method (LAM)
b. Artificial methods- use of hormones, intra-uterine device,
barrier methods, tubal ligation, vasectomy
XV. The Newborn
A. Profile of the newborn
1. Physiologic function & appearance
 APGAR score, Ballard’s score, Review of systems,
Anthropometric measurements (weight, head, chest,
abdomen circumference, length, other relevant
measures)
2. Vital signs, patent airway
3. Behavioral assessment & other significant information
4. Newborn screening
B. Nursing care of the newborn.
1. Establishment of respiration
2. Maintaining patent airway
3. Water/oil bath, tub bath, changing of diapers,
4. Eye prophylaxis
5. Cord care
6. Vitamin K administration
7. Regulation of temperature
8. Sensory stimulation (audio& tactile)
9. Vestibular stimulation
10. Breast feeding
11. Burping
12. Elimination
13. Cuddling
C. Concept on Growth & Development
1. Definition
2. Principles of growth & development (GD)
55

3. Major factors influencing GD
4. Foundations of GD
 Age Periods
 Methods of studying GD -cross-sectionals,
longitudinal
 Patterns of GD
 Individual differences
6. Biologic growth & development
7. Development of mental function & personality development
8. Theories:
- psychosexual - moral
- psychosocial - relational
- cognitive - behaviorism
9.
Development of self-concept- body image, self-esteem
10. Development of sexuality
D. The Infant and Family
1. Definition of terms
2. Growth & development of the infant
 biologic- proportional changes & maturation of
systems, development milestones - fine & gross motor,
language, psychosocial development, cognitive
development, social development, development of social
image, temperament
3. Coping with concerns related to normal growth &
Development, e.g. separation anxiety, teething, etc.
4. Promotion of health during infancy
5. Prevention of injury
E. The Toddler & the Family
1. Definition
2. Growth & development of the toddler - biologic,
developmental milestone, psychosocial, cognitive, social,
spiritual, sexuality, and body image development
development
4. Promotion of health during toddlerhood
F. The Preschooler and the Family
2. Growth & development- biologic, developmental milestone,
psychosocial, cognitive, social & moral development
development
4. Promotion of health
56

G. The Schooler and the Family
2. Growth & development- biological, psychosocial, cognitive,
moral, spiritual, social & self-concept development
3. Coping with concerns related to normal growth and
development
4. Promotion of health during school age period
H. The Adolescent & the Family
2. Growth & development - biologic, psychosocial, cognitive,
moral, spiritual and social development
3. Promotion of health during adolescence
I. Adulthood
1. Early adulthood
a. Theories, physiological, cognitive, moral &
psychosocial development
b. Nursing implications
2. Middle adulthood
a. Physical, cognitive, moral and psychosocial
development
b. Nursing implications
3. Late adulthood
a. Viewpoints on aging
b. Theories of aging
c. Biologic, sociologic, psychologic changes
d. Needs of older persons
e. Nursing implications
Guide for RLE Provide for actual hospital and community experiences to ensure that
competencies are developed in the following:
• Prenatal
• Intrapartal
• Post partal
• Immediate care of the newborn
Provide the opportunity to do the following related clinical experiences:
AT LEAST THREE (3) ACTUAL DELIVERIES properly
supervised in any of these settings:
• Lying-in/Birthing Centers
• Hospitals (any category)
• One home/domiciliary delivery may be allowed as long
as the two others are done in any of the above settings
first.
AT LEAST THREE (3) NEWBORNS GIVEN IMMEDIATE
CARE in settings where actual deliveries are performed.
In the event that the required competencies are not developed within
the allotted hours/weeks, the nursing student/s shall be made to
57

“extend” his/her Related Learning Experience (RLE) exposure until the
expected competencies are satisfactorily achieved.
To standardize documentation, a prescribed form shall be completed
right after the related clinical experience.
Provide opportunities to participate in Expanded Program of
Immunization [EPI]
Equipment and Delivery set, delivery table, functional birthing model, pelvic model,
Materials newborn with placenta, weighing scale for infants, Doppler apparatus,
[these could be fetoscope, perineal flushing tray, breast care tray, perilight, nipple
found in shield, breast pump.
nursing skills
lab, base Baby’s Layette, cord dressing tray, oil bath tray, ophthalmic ointment,
hospital, Vitamin K, injection, baby’s bath tub, feeding bottle, immunization tray,
affiliating MMDST kit and manual.
centers]
Visual aids on family planning methods, breast feeding, growth
charts, immunization schedules, developmental landmarks, video on
actual delivery
Course Name : CARE OF MOTHER, CHILD, FAMILY AND POPULATION GROUP
AT-RISK OR WITH PROBLEMS
Course : This course deals with the concept of disturbances & pre-existing
Description health problems of pregnant women and the pathologic changes during
intrapartum and post partum periods. This course further deals with the
common problems occurring during infancy to adolescence stage.
Course Credit : 5 units lecture, 6 units RLE [1unit Skills Lab/5units Clinical]
Contact :
Hours/Sem 90 lecture hours, 306 RLE hours
Prerequisite : Care of Mother, Child and Family
Co-requisite : Pharmacology; Nutrition with Diet Therapy
Placement : 2nd
year, 2nd
semester
Course At the end of the course, given actual or simulated situations
Objectives: /conditions involving individual client (mother, newborn baby, children)
and family at risk/with problem, the student will be able to:
1. Utilize the nursing process in the holistic care of client for the
promotion and maintenance of health in community and hospital
settings.
1.1 Assess with the client his/her health condition and risk factors
affecting health
58

1.2 Identify actual/at risk nursing diagnosis
1.3 Plan with client appropriate interventions for identified
problems
1.4 Implement with client appropriate interventions for identified
problems
1.5 Evaluate with client the progress of their condition and
outcomes of care.
2. Ensure a well-organized recording and reporting system
3. Observe bioethical principles and the core values (love of God,
4. Relate effectively with clients, members of the health team and
others in work situations related to nursing and health
Course Outline : I. Mother
A. High-Risk Prenatal Client
a. Identifying Clients at Risk
1. Assessment of risk factors
2. Screening procedures
3. Diagnostic tests and laboratory exams
b. Pre-gestational conditions such as rheumatic heart disease,
diabetes mellitus, substance abuse, HIV/AIDS, Rh
Sensitization, anemia
c. Gestational condition such as hyperemesis gravidarum,
ectopic pregnancy, gestational trophoblastic disease (H-
mole), incompetent cervix, spontaneous abortion, placenta
previa, abruptio placenta, premature rupture of membranes,
pregnancy-induced hypertension
B. Nursing Care of the client with high-risk labor & delivery & her
Family
1. High-Risk factors:
(may happen at anytime during the course of labor to a client
who has been otherwise been healthy throughout her
pregnancy & may be related to stress/stressor; adaptive
process):
- passenger or fetus
- passage way or pelvic bones & other pelvic
structure
- powers or uterine contractions
- placenta
- clients' psyche or psychologic state
2. Problems of the Passenger
a. Fetal malposition
1. Types of fetal malposition
2. Nursing care
3. Medical Management
b. Fetal malpresentation
59

1) Vertex malpresentation
a) brow presentation
b) face presentation
c) sincipital presentation
2) Breech presentation
a) types
b) maternal risks
c) vaginal evolving of breech
d) external/podalic version
3) Shoulder presentation
a) Compound presentation
4) Nursing care of client with malpresentation
c. Fetal distress
1) causes
2) signs/symptoms
3) nursing interventions
d. Prolapse umbilical cord
1) cause
2) contributing factors
3) assessment & nursing diagnoses
4) nursing interventions.
3. Problems with the passageway
a. abnormal size or shape of the pelvis
b. cephalopelvic disproportion
c. shoulder dystocia
d. nursing care of client with problems of the passageway
4. Problems with the Powers
a. dystocia or difficult labor
 hypertonic uterine dysfunction 
hypotonic uterine dysfunction 
abnormal progress in labor
 retraction rings
b. premature labor
c. precipitate labor and birth
d. uterine prolapse
e. uterine rupture
5. Placental problems
a. Implantation in the lower uterine segment
b. Premature detachment of placenta
6. Problems with the psyche factors
a. Inability to bear down properly
b. Fear/anxiety
C. Nursing Care of the High-Risk Postpartal Client
1. Postpartal hemorrhage
a. Early postpartal hemorrhage
b. Late postpartal hemorrhage subinvolution
2. Postpartal puerperal infection
a. Endometritis
b. Wound infection
60

c. UTI
3. Thromboembolic disorders
4. Postpartal psychiatric disorder
D. Care of couple with problems of infertility
1. Causes of infertility in males and females
2. Diagnostic tests
3. Nursing interventions
II. Child
A. Nursing care of the high-risk newborn to maturity
1. Problems related to maturity
a. Prematurity
b. Postmaturity
2. Problems related to gestational weight
a. Small for gestational age (SGA)
b. Large for gestational age (LGA)
3. Acute conditions of the neonates such as:
a. Respiratory distress syndrome
b. Meconium aspiration syndrome
c. Sepsis
d. Hyperbilirubinemia
e. Sudden death syndrome (SDS)
B. Common health problems that develop during infancy
example: intussusception, failure to thrive, sudden infant death
syndrome, colic, trisomy 21, cleft palate, imperforated anus,
hirchsprung's disease, spina bifida, hydrocephalus, otitis media,
meningitis, febrile seizures, autism/ADHD
C. Health problems common In toddlers
example: burns, poisoning, child abuse, cerebral palsy
D. Health problems common In preschooler
example: leukemia, wilm's tumor (nephroblastoma), asthma,
urinary tract infection (UTI)
E. Health problems most common in school aged children
example: diabetes mellitus, rheumatic fever, rheumatic arthritis,
scabies, pediculosis, impetigo
F. Health problems common in adolescent
example: scoliosis, bone tumors, accidents (trauma/injury), STD,
amenorrhea, dysmenorrhea, obesity, anorexia nervosa,
substance abuse, suicide
III. Family
A. The family with health problems
1. Assessment of the family capability to perform health tasks
a. Primary assessment
b. Secondary assessment
2. Family health problem identification
a. Determination of categories of family health problems
 Health deficits
 Health threats
61

 Foreseeable crisis/stress points
 Enhanced capability for health promotion
3. Definition of contributing risk factors
 Predisposing factors
 Enabling factors
 Reinforcing factors
4. Criteria of setting priorities among family health problems:
 Nature of the problem
 Magnitude of the problem
 Modifiability of the problem
 Preventive potential
 Salience
5. Tool of analysis
 Social determinants of health
B. Planning of individual & family health nursing care
1. Concepts, principles, phases and components in planning
family health interventions
2. Programs and services that focus on primary & secondary
prevention of communicable and non-communicable diseases
a. Examples of DOH programs:
 National Tuberculosis Program - Direct Observed
 Short Course Treatment (NTP-DOTS)
 Integrated Management of Childhood Illness
(IMCI)
 Control of Diarrheal Diseases (CDD)
3. Identification of goal of care for priority problems
4. Parameters for selecting nursing interventions:
a. Applicable, appropriate and available to the home
community setting
b. Promotes client safety, comfort & hygiene
c. Standards of care & interventions that address acute
and chronic illness
5. Principles of collaboration and advocacy to be considered to
ensure continuity of care
C. Implementation of Individual & Family Health Nursing Care
1. Component of care in acute and chronic illness
a. Health promotion
b. Disease prevention
c. Restorative
d. Curative
e. Rehabilitative care
2. Bio-behavioral interventions and holistic care for individuals &
Family with specific problems in oxygenation, fluid and
electrolyte balance, metabolic and endocrine function
3. Strategies in meeting health problems of family
a. Promoting behavior change
b. Creating a supportive environment towards healthy
lifestyle
4. Principles of behavior change
62

5. Referral system
6. Concept & principles of collaboration & advocacy
D. Evaluation of progress and outcome of care
1. Methods & tools in evaluating effectiveness of family health
interventions
2. Sources of evaluative data
3. Alternative strategies & approaches for specific problems &
objectives
E. Ensuring a well organized & accurate documentation & reporting
1. Standard format
2. Legal principles involved in documentation
Provide opportunity for actual clinical hospital and community
Guide for RLE experiences to ensure competencies are developed.
Equipment and
Materials Baby model for resuscitation, video on resuscitation, rubber bulb, infant
[these could be suction catheter, suction apparatus, IV set (microdrip), infant feeding
found in tubes
nursing skills
lab, base
hospital,
affiliating
centers]
Course Name : NUTRITION AND DIET THERAPY
Course Code : NuDiet
Course : This course deals with the study of food in relation to health. It covers
Description nutrients and other substances and their action, and interaction and
balance in relation to health and diseases and the process by which
organism ingests, digests, absorbs, transports, utilizes and excretes
food substances. It will also focus in the therapeutic and food service
aspects of the delivery of nutritional services in hospitals and other
healthcare institutions.
Course Credit : 3 units lecture, 1 unit laboratory
Contact :
Hours/sem 54 lecture hours, 54 laboratory hours
Prerequisite : General Chemistry, Biochemistry, Anatomy and Physiology,
Micro-Parasitology
Placement : 2nd
year, 2nd
semester
Course At the end of the course, given relevant situations/conditions, the
Objectives: student will be able to:
1. Apply appropriate principles and techniques to assist clients in
maintaining nutritional health
2. Utilize knowledge of diet therapy in assisting clients needing dietary
modifications
Course Outline : A. Introduction to nutrition
2. Nutrition concepts
3. Classification of nutrients
63

B. Basic Tools in nutrition
1. FNRI & USDA Food Guide Pyramid
2. 10 NGF
3. RDA or RENI
4. FEL
5. Food Labeling
C. Six essential nutrients
1. Carbohydrates
a. Functions
b. Deficiencies/toxicity
c. Food sources
2. Protein
a. Functions
c. Food sources
3. Fats and waters
a. Functions
c. Food sources
4. Vitamins and Minerals
a. Functions
c. Food sources
D. Dietary computations
1. Body mass index and classification
2. Desirable Body Weight (DRW) Determination
3. Total Energy Requirement (TER) & distribution of TER
4. Application to Food Exchange List (FEL) & sample menu
E. Nutrition throughout the lifespan
1. Pregnancy
a. Stages
b. Nutritional problems and interventions
c. Recommended diet
2. Lactation
a. Common nutritional problems and interventions
b. Recommended diet
3. Infancy
a. Nutritional problems and intervention
b. Factors affecting nutritional status
c. Guidelines in feeding
d. Recommended diet
4. Pre-Schoolers & Schoolers
a. Nutritional problems and interventions
b. Guidelines in feeding
c. Recommended diet
5. Adolescents
a. Nutritional problems and intervention
b. Recommended Diet
64

