CENTRO ESCOLAR UNIVERSITY

COLLEGE OF NURSING
MANILA*MALOLOS* MAKATI
Syllabus

for

NCM 104
Subject Title

CARE OF CLIENTS WITH PROBLEMS IN INFLAMMATORY

AND IMMUNOLOGIC RESPONSE, PERCEPTION AND COORDINATION
Descriptive Title

UNIT: 5 LEC; 4 LAB

HOURS: 90 LEC; 204 LAB

PLACEMENT: Third Year, Second Semester

COURSE DESCRIPTION: The course deals with the concepts, principles and theories of nursing care management of sick clients across the life span with
emphasis on adult and the older person, population group in any setting with alterations/problems in inflammatory and immunologic
response and perception and coordination.
PRE-REQUISITE: NCM 103
TERMINAL COMPETENCY: At the end of the course, given actual clients with problems in inflammatory and immunologic response and perception and
coordination, the student will be able to provide safe and quality nursing care to various clients through the utilization of the
nursing process and the observation of the nursing standards in the care of clients.

INTERMEDIATE
COMPETENCY

CONTENT

At the end of the unit the PRELIM

student will be able to:
Unit I. Inflammatory
1. Describe the
1. Definition of Illness
inflammatory response
2. Definition of Inflammation

SUGGESTED
TEACHING
METHODOLOGY/
STRATEGY

Lecture
Discussion

TIME
ALLOTMENT

6 hours

RLE

TIME
ALLOTMENT

70 hours

MATERIALS
NEEDED

EVALUATIVE
MEASURES/
REQUIEMENTS

Lecture
Attendance/
1

and
2. Explain local and
systemic manifestations
of inflammation

Physiological Process of
Inflammation
Cell injury and inflammation
Body defenses against injury
Monocular phagocyte system
Inflammatory Response
Altered immune response

Attitude
Case Scenarios
Recitation
Film Showing
Video
Conferencing

Oral/Written Requirement

Nursing Care
Plan Presentation

Quizzes
UE
Periodical
Exam

Concept
Mapping
At the end of the unit the
student will be able to:
1. Discuss the
immunologic
process
2. Describe the
significance of
health history,
physical
assessment and
diagnostic tests
to the diagnosis
of immunologic
diseases
3. Discuss the
definition,
etiology,
pathophysiology,
clinical
manifestations,

Unit II. Immunologic Function

1.Anatomic and Physiologic Overview
2. Assessment
2.1 Health History
2.2 Physical Examination
2.3 Laboratory/Diagnostic Tests
3. Medical Management
4. Nursing Management
5. Disorders
5.1 Immunodeficiency
5.1.1 Primary
5.1.2 Secondary
5.2 HIV infections and AIDS
5.3 Allergic Disorders
5.4 Rheumatic Disorders
5.4.1 Rheumatic Diseases
5.4.2 Diffuse Connective Tissue Diseases

9 hours

specific
diagnostic
evaluations of
the different
immunologic
diseases
4. Discuss the
medical and
nursing
management of
immunologic
diseases
5. Use the nursing
process as a
framework for
care of the
patient with
immunologic
diseases
6. Develop a plan
of care for the
patient with
immunologic
diseases
At the end of the unit the UNIT III. Communicable Disease
students are expected to: 1. Overview
1. Discuss the
1.1 Immunity
infectious
1.2 Infectious Disease Process
process
1.2.1 Causative Agent
2. Describe the
1.2.2 Reservoir
significance of
1.2.3 Portal of Exit from reservoir
health history,
1.2.4 Mode of Transmission

15 hours

Orientation
and clinical
exposure at
San Lazaro
Hospital
/hospitals

Clinical
Kit Bag

RLE :
Reporting

Personal
Protective
Barriers

Nursing
Care Plan

3.

4.

5.

6.

physical
assessment and
diagnostic tests
to the diagnosis
of infectious
diseases
Discuss the
definition,
etiology,
pathophysiology,
clinical
manifestations,
specific
diagnostic
evaluations of
the different
infectious
diseases
Discuss the
medical and
nursing
management of
infectious
diseases
Use the nursing
process as a
framework for
care of the
patient with
infectious
diseases
Develop a plan
of care for the

1.2.5 Portal of Entry into Host

1.2.6 Susceptible Host
2. Relationship of agent, host, environment
3. Assessment
Health history
Physical assessment
Laboratory/diagnostic tests
4. Medical Management
5. Nursing Management
5.1 Infection Control and Prevention
5.1.1 Standard Precaution
5.2.1 Transmission-based Precaution
6. Common Communicable Diseases
6.1 Tuberculosis
6.2 Pneumonia
6.3 Malaria
6.4 Dengue Hemorrhagic Fever
6.5 Leptospirosis
6.6 Measles/German Measles
6.7 Chicken Pox
6.8 Typhoid Fever
6.9 Hepatitis
6.10 Rabies
6.11 Tetanus
6.12 Common Skin Infections
6.12.1 Scabies
6.12.2 Impetigo
6.12.3 Furnacle
6.12.4 Carbuncle
6.13 Sexually transmitted infections
6.13.1 Gonorrhea
6.13.2 Chlamydia
6. Infections in Health Care Facilities

Application of
Aseptic
Technique:
-Medical
Handwashing
-Gowning
-Gloving

Clinical
Performance

Administration of
Immunizations at OPD
Screening of
Patients and
identification
of suspects
Preparation of
NCP
Health
Teachings
individual/
group actual
care of clients
with CD

patient with
infectious
diseases

At the end of the unit the

students are expected to:
1. Describe the
structures and
functions of the
central and
peripheral
nervous system
2. Describe the
significance of
health history,
physical
assessment and
diagnostic tests
to the diagnosis
of neurologic
disorders
3. Discuss the
definition,
etiology,
pathophysiology,
clinical
manifestations,
specific
diagnostic

6.1 Nosocomial
6.2 Iatrogenic
6.3 Community Acquired
7. Emerging Infections
7.1 A(H1N1)
7.2 Others
MIDTERM
Unit IV. Disturbances in Neurologic Function
UNIT V. Neurologic Disorders
1.Anatomic and Physiologic Overview
2. Assessment
2.1 Health History
2.2 Physical Examination
2.3 Laboratory/Diagnostic Tests
3. Medical Management
4. Nursing Management
5. Common Manifestations of Neurologic
conditions
5.1 Increased ICP
5.2 Altered LOC
6. Disorders
6.1 Congenital Anomalies
6.1.1 Hydrocephalus
6.2.2 Spina Bifida
6.2 Seizure Disturbance
6.3 Vascular Disorders
6.4 Cerebrovascular Disorders
6.4.1 TIA
6.4.2 Ischemic Stroke
6.4.2.1 Embolic
6.4.2.2 Thrombotic
6.4.3 Hemorrhagic Stroke

Lecture
Discussion
Case Scenarios
Film Showing
Video
Conferencing
Nursing Care
Plan Presentation
Concept
Mapping

24 hours

Demo and
Retdem of
Neurological
Assessment
Clinical
Exposure at
Neuroward
/Medicine
Ward with the
ff: activities:
Assessment of
client with
neurological
condition.
History
taking
Neuro
Assessment
Glasgow
coma scale
Analysis of
Diagnostic
tests and
Laboratory

64 hours

Neuro
Assessment Kit
Clinical
Kit Bag
Forms of
Neuro
assessment
Glascgow
Coma
Scale
Drug
Handbook

Lecture
Attendance/
Attitude
Recitation
Oral/Written Requirement
Quizzes
UE
Periodical
Exam

RLE
Retdem of
Neuro
Assessment

evaluations of
the different
neurologic
dysfunction
4. Discuss the
medical and
nursing
management of
the disorders
5. Use the nursing
process as a
framework for
care of the
patient with
neurologic
dysfunction
6. Develop a plan
of care for the
patient with
neurologic
disorders

At the end of the unit the

students are expected to:
1. Describe the
structures and
functions of the
eye and ear
2. Describe the

6.4.3.1 AV
Malformations
6.4.3.2 Aneurysm
6.5 Degenerative Disturbance
6.5.1 Parkinsons disease
6.5.2 Myasthenia Gravis
6.5.3 Multiple Sclerosis
6.5.4 GBS
6.6 Trauma
6.6.1 Head injury
6.6.2 Spinal cord injury

UNIT V. Disturbances in Visual and Auditory

1. Overview of external and internal structures of
eye and ear
2. Assessment
2.1 Health History
2.2 Physical Assessment
2.3 Diagnostic Evaluation
3. Medical Management

tests

Nursing
Process
(Ind. And
Group)

NCP on the
Care of client
with
Neurologic
condition

Clinical
Performance

Drug Study
Apply the
Nursing
process in the
care of clients
with
neurologic
condition like
client with
Increased
ICP,
Seizure, brain
injury and
client who
undergone
brain surgery
6 hours

Demo and
Retdem of
Visual and
Auditory
Assessment
Clinical

Clinical
Kit bag
Snellen
Chart

RLE :
Retdem

Drug
Hand

Nursing
Process

significance of
health history,
physical
assessment and
diagnostic tests
to the diagnosis
of visual and
hearing disorders
3. Discuss the
definition,
etiology,
pathophysiology,
clinical
manifestations,
specific
diagnostic
evaluations of
the different
visual and
hearing disorders
4. Discuss the
medical and
nursing
management of
visual and
hearing disorders
5. Use the nursing
process as a
framework for
care of the
patient with
visual and
hearing disorders

4. Nursing Management
4.1 Care of a Patient with
Visual Disorders/
Blindness
3.2 Care of a Patient with Hearing
Disorders/Loss
5. Disorders
5.1 Visual
5.1.1 Cataract
5.1.2 Glaucoma
5.1.3 Retinal detachment
5.2 Auditory
5.2.1 Otitis externa
5.2.2 Otitis media
5.2.3 Menierres syndrome
5.2.4 Hearing Loss

Exposure in
EENT/Medici
ne with the ff:
activities:
Assessment of
client with
alteration in
vision and
auditory
History
taking

book

(Ind. And
Group)
Clinical
Performance

Assessment
NCP on the
Care of client
with visual
and auditory
disorders
Drug Study
Apply the
Nursing
process in the
care of clients
with visual
and auditory
disorders

