Concordia College

GRADUATE SCHOOL
COURSE SYLLABUS
SY 2018-2019
COURSE TITLE: Advanced Medical Surgical Nursing I
COURSE CODE: MSN
COURSE CREDIT: 6 Units
PRE-REQUISITES:_none;Advanced Pathophysiology Integrated____ INSTRUCTOR:_

ILO : To produce Master of Science in Nursing graduates who are imbued with Vincentian 5 C’s attributes : Christ-Centered, Charitable, Compassionate,
Creative and Competent
CLO: To develop their clinical eye, critical thinking and analysis when it comes to disease process, relative to designing care plans and theories related to
clinical nursing practices.
COURSE DESCRIPTION : This course aims to promote related abstract knowledge to practical application. It is designed to help MSN students to have a in
depth knowledge when it comes to identifying concepts and principles of the disease conditions of clients with alterations in human functioning Hence,
to serve as guide in defining professional behavior among co health workers particularly in the care of clients.

TIME LEARNING LEARNING PERFORMANCE LEARNING ASSESSMENT INSTRUCTIONAL

FRAME OUTCOMES CONTENT INDICATORS STRATEGIES STRATEGIES RESOURCES

W LO-1- Discuss the Orientation  Explain how  Lecture * Simulation Activity  PowerPoint
E pathophysiological -Course Objectives/ overview nursing Discussion Presentation
E process of illness -Course requirements concepts
K and the other -Class guidelines/ rules support  Brainstorming * Paper & Pencil  Handouts
S complex disorders. nursing quiz
I. Alterations in Human practices  Video
1-2 Functions  Written Report Presentation
A. Alterations in * Case Report
Oxygenation Gas transport  Question &  On line
(Cardiovascular System) Answer Resources
Common Disease, discussion * Performing the
Diagnostic Procedures, Proper Nursing  Research
Assessment Findings
 Normal Laboratory Values,
Pharmacology, Medical
and Surgical Management)
* Case Scenario
Basic ECG  Demonstrate
Hemodynamics high level of * Report &
thinking Summarize
B. Gas Exchange skills in
(Respiratory System) planning,
Common Disease, organizing
Diagnostic Procedures, and reporting
Normal Laboratory Values, nursing
LO-2 2. State Pharmacology, Surgical concepts
relevant priority and Medical Management, related to
nursing diagnosis Nursing Management each Human
with a given set of System and
client groups. ABG Interpretation Health
Mechanical Ventilator Diseases.
- Modes
- Caring for intubated
patients

LO-3 Describe the

etiology, incidence
and manifestations
of patients with
multi-organ
disorders
LO-4. Utilize C. Disturbances in Develop critical
appropriate Gastrointestinal System thinking skills in
laboratory / 1. Alternative feeding planning,
WEEK diagnostic, non- patterns (IV infusion, organizing and
3 pharmacologic Enteral hyperlimentation, reporting nursing
interventions for Total parenteral diets, Fat concepts related to
specific disease emulsion feeding) each Human
condition 2. Alternative feeding System and Health
routes ( nasogastric gavage Diseases in a
feeding), transpyloric ( creative way.
nasojejunic feedings),
duodenal feedings, cervical
esophagostomy feedings,
gastrotomy feeding)
3. Common disorders
3.1 Esophagitis
3.2 Esophageal Diverticula
3.3 Peptic Ulcer Disease
3.4 Cholelithiasis
3.5 Cirrhosis
3.6 Pancreatitis
3.7 Stomatitis
3.8 Overweight and Obesity
3.9 Underweight and
Emaciation
3.10 Gastritis
3.11 Traumatic injuries
3.12 Constipation and
Impaction
3.13 Bowel training, Enema
and Removal of Impaction
3.14 Altered modes of
Elimination
3.15 Intestinal
Decompression
3.16 Ileostomy
3.17 Colostomy
3.18 Diverticulosis and
Diverticulitis
3.19 Hemorrhoids
3.20 Diarrhea
3.21 Appendicitis
3.22 Peritonitis
3.23 Intestinal Obstruction
D. Disturbances in
Endocrine or Metabolic
Systems
Common Disorders
 1. Common problems of
W LO- 5 Formulate a the pituitary gland
E plan of care, 2. Common problems of
E medical and nursing the thyroid gland
K in different multi 3. Common problems of
S organ disorders. the parathyroid gland
4&5 4. Common problems of
the pancreas
5. Hypo/Hyperfunction
6. Common problems of
the adrenal
E. Disturbances in Fluid
and Electrolytes
1. Fluid, electrolytes and
acid gap imbalances
1.1 Catheter (Urethral
catheter, nephrostomy
LO-6 Utilize tubes and urethral
appropriate medical catheter, suprapubic
and nursing catheter, intermittent
interventions to catheter and self
restore and maintain catheterization,
health for a client indwelling drainage
with multi-organ system)
disorders. 1.2 Urological surgery,
Urinary diversion
2. Common Health
Problems
2.1 Urolithiasis
2.2 Incontinence
2.3 UTI
2.4 Neurogenic Bladder
2.5 Chronic Kidney Diseases
2.6 Renal Failure

