MINDANAO SANITARIUM AND HOSPITAL COLLEGE San Miguel, Iligan City SCHOOL OF NURSING

CELLULAR ABERRATION COURSE OUTLINE 1st Semester, AY 2013-2014

I. The INDIVIDUAL ACROSS THE LIFESPAN 1. ASSESSMENT A. Risk Factors assessment and screening procedures among clients that contribute to the development of cellular aberrations such as: thyroid cancer breast cancer lung cancer liver cancer kidney cancer endometrial cancer ovarian cancer cervical cancer colorectal cancer bladder cancer prostate cancer non- Hodgkin's lymphoma Leukemia melanoma B. Significant subjective data from client relevant information based on chief complaints, functional patterns, including psychosocial and behavioral assessment C. Principles and techniques of physical examination in newborn, children, adults, deviations
from normal:

Inspection vasculature, symmetry, movement, nodules, discharges, masses Auscultation heart sounds, breath sounds, bowel sounds, vascular sounds, friction rub Palpation masses, tenderness, nodules, lesions, distention Percussion gas patterns, areas of flatness and dullness, liver span, masses, ascites D. Results and Implications of Diagnostic/Laboratory examinations of clients: Screening: BSE, Pap smear, rectal examination Non-invasive MRI, CT scan, Bone scan, Ultrasound, Thyroid scan Invasive Biopsy, Digital Rectal Exam (DRE), Cyst Aspiration, Cystoscopy, Lymph Angiography, Cerebral Arteriography E. Pathophysiologic Mechanisms: Solid tumors breast cancer, lung cancer, etc. Liquid tumors lymphomas, leukemias 2. NURSING DIAGNOSES Potential for infection Alteration in tissue perfusion Activity intolerance Potential for alterations in nutrition less than body requirements Alteration in oral mucous membrane integrity Alteration in comfort: pain/pruritus Fluid volume deficit 3. PRINCIPLES OF VARIOUS MODALITIES OF MANAGEMENT

 Health Promotive Disease Preventive Curative Restorative II. PRINCIPLES OF MANAGEMENT FOR ALTERATIONS A. Determination and Management of Cause B. Definitive Management: surgery, chemotherapy, radiation therapy, biotherapy C. Blood component replacement D. O2 therapy E. Drug therapy F. Hydration G. Prevention of infection H. Supportive management I. Prevention of complications J. Rehabilitation III. PHARMACOLOGIC ACTIONS, THERAPEUTIC USE, SIDE EFFECTS, INDICATIONS, CONTRAINDICATIONS, AND NURSING RESPONSIBILITIES A. Anticancer agent B. Analgesics C. Narcotics D. Corticosteroids E. Antibiotics F. Antipruritus G. Analgesics, opioids IV. Purpose, Indications, Nursing Responsibilities for the following Surgical and Special Procedures A. Major surgical procedures: lobectomy, pneumonectomy, mastectomy, nephrectomy, prostatectomy, colectomy, colostomy, bone marrow transplant, urinary diversion B. Special procedures: brachytherapy, radiation therapy, reverse isolation, chemotherapy V. Steps/Pointers in Decision-Making and Prioritization of Clients VI. Principles, Concepts, and Application of Bioethics in the Care of Clients VII. Developing Outcome Criteria VIII. Discharge Plan with Health Education IX. Accurate Recording and Documentation Grading System: Group Activities/Assignments: Quizzes/Oral Participation: Long Tests: Examination: 10% 20% 30% 40% 100% Formula: Students Score X 80+20 = GRADE Perfect Score

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. 13. Provide long brown envelope for quizzes, long tests, and exams. 14. Provide a folder (cardboard type with fastener) for assignments and requirements. References: 1. Black, J. and Hawks, J. 2008. Medical-Surgical Nursing Clinical Management for Positive Outcomes. 8th edition. Elsevier Pte. Ltd. Singapore. 2. Gould, B. 2006. Pathophysiology for the Health Professions. 3rd edition. Saunders Elsevier. USA 3. Karch, A. 2011. Focus on Nursing Pharmacology. 5th edition. Lippincott Williams & Wilkins. 4. Lilley, L. et.al. 2007. Pharmacology and the Nursing Process. Elsevier. Singapore. 5. Monahan, F. et. al. 2007. Phipps Medical-Surgical Nursing. 8th edition. Elsevier. Singapore. 6. Porth, C. 2007. Essentials of Pathophysiology. 2nd edition. Lippincott Williams & Wilkins. USA. 7. Ralph, S. & Taylor, C. 2008. Nursing Diagnosis Reference Manual. 7th edition. Lippincott Williams & Wilkins. USA. 8. Smeltzer, et. al. 2010. Brunner and Suddarths Textbook of Medical-Surgical Nursing. 12th edition. Lippincott Williams & Wilkins, USA.

Prepared by:

Checked by: Gter G. Gaid, