ATENEO DE NAGA UNIVERSITY College of Nursing

Course Name: Course Code: Course Credit: Prerequisite: Placement:

Care of clients with problems in Inflammatory and Immunologic Response NGCM 104 2.5 units (2.5 Hours) NCM 103 3rd year, 2nd Semester

Course Outline: Overview of the structure and function of the Immune System a. functions of the immune system b. Organs and tissues of the immune system c. Nonspecific immunologic defense d. Specific immunologic defense II. Overview of the Inflammatory Response III. Immune System 1. Assessment a. Nursing/health History b. Physical Examination * Inspection * Palpation * Auscultation c. Laboratory and diagnostic studies 2. Nursing Diagnoses 3. Planning and outcome Identification 4. Implementation 5. Outcome Identification IV. Communicable diseases A. Terminologies B. Chain of infections C. Stages of infectious disease D. Nosocomial infections E. Infection control - In the community World health Organization National Center for Disease Control Local Public Health Departments a. Food & water control laws b. Spraying areas for insect control c. Immunizations > Inactivated vaccines > Live, attenuated vaccines - In the Hospital > Prevention of nosocomial infections F. 1. Standard precautions (barrier) used with all clients. > Hand washing > Gloving > Masks, eye protection, face shield > Gowns > Environmental control > Patient placement I.

 > Transport 2. Transmission-based precautions 2.1 Airborne precautions 2.2 Droplet precautions 2.3 Contact precautions G. Communicable Diseases a. Integumentary system a.1 Roseola Infantum a.2 Measles a.3 German measles a.4 Chickenpox a.5 Herpes zoster a.6 Variola a.7 Scabies a.8 Warts a. Central Nervous System b.1 Encephalities b.2 Meningitis b.3 Meningoccemia b.4 Poliomyelitis b.5 Rabies b.6 Tetanus c. Respiratory system c.1 Bird Flu c.2 SARS c.3 Diphtheria c.4 Pertusis c.5 Mumps c. Gastrointestinal tract d.1 Amoebiasis d.2 Shigelosis d.3 Cholera e. Sexually Transmitted Diseases e.1 AIDS e.2 Syphillis e.3 Chlamydia f. Vector-borne Diseases f.1 Dengue f.2 Malaria f.3 Schistosomiasis f.4 Leptospirosis H. Autoimmune Diseases a. Multiple Sclerosis b. Gullaine Barre Syndrome c. Addisons disease d. Type I DM e. Ulcerative colitis f. Glumerolunephritis g. Allergy g.1 Anaphylaxis g.2 Cytotoxic g.3 Immune complex mediated a. Lupus Erythematous b. Rheumatoid Arthritis g.4 Cell-mediated a. Transplant rejection b. Contact Dermatitis

a. Atopic Disrders a.1 Hay fever a.2 Eczema a.3 Asthma

Course Requirements:

1. 2. 3. 4. 5.

Four (4) Major Examinations Student presentation/reporting Written Assignments/Notebook Quizzes Project (Report Output) to be submitted during the Preliminary Exam

Grading System: The Mode for computing the final grades based on the final raw scores obtained from the Student s Performance considers the following factors or components:

Grading Component Class Standing Quizzes Class participation/Recitation Project Attitude Attendance Preliminary Examination Midterm Examination Preliminary Final Examination Final Examination Total

Percentage of Converted Final raw Score 40% 40% 30% 10% 10% 10% 10% 20% 10% 20% --------100%

Meaning of other Marks and Symbols: The letter grades were assigned according to the seven level scale with the indicated point values and descriptions as based in the college new grading system. Other Symbols for Academic performance and their meanings: AF means that the student has not participated or was absent from the class activities more than 10% of the total of the course meeting for the semester or term. It is also applicable for student who withdrew from the course without official permission. The point value of an AF grade for computing QPI is 0. WP means that the student withdrew from the course prior to two weeks before the PreFinal Examination according to the date set by the school and with permission from his/her parent and teacher as shown in the withdrawal slip submitted by the student to the registrar. INC means that the student has not fulfilled the course requirements within the semester. It is a temporary grade which obliges the student to complete the requirement till the end of the next semester. For INC grades, the teacher is obliged to fill up the remarks column of the mark sheet with NFE (no final exam) or NCR (no course requirement).

