Gowning and gloving technique Presented By Mohammed Haroon Rashid At Florence...Haroon Rashid
This Topic presented by Mohammed Haroon Rashid From Basic B.Sc Nursing Final Year students in Florence College of nursing Limtara dhamtari. This topic presented on workshop on the date 13 sep 2019.
Transcultural nursing means being sensitive to cultural differences as you focus on individual patients, their needs, and their preferences. Show your patients your respect for their culture by asking them about it, their beliefs, and related health care practices.
Gowning and gloving technique Presented By Mohammed Haroon Rashid At Florence...Haroon Rashid
This Topic presented by Mohammed Haroon Rashid From Basic B.Sc Nursing Final Year students in Florence College of nursing Limtara dhamtari. This topic presented on workshop on the date 13 sep 2019.
Transcultural nursing means being sensitive to cultural differences as you focus on individual patients, their needs, and their preferences. Show your patients your respect for their culture by asking them about it, their beliefs, and related health care practices.
Impact of Intervention Program on Quality of End of Life Care Provided by Ped...iosrjce
IOSR Journal of Nursing and health Science is ambitious to disseminate information and experience in education, practice and investigation between medicine, nursing and all the sciences involved in health care. Nursing & Health Sciences focuses on the international exchange of knowledge in nursing and health sciences. The journal publishes peer-reviewed papers on original research, education and clinical practice.
By encouraging scholars from around the world to share their knowledge and expertise, the journal aims to provide the reader with a deeper understanding of the lived experience of nursing and health sciences and the opportunity to enrich their own area of practice. The journal publishes original papers, reviews, special and general articles, case management etc.
One Health: A Holistic Approach to Achieving Global Well-beinggreendigital
Introduction:
In an interconnected world where the boundaries between humans, and animals. and the environment blurred. One Health has emerged as a comprehensive approach to addressing complex health challenges. One Health recognizes the intricate connections between the Health of humans and animals. and ecosystems, emphasizing the need for collaborative efforts across disciplines to achieve optimal well-being for all. This article delves into the fundamental principles of It, and its historical roots. and its potential to revolutionize the way we approach global Health.
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Understanding One Health:
A- Definition and Scope:
It is an integrative approach that considers the Health of humans, animals. and the environment as interdependent entities. It acknowledges that the Health of one component influences the Health of the others. and disruptions in any of these systems can have far-reaching consequences. This approach goes beyond traditional silos in health management. and embraces a holistic perspective. recognizing the intricate web of connections that shape our Health.
B- Historical Roots:
The roots of the It concept can traced back to ancient civilizations. where the interconnectedness of human and animal health acknowledged. But, the formal recognition of It as a distinct field gained momentum in the late 20th century. The emergence of zoonotic diseases transmitted between animals. and humans highlighted the need for a collaborative approach to disease prevention and control.
Key Principles of One Health:
A- Interdisciplinary Collaboration:
At the heart of It is interdisciplinary collaboration. This principle involves breaking down the traditional barriers between medical, veterinary. and environmental sciences. Professionals from various fields work together to understand the complex dynamics of Health. and to develop effective strategies for prevention, surveillance, and response to emerging threats.
B- Zoonotic Disease Surveillance:
Given the increasing frequency of zoonotic disease outbreaks. It emphasizes surveillance and early detection. Monitoring diseases at the human-animal-environment interface is crucial for identifying potential threats before. they escalate into global pandemics. This proactive approach involves close collaboration between public health agencies. veterinary services, and environmental monitoring bodies.
C- Environmental Stewardship:
It recognizes the impact of environmental degradation on Health. Climate change, deforestation, and pollution can exacerbate the spread of diseases. affect water and food sources, and compromise the well-being of ecosystems. Integrating environmental stewardship into health policies is essential for safeguarding the Health of present and future generations.
Examples of One Health in Action:
A- Pandemic Preparedness:
The ongoing COVID-19 pandemic has underscored the importance of a It approach. The virus, believed to have originated in bats.
Nursing Practice - Nursing Health & EnvironmentCINPSInstitute
Nursing Health & Environment" is a comprehensive blog that delves into the vital aspects of nursing, focusing specifically on the interconnectedness between nursing, health, and the environment. This blog explores the multifaceted role of nurses in promoting and maintaining the well-being of individuals, families, and communities, while also addressing the influence of the environment on health outcomes. From discussing evidence-based nursing interventions and best practices to examining the impact of environmental factors on health, this blog aims to provide valuable insights and resources for both aspiring and seasoned nurses. Whether you are seeking information on the latest advancements in nursing practice or exploring the relationship between health and the environment, this blog offers a wealth of knowledge to enhance your understanding and practice in the field of nursing.