* Paper and Pencil

WEEK MIDTERM EXAM Quiz/Exam
6
* Case Report
 F. Disturbance in
WEEK LO-7 Apply current
Reproduction
7 medical and nursing
Common Health Problems
updates in
1. STD
enhancing the
2. Infertility
competencies of the
3. Varicocele
graduate student
4. Breast Cancer
nurses in the care of
5. Fibroceptic disease of the
clients with multi-
breast
organ disorders
6. Fibroadenoma
7. Hypoplasia/Hyperplasia of
the breast
8. Mastitis
9. Vaginitis
10. Endometriosis
11. Ovarian Cysts
12. Dysmenorrhea
13. Pre-menstrual
dysmorphic disorder (PDD)
14. Abortion
15. Vaginal Fistulas
16. Uterine Prolapse
17. Cytocele
18. Rectocele
19.Toxic shock syndrome
/BPH
10. Cancer of the prostate
11. Infection of the
Male/Female genital organs

G. Disturbance in Cellular
WEEK Functioning
8 (Cellular Aberation)
Common Health Problems
1. Cancer
Causative Factors: Physical,
Chemical, Genetic, Viral,
Stress
 2. Classification/Systematic
disease condition
1.1 Carcinoma
1.2 Sarcoma
1.3 Lymphoma
1.4 Leukemia
3. Modalities of treatment
1.5 surgery
1.6 Chemotherapy
1.7 Radiotherapy
a. External radiation
b. Internal radiation
sealed and unsealed
1.8 Immunotherapy
(Stem Cell)

WEEK H. Disturbances in
9 Inflammatory and
Immunologic

Common Health Problems

1. Infection and infection
Control
Communicable Diseases:
Stages of Infectious Disease,
Chain of Infection:
Reservoir, Portal of Exit,
Means of Transmission,
Portal of Entry)
2. Nosocomial Infection
3. Infection Control
4. In the Community
a. International World
Health Organization (WHO)
b. National Center for
Disease Control (CDC)
c. Local Public Health
Departments
1. Food water
 2. Spraying areas for insect
control
3. Immunizations
(Inactivated
vaccines, Live
Attenuated
Vaccines)

In the Hospital setting

A. Prevention of
Nosocomial Infection
1. Standard Precaution
(barrier) used with all the
Clients
1.1 Handwashing/
Handrubbing
1.2 Use of PPE
1.3 Environment Control
1.4 Patient Placement
1.5 Patient Transport
2. Transmission- Based
Precautions
2.1 Airborne precaution
2.2 Droplet precaution
2.3 Contact Precaution
3. Infectious Disorder in
Children
3.1 Viral Infections
a. Roseola Infantum
b. Rubella (German
Measles)
c. Measles (Rubeola)
d. Chicken Pox
(Varicella)
e. Herpes Zoster
f. Smallpox (Variola)
g. Enteroviruses
h. Polio virus Infections
Poliomyelitis
 3.2 Bacterial infections
a. Streptococcal disease
(Scarlet Fever, Impetigo)
b. Staphylococcal
Infections
(Diptheria, Whooping cough
(pertussis), Anthrax, Tetanus
(Lockjaw), Lyme Diseases
3.3 Other Infectious
Pathogens
a. Chlamydial Infection
- Psittacosis
b. Parasitic infections
- Head Lice, Scabies
c. Helminthic infection
- Ascaris, Pinworms
d. Protozoam Infections
- Giardiasis
e. Fungal infections
- superficial ( tinea
cruris, pedis,capitis),
Candidiasis
4. Infectious Disorder in
Adults
4.1 Neurological Guillian
Bare Syndrome
4.2 Muscoloskeletal
Osteomyelitis
4.3 Reproductive
Sexually
Transmitted Disease
a. AID
b. Gonorrhea
c. Hepatitis B
d. Herpes genitals
e. Moniliasis
f. Syphilis
g. Trichomonas
 4.4 Integumentary
Acne Vulgaris,
Furuncle,Carbuncle,Psoriasis
(non infection)
4.5 Gastrointestinal
Hepa A, Salmonelosis,
Thyroid Fever, Dysenterry,
Ameobiasis
4.6 Respiratory
Tuberculosis, Influenza,
Pneumonia
5. Immunodeficiency
Disorders
6.1 Primary (Congenital)
6.2 Secondary (Acquired)
6.3 Acquired
Immunodeficiency
Syndrome
(HIV/AIDS)
6. Other Autoimmune
Disease
6.1 Multiple Sclerosis
6.2 Addison’s disease
6.3 Type 1 Diabetes
Mellitus
6.4 Ulcerative colitis
6.5 Glomerulonephritis
7. Allergy(Hypersensitivity)
7.1 Anaphylaxis
7.2 Cytotoxic
7.3 Immune Complex
Mediated
a. Lupus Erythematosus
b. Rheumatoid Arthritis
8. Cell Mediated
Hypersensitivity
(delayed hypersensitivity)
a. Transplant rejection
b. Contact dermatitis
 9. Atopic Disorder
9.1 Hay Fever
(allergic rhinitis)
9.2 Eczema (atopic
dermatitis)
9.3 Asthma
2. Drug and Food Allergies
3. Sting Insect Allergy

WEEK I. Disturbances in
10 Perception and
Coordination
1. Neurological problems
2. Visual problems
2.1 Visual Impairment
(Congenital Cataracts;
Strabismus, Retinoblastoma,
Glaucoma, Cataract, Surgery
for the eye Problem:
(PHAICO, PPV, etc.); Errors
of refraction; Traumatic
injury to the eye, Infections
and inflammation of the eye;
Retinal detachment)
3. Auditory and Speech
Problems
(Congenital anomalies, Otitis
media; Mastoditis, Foreign
bodies, Articulation
disorders, Disorder of rhythm
stuttering, voice quality
education, Otosclerosis,
Meniere’s disease,
Laryngitis, CA of the Larynx,
Otitis media; Rupture of the
tympanic
 Membrane, Hearing
Impairment
J. Musculoskeletal
WEEK Problems
11 Common Health Disorders
Fracture
Mobility Devices
Tractions
Nursing Management
Surgical and Medical
Management
K. The Client in Acute
WEEK Biologic Crisis
12 High Risk Pregnancy
Complications
1. Bleeding during
Pregnancy
2. Preterm labor
3. Preterm rupture of
membranes
4. Pregnancy- induced
hypertension
5. Multiple pregnancy
6. Hydramnios
7. Post term pregnancy
8. Pseudocyesis
9. Iso immunization (Rh
Incompatibility)
10. Fetal death
11. Different labor due to
hypo/hypo function of the
uterus
11.1 With Pre-existing
or Newly acquired Illness
11.2 STD
11.3 Hematologic Renal
and Urinary Disorder
11.4 Respiratory
Disorder
 11.5 Rheumatic
Disorder
11.6 Gastrointestinal
Disorder
11.7 Neurologic
Disorder
11.8 Muscoskeletal
Disorder
11.9 Cardiovascular
Disorder
11.10 Endocrine
Disorder
11.11 Cancer
11.12 Mental Illness
11.13 Trauma
High Risk Adult
1. Heart failure
2. Dysrhythmias
3. Respiratory Failure
4. ARDS
5. Renal Failure
6. ESRD
7. Burns
(Rule of Nine, Lund
and Browder)
8.Hepatic Coma
9. DKA/HHNK
10.Thyroid crisis
11. Adrenal Crisis
12. Multi-system, Organ
Failure
L. Emergency Disaster
WEEK Situation
13 1. Head Trauma
2. Abdominal Trauma
3. Dental Trauma
4. Near Drowning
5. Poisoning
6. Foreign body
Obstruction
 7.Trauma Related to
Environment exposure
8. Animal Bites
9. Burn Trauma
10. Shock
(Hypovolemia,
Cariogenic,
Anaphylactic)
11. Toxicity – Salicylate
-Acetominophen
-Digitalis
-Lithium
12.Disaster
a. Natural Disaster
b. Man Made
Disaster
LO – 8 To test their
WEEK knowledge in the FINALS *Paper and pen Exam
14 subject matter that *Written report
was being discussed.
WEEK LO – 9 * To be able
15-18 to organize a *Develop the  Lecture  Power point
Seminar and leader within discussion Presentation
enhanced their SEMINAR themselves and
Communication PRESENTATION PER camaraderie  Question and  Use of
skills and impart GROUP within the Answer Audio
what they have learn group itself discussion Visual
within the entire MS Materials
subject.

Midterm Finals

Class standing – 30% Class standing – 30%

Midterm Exam (Content based) – 40% Final Exam (Case Presentation) – 40%
Requirements Written & Oral Report – 30% Requirements Written & Oral Report – 30%
Oral Recitation Oral Recitation
Total –100% Total – 100%
REFERENCES:
Smeltzer and Bare, 12th edition, Brunner and Suddarth’s Textbook of Medical Surgical Nursing
Hinkle and Cheever, 13th edition, 2013 Brunners and Suddarth’s Textbook of Medical Surgical Nursing
Philippine Orthopedic Center, Orthopedic Manual
Any other updated Medical Surgical Textbooks
UPCN Journal 2009-2015
Selected articles published in professional journals ( annotated as a requirement )
Selected book chapters/ portions of book chapters ( annotated as a requirement )
Selected web sites ( annotated as a requirement )

Prepared by:

Noted by:

Col. Luzviminda T. Orbase RN, MAN

Member, Vincentian Management Team

Dr. Rosalina A. Caubic

DEAN, Higher Education Department