Course Bibliography: Textbook:

1. Handbook of Common Communicable and Infectious Diseas; Navales, Dionesia Mondejar Revised Edition 2010; RA643, N38; C & E Pub. 2010 Supplementary References: 1. Smelter, Suzzane C., et al. Brunner and Suddarth s Textbook of Medical-Surgical Nursing. 12th Edition; copyright 2010 by Lippincott Williams & Wilkins 2. Eby-Brown, Burke Mohn Medical -Surgical Nursing Care 3rd Edition; copyright 2011 by Pearson Education, Inc.; RT 41.B89 ref. 3. Ignatavicius, Donna D. et al. Medical Surgical Nursing; Patient-Centered Collaborative Care 6th Edition; Reprinted edition c 2010, Elsevier Pte Ltd. 4. Rodgers, Shielda Glover. Thomson Delmar s Learning s medical-Surgical nursing Care Plans; copyright 2008 Thomson Delmar Learning. RT 49.R63 2008 Ref. Relevant Web Sites: 1. http://search.yahoo.com/search?p=Communicable+Diseases&ei=utf-8&fr=slv8msgr&xargs=0&pstart-1&b=31 a. www.health.state,ny.us/nysdoh/communicable_diseases/en/index.htm Communicable Disease Fact Sheets b. www.metrokc.gov/health/prevcont Communicable Disease Control, Epidemiology and Immunization Section c. Hes.ucf.k12.pa.us/gclaypo/commdise/commdise.html Communicable Diseases d. www.state.nj.us/health/cd Communicable Disease Services e. www.health.ri.gov/disease/communicable/index.php Office of Communicable Diseases f. Msde.state.md.us/ /cccManual/46_infectious_Communicable_Diseases.pdf 46 Infectious and Communicable Diseases g. www.who.int/emc WHO/Epidemic and Pandemic Alert Response h. www.cdc.gov/node.do/id/0900f3ec8000e035 CDC-Diseases and Conditions i. www.eldis.org/go/topics/resource-guides/health/communicable-diseases j. www.dhfs.state.wi.us/communicable/resources/consumer.htm k. Who..int/hac/ /ems/en/Floodingand CommunicableDiseasesFactsheet.pdf 2. http://search.yahoo.com/search?ei=utf-8&fr=slv8-msgr&p=Infectious%20diseases 3. http://search.yahoo.com/search?ei=utf-8&fr=fr=slv8msgr&p=journals%20of%20communcable%20diseases 4. http://www.cdc.gov/ncido/dbmd/diseaseinfo/cholera

Grading Component Class Standing Quizzes Class participation/Recitation Project Attitude Attendance Preliminary Examination Midterm Examination Preliminary Final Examination Final Examination Total

Percentage of Converted Final raw Score 40% 40% 30% 10% 10% 10% 10% 20% 10% 20% --------100%

Meaning of other Marks and Symbols: The letter grades were assigned according to the seven level scale with the indicated point values and descriptions as based in the college new grading system. Other Symbols for Academic performance and their meanings:

AF means that the student has not participated or was absent from the class activities more than 10% of the total of the course meeting for the semester or term. It is also applicable for student who withdrew from the course without official permission. The point value of an AF grade for computing QPI is 0. WP means that the student withdrew from the course prior to two weeks before the PreFinal Examination according to the date set by the school and with permission from his/her parent and teacher as shown in the withdrawal slip submitted by the student to the registrar. INC means that the student has not fulfilled the course requirements within the semester. It is a temporary grade which obliges the student to complete the requirement till the end of the next semester. For INC grades, the teacher is obliged to fill up the remarks column of the mark sheet with NFE (no final exam) or NCR (no course requirement).

Course Bibliography: Textbook: 2. Handbook of Common Communicable and Infectious Diseas; Navales, Dionesia Mondejar Revised Edition 2010; RA643, N38; C & E Pub. 2010 Supplementary References: 5. Smelter, Suzzane C., et al. Brunner and Suddarth s Textbook of Medical-Surgical Nursing. 12th Edition; copyright 2010 by Lippincott Williams & Wilkins 6. Eby-Brown, Burke Mohn Medical -Surgical Nursing Care 3rd Edition; copyright 2011 by Pearson Education, Inc.; RT 41.B89 ref. 7. Ignatavicius, Donna D. et al. Medical Surgical Nursing; Patient-Centered Collaborative Care 6th Edition; Reprinted edition c 2010, Elsevier Pte Ltd. 8. Rodgers, Shielda Glover. Thomson Delmar s Learning s medical-Surgical nursing Care Plans; copyright 2008 Thomson Delmar Learning. RT 49.R63 2008 Ref. Relevant Web Sites: 5. http://search.yahoo.com/search?p=Communicable+Diseases&ei=utf-8&fr=slv8msgr&xargs=0&pstart-1&b=31 l. www.health.state,ny.us/nysdoh/communicable_diseases/en/index.htm Communicable Disease Fact Sheets m. www.metrokc.gov/health/prevcont Communicable Disease Control, Epidemiology and Immunization Section n. Hes.ucf.k12.pa.us/gclaypo/commdise/commdise.html Communicable Diseases o. www.state.nj.us/health/cd Communicable Disease Services p. www.health.ri.gov/disease/communicable/index.php Office of Communicable Diseases q. Msde.state.md.us/ /cccManual/46_infectious_Communicable_Diseases.pdf 46 Infectious and Communicable Diseases r. www.who.int/emc WHO/Epidemic and Pandemic Alert Response s. www.cdc.gov/node.do/id/0900f3ec8000e035 CDC-Diseases and Conditions t. www.eldis.org/go/topics/resource-guides/health/communicable-diseases u. www.dhfs.state.wi.us/communicable/resources/consumer.htm v. Who..int/hac/ /ems/en/Floodingand CommunicableDiseasesFactsheet.pdf 6. http://search.yahoo.com/search?ei=utf-8&fr=slv8-msgr&p=Infectious%20diseases 7. http://search.yahoo.com/search?ei=utf-8&fr=fr=slv8msgr&p=journals%20of%20communcable%20diseases 8. http://www.cdc.gov/ncido/dbmd/diseaseinfo/cholera

Submitted by:

JANETTE J. VENERACION, RN, RM, MAN Subject teacher

ATENEO DE NAGA UNIVERSITY COLLEGE OF NURSING COURSE OUTLINE : NCMM102 : Curative Nursing Care Management II (Disturbances in Inflammatory & Immunologic Response) Pre-requisite : NCMM 101, Anatomy and Physiology Credit : 1.5 Term : Second Semester, S/Y 2011-2012 Section/Day/Time/Room : RR 33 Wednesday 3:00-4:30 pm Amphi 2 Instructor : JANETTE J. VENERACION, RN, RM, MAN Email Address : janetteveneracion@yahoo.com Consultation Hours : MTW 1:00-4:30 pm Consultation Venue : Nursing Faculty Lounge (3rd Floor) Course Code Course Title

Course Outline:
INFECTION & INFECTION CONTROL A. ASSESSMENT 1. Nursing History

2. Physical Assessment * Localized Infections * Generalized Infections 3. Diagnostic Assessment * WBC *ESR *Culture of suspected infectious site B. ANALYSIS 1. Inflammation 2. Communicable Diseases 2.1 Stages in Infectious disease 2.2 Chain of Infection 2.3 Reservoir 2.4 Portal of Exit 2.5 Mode of Transmission 2.6 Portal of Exit 3. Nosocomial Infections 4. Infection Control 4.1 In the Community > International: World Health Organization (WHO) > National Center for Disease Control (CDC) > Local: Public Health Departments a. Food & water control laws b. Spraying areas for insect control c. Immunizations > Inactivated vaccines > Live, attenuated vaccines 4.2 In the Hospital > Prevention of nosocomial infection

C. PLANNING FOR HEALTH RESTORATION AND MAINTENANCE/IMPLEMENTATION 1. Standard precautions (barrier) used with all clients. > Hand washing > Gloving > Masks, eye protection, face shield > Gowns > Environmental control > Patient placement > Transport 2. Transmission-based precautions 2.1 Airborne precautions 2.2 Droplet precautions 2.3 Contact precautions 3. Infectious Disorder in Children 3.1 Viral Infections > Roseola Infantum > Rubella (German Measles) > Measles ( Rubeola) > Chickenpox (Varicella) > Smallpox (Variola) > Enteroviruses a) Poliovirus infections b) Poliomyelitis

> Integumentary system a) Herpes virus infections b) Warts > Central Nervous system a) Rabies b) Meningitis c) Encephalitis > Other Viral Infections a) Mumps b) Infectious mononucleosis c) Dengue 3.2 Bacterial Infections > Streptoccocal diseases a) Scarlet fever b) Impetigo > Staphylococcal Infections a) Diptheria b) Pertussis (Whooping cough) c) Anthrax d) Tetanus (lockjaw) e) Lyme diseases > Other Infectious Pathogens a) Clamydial Infections -Psittacosis b) Parasitic Infections Head lice; Scabies c) Helminthic infection Ascariasis; Pinworms d) Protozoan infections Giardasis f) Fungal infections superficial (Tinea cruris, pedis, capitis ; Candidiasis 4. Infectious Disorder in Adults 4.1 Neurological Gullian-Barre syndrome 4.2 Musculoskeletal Osteon/myelitis

4.3 Reproductive > AIDS > Gonorrhea > Hepatitis B > Herpes genitals > Moniliasis > Syphilis > Trichomoniasis 4.4 Integumentary > Acne Vulgaris > Furuncle > Carbuncle > Psoriasis (non-infection) 4.5 Gastrointestinal > Hepatitis A > Salmonelosis > Typhoid fever > Amoebiasis 4.6 Respiratory > Tuberculosis > Influenza > Pneumonia

IMMUNOLOGIC A. ASSESSMENT 1. Nursing History 1.1 Types of acquired specific deficiency > active/ natural > active/ artificial > passive/ natural > passive/ artificial 2. Physical Assessment 3. Diagnostic Test B. NURSING DIAGNOSIS/ANALYSIS 1. Immune Response 2. Allergen response 3. Nursing Diagnosis: Risk for infection related to decreased immune C. PLANNING/IMPLEMENTATION 1. Immunodeficiency Disorders > Primary (Congenital) > Secondary (Acquired) 2. Other Autoimmune Diseases > Multiple Sclerosis > Addison s disease > Type 1 DM > Ulcerative Colitis > Glomerulonephritis 3. Allergy (Hypersensitivity) >Anaphylaxis > Cytotoxic > Immune complex mediated 1. Systemic Lupus Erythematous (SLE) 2. Rheumatoid Arthritis > Cell Mediated Hypersensitivity ( Delayed hypersensitivity) 1. Transport rejection 2. Contact Dermatitis 2.1 Atopic Disorders * Hay fever (Allergic rhinitis) * Eczema (Atopic dermatitis) 2.2 Drug and food Allergies 2.3 Stingling Insect Allergy

Course Requirements: 1. 2. 3. 4. 5. Four (4) Major Examinations Written Assignments/notebook Student presentation/reporting Quizzes Project to be submitted during the Preliminary Exam