SOCIO-CULTURAL AND BEHAVIORAL FACTORS INFLUENCING CHILDHOOD IMMUNIZATION PR...GABRIEL JEREMIAH ORUIKOR
Abstract: Background: Immunization is one of the most cost-effective interventions with proven strategies to reach
the vulnerable populations. It is also a proven tool for controlling and eliminating life threatening infectious diseases.
It also prevents illness, disability and deaths from vaccine preventable diseases averting estimated 2-3 million deaths
each year.
Method: A descriptive survey research design was adopted, one hundred 100 nursing mothers were used for the
study. The instruments used for the study was a self-structured questionnaire. Simple random sampling technique
was used to select the sample for the study. Data collected were analysed using frequency, counts and percentage
table for demographic information.
Result: The findings of the study revealed that behaviour/attitude of healthcare workers and lack of enough
information were determinants of incomplete routine immunization, while life style, religion and belief were not
determinants of incomplete routine immunization. However, level of education, distance to health facility, life style,
religion and belief were jointly determinants of incomplete routine immunization among nursing mothers in Jericho
specialist hospital.
Conclusion: Based on the findings of the study; it is therefore recommended that State Government and
Philanthropists should assist in building more health care facilities close to the communities for easy accessibility.
Effort should be geared towards public campaign using local dialect to encourage them to complete routine
immunization. In addition, community mobilization should be strengthening especially among nursing mothers to
be fully informed about the merits of completing the routine immunization and to avert childhood morbidity and
mortality in our society.
LGBTQ+ Adults: Unique Opportunities and Inclusive Approaches to CareVITASAuthor
This webinar helps clinicians understand the unique healthcare needs of the LGBTQ+ community, primarily in relation to end-of-life care. Topics include social and cultural background and challenges, healthcare disparities, advanced care planning, and strategies for reaching the community and improving quality of care.
India Diagnostic Labs Market: Dynamics, Key Players, and Industry Projections...Kumar Satyam
According to the TechSci Research report titled “India Diagnostic Labs Market Industry Size, Share, Trends, Competition, Opportunity, and Forecast, 2019-2029,” the India Diagnostic Labs Market was valued at USD 16,471.21 million in 2023 and is projected to grow at an impressive compound annual growth rate (CAGR) of 11.55% through 2029. This significant growth can be attributed to various factors, including collaborations and partnerships among leading companies, the expansion of diagnostic chains, and increasing accessibility to diagnostic services across the country. This comprehensive report delves into the market dynamics, recent trends, drivers, competitive landscape, and benefits of the research report, providing a detailed analysis of the India Diagnostic Labs Market.
Collaborations and Partnerships
Collaborations and partnerships among leading companies play a pivotal role in driving the growth of the India Diagnostic Labs Market. These strategic alliances allow companies to merge their expertise, strengthen their market positions, and offer innovative solutions. By combining resources, companies can enhance their research and development capabilities, expand their product portfolios, and improve their distribution networks. These collaborations also facilitate the sharing of technological advancements and best practices, contributing to the overall growth of the market.
Expansion of Diagnostic Chains
The expansion of diagnostic chains is a driving force behind the growing demand for diagnostic lab services. Diagnostic chains often establish multiple laboratories and diagnostic centers in various cities and regions, including urban and rural areas. This expanded network makes diagnostic services more accessible to a larger portion of the population, addressing healthcare disparities and reaching underserved populations. The presence of diagnostic chain facilities in multiple locations within a city or region provides convenience for patients, reducing travel time and effort. A broader network of labs often leads to reduced waiting times for appointments and sample collection, ensuring that patients receive timely and efficient diagnostic services.
Rising Prevalence of Chronic Diseases
The increasing prevalence of chronic diseases is a significant driver for the demand for diagnostic lab services. Chronic conditions such as diabetes, cardiovascular diseases, and cancer require regular monitoring and diagnostic testing for effective management. The rise in chronic diseases necessitates the use of advanced diagnostic tools and technologies, driving the growth of the diagnostic labs market. Additionally, early diagnosis and timely intervention are crucial for managing chronic diseases, further boosting the demand for diagnostic lab services.
PET CT beginners Guide covers some of the underrepresented topics in PET CTMiadAlsulami
This lecture briefly covers some of the underrepresented topics in Molecular imaging with cases , such as:
- Primary pleural tumors and pleural metastases.
- Distinguishing between MPM and Talc Pleurodesis.
- Urological tumors.
- The role of FDG PET in NET.
Health Education on prevention of hypertensionRadhika kulvi
Hypertension is a chronic condition of concern due to its role in the causation of coronary heart diseases. Hypertension is a worldwide epidemic and important risk factor for coronary artery disease, stroke and renal diseases. Blood pressure is the force exerted by the blood against the walls of the blood vessels and is sufficient to maintain tissue perfusion during activity and rest. Hypertension is sustained elevation of BP. In adults, HTN exists when systolic blood pressure is equal to or greater than 140mmHg or diastolic BP is equal to or greater than 90mmHg. The
For those battling kidney disease and exploring treatment options, understanding when to consider a kidney transplant is crucial. This guide aims to provide valuable insights into the circumstances under which a kidney transplant at the renowned Hiranandani Hospital may be the most appropriate course of action. By addressing the key indicators and factors involved, we hope to empower patients and their families to make informed decisions about their kidney care journey.
How many patients does case series should have In comparison to case reports.pdfpubrica101
Pubrica’s team of researchers and writers create scientific and medical research articles, which may be important resources for authors and practitioners. Pubrica medical writers assist you in creating and revising the introduction by alerting the reader to gaps in the chosen study subject. Our professionals understand the order in which the hypothesis topic is followed by the broad subject, the issue, and the backdrop.
https://pubrica.com/academy/case-study-or-series/how-many-patients-does-case-series-should-have-in-comparison-to-case-reports/
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
COVID-19 PCR tests remain a critical component of safe and responsible travel in 2024. They ensure compliance with international travel regulations, help detect and control the spread of new variants, protect vulnerable populations, and provide peace of mind. As we continue to navigate the complexities of global travel during the pandemic, PCR testing stands as a key measure to keep everyone safe and healthy. Whether you are planning a business trip, a family vacation, or an international adventure, incorporating PCR testing into your travel plans is a prudent and necessary step. Visit us at https://www.globaltravelclinics.com/
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
According to TechSci Research report, "India Clinical Trials Market- By Region, Competition, Forecast & Opportunities, 2030F," the India Clinical Trials Market was valued at USD 2.05 billion in 2024 and is projected to grow at a compound annual growth rate (CAGR) of 8.64% through 2030. The market is driven by a variety of factors, making India an attractive destination for pharmaceutical companies and researchers. India's vast and diverse patient population, cost-effective operational environment, and a large pool of skilled medical professionals contribute significantly to the market's growth. Additionally, increasing government support in streamlining regulations and the growing prevalence of lifestyle diseases further propel the clinical trials market.
Growing Prevalence of Lifestyle Diseases
The rising incidence of lifestyle diseases such as diabetes, cardiovascular diseases, and cancer is a major trend driving the clinical trials market in India. These conditions necessitate the development and testing of new treatment methods, creating a robust demand for clinical trials. The increasing burden of these diseases highlights the need for innovative therapies and underscores the importance of India as a key player in global clinical research.
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
Medical Technology Tackles New Health Care Demand - Research Report - March 2...
Alignment matrix-with-content-ncm-112
1. ALIGNMENT MATRIX WITH CONTENT
PROGRAM OUTCOMES COURSE OUTCOMES LEARNING OUTCOMES CONTENT
Applyknowledge of physical,social,natural
and healthsciences,andhumanitiesinthe
practice of nursing.
Applyknowledge of physical,social,natural
and healthsciences,andhumanitiesinthe
nursingcare of at-riskandsick adultclients
withproblemsinoxygenation,fluidand
electrolytes,infectious,inflammatoryand
immunologicresponse,cellularaberrations,
acute and chronic.
Integrate relevantprinciples of social,
physical,natural andhealthscience and
humanitiesinagivenhealthandnursing
situationsbasedonepidemiologicprofile.
Applyappropriate nursingconceptsand
actionsholisticallyandcomprehensively.
Conceptsin the Care ofAt Risk and Sick
Adult Clients
A. HealthCare Situations
Global
National
Local
B. ChronicIllness
C. Cultural andHealthEthnicdisparities
and culturallycompetentcare
D. Perioperative NursingCare
1. Pre-operative Care
2. Intra-operativeCare
3. Post-operative Care
Provide safe,appropriate,andholisticcare to
individuals,families,populationgroups,and
communityutilizingthe nursingprocess.
Provide safe,appropriate,andholistic
nursingcare to at riskand sickadultclients
withproblemsinoxygenation,fluidand
electrolytes,infectious,inflammatoryand
immunologicresponse,cellularaberrations,
acute and chronic utilizingthe nursing
process.
Assesswiththe atrisk andsick adultclients
one’shealthstatus/competence.
NursingCare of At Risk and Sick Adult
Clientswithalterations/problemsin
oxygenation,fluid,electrolytesandacid-
base balance,infectious,inflammatoryand
immunologicresponse,cellularaberrations,
acute and chronic.
A. Assessment
Subjective Data
a. History
Objective Data
a. Physical assessment
b. Diagnosticstudies/procedures
B. Analysis/NursingDiagnosis
C. Planning
2. Formulate withthe clientaplanof care to
addressthe needs/problems,andbasedon
priorities.
Implementsafe andqualityinterventions
withthe clienttoaddressthe identified
needs/problems.
Provide healtheducationusingselected
planningmodels tosickadultclient.
Evaluate withthe clientthe health
status/competence and/orexpected
outcomesof nurse-clientworking
relationship.
Institute appropriate corrective actionsto
preventorminimize harmarisingfrom
adverse effects.
1. PlanningforHealthPromotion
2. PlanningforHealthRestoration
and Maintenance
D. Implementationof Care of Clients
1. IndependentNursingCare
PhysiologicCare
Psychosocial Care
Spiritual Care
2. InterdependentCare
Pharmacological
Therapeutics
ComplementaryandAlternative
Therapies
Nutritional andDietTherapy
Surgical Intervention
RadiationTherapy
Chemotherapy
ImmunologicTherapy
E. ClientEducation
F. Evaluationof the Outcomesof Care
3. Documentto include reportingup-to-date
clientcare accuratelyand comprehensively.
Documentto include reportingup-to-date
clientcare accuratelyand comprehensivelyin
the care of at-riskandsickadult clients.
Documentclient’sresponses/nursingcare
servicesrenderedandprocesses/outcomes
of the nurse-clientworkingrelationship.
Ensure completeness,integrity,safety,
accessibilityandsecurityof information.
Adhere toprotocol and principlesof
confidentialityin safekeepingandreleasingof
recordsand otherinformation.
Discussthe pathophysiologicresponsesto
alterations/problemsinoxygenation,fluid,
electrolytesandacid-base balance,
infectious,inflammatoryandimmunologic
response,cellularaberrations, acute and
chronic.
G. ReportingandDocumentationof
Care
Responsesto Alterations/Problemsandits
PathophysiologicBasis inOxygenation,
Fluid,Electrolytesand Acid-Base Balance,
Infectious,Inflammatoryand Immunologic
Response,CellularAberrations,Acute and
Chronic
1. Oxygenation Problems
Oxygenation-Ventilation
- NursingCare of Clientswith
Upper AirwayDisorders
- NursingCare of Clientswith
VentilationDisorders
- NursingCare of ClientswithGas
Exchange Disorders
Oxygenation-Transport
- HematologicDisorders
- Anemia
Oxygenation-Perfusion
- Hypertension
- CoronaryArteryDisease (CAD)
and Acute CoronarySyndrome
(ACS)
- VascularDisorders
4. 2. Fluids,Electrolytes,andAcid-Base
Imbalances
FluidImbalance
Electrolyte Imbalances
Acid-Base Imbalances
Urinary EliminationDisorders
- Urinary Tract Disorders
- NeurogenicDisorders
- KidneyDisorders
3. InfectiousandInflammatory
Disorders
InfectiousDisordersof Adults
- Pneumonia,Tuberculosis
- Ebola
- MERS CoV
- H1N1
- COVID-19
- Hepatitis
- Guillain-Barre Syndrome
- Sexually-transmittedDiseases
(STDs)
InflammatoryDisorders(All body
systems)
- Gastrointestinal System
a. InflammatoryBowel Disease
– Crohn’sandUlcerative
Colitis,Appendicitis,
Peritonitis
b. Pancreatitis
c. Cholecystitis
- Urinary System
a. Cystitis
b. Urolithiasis(Stones)
- Reproductive
5. a. PelvicInflammatoryDisease
b. BenignProstaticHypertrophy
- Skin
a. SystemicLupus
Erythematosus
4. ImmunologicDisorders
Multiple Sclerosis
Type 1 DM
Ulcerative Colitis
Acute Glomerulonephritis
Allergy(Hypersensitivity)
LupusErythematous
RheumatoidArthritis
TransplantRejection
Practice beginningmanagementand
leadershipskillsinthe deliveryof clientcare
usinga systemsapproach.
Communicate effectivelyinspeaking,writing,
and presentingusingculturallyappropriate
language.
Practice beginningmanagementand
leadershipskillsinthe care of at-riskand sick
adultclient.
Communicate effectivelyinspeaking,writing,
and presentingusingculturallyappropriate
language inthe care of at-riskand sickadult
clients.
Manage resources(human,physical,time)
efficientlyandeffectively.
Maintaina positive practice environment.
5. CellularAberrations
Breast
Lung
Colon/Rectum
Liver
Cervix,Uterine
Prostate
Leukemia
Thyroid
Stomach
Ovary
(2015 Phil.CancerSocietyFactsand
Estimates)
Applyguidelinesandprinciplesof evidence-
basedpractice inthe deliveryof care.
Applyguidelinesandprinciplesof evidence-
basedpractice inthe deliveryof care for at-
riskand sickadultclientswith
alterations/problemsinoxygenation,fluid,
electrolytesandacid-base,infectious,
inflammatoryandimmunologicresponse,
cellularaberrations,acute andchronic.
Provide appropriate evidence-basednursing
care derivedfromavarietyof theories,care
standards,researchandclientpreferences.
Evidence Based Practicesfor the Care of
ClientswithAlterations/Problemsin:
Oxygenation,Fluid,ElectrolytesandAcid-
Base, Infectionand Inflammation,
ImmunologicResponse,Cellular
Aberrations,Acute and Chronic.
6. A. Importance of evidence-based
practice
B. Clinical questioningusingPICOT
format
C. Appraisal of collectedevidences
D. Integrationof evidencestocare of
clients
E. Evaluationof outcomesof evidence-
basednursing
F. Documentation
Practice nursinginaccordance withexisting
laws,legal,ethical andmoral principlesand
standards.
Practice nursinginaccordance withexisting
laws,legal, ethical andmoral principlesand
standardfor at riskand sickadult clients.
Adhere toethico-legal considerationswhen
providingsafe,quality,andprofessional
nursingcare.
Applyethical reasoninganddecision-making
processto addresssituations of ethical
distressandmoral dilemma.
Adhere toestablishednormsof conduct
basedon the PhilippineNursingLawand
otherlegal,regulatoryandinstitutional
requirementsrelevanttosafe nursing
practice.
Protectclientrightsbasedon“Patient’sBill of
Rightsand Obligations”.
Implementstrategies/policiesrelatedto
informedconsentasitappliesinmultiple
contexts.
RelevantLegal, Moral and Ethical Standards
of Care.
Patient’sBill of Rights
Non-disclosure andotherHIV-related
laws
Perioperative-relatedlaws
Advance Directives,LivingWill
R.A.4921 – Scope of Cancer
DetectionandDiagnosticCenterof
Dr. Jose ReyesMemorial Hospital
Ethical PrinciplesonBeneficence,
Non-Maleficence,Autonomyand
Justice
Scope of NursingPractice basedon
R.A.9173
7. Work effectivelyincollaborationwithinter-,
intra- and multi-disciplinaryandmulti-
cultural teams.
Work effectivelyincollaborationwithinter-,
intra- and multi-disciplinaryandmulti-
cultural teamsinthe care of at riskand sick
adultclients.
Ensure intra-agency,inter-agency,
multidisciplinaryandsectoral collaborationin
the deliveryof healthcare.
Implementstrategies/approachesto
enhance/supportthe capabilityof the client
and care providerstoparticipate indecision
makingbythe inter-professional team.
Maintaina harmoniousandcollegial
relationshipamongmembersof the health
teamfor effective,efficientandsafe client
care.
Coordinate the tasks/functionsof other
nursingpersonnel (midwife andutility
worker).
Collaborate withothermembersof the
healthteaminthe implementationof
programsand services.
Applyprinciplesof partnershipand
collaborationtoimprove deliveryof health
services.
A. Inter-ProfessionalCare Maps
B. CollaborativeCare of Clients
1. Oxygenationproblems
2. Fluid,ElectrolyteandAcid-Base
Imbalances
3. InfectiousandInflammatory
Disorders
4. ImmunologicDisorders
5. CellularAberration
Engage in lifelonglearningwithapassionto
keepcurrentwithnational andglobal
developmentsingeneral, andnursingand
healthdevelopmentsinparticular.
Engage in lifelonglearningwithapassionto
keepcurrentwithnational andglobal
developmentsingeneral,andnursingand
healthdevelopmentsinparticular.
Engage in advocacyactivitiestoinfluence
healthandsocial care service policiesand
access to services.
Engage in advocacyactivitiestodeal with
healthrelatedconcernsandadoptspolicies
that fosterthe growthand developmentof
the nursingprofession.
C. HealthAdvocacyPrograms
1. Tobacco-free programs
2. HealthyLifestyle
3. Non-CommunicableDisease
Programs
8. Model professionalbehavior. D. ProfessionalDecorum
Demonstrate responsible citizenshipand
pride of beinga Filipino.
Demonstrate responsible citizenshipand
pride of beinga Filipino.
Exemplifylove forcountryinservice of the
Filipinos.
Customize nursinginterventionsbasedon
Philippine culture andvalues.
FilipinoCulture ValuesandPracticesin
Relationtothe Care of At-RiskandsickAdult
ClientswithAlterations/Problemsin
Oxygenation,Fluid,ElectrolytesandAcid-
Base,Infectious,Inflammatoryand
ImmunologicResponse,CellularAberrations,
Acute and Chronic.
Applytechno-intelligentcare systemsand
processesinhealthcare delivery.
Applytechno-intelligentcare systemsand
processesinhealthcare deliveryof care of at
riskand sickadultclientswith
alterations/problemsinoxygenation,fluid,
electrolytesandacid-base,infectious,
inflammatoryandimmunologicresponse,
cellularaberrations,acute andchronic.
Use of appropriate technologytoperform
safe and efficientnursingactivities.
Implementsystemof informaticstosupport
the deliveryof healthcare.
On-line Databases/Journal ArticlesRelated
AssessmentandProvisionof Care forCare of
At-RiskandSickAdultClientswith
Alterations/ProblemsinOxygenation,Fluid,
ElectrolytesandAcid-Base,Infectious,
InflammatoryandImmunologicResponse,
CellularAberrations,Acute andChronic.
Adoptthe nursingcore valuesinthe practice
of the profession.
Adoptthe nursingcore valuesinthe delivery
of care toat riskand sickadultclients.
Demonstrate caringas the core of nursing,
love of God, love of countryand love of
people.
Demonstrate professionalism,integrityand
excellence.
Projectthe positive professionalimage of a
Filipinonurse.
Rolesandresponsibilitiesof anurse inadult
healthcare.
9. LEARNING PLAN
LEARNING OUTCOMES CONTENT LEARNING STRATEGIES
(CLASSROOM)
EVALUATION
Apply knowledge of normal anatomy and
physiology.
Concept review on anatomy, physiology and functions of the respiratory
system, cardiovascular system, urinary system, integumentary system,
lymphatic system
Readingsynthesis
Videoclip presentation
Lecture discussion
Objective type
Short-answerquestions
Multiple choice
Assesswiththe atrisk andsick adultclients
one’shealthstatus/competence.
I. The individual client with problems in oxygenation, fluid &
electrolyte balance, infectious, inflammatory and immunologic
response, cellular aberrations, acute and chronic:
A. Risk factors among clients that contribute to the
development of problems in the following:
1. Oxygenation – cardiovascular risk factors
(modifiable and nonmodifiable)
2. Fluid and electrolyte – potential factors for
exceeding renal reserve capacity, dietary
habits to include salt intake, hypertension,
infection, diabetes
3. Inflammatory and immunologic reactions
4. Cellular aberrations, acute and chronic –
heredity, age, gender, poverty, stress, diet,
occupation, infection, tobacco use, alcohol
use, recreational drug use, obesity, sun
exposure
B. Identifies significant subjective data from the client history
related to problems in oxygenation, fluid electrolyte,
infectious, inflammatory and immunologic response,
cellular aberrations, acute and chronic.
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
Data Setsfrom HistoryTaking
ReadingSynthesis
Lecture Discussion
10. 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
Inspection – gas exchange; perfusion
Palpation – gas exchange ; perfusion
Percussion – gas exchange
Auscultation – gas exchange – heart
sound, breath sound, deviations ; fluid
transport
2. Fluid and electrolyte balance
Inspection – signs of dehydration, over-
hydration,
Palpation – edema, ascites, neck vein
filling, hand vein filling, neuromuscular
irritability, characteristic of pulse
Percussion – abdomen for presence of
air, fluid
Auscultation – rates
3. Inflammation and immunologic reactions
Inspection – color, lesions, masses
Palpation - turgor, tenderness, masses,
body temperature
4. Cellular aberration, acute and chronic
Health history
Physical assessment
D. 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:
Readingsynthesis
Audiovisual presentation
Assessmentexercises
Worksheets
Lecture-discussion on
selected diagnostic
procedures with emphasis on
indications, preparation,
nursing responsibilities.
Accomplish worksheets for
diagnostic studies.
12. Western Blot, tests for
emerging infections (e.g.
SARS)
4. Cellular aberrations, acute and chronic
Diagnostic tests
Screening and early detection
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/haemoglobin
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. Infectious, inflammatory and immunologic
Response
a. Impaired skin integrity
b. Activity intolerance
c. Potential for infection
13. d. Disturbances in self-concept
e. Ineffective family coping
f. Social isolation
4. Cellular aberrations, acute and chronic
a. Risk for infection as evidenced by tissue
trauma or impaired immune response
b. Ineffective health maintenance as
evidenced by lack of preventive care or
health screening
c. Ineffective protection as evidenced by
impaired immunity related to cancer
therapy or HIV disease
d. Risk for trauma as evidenced by high-risk
personal behaviors
Discussthe pathophysiologicresponsesto
alterations/problemsinoxygenation,fluid,
electrolytesandacid-base balance,
infectious,inflammatoryandimmunologic
response,cellularaberrations,acute and
chronic.
F. Pathophysiologic Mechanisms:
1. Alterations in oxygenation
Alteration in gas exchange – ventilatory
dysfunction, impaired diffusion, impaired
perfusion
Alteration in cardiac performance – heart
rate problems, impaired stroke volume
secondary to altered preload afterload,
myocardial contractility
Alteration in vascular integrity – transport
network impairment
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
ConceptMap
Lecture Discussion
Audiovisual Presentation
Short AnswerQuestions
Multiple Choice
ActivityWorksheets
14. hypermagnesemia; hypo- and
hyperphosphatemia
d. Acid and base imbalances – metabolic
acidosis and alkalosis; respiratory acidosis
and alkalosis
e. Urinary elimination disorders – urinary tract
disorders; neurogenic disorders; kidney
disorders
3. Infectious and inflammatory disorders and
immunologic reactions
a. Infectious disorders of adults – pneumonia,
tuberculosis, ebola, MERS-Cov, H1N1,
Hepatitis, Guillain-Barre Syndrome, STDs
b. Inflammatory Disorders
c. Bacterial conditions
d. Bullous diseases
e. Infestation and parasitic diseases
f. Vaccine-preventable infectious diseases
g. Others – AIDS, STDs, COVID-19
5. Immunologic reactions
a. Hypersensitivity reactions
b. Immunodeficiency
c. Autoimmune disorders – MS, RA, GBS,
SLE, AGN, Transplant Rejection,
Ulcerative Colitis
6. Cellular Aberrations – Normal Cell Growth, The
Cell Cycle (Breast, Lung, Colon/Rectum, Liver,
Cervix, Uterine, Prostate, Leukemia, Thyroid,
Stomach, Ovary)
Formulate withthe clientaplanof care to
addressthe needs/problems,andbasedon
priorities.
G. Principles of Various Modalities of Management
1. Health Promotive
2. Disease Preventive
3. Curative and Restorative
Lecture Discussion ActivityWorksheets
Short AnswerQuestions
Case Study
15. Implementsafe andqualityinterventions
withthe clienttoaddressthe identified
needs/problems.
H. Principles of Management
1. For Altered Pulmonary Function
Airway patency
Oxygen therapy
Adequate ventilation
Drug therapy
Hydration
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 infection
Prevention of complications
Prevention of psychosocial problems
Rehabilitation
3. Oxygen Carrying Capacity of the Blood
Blood component replacement
O2 therapy
Drug therapy
Hydration
Prevention of infection
Prevention of complications
Prevention of psychosocial problems
Rehabilitation
4. Fluid Volume Deficit
Determination and management of cause
Hydration
Blood transfusion as needed
Drug therapy – electrolyte
Supportive management
Prevention of infection
Prevention of complication
Prevention of psychosocial problems
Rehabilitation
ReadingSynthesis
Audiovisual Presentation
Lecture Discussion
Case Study
Quiz
ActivityWorksheets
16. 5. Fluid Volume Excess
Determination and management of cause
Drug therapy – diuretics, electrolytes
Dietary restriction – sodium
Supportive management
Prevention of infection
Prevention of complication
Prevention of psychosocial problems
Rehabilitation
6. Electrolyte Deficit – hyponatremia,
hypokalemia, hypocalcemia,
hypomagnesemia, hypophosphatemia
Determination and management of cause
Drug therapy – electrolyte replacement
Dietary management
Supportive management
Prevention of complication
Prevention of psychosocial problems
Rehabilitation
7. Electrolyte Excess- hypernatremia,
hyperkalemia, hypercalcemia,
hypermagnesemia, hyperphosphatemia
Determination and management of cause
Drug therapy – electrolyte replacement
Dietary management
Supportive management
Prevention of complication
Prevention of psychosocial problems
Rehabilitation
8. Metabolic Alkalosis – Base bicarbonate excess
Determination and management of cause
Drug therapy -
Dietary management
Supportive management
Prevention of complication
Prevention of psychosocial problems
Rehabilitation
9. Metabolic Acidosis – Base bicarbonate deficit
Determination and management of cause
Drug therapy – electrolyte replacement
17. Dietary management
Supportive management
Prevention of complication
Prevention of psychosocial problems
Rehabilitation
10. Respiratory Alkalosis – Carbonic acid deficit
Determination and management of cause
Drug therapy – electrolyte replacement
Dietary management
Supportive management
Prevention of complication
Prevention of psychosocial problems
Rehabilitation
11. Respiratory Acidosis – Carbonic acid excess
Determination and management of cause
Drug therapy – electrolyte replacement
Dietary management
Supportive management
Prevention of complication
Prevention of psychosocial problems
Rehabilitation Rehabilitation
12. For Altered Inflammatory and Immunologic
Reaction
Determination and management of cause
Drug therapy
Prevention of infection
Supportive management
Prevention of complications
Rehabilitation
13. Cellular aberrations, acute and chronic
Determination and management of cause
Drug therapy
Nutrition and diet therapy – ACS Dietary
Guidelines to Prevent Cancer
Complementary therapies – Botanical
agents, nutritional supplements, dietary
regimens, mind-body modalities, energy
18. healing, spiritual approaches,
miscellaneous therapies
I. Pharmacologic actions, therapeutic use, side effects,
indications, contraindication, 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 - Parenteral fluids – hypotonic, hypertonic,
isotonic solutions
5. Electrolyte – Sodium, Potassium, Calcium,
Magnesium, Phosphate
6. Diuretics - Potassium-sparing, Potassium-losing,
Osmotic diuretics
7. Antibiotics
8. Antifungal agents
9. Keratolytic agents
10. Anticholinergic agents
11. Adrenergic agents
12. Antihistamines
13. Anti-inflammatory agents
14. Corticosteroids
15. Immunologic agents
16. Vaccines
17. Anti-neoplastic drugs
J. Purpose, indications, nursing responsibilities for the
following surgical and special procedures
a. Surgical procedures – debridement, incision and
drainage, excision, etc.
b. Special procedures - universal precaution, reverse
isolation, medical asepsis/surgical asepsis
K. Safe and comprehensive perioperative nursing care
1. Assessment and care during the perioperative
period
ReadingSynthesis
Lecture Discussion
Case Study
Lecture Discussion
TapedDemonstration
Lecture Discussion
Simulation
Short AnswerQuestions
Drug Studies
ActivityWorksheets
Case Studies
SimulationExam
ReturnDemonstration
Case Studies
19. 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
Short AnswerQuestions
ActivityWorksheet
Applyethical reasoninganddecision-making
processto addresssituationsof ethical
distressandmoral dilemma.
L. Principles, concept and application of bioethics in the care
of clients
ReadingSynthesis
Online Debate
ActivityWorksheet
Case Studies
Essay
Evaluate withthe clientthe health
status/competence and/orexpected
outcomesof nurse-clientworking
relationship.
M. Developing outcome criteria for clients with problems in
oxygenation, fluids and electrolytes, inflammatory and
immunologic reaction
Lecture Discussion
Group Discussion
Case Studies
NCP
ActivityWorksheet
Provide healtheducationusingselected
planningmodelstosickadultclient.
N. Appropriate discharge plan including health education ReadingSynthesis
Group Discussion
SimulationActivity
ActivityWorksheet
Documentclient’sresponses/nursingcare
servicesrenderedandprocesses/outcomes
of the nurse-clientworkingrelationship.
Ensure completeness,integrity,safety,
accessibilityandsecurityof information.
Adhere toprotocol and principlesof
confidentialityinsafekeepingandreleasingof
recordsand otherinformation.
O. Accurate recording and documentation Group Discussion
SimulationActivity
ActivityWorksheet