6. Develop a plan
of care for the
patient with
visual and
hearing
disorders
At the end of the unit the
students are expected to:
1. Describe the
anatomy and
physiology of the
musculoskeletal
system
2. Describe the
significance of
health history,
physical
assessment and
diagnostic tests
to the diagnosis
of
musculoskeletal
disorders
3. Discuss the
definition,
etiology,
pathophysiology,
clinical
manifestations,
specific
diagnostic
evaluations of

FINALS
UNIT VI. Disturbance in Musculoskeletal
Function
1. Overview of Musculoskeletal System
2. Assessment
2.1 Health History
2.2 Physical Examination
2.3 Laboratory/Diagnostic Tests
3. Medical Management
4. Nursing Management
5. Disorders
5.1 Congenital anomaly
5.1.1 Clubfoot
5.1.2 Congenital hip dysplasia
5.2 Infectious
5.2.1 Osteomyelitis
5.2.2 Potts disease
5.3 Structural defects
5.3.1 Scoliosis
5.4 Metabolic bone disorder
5.4.1 Osteomalacia
5.4.2 Osteoporosis
5.4.3 Gout
5.5 Degenerative disorder
5.5.1 Osteoarthritis
5.6 Immunologic disorder

Lecture
Discussion
Case Scenarios
Film Showing
Video
Conferencing
Nursing Care
Plan Presentation
Concept
Mapping

30
hours

Demo
70 hours
discussion of
Musculoskelet
al System
Demo and
Retdem of:
Balanced
Skeletal
Traction
Crutch
walking
Bandaging
Clinical
Exposure to
POC:
Tour at
the
different
wards
Exposure
to diff.
gadgets

Materials
For BST

Lecture
Attendance/
Attitude

Different
Gadgets

Recitation
Oral/Written Requirement
Quizzes
UE
Periodical
Exam

RLE :
Retdem of
Application
BST
Reporting

the different
musculoskeletal
disorders
4. Discuss the
medical and
nursing
management of
the
musculoskeletal
disorders
5. Use the nursing
process as a
framework for
care of the
patient with
musculoskeletal
dysfunction
6. Develop a plan
of care for the
patient with
musculoskeletal
disorders

5.6.1 Rheumatoid arthritis

5.7 Musculoskeletal Trauma
5.7.1 Contusions, Strains, and Sprains
5.7.2 Joint Dislocations
5.7.3 Sport Related injuries
5.7.4 Fracture (Types and
Complications)

(casts,
traction,
braces,
Hardware)
Apply the
nursing
process in
the care of
clients
with
musculoskeletal
dysfunc-tion

Nursing
Care Plan
Clinical
Performance

Care of
client with
musculoskeletal
dysfunction
ROM
(Passive/
Active)
Turning
Position
ing
Cast
Brace
Fixator
Surgery

REFERENCES:

Benenson, A.S. Control of Communicable Diseases Manual ,17th ed, Washington, D.C. American Public Health Association, 2000
Bullock, Barbara, Pathophysiology Adaptations and Alterations in Functions, 4th edition, Lippincott, 1996
Black, J. and Hawks, J., Medical-Surgical Nursing, 8th edition, Saunders, 2008
Fischback, F., A Manual of Laboratory and Diagnostic Tests, 7th edition, Lippincott Williams and Wilkins, 2004
Gould, B, Pathophysiology for the Health Professions, 3rd edition, Elsevier, Singapore, 2007
Kluwer, W., Professional Guide to Diseases, 9th edition, Lippincott Williams and Wilkins, 2009
Knealle, J,. and Davis, P., Orthopaedic and Trauma Nursing, 2nd edition,, Elsevier (Singapore) Pte. Ltd, 2009
Lemone, S. and Burke, K., .Medical-Surgical Nursing, 4th edition, Pearson Int., 2007
Lewis, S., et al., Medical-Surgical Nursing, 7th edition, Elsevier, Singapore, 2008
Linton, A., Medical-Surgical Nursing, 4th edition, Saunders, 2007
Luckman, J, Saunders, Manual of Nursing Care,Philadephia:W. B. Saunders, 2000
Madara B., Pomarico-Denino, V., Pathophysiology, 2nd edition, Jones and Bartlett Publishers, Inc. ,2008
Nettina, S., The Lippincott Manual of Nursing Practice, 7th edition, Lippincott , 2001
Nowak, T., and Handford, A.G., Pathophysiology, 3rd editon, McGraw Hill Education Asia, 2005
Porth, Carol Mattson, et al., Pathophysiology, Concepts of Altered Health States, 6th edition, Lippincott, 2002
Smeltzer, S.,, et al., Textbook of Medical-Surgical Nursing, 11th edition, Lippincott, 2010
Timby, B., and Smith, N., Medical-Surgical Nursing, 9th edition, Lippincott, 2007
Prepared by:
Faculty Committee
February 2011
Approved by:
DEAN MERLINA V. LOCQUIAO
For CY 2009-2010/2010-2011

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