Ateneo de Zamboanga University

College of Nursing
NCM 106
COURSE DESCRIPTION: It deals with the principles and techniques of nursing care management of sick clients across the lifespan with emphasis on the adult and older person with
alteration/problems in cellular aberration.

COURSE OBJECTIVES: At the end of the course, and given actual clients with problems in cellular aberrations, acute biologic crisis and emergency, the student should be able to:

1. Apply the nursing process in the care of individual and families in community and hospital settings.
2. Utilize a well-organized and accurate documentation system
3. Relate with client/s and their family and the health team appropriately in a diverse/ multi-cultural setting
4. Exhibit bioethical concepts/ principles, core values and nursing standards in the care of clients
5. Demonstrate personal and professional growth of self and others
6. Apply principles of evidence-based research in the delivery of care in the different health care setting.
7. Participate in the advancement of the profession to improve health care for the betterment of the global society.
8. Apply selected principles of caring interpersonal relationships and communication patterns in providing care for individuals and families with lived experiences of wellness and illness.
9. Formulate and apply strategies to enhance positive communication patterns of complex systems in providing care for individuals, families and communities.

LEARNING Teaching- Learning Activities Assessment References

Week OUTCOMES COURSE CONTENT Attributes
Classroom RLE Task Tool

1. Identify the
different I.CELLULAR
stages of ABERRATIONS
the cell A. Review of the
cycle Cellular Physiology
2. Differentiat 1. The Cell Cycle
e benign 2. Differentiation
and 3. Proliferation
malignant
neoplasms B. Characteristics of
3. State the Benign & Malignant
pathophysi Neoplasms
ology of 1. Terminology
cellular 2. Neoplasm
aberration 3. Benign
 4. Discuss and 4. Malignant
relate the - Cancer cell
epidemiolo characteristics
gy of - Invasion &
cellular metastasis
aberration - Tumor growth
to - General effects
Philippine
set-up

C. General
Pathophysiology of
Cellular Aberration
D. Epidemiology (Local
& International)
a. Lung cancer
b. Breast cancer
c. Uterine cancer
d. Prostate cancer
e. Colorectal cancer

E. Carcinogenesis &
Causes of Cancer
Oncogenesis Risk
Factors:
1. Gender & Site
2. Age
3. Race & Ethnicity
1.
4. Genetics
5. Hormonal Factors
6. Immunologic
Factors
7. Oncogenic Viruses
8. Drugs & Chemicals
9. Radiation
- Ionizing
- UV
- Electromagnetic
- Radon
10. Lifestyle

F. Significant
Subjective Data from
the Client
- Family history
- Chief complaints
- Functional patterns
- Psychosocial &
behavioral assessment

G. Principles &
Techniques of
Physical Examination
in All Age Group,
Deviations from
Normal
1. Breast Self-
Examination
2. Testicular Self-
Examination
3. Digital Rectal
Examination

H. Diagnostic Tests &

Nursing
Responsibilities
1. Lung Cancer
- Chest X-ray
- Sputum cytology
2. Breast Cancer
- Mammogram
- Clinical breast exam
- MRI
- Tissue Sampling
3. Uterine Cancer
- Transvaginal
sonography
- Hysteroscopy
- Sonohysterography
- Biopsy punch
4. Cervical Cancer
- Pap smear with
staging
5. Prostate Cancer
- Digital rectal
examination
- Prostate-specific
antigen

6. Colorectal Cancer
- Fecal occult blood
test
- Sigmoidoscopy
- Colonoscopy
- Double-contrasted
barium enema
7. Other tests
- Tumor markers
- Radioisotope scan
- MRI
I. Pathophysiologic
Mechanisms Leading
to Manifestations:
1. Lung Cancer
2. Breast Cancer
3. Uterine Cancer
4. Colorectal Cancer
5. Prostate Cancer
6. Non-Hodgkins
Lymphoma
7. Kidney Cancer
8. Melanoma
9. Basal Cell
Carcinoma
10. Thyroid Cancer
11. Leukemia
12. Childhood Cancers
- Glioma
- Neuroma
- Wilms Tumor
- Retinoblastoma
- Ewings Sarcoma
- Osteosarcoma

J. Nursing Diagnoses
Taxonomy/Developme
nt of Outcome Criteria
1. Potential for
Infection
2. Disturbance in Body
Image
3. Activity Intolerance
4. Potential for
Alteration in
Nutrition; Less than
Body Requirements
5. Alteration in Oral
Mucous Membrane
Integrity
6. Alteration in
Comfort
7. Fluid Volume Deficit

K. Principles of Various
Modalities of
Management Against
Cancer
1. Health promotion
2. Disease prevention
3. Curative
4. Restorative