6. Adulthood
a. Nutritional problems and interventions
b. Recommended diet
F. Diet Therapy
1. General diets
 Regular/full Diet
 High fiber diet
 Vegetarian diets
 Therapeutic diets
2. Diets modified in consistency
 Clear liquid
 Full liquid
 Cold liquid/ T&A diet
 Soft sland
 Mechanical soft
 Soft bland
 Bland
 Residue restricted
 Low fiber
3. Diets Modified in Composition
 Low calorie
 High calorie
 High protein
 Low protein
 Low fat
 Low cholesterol
 Low carbohydrate
 Low salt/sodium restricted
 Low potassium
 Low purine/ purine restricted
4.Tube feeding
a. Enteral feeding
 Types
 Indications & contraindications for use 
Complications and problems
b. Types of enteral formulas
 Intact
 Hydrolyzed
 Modular
c. Feeding administration
 Continuous drip
 Bolos
 Combination
d. Parenteral Feeding
 Indications & contraindications for use 
Complications & problems
G. Dietary management of some common medical conditions
including computations and preparations and their rationale
65

Guide for : Provide opportunity for actual preparation of the prescribed
Laboratory therapeutic dietary regimen (to include evaluation and computation)
:
Laboratory Weighing scale, food pyramid/chart, IEC materials for diet, osteorizer,
Equipment & demonstration table, calorie counter
Supplies
Reference Laboratory Guide/Manual
Course Name : PHARMACOLOGY
Course Code : Pharma
Course : This course deals with pharmacodynamics, pharmakokinetics,
Description clinical/therapeutic uses and toxicology of drugs. Emphasis is given
on how a drug works to anticipate when giving a drug to a patient are
of paramount importance since nursing responsibilities include
administering drugs, assessing drug effects, intervening to make a
drug more tolerable, and providing teaching about drugs and the drug
regimen.
Course Credit : 3 units lecture
Contact :
Hours/Sem 54 lecture hours
Prerequisite : Math 1, General Chemistry, Anatomy & Physiology, NCM 102
Placement : 2nd
year, 2nd
semester
Course At the end of the course and given relevant actual or simulated
Objectives : situations/conditions, the student will be able to:
1. Apply concepts and principles of pharmacology to ensure safe
and proper use of drugs
2. Explain the actions, therapeutic uses, preparations, dosages,
modes of administration of selected drugs and medicinal plants.
3. State precautionary measures to be observed in the
administration of selected drugs
4. Discuss the role and responsibility of the nurse in pharmacology
: A. Introduction to Nursing Pharmacology
Course Outline 1.Introduction to drugs
a. Drugs and the body
b. Toxic effects of drugs
c. Nursing management
d. Dosage calculations
2. Chemotherapeutic Agents
a. Anti-infective agents
b. Antibiotics
c. Antiviral agents
d. Antifungal agents
e. Antiprotozoal agents
f. Antihelmintic agents
66

g. Antineoplastic agents
3. Drugs acting on the immune system
a. Anti-inflammatory agents
b. Immune modulators
c. Vaccines and sera
4. Drugs acting on the CNS and PNS
a. Anxiolytic and hypnotic agents
b. Antidepressant agents
c. Psychotherapeutic
d. Antiepileptic agents
e. Antiparkinsonism agents
f. Muscle relaxants
g. Narcotics and anti-migraine drugs
h. General and local anesthetics
i. Neuromuscular blocking agents
5. Drugs acting on the ANS
a. Adrenergic agents
b. Adrenergic blocking agents
c. Cholinergic agents
d. Cholinergic blocking agents
6. Drugs acting on endocrine system
a. Hypothalamic and pituitary agents
b. Adrenocortical agents
c. Thyroid and parathyroid agents
d. Antidiabetic agents
7. Drugs acting on the cardiovascular system
a. Anti-hypertensive drugs
b. Cardiotonic agents
c. Anti-arrhythmic agents
d. Antianginal agents
e. Lipid lowering agents
f. Drugs affecting blood c oagulation
g. Drugs used to treat anemia
8. Drugs acting on Renal System
a. Diuretics such as potassium-sparing, potassium-
losing,
osmotic diuretics, parenteral fluids (hypotonic,
hypertonic, isotonic), electrolytes (sodium, potassium
chloride)
9. Drugs acting on the respiratory system
a. Bronchodilators
b. Expectorants
c. Antitussive
10. Drugs acting on the Gastrointestinal System
67

Course Name : HEALTH EDUCATION
Course Code : HealthEd
Course : The course includes discussions on health education concepts,
Description principles, theories and strategies as they apply in the clinical and
classroom situations.
Contact :
Prerequisite : None
Placement : 2nd
year, Summer
Course At the end of the course, given relevant situations/conditions, the
Objectives : student will be able to:
1. Apply principles, theories and strategies of health
education in assisting clients to promote and maintain their health
2. Develop an instructional design to meet the
learning needs of clients
Course Outline : A. Health education perspective
1. Historical development in health education
2. Issues and trends in health education
2.1 Health issues and the biological, psychological, and
sociological aspects of health and disease
2.2 Contemporary health and the promotion of optimal health
throughout the lifespan
3. Theories in health education - (e.g. Pender’s Health
Promotion Theory, Bandura’s Self Efficacy Theory, Health
Belief Model, Green’s Precede-Proceed Model)
B. Perspective on teaching and learning
1. Overview of education on health care
2. Concepts of teaching, learning, education process vis-a-vis
nursing process, historical foundations for the teaching role
of the nurse,
3. Role of the nurse as a health educator
4. Hallmarks of effective teaching in nursing
5. Principles of good teaching practice in undergraduate
education
6. Barrier to Education and Obstacles to Learning
7. Applying learning theories to health care practice
a. Principles of learning
b. Learning theories
c. Types of learning
d. Learning styles of different age groups
8. Planning and conducting classes
a. Developing a course outline/syllabus
b. Formulating course objectives
c. Selecting content
68

d. Selecting teaching methods
e. Choosing a textbook/references
f. Conducting the class
C. Characteristics of the learner
1. Determinants of Learning
a. Learner's characteristics
b. Assessment of the learner
c. Assessing learning needs
2. Motivation and behavior of the learner
a. Learning principles
b. Motivation and behavior change theories
3. Literacy and readability
a. Reading levels of clients
b. Assessing literacy
c. Teaching strategies for low literate patients
d. Developing printed educational materials
D. Teaching strategies and methodologies for teaching and
learning
1. Traditional teaching strategies
a. Lecturing
b. Discussion
c. Questioning
d. Using audio visuals
e. Interactive lecture
2. Activity-based strategies
a. Cooperative learning
b. Simulations
c. Problem-based learning
d. Self-learning modules
3. Computer teaching strategies
a. Computer-assisted instructions
b. Internet
c. Virtual reality
4. Distance learning
a. Interactive television classes
b. Via internet
5. Teaching psychomotor skills
a. Approaches to teaching skills
b. Assessment of psychomotor skill learning
6. Clinical teaching
a. Purpose of clinical laboratory
b. Models of clinical teaching
c. Preparation for clinical instruction
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d. Conducting a clinical laboratory session
E. Assessment and evaluation
a. Learning assessment of clients
b. Methods of evaluation
c. Qualities of good measurement
d. Interaction process analysis/process recording
Course Name : INFORMATICS
Course Code : IT
Course : This course deals with the use of information technology system and
Description data standards based on nursing informatics principles/theories. It
further deals with the utilization of clinical information systems in the
management and decision-making of patient care. A laboratory
session shall be provided for practice application.
Course Credit : 2 units lecture; 1 unit laboratory
Contact :
Hours/sem 36 lecture hours; 54 laboratory hours
Prerequisite : College Algebra
Placement : 2nd
Year, Summer
Course At the end of the course and given relevant actual or simulated
Objectives : situations/conditions, the student will be able to:
1. Apply concepts, theories and principles of informatics in nursing
and health care
2. Discuss issues and trends in informatics relevant to nursing and
health
Course Outline : A. Computers and nursing
1. Computers and nursing
2. Historical perspectives of nursing and the computer
3. Electronic health record from a historical perspective
B. Computer system
1. Computer hardware
2. Computer software and systems
3. Open source and free software
4. Data processing
5. The internet: a nursing resource
6. PDA and wireless devices
7. Incorporating evidence: use of computer-based clinical
decision support system for health professionals
C. Issues in informatics
1. Nursing informatics and healthcare policy
2. The role of technology in the medication-use process
3. Healthcare data standards
4. Electronic health record systems: U.S. federal initiatives
and public/private partnerships
5. Dependable systems for quality care
6. Nursing minimum data set systems
D. Informatics theory
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1. Theories, models and frameworks
2. Advanced terminology systems
3. Implementing and upgrading clinical information systems
E. Practice application
1. Practice application
2. Critical care applications
3. Community health applications
4. Ambulatory care systems
5. Internet tools for advanced nursing practice
6. Informatics solutions for emergency preparedness and
response
7. Vendor applications
F. Consumer’s use of informatics
1. Consumer and patient use of computers for health
2. Decision support for consumers
G. International perspectives
1. Nursing informatics in Canada
2. Nursing informatics in Europe
3. Pacific Rim
4. Nursing informatics in Asia
5. Nursing informatics in South America
H. The future of informatics
1. Future directions
Course Name : CARE OF CLIENTS WITH PROBLEMS IN OXYGENATION, FLUID
AND ELECTROLYTE BALANCE, NUTRITION AND METABOLISM
AND ENDOCRINE
Course This course deals with the principles and techniques of nursing care
Description management of sick clients across lifespan with emphasis on the adult
and the older person, population group in any setting with
alterations/problems in oxygenation, fluid and electrolyte balance,
nutrition and metabolism and endocrine function.
Course Credit 8 units lecture, 6 units RLE (1 unit Skills Lab; 5 units Clinical)
Contact
Hours/sem 144 hours lecture and 306 hours RLE
Prerequisite NCM 102
Placement 3rd year, 1st
semester
Course At the end of the course, and given actual clients with problems in
Objectives oxygenation, fluid and electrolyte balance, nutrition and metabolism, and
endocrine function, the student should be able to:
1. Utilize the nursing process in the care of individuals, families in
community and hospital settings.
- Assess with client/s his/her/their condition/health status
through interview, physical examination, interpretation of
laboratory findings
- Identify actual and at-risk nursing diagnosis
- Plan appropriate nursing interventions with client/s and
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family for identified nursing diagnosis
- Implement plan of care with client/s and family
- Evaluate the progress of his/her/their client’s condition ad
outcomes of care
2. Ensure a well organized and accurate documentation system;
3. Relate with client/s and their family and the health team
appropriately;
4. Observe bioethical concepts/ principles, core values and nursing
standards in the care of clients; and,
5. Promote personal and professional growth of self and others.
Course Outline : I. The individual client with problems in oxygenation, fluid & electrolyte
balance, nutrition and metabolism & endocrine function:
A. Risk factors among clients that contribute to the development of
problems in the following:
1. Oxygenation - cardiovascular risk factors (modifiable and non-
modifiable
2. Fluid and electrolyte - potential factors for exceeding renal
reserve capacity, dietary habits to include salt intake,
hypertension, infection, diabetes
3. Nutrition and metabolism - risk factors related to malnutrition,
obesity
4. Endocrine function - risk factors related to endocrine hypo or
hyper-functioning
B. Identifies significant subjective data from the client history related to
problems in oxygenation, fluid electrolyte , nutrition and metabolism
and endocrine function
1. Chief complaints
2. Relevant information, to include eleven functional patterns
 Health Perception management pattern
 Nutritional/metabolic pattern
 Elimination pattern
 Activity/exercise patterns
 Cognitive/perceptual pattern
 Sleep-rest pattern
 Self perception -self concept pattern 
Role relationship pattern
 Sexuality-reproductive pattern 
Coping-stress tolerance pattern 
Value-belief pattern
C. Principles and techniques of physical examination in newborn,
children, adults, deviations from normal:
1. Oxygenation
a. Inspection - gas exchange; perfusion
b. Palpation - gas exchange; perfusion
c. Percussion - gas exchange
d. Auscultation - gas exchange - heart sound, breath
sound, deviations ; fluid transport
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2. Fluid and electrolyte balance
a. Inspection - signs of dehydration, overhydration,
b. Palpation - edema, ascites, neck vein filling, hand vein filling,
neuromuscular irritability, characteristic of pulse
c. Percussion - abdomen for presence of air, fluid
d. Auscultation - rates
3. Gastrointestinal Function - IPPA
a. Inspection - color, texture of skin, mucous membrane,
growth patterns, scars, masses
b. Ausculation - bowel sounds, bruits
c. Palpation - focus on GIT for presence of masses, ascites,
rebound tenderness, distention
d. Percussion - liver span, masses, ascites
4. Metabolism and endocrine function (focus on
GIT, systemic effects of endocrine malfunction) -IPPA
a. Inspection - color, texture of skin, mucous membrane,
growth patterns, obesity
b. Ausculation - bruit, heart sounds, breath sounds
c. Palpation - organ - thyroid enlargement, masses, edema
d. Percussion - fluid, edema
e. Others - weight, delayed healing of wounds
C. Results and implications of diagnostic/laboratory examinations of
clients with reference to problems in:
1. Oxygenation:
a. Screening procedure - peak flow meter
b. Diagnostic procedures
 Non-invasive:
- Pulmonary: e.g. sputum microscopy, chest x-ray,
pulmonary function tests, smoke analyzer
Fagerstrom test - standardized degree of nicotine
dependence
- Cardiac: ultrasound, ECG, 2-D echo, stress test,
- Vascular: doppler ultrasonography
- Blood: pulse oximeter .
 Invasive:
- Pulmonary: bronchoscopy, ABG, thoracentesis,
pulmonary angiography
- Cardiac: CO determination, cardiac catheterization,
CVP, hemodynamics monitoring, enzyme levels,
Serum, Cholesterol,
- Vascular: angiography,
- Blood: CBC and bone marrow biopsy
2. Fluid and Electrolyte Balance:
a. Diagnostic tests
 Non-invasive: electrolyte determination, intake and
output, KUB-IVP and ultrasound
 Invasive - biopsy,
b. Weight, VS
3. Gastrointestinal function
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 Non-invasive: ultrasound of the abdomen, stool culture 
Invasive: to include: barium swallow, esophagoscopy,
biopsy, cytology examination, gastric secretion
analysis, endoscopy (gastroscopy, duodenoscopy),
proctosigmoidoscopy and rectal examination
4. Metabolic and endocrine function
a. Screening: glucose tolerance test
 Non-invasive: e.g. GI x-ray, ultrasound abdomen,
Radio-iodine assay (RAI), protein bound iodine (PBI),
thyroid scan, free thyroxin level, basal metabolic rate
(BMR), thyroxin stimulating hormone (TSH) test, OGTT
(Glucose tolerance test) urinalysis (glycosuria, ketonuria)
 Invasive: e.g. percutaneous transhepatic
cholangiogram, liver function test , derum thyroxine and
triiodothyronine test, Iodine 131 uptake, blood sugar
tests ( fasting blood sugar (FBS), random blood
sugar (RBS), glycosylated hemoglogin (Hgb), two-hour
post prandial blood glucose, endocrine assay
D. Pathophysiologic Mechanisms:
1. Alterations in oxygenation
a. Alteration in gas exchange - ventilatory dysfunction, impaired
diffusion, impaired perfusion
b. Alteration in cardiac performance - heart rate problems,
Impaired stroke volume secondary to altered preload,
afterload, myocardial contractility
c. Alteration in vascular integrity - transport network
impairment
d. Alteration in oxygen carrying capacity of the blood -
decreased circulating erythrocytes (anemia) , increased
circulating erythrocytes(polycythemia)
2. Fluid electrolyte imbalances
a. Volume impairment - fluid volume deficit, fluid volume
excess, third space fluid shift
b. Osmotic imbalances - hyponatremia, hypernatremia
c. Ionic concentration problems - hypo- and hyperkalemia;
hypo- and hypercalcemia; hypo and hyperchloremia; hypo-
and hypermagnesemia; hypo- and hyperphosphatemia
d. Acid and base imbalances - metabolic acidosis and
alkalosis; respiratory acidosis and alkalosis
3. Alterations in GIT function
a. Disturbances in ingestion - problems in buccal cavity and
esophagus
b. Disturbances in digestion - peptic acid disease, gastritis and
gastric cancer
c. Disturbances in absorption - malnutrition, malabsorption
syndrome and inflammatory bowel conditions
d. Disturbances in elimination - bowel obstruction,
hemorrhoids, diarrhea and constipation
4. Alterations in endocrine function
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a. Hypo- and Hyperfunction of the pituitary organ
b. Hypo- and Hyperfunction of the hypothalamus
c. Hypo- and Hyperfunction of the thyroid organ
d. Hypo- and Hyperfunction of the parathyroid organ
e. Hypo- and Hyperfunction of the adrenal organ
f. Hypo- and Hyperfunction of the gonads
g. Problems in glucose metabolism - hypoglycemia and
hyperglycemia (IDM, NIDDM)
E. Nursing diagnoses taxonomy pertinent to problems/ alteration in:
1. Oxygenation
a. Ineffective breathing pattern
b. Ineffective airway clearance
c. Impaired gas exchange
d. Inability to sustain spontaneous ventilation
e. Dysfunctional ventilatory weaning response
f. Decreased cardiac output (CO)
g. Altered tissue perfusion systemic
h. Impaired gas exchange related to altered O2 carrying
capacity of blood due to decreased erythrocytes/hemoglobin
i. Activity intolerance related to malnutrition, tissue hypoxia,
2. Fluid and electrolyte imbalance
a. Risk for fluid volume deficit
b. Fluid volume deficit
c. Fluid volume excess
d. High risk for injury related to electrolyte deficit/excess
e. High risk for injury related to acid/base imbalance
f. Altered urinary elimination
g. Impaired integumentary integrity
3. Gastrointestinal function
a. Alteration in nutrition less than body requirement
b. Alteration in nutrition more than body requirement
c. Alteration in oral mucous membrane integrity
d. Alteration in comfort: epigastric pain/abdominal pain
e. Fluid volume deficit
4. Endocrine function
a. Alterations in nutrition less than body requirement
b. Fluid volume deficit
c. Activity intolerance
F. Principles of various modalities of management
1. Health promotive
2. Disease preventive
3. Curative and restorative
G. Principles of management
1. For altered pulmonary function
 Airway patency
 Oxygen therapy
 Adequate ventilation
 Drug therapy
 Hydration
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 Removal of secretion
 Prevention of infection
 Prevention of complications
 Prevention of psychosocial problems
 Rehabilitation
2. For cardiac function
 Hemodynamics monitoring
 O2 therapy
 Drug therapy
 Hydration
 Prevention of psychosocial problems 
Rehabilitation
3. Oxygen carrying capacity of the blood
 Blood component replacement
 O2 therapy
 Drug therapy
 Hydration
 Rehabilitation
4. Fluid Volume Deficit
 Determination and management of cause
 Hydration
 Blood transfusion as needed
 Drug therapy - electrolyte
 Supportive management
 Prevention of complication
 Rehabilitation
5. Fluid Volume Excess
 Drug therapy - diuretics, electrolytes
 Dietary restriction - sodium
 Rehabilitation
6. Electrolyte Deficit - hyponatremia, hypokalemia, hypocalcemia,
hypomagnesemia, hypophosphatemia
 Determination and management of cause 
Drug therapy - electrolyte replacement 
Dietary management
76

Rehabilitation
7. Electrolyte Excess- hypernatremia, hyperkalemia,
hypercalcemia, hypermagnesemia, hyperphosphatemia 
Determination and management of cause
 Drug therapy - electrolyte replacement
 Dietary management
Rehabilitation
8. Metabolic Alkalosis - Base bicarbonate excess
Drug therapy -
Rehabilitation
9. Metabolic Acidosis - base bicarbonate deficit
Drug therapy
Rehabilitation
10. Respiratory Alkalosis - carbonic acid deficit
Drug therapy
Rehabilitation
11. Respiratory Acidosis - carbonic acid excess
 Determination of cause
 Drug therapy
Rehabilitation
12. Disturbances in ingestion
Hydration
 Drug therapy
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Rehabilitation
13. Disturbances in digestion
 Hydration
 Drug therapy
 Rehabilitation
14. Disturbances in absorption
Hydration
 Drug therapy
Rehabilitation
15. Disturbances in elimination
Hydration
 Drug therapy
Rehabilitation
16. Disturbances in hepatic, biliary and pancreatic functions
 Hydration
 Drug therapy
Rehabilitation
17. Disturbances in endocrine hypo-function
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 Rehabilitation
18. Disturbances in endocrine hyperfunction
 Rehabilitation
H. Pharmacologic actions, therapeutic uses, side effects, indications,
contraindications, and nursing responsibilities:
1. Pulmonary
 Bronchodilators
 Expectorants
 Antitussives
 Antihistamines
2. Cardiac
 Sympathomymetic agents
 Sympatholytic agents
 Anti-anginal agents
 Anti-arrhythmic agents
 Angiotensin converting enzyme inhibitors
 Antilipemic agents
 Anticoagulant agents
 Thrombolytics
 Peripheral vascular agents
3. Blood
 Hematinics
 Vitamin supplements
4. Fluid
a. Parenteral fluids -
 hypotonic,
 hypertonic
 isotonic solutions
5. Electrolyte
 Sodium
 Potassium
 Calcium
 Magnesium
 Phosphate
6. Diuretics
 Potassium-sparing
 Potassium-losing
 Osmotic diuretics
7. Vitamin D supplements
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8. Gastrointestinal, hepato-biliary and pancreatic function
 Antiemetics
 Anticoagulant
 Hematinics agents
 Laxatives and stool softeners
 Antipruritus
 Vitamin supplement
 Antacids
 Antihyperlipidemics
 Antispasmodics
 Antidiarrheal
9. Endocrine function
 Corticosteroids
 Alpha-adrenergic blocking agents 
Alpha-adrenergic blocking agents 
Beta-adrenergic blocking agents 
Tyrosine inhibitors
 Dopamine receptor antagonists 
Glucocorticoids
 Parathyroid hormone agents
 Thyroid hormone agents
 Insulin
 Oral hypoglycemic agents
10. Perioperative care
Preoperative - pre-operative medications
Intraoperative - anaesthetic agents -general, spinal, blocks
Postoperative - analgesics, opioids, antipyretics,
antibiotics
I. Purpose, indications, nursing responsibilities for the following
surgical and special procedures:
1. Pulmonary
a. Surgical procedures - tracheostomy, thoracostomy, lung
resection, lobectomy, pneumonectomy, thoracoplasty,
decortication
b. Special procedures - endotracheal/tracheal suctioning and
care, humidification, IPPB, ventilatory assist
2. Cardiac
a. Surgical procedures - coronary artery bypass, pacemaker
insertion, valve replacement, repair of congenital abnormality,
insertion of ventricular assist device, heart transplant
b. Special procedures - laser therapy, basic life support,
advance life support
3. Vascular
a. Surgical procedures - endarterectomy, aneurysmectomy,
insertion of intravascular stents
b. Special procedures - application of antiembolic stockings
6. Blood forming organs
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a. Surgical procedures - bone marrow aspiration, bone marrow
transplant
b. Special procedures - blood component transfusion, reverse
isolation
5. Renal dysfunction
a. Major surgical procedures - nephrectomy, nephrostomy,
cystectomy, ureterostomy, renal transplants, urinary diversion
b. Special procedures - peritoneal dialysis, hemodialysis, bladder
training, cystoclysis/bladder irrigation
6. Gastrointestinal dysfunction
a. Surgical procedures - gastrostomy, gastrectomy, colostomy,
hemorrhoidectomy, gastrointestinal bypass, ileostomy
b. Special procedures - parenteral hyperalimentation; feeding per
nasogastric, jejunostomy, gastrostomy tubes; colostomy care
and irrigation, dietary planning for common GT and endocrine
problems; administering medications via NGT, J tube, G tube;
hot sitz bath
7. Endocrine dysfunction
a. Surgical procedures -
 Thyroidectomy,
 Parathyroidectomy
b. Special procedures -
 monitoring of blood glucose levels,
 maintenance of blood glucose - diet, exercise, drugs
J. Safe and comprehensive perioperative nursing care
1. Assessment and care during the perioperative period
2. Techniques in assisting the surgical team during the operation
3. Principles of safety, comfort and privacy during the perioperative
period
1. Nursing responsibilities during the perioperative period
• Preoperative - physical, psychological, spiritual preparation
• Intraoperative - circulating nurse functions, scrub nurse
functions
• Postoperative - airway, breathing, circulation priorities.
Meeting the physical, psychological and spiritual needs of
the client.
K. Steps/pointers in decision making and prioritization with client/s
having problems in oxygenation, fluid and electrolyte balance,
metabolic and endocrine function
L. Principles, concepts and applications of bioethics in the care of
clients
M. Developing outcome criteria for clients with problems in
oxygenation, fluid and electrolyte balance, metabolic and
endocrine function
N. Appropriate discharge plan including health education
O. Accurate recording and documentation
Provide opportunities to demonstrate the procedures for oxygenation,
Guide for RLE fluid electrolytes balance, nutrition and metabolism, endocrine functions,
81

and intra-operative care.
Regarding the intra-operative care experience, provide opportunities for
the following:
1. Act as a circulating nurse in THREE (3) MAJOR
SURGICAL CASES IN THE HOSPITAL SETTING
2. Act as a scrub nurse in AT LEAST THREE (3) MAJOR
VARIED SURGICAL CASES IN THE HOSPITAL SETTING
ONLY
In the event that the required competencies are not developed
within the allotted hours/weeks, the nursing student/s shall be
required to extend his/her Related Learning Experience (RLE)
exposure until the expected competencies are satisfactorily
achieved.
To standardize documentation, a prescribed form shall be
accomplished upon completion of the related clinical experience.
Provide opportunities for actual hospital and community experiences to
ensure that competencies are developed.
Equipment and Alteration in Oxygenation: Oxygen (O2) tank, O2 regulator, humidifier,
Materials monkey wrench, O2 tubings, O2 cannula/catheter, O2 masks, croupette,
[these could O2 tent, suction catheters, suction machine, suction catheters, oxymeter,
be found in peak flow meter, ventilatory support equipments, nebulizer, one-way/two-
nursing skills way/three-way water seal drainage, microscope, glass slide, BP
lab, base apparatus, stethoscope, basic life support model, cardiac monitor, EKG
hospital, machine cardiac arrest board, gloves, tongue depressor, Blood
affiliating transfusion set, hemoglobin test
centers]
Alteration in fluid electrolyte balance - weighing scale, tape measure,
stethoscope, IV tubings, different types of IV fluids (hypotonic, hypertonic
and isotonic), peritoneal dialysis set, dialyzing solution, hemodialysis
machine
Alteration in nutrition and metabolism - body weight, tape measure, BMR,
body fat analyser, antrophometric measurement, special diets,
nasogastric or gastrostomy feeding, enterostomal care (colostomy,
ileustiomy), hot Sitz bath,
Alteration in endocrine function - blood glucose monitoring, ketone
determination, diet therapy computation for diabetics, insulin injection,
Pain - measurement of pain perception
Perioperative care - pre-operative care (physical, psychological and
spiritual preparation) intraoperative: (gowning, gloving, simulated OR
82

table, scrubs Etc); postoperative care: (suction apparatus, oral airway,
endotracheal tube, nasogastric/gastrostomy tubes, different types of
dressings)
Course Name : BIOSTATISTICS
Course Code : Biostat
Course : This course is designed to meet the introductory statistical needs of
Description students in the health related disciplines. The study includes topics on
collection and presentation of the different statistical data used in
health administration, frequency, distribution, measures of central
tendencies, measures of variability, normal distribution and hypothesis
testing.
Contact :
Prerequisite : College Algebra
Placement : 3rd
Year, 1st
semester
Course At the end of the course and given relevant simulated situations/
Objectives : conditions, the student will be able to apply the concepts, theories and
principles of biostatistics (from collection and presentation of the
different statistical data used in health administration, frequency,
distribution, measures of central tendencies, measures of variability,
normal distribution and hypothesis testing) in nursing and health
related disciplines.
Course Outline : A. Introduction
1. Definition
2. Branches/kinds of statistics
3. Symbols used
B. Statistical data collection
1. Health care overview
2. Data collection
2. Uses of data
C. Common statistical data used in health administration
1. Population census
2. Percentage of occupancy
3. Mortality/morbidity rates
4. Autopsy rules
5. Length of stay/discharge
6. Miscellaneous rates
D. Data presentation
1. Tabular presentation
a. Table gormats
83

b. Frequency distribution table
c. Graphical presentation
d. Data presentation via computer
E. Measures of central tendencies
1. Mean
2. Median
3. Mode
4. Ranks/quantiles
F. Measures of variability
1. Range
2. Average deviation
3. Quartile deviation
4. Variance
5. Standard Deviation
G. Normal distribution
1. Normal curve
2. Normal curve areas
3. Application of the normal curve areas
H. Hypothesis testing
Definition of terms
Types/kinds of test
Steps in testing hypothesis
Common statistical tests used
I. Validity and reliability testing
Course Name : ECONOMICS WITH TAXATION AND LAND REFORM
Course Code : Econ
Course : This course is an introduction to economics, the basic concepts of
Description microeconomics, money and banking, economic growth and
development and international economics and its implication to
nursing. Also discussed are the basic concepts of taxation and land
reform.
Contact :
Placement : 3rd
Year, 1st
Semester
Course To introduce the students to the concepts of economics applied to
Objectives : health and enable them to appreciate and apply the principles in
health program, decision-making and development. At the end of the
course, the student shall be able to:
1. Appreciate the basic concepts and rationale of economics.
2. Discuss the concept of health with emphasis on the use of health
outcomes.
3. Apply the basic concepts of the law of supply and demand to health
related issues.
4. Discuss the various roles of the different health sectors and in the
provisions of health goods and services and analyze how the
government and private health sectors finance health care.
84

5. Describe the basic principles of evaluating health programs and
projects.
Course Outline : I. Introduction to Economics
3. The Concepts of Economics
a. Man’s
work against scarcity
b. Gener
al economics resources: land, labor, capital & technology
c. The
universal objective of attaining the maximum output out of a
given input
d. Three
components of economics: alternative choices, the choices
and their costs, the effect of choices on the future
II. General economic concepts: the law of supply and demand
1. The demand curve
a. Characteristics of the demand curve; the law of downward
sloping demand
b. Relationships between the price of goods and the quantity
demanded
c. Economic factors which affect the demand curve
d. Demand shift
2. The Supply curve
a. Characteristics of the supply curve
b. The Law of upward sloping supply: relationship between the
price of goods and the quantity of procedures are willing to
supply
c. Economic factors which affect the supply of goods
d. The supply shift
3. The supply and demand inter-relationships
a. Price, demand and supply
b. The equilibrium point
c. Elasticities
Case No. 1: Cases on law of supply and demand apply to healthcare
policy making
III. Introduction to the concept of health
1. Definition of health
2. How is “health” objectively measured?
3. What determines health? The underlying and proximate
determinants of health
IV. Economics and the health care sector
1. Demand for health care: determinants of health seeking
behavior:
a. Economic variables which affect the demand for health care
b. Demographic variables which affect the demand for health
care
c. Why are health services and commodities different from
other consumer goods?
85

2. The supply of health services
a. Factors which affect the supply of health manpower
b. Trade-off between high quality manpower and abundant
supply
c. Experiences from manpower substitution
d. Experiences from other input substitution
3. Concept of demographic transition
Changes in age, health risks and health -stock and its
effect on:
a. Probability of getting ill
b. The type of illnesses experienced
c. The type of health care commodities demanded
3.2 Population composition, demographic transition and its
applications on health program planning
Case No. 2: “Where do we put our money?” A case on demographic
transition, population, composition, and comprehensive health
programs of Japan and the Philippines
V. Economic evaluation of health programs
1.Health cost concepts
Type of costs: direct and indirect costs, recurrent and
capitalized costs
2. Cost minimization [description]
3. Cost benefit analysis [description]
4. Cost utility analysis [description]
VI. Description of the health care sector
Reaction Paper: “Health Status of the Philippines and Asia”
VII. Health finance and managed care
1. Current trends and growth of alternative moods of healthcare
financing in the Philippines
Out-of-pocket/fee-for service
Medical insurance
Health maintenance organizations and other managed care
organizations
2. Out-of-pocket healthcare financing: advantages and
disadvantages
3. Concepts: medical insurance
Costs and pricing of medical insurance: actuarial (medical)
costs and administrative costs
4. Health maintenance organizations: an off-shoot of medical
insurance and emphasis on preventive and promotive healthcare
Growth and trends of the HMO industry
Conceptual framework of the organization of HMOs
5. Other managed-care organizations: description and concepts
Changing roles of physicians, nurses and allied medical
professionals under a managed-care system
86

Emphasis on efficiency outcomes
VII-A. Descriptive study on Philippine health maintenance
organizations
1. Trends in Philippine HMOs
2. Examples of HMO plan benefit coverage
3. A glimpse on the financial/operational performance of HMOs
VIII. Taxation
IX. Land reform
Course Name: : CARE OF CLIENTS WITH PROBLEMS IN INFLAMMATORY AND
IMMUNOLOGIC RESPONSE AND PERCEPTION AND
COORDINATION
Course : This course deals with the concepts, principles and theories of human
Description behavior and the care of the sick client across the lifespan with
emphasis on the adult and the older person, population group
experiencing alterations in Inflammatory and Immunologic Response
and perception and coordination in varied settings.
Course Credit : 5 units lecture, 4 units RLE (1unit skills lab, 3 unit clinicals)
Contact :
Hours/Sem 90 Lecture Hours/ 204 RLE Hours
Prerequisite : NCM 103
Placement : 3rd
Year, 2nd
Semester
Course At the end of the course, and given actual clients, population group,
Objectives with problems in inflammatory and immunologic response and
perception and coordination, the student should be able to:
1. Utilize the nursing process in the care of individuals, families in
community and hospital settings.
- Assess with client/s his/her/their condition/health status
through interview, physical examination, interpretation of
laboratory findings.
- Identify actual and at-risk nursing diagnosis.
- Plan appropriate nursing interventions with client/s and
family for identified nursing diagnosis.
- Implement plan of care with client/s and family.
- Evaluate the progress of his/her/their client’s condition ad
outcomes of care.
2. Ensure a well-organized and accurate documentation system.
3. Relate with client/s and their family and the health team
appropriately.
4. Observe bioethical concepts/ principles and core values and
nursing standards in the care of clients.
5. Promote personal and professional growth of self and others.
Course Outline : I. Alteration in inflammatory and immunologic response
A. Risk factors assessment and screening procedures among
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clients that contribute to the development of problems in
inflammatory and immunologic reaction
B. Significant subjective data from client - relevant information
based on chief complaints, functional patterns, including
psychosocial and behavioral assessment
2. Alterations in perception and coordination
A. Risk factors assessment and screening procedures among
clients that contribute to the development of problems in
perception and coordination
B. Significant subjective data from client - relevant information
based on chief complaints, functional patterns, including
psychosocial and behavioral assessment
C. Principles and techniques of physical examination in newborn,
children & adults and deviations from normal in perception &
coordination
1. Inflammatory and immunologic reactions
a. Inspection - color, lesions, masses
b. Palpation - turgor, tenderness, masses, body
temperature, tenderness
2. Neurologic assessment
a. Inspection: loss of consciousness (LOC), hearing, sight ,
papillary changes, gait, posture, ADL, muscle strength,
discharge
b. Palpation: tenderness, muscle strength
c. Percussion: reflexes
3. Visual and auditory assessment
a. Inspection: hearing, sight, papillary changes, discharge,
bleeding
b. Palpation: pain, tenderness, presence of mass/lesions
4. Locomotion assessment
a. Inspection: posture and gait, ADL, swelling, atrophy,
deformity, deformity, muscle strength, discharge
b. Palpation: deviation/limitation in range of motion (ROM),
tenderness, deformity of joints, muscle size and strength,
crepitation on movement of joints, presence of
subcutaneous nodules
c. Palpation: turgor, tenderness, masses, body
temperature, tenderness
D. Results and implications of diagnostic/laboratory examinations of
clients with reference to problems in:
1. Inflammatory and immunologic reaction -
a. Diagnostic tests -
 Non-invasive: urinalysis, culture and sensitivity
tests, x-ray
 Invasive - CBC, antistreptolysin titer, biopsy,
blood
Chemistry, CSF, Gram Staining, ELISA, Western Blot,
tests for emerging infections e.g. SARS
88