Grading System: The Mode for computing the final grades based on the final raw scores obtained from the Student s Performance considers the following factors or components:

Grading Component Class Standing Quizzes Class participation/Recitation Project Attitude Attendance Preliminary Examination Midterm Examination Preliminary Final Examination Final Examination Total

Percentage of Converted Final raw Score 40% 40% 30% 10% 10% 10% 10% 20% 10% 20% --------100%

Meaning of other Marks and Symbols: The letter grades were assigned according to the seven level scale with the indicated point values and descriptions as based in the college new grading system. Other Symbols for Academic performance and their meanings: AF means that the student has not participated or was absent from the class activities more than 10% of the total of the course meeting for the semester or term. It is also applicable for student who withdrew from the course without official permission. The point value of an AF grade for computing QPI is 0. WP means that the student withdrew from the course prior to two weeks before the PreFinal Examination according to the date set by the school and with permission from his/her parent and teacher as shown in the withdrawal slip submitted by the student to the registrar. INC means that the student has not fulfilled the course requirements within the semester. It is a temporary grade which obliges the student to complete the requirement till the end of the next semester. For INC grades, the teacher is obliged to fill up the remarks column of the mark sheet with NFE (no final exam) or NCR (no course requirement).

Course Bibliography: Textbook: 3. Handbook of Common Communicable and Infectious Diseas; Navales, Dionesia Mondejar Revised Edition 2010; RA643, N38; C & E Pub. 2010 Supplementary References: 9. Smelter, Suzzane C., et al. Brunner and Suddarth s Textbook of Medical-Surgical Nursing. 12th Edition; copyright 2010 by Lippincott Williams & Wilkins 10. Eby-Brown, Burke Mohn Medical -Surgical Nursing Care 3rd Edition; copyright 2011 by Pearson Education, Inc.; RT 41.B89 ref. 11. Ignatavicius, Donna D. et al. Medical Surgical Nursing; Patient-Centered Collaborative Care 6th Edition; Reprinted edition c 2010, Elsevier Pte Ltd. 12. Rodgers, Shielda Glover. Thomson Delmar s Learning s medical-Surgical nursing Care Plans; copyright 2008 Thomson Delmar Learning. RT 49.R63 2008 Ref. Relevant Web Sites: 9. http://search.yahoo.com/search?p=Communicable+Diseases&ei=utf-8&fr=slv8msgr&xargs=0&pstart-1&b=31 w. www.health.state,ny.us/nysdoh/communicable_diseases/en/index.htm Communicable Disease Fact Sheets x. www.metrokc.gov/health/prevcont Communicable Disease Control, Epidemiology and Immunization Section y. Hes.ucf.k12.pa.us/gclaypo/commdise/commdise.html Communicable Diseases

z. www.state.nj.us/health/cd Communicable Disease Services aa. www.health.ri.gov/disease/communicable/index.php Office of Communicable Diseases bb. Msde.state.md.us/ /cccManual/46_infectious_Communicable_Diseases.pdf 46 Infectious and Communicable Diseases cc. www.who.int/emc WHO/Epidemic and Pandemic Alert Response dd. www.cdc.gov/node.do/id/0900f3ec8000e035 CDC-Diseases and Conditions ee. www.eldis.org/go/topics/resource-guides/health/communicable-diseases ff. www.dhfs.state.wi.us/communicable/resources/consumer.htm gg. Who..int/hac/ /ems/en/Floodingand CommunicableDiseasesFactsheet.pdf 10. http://search.yahoo.com/search?ei=utf-8&fr=slv8-msgr&p=Infectious%20diseases 11. http://search.yahoo.com/search?ei=utf-8&fr=fr=slv8msgr&p=journals%20of%20communcable%20diseases 12. http://www.cdc.gov/ncido/dbmd/diseaseinfo/cholera

Prepared by:

JANETTE J. VENERACION, RN,RM,MAN Subject Teacher