L. Principles of
Management
1. Cancer Staging
- TNM Classification
- Clinical Staging
- Metastatic Spread
2. Prevention of
Infection
 3. Hydration
4. Blood Component
Replacement
5. Oxygen Therapy
6. Prevention of
Complications
7. Rehabilitation

M. Pharmacologic
Actions
Explore newly
(Therapeutic use,
approved
Side effects,
pharmacologic
Indications,
agents and those in
Contraindications,
clinical trial that may
Nursing
predict changes in
responsibilities)
oncology treatment
1. Biotherapy
guidelines.
- Cytokines
- Monoclonal
Describe innovations
Antibodies
in oncology
- Cellular Therapies
diagnostics and
- Immunodilators
treatment of
- Retinoids
selected cancers.
2. Chemotherapeutic
Agents
Identify novel
a. Classification
treatment options
- Cell cycle-specific
and their impact in
- Cell cycle-nonspecific
the management of
b. Categories
cancer patients.
- Alkalyting agents
- Antibiotic
- Nitroureas
- Plant derivatives
- Hormonal

N. Special
Considerations in
Chemotherapeutic
Drugs Preparation
1. Proper attire
2. Chemo drug
handling

O. Special Procedures
1. Radiation therapy
2. Cervical implants
3. Reverse isolation

P. Appropriate
Discharge Plan
Including Health
Education

II. ACUTE BIOLOGIC

CRISIS
A. Standard
Assessment of the
Critically Ill
- Focused history
taking
- Discriminating
physical examination
AIRWAY BREATHING
CIRCULATION
HEMODYNAMIC
STATUS
B. Pathophysiologic
Mechanisms Leading
to Manifestations
1. Cardiac Failure
2. Acute Myocardial
Infarction
3. Acute Renal Failure

4. Stroke
5. Increased
Intracranial Pressure
6. Metabolic
Emergencies
- DKA/HHNK
7. Massive
Bleeding/Hypovolemic
Shock
8. Extensive Injuries
- Dehiscence
- Evisceration
9. Extensive Burns
- Staging
- Area Computation
- IVF Replacement

C. Nursing Diagnoses
Taxonomy/Developme
nt of Outcome Criteria
1. Impaired Gas
Exchange
2. Inability to Sustain
Spontaneous
Ventilation
3. Dysfunctional
Ventilatory Weaning
Process
4. Decreased Cardiac
Output
5. Altered Tissue
Perfusion, Systemic
6. Alteration in
Nutrition; Less than
Body Requirements
7. Fluid Volume Deficit
8. Activity Intolerance
D.
Results/Implications
of Diagnostic
Laboratory Exams
1. Non-invasive: ECG,
cardiac rhythms
2. Invasive: ABG,
Hemodynamic
Monitoring, CVP,
Pulmonary
Capillary Wedge
Pressure (PCWP)
3. Life Maintaining
Interventions
- Airway management
& care of clients with a
ventilator
- Interventions for
hemodynamic
instability
- Continuous
hemodynamic
monitoring
- Interventions for
neural regulation
- Fluid & Electrolyte
problems
- Nutrition
E. Pharmacologic
Actions
(Therapeutic use,
Side effects,
Indications,
Contraindications,
Nursing
responsibilities)
1. Analgesics
2. Narcotics
3. Corticosteroids
4. Antihypertensives
5. Vasopressors
6. Antibiotic
7. Parenteral fluids

III. Intravenous
THERAPY
A. Philosophy
B. Definition
C. Basic Foundation of
IV Therapy
1. Historical
Background
2. Ethico-legal Issues
- Role of ANSAP
- Difference between
RA 9173 & RA 7160
3. Standards of IV
Therapy

D. Review of Anatomy
& Physiology of the
Vascular System
E. Peripheral &
Integumentary System
F. Fluid & Electrolyte
Therapy
1. Types of
Fluids/Solutions and
Uses
2. Drug Interaction
with IV Fluids
3. Handling of IV
Solutions, Blood
Products &
Components
G. Nursing Process in
IV Therapy
H. Venipuncture
Technique in Adult &
Children
- Prescribed cannula &
indications of each
color & gauge
- Ideal period of usage
of an IV set,
Indications
- Process in keeping a
set sterile
 I. Complications of IV
Therapy
J. Infection Control &
Microbiology Principles
K. Demonstration of
Procedure

SAMPLE TEACHING-LEARNING PLAN: (RLE)

REPRODUCTIVE HEALTH AND WELLNESS CENTER

Assessment
Week LEARNING OUTCOMES COURSE CONTENT Teaching- Learning Activities Attributes
Task Tool
1 Bed bath Demonstration Perform with Return Checklist
compassion and Demonstration
caring attitude

Catheterization Lecture /demo Respect cultural Return Checklist

Video clips practices Demonstration