2. Perception and coordination -
a. Neural regulation
 Non-invasive diagnostic procedures:
skull x-ray, electroencephalogram (EEG),
magnetic resonance imaging (MRI), ultrasound,
 Invasive diagnostic procedures:
cerebral angiography, lumbar puncture, CT scan
ventriculogram
b. Visual Auditory
visual acuity, visual field testing, ophthalmoscopy, slit
lamp, audiometry
CT scan, electronystagmography, ear culture,
sensitivity
c. Locomotion
electromyogram (EMG)
biopsy, cerebrospinal & synovial fluid determination,
serum calcium, phosphorus, alkaline phosphatase
determination
E. Pathophysiologic mechanisms of Alterations in perception and
coordination
1. Inflammatory and Immunologic reactions
a. Inflammatory reactions
b. Bacterial conditions
c. Bullous diseases
d. Infestation and parasitic diseases
e. Vaccine-preventable infectious diseases
f. Others - AIDS, STDs
2. Immunologic reactions
a. Hypersensitivity reactions
b. Immunodeficiency
c. Autoimmune disorders
3. Neural regulation
a. Motor disturbances
b. Seizures
c. Sensory deviations
d. Head ache ad pain
e. Altered state of consciousness
4. Visual and Auditory
a. Disturbances in visual perception: blindness,
inflammatory disturbances: neoplastic disturbances,
traumatic interferences with visual perception,
absence of visual perception, congenital and neonatal
visual disturbances,
b. Disturbances in auditory perception: deafness/hearing
loss, inflammatory /infection, trauma, meniere’s
89

syndrome, degenerative changes, disturbances of
hearing, obstructive problems
5. Locomotion
a. Infections/Inflammatory disorders
b. Abnormalities in the curvature of the spine
c. Degenerative disorders
d. Traumatic injuries
e. Congenital disorders
f. Bone tumors
F. Nursing diagnoses taxonomy pertinent to problems/ alteration
in perception and coordination
1. Inflammatory and immunologic reaction
a. Impaired skin integrity
b. Activity intolerance
c. Potential for infection
d. Disturbances in self-concept
e. Ineffective family coping
f. Social isolation
a. Altered cerebral tissue perfusion
b. Impaired verbal communication
c. Impaired swallowing
d. Potential for injury
e. Activity intolerance
f. Ineffective individual coping
g. Knowledge deficit
3. Visual and auditory perception
a. Alteration in sensory perception: visual/auditory
b. Potential for infection
c. Self esteem disturbance
d. Potential for injury
e. Knowledge deficit
4. Locomotion
a. Alteration in comfort: pain/pruritus
b. Knowledge deficit
c. Impaired physical mobility
d. Disturbance in self-concept
e. Altered nutrition
G. Principles of Management for altered Perception coordination
a. Determination and management of cause
b. Drug therapy
c. Prevention of infection
d. Supportive management
e. Prevention of complications
f. Rehabilitation
b. Airway patency
90

c. Oxygen therapy
d. Adequate ventilation
e. Drug therapy
f. Hydration
g. Removal of secretion
h. Prevention of infection
i. Psychosocial interventions
j. Seizure precaution
k. Increased ICP precaution
l. Prevention of complications
m. Rehabilitation
b. Drug therapy
c. Supportive management for visual/auditory impaired
d. Prevention of infection
e. Psychosocial interventions
f. Prevention of complication
g. Rehabilitation
4. Locomotion
b. Drug therapy
c. Supportive management: immobility precaution
d. Removal of secretion
e. Prevention of infection
f. Prevention of complications
g. Rehabilitation
H. Pharmacologic actions, therapeutic use, side effects, indications,
contraindication, and nursing responsibilities for perception and
coordination
1. Inflammatory and Immunologic reactions
a. Antibiotics
b. Antifungal agents
c. Keratolytic agents
d. Anticholinergic agents
e. Adrenergic agents
f. Antihistamines
g. Anti-inflammatory agents
h. Corticosteroids
i. Immunologic agents
j. Vaccines
a. Anti-convulsants
b. Osmotic diuretics
c. Corticosteroid
d. Antibiotics
e. Antipyretics
f. Anti-inflammatory agents
91

a. Miotic agents
b. Corticosteroids
c. Mydriatic agents
d. Antibiotics
4. Locomotion
a. Antibiotics
b. Anti-inflammatory agents
c. Corticosteroids
I. Purpose, indications, nursing responsibilities for the following
surgical and special procedures in perception and coordination
a. Surgical procedures - debridement, incision and
drainage, excision
b. Special procedures - universal precaution, reverse
isolation, medical asepsis/surgical asepsis
a. Surgical procedures: craniotomy, cranioplasty,
ventriculo- peritoneal shunt
b. Special procedures: ICP monitoring, seizure precaution
a. Surgical procedures: iridectomy, cataract procedures,
enucleation, keratoplasty, mastoidectomy,
tympanoplasty, myringotomy, fenestration
b. Special procedures: instillation of otic solution, external
auditory canal irrigation, hearing aide device
4. Locomotion
a. Surgical procedures: internal/external fixation,
amputation, bone resection, open reduction,
tenorrhaphy, spinal fusion,
b. Special procedures: application of casts, tractions,
braces, crutch walking
J. Safe and comprehensive perioperative nursing care
1. Assessment ad care during the perioperative period
2. Techniques in assisting the surgical team during the
operation
3. Principles of safety, comfort and privacy during the
perioperative period
4. Nursing responsibilities during the perioperative period
K. Steps/pointers in decision making and prioritization with client/s
having problems in perception coordination, adjustment or
adaptation
L. Principles, concept and application of bioethics in the care of
clients
M. Developing outcome criteria for clients with problems in
in perception coordination and adjustment/adaptation
N. Appropriate discharge plan including health education
O. Accurate recording and documentation
92

BS Nursing CHED cmo 14

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