Mindanao Sanitarium and Hospital College Brgy.

San Miguel, Iligan City School of Nursing Care of the Chronically Ill and the Older Person (ELEC II) COURSE OUTLINE nd 2 Semester, AY 2013-2014

PRELIM Nov. 12, 19, 26 Dec. 3-long test (Dec. 10 EXAM)

1. CHRONIC ILLINESS .Definition Characteristics of chronic illness Key Problem Areas experienced by patients with chronic illness Issues and Trends in Chronic Care

A B. C. D.

E. Review of the Risk Factors, Pathophysiology, Specific Assessment, Management (Behavioral * coping interventions for powerlessness, hopelessness, sensory deprivation, sleeplessness etc. * social support system and family), and Health Education of selected chronic conditions: 1) Heart Disease 2) Stroke 3) Cancer 4) Chronic Obstructive Pulmonary Disease 5) Diabetes 6) Hypertension 7) Demetia 1. Care of the Older Persons A. Definition of terms B. Factors that affect normal functioning of the older persons 1.) Demographics of Aging 2.) Theories of Aging * Biological (Genetic, Wear & Tear, Environmental) * Psychological (Disengagement, Activity, Continuity) 3.) Socioeconomic Aspects of Aging 4.) The Aging Family, The Well Older Persons Changes and their Implications to Care (Physical, Physiological, Biological, Social and Psychological Emotional)

C. Cultural factors/ethnicity such as regard for elders, perception of health

MIDTERM Dec 17, Jan 7 14-long test (Jan 21 Examination)

D. Patterns of illness of the older persons E. Comprehensive geriatric assessment F. Nursing Diagnosis related to Wellness and Chronic Illness G Problems related to the older persons *Physiologic functioning *Behavioral *Safety H. Needs for self-care, life support, health maintenance I. Health problems in chronic illness J. Levels of care K. Principles in the care of the older persons: *Wellness *Health promotion *Chronic illness *Recovery and rehabilitation *Quality of life

SEMI-FINAL Jan 28, 4 Feb 11-long test (Feb 18 Examination)

L. Nursing Interventions for specific problems of the older persons include care that support: 1. Wellness (Nutrition support, activity & exercise, stress management) 2. Physiologic functioning (Activity & exercise, nutrition support, respiratory management, tissue perfusion management, electrolyte & acidbase balance management, skin/wound management, physical comfort promotion) 3. Behavioral (Coping assistance, patient education, spiritual care) 4. Safety (Risk reduction activities, management of the environment) 5. Bioethical components of care M. Community resources for care of older persons (Philippine Laws on Senior Citizen) N. Criteria for evaluation 1.) Indicators for wellness 2.) Responses to care

FINAL Feb. 25 Mar 4- long test (Mar 11 Examination)

O. Gerontological nursing concepts, standards of care P. Ethical aspects in the care of the older person Q.Current trends and issues in the care of the older person

R. Evidence based interventions in the care of older persons

References: 1) 2) 3) 4) 5) 6) 7) Bible (Any Version) th Eliopoulos, C. (1997). Gerontological Nursing, 4 Ed. Lippincott-Raven Publishers, Philadelphia. Hogstel, M. (2005). Gerontology: Nursing Care of the Older Adult. Thomson Learning Asia, Singapore. nd Mauk, K. (2010). Gerontological Nursing: Competencies for Care. 2 Ed. Jones and Barlett Publisher,LLC. nd Porth, C. (2007). Essentials of Pathophysiology. 2 Ed. Lippincott Williams & Wilkins. USA. th Smeltzer, et al. (2010). Brunner and Suddarths Textbook of Medical-Surgical Nursing. 12 Ed. Lippincott Williams & Wilkins. USA. http://filipinonursesperspective.blogspot.com/2013/07/the-theory-framework-owf-life-course.html

Grading System: FORMULA: Students Score X 80 +20= STUDENT GRADE Perfect Score Group Activities/Assignments: Quizzes: Long Test: Exams: TOTAL: 10% 20% 30% 40% 100%

Classroom Rules of Conduct: 1) Attendance every class schedule EXCEPT (sick or death of immediate family member) Provided submission of: Sick Medical Certificate within one week from the base hospital : Death certificate within two weeks : No make-up quiz, long test, examination shall be given due to absence or tardiness

2) Professional Attitude/ Behavior: Respectful of classmates and instructor : Punctuality : Honest in dealing with others : No use of phones : Study before class : Participate in all classroom activities : Submit requirements as schedule : No cheating : Submit certificate of registration on the first day of class : Complete uniform and grooming : Examination permit is required before periodic examination Course Policies: 1. All requirements must be turned in on the specified deadline. 2. A certificate of registration is required on the first day of class. 3. Wear the prescribed uniform with valid ID. No wearing of jewelry and other accessories. 4. Behave and dress in a manner that is wholesome and not distractive to the learning environment. 5. Mobile phone must be set on silent mode while class is going on. Any electronic device will be confiscated if used during class activities. This will be given to the DSA office. 6. Punctuality is a must. 7. A student is required to attend class regularly. Excused absences are: illness (present a medical certificate from the base hospital), environmental constraints, death of an immediate family member (present a death certificate within two weeks), and field trips or seminars in other subjects. Any student who has incurred more than 20% unexcused absences from class per school term (8.4 hours only allowable absences) will automatically receive a grade of FA (failure due to absences) regardless of his standing in class. 8. Dishonest acts will be dealt with accordingly based on the guidelines set in the student handbook. 9. Quizzes and examination must be taken on the scheduled time. No make-up quiz shall be given due to absence or tardiness. 10. Secure an examination pass from the Business Office before taking any periodic exam. 11. A student who for any valid reason has not completed all class requirements by the end of the term is given a grade of INC (incomplete). Completion of INC grades must be within 45 days after the final examination week; otherwise such INC grade automatically falls into F or Failure. 12. Going to the restroom should be done before class will start or during breaktime.

Prepared By: Ma. Almira P. Nebres, MAN, RN Faculty

Checked By: Gter G. Gaid, PhD, MAN, RN Dean, School of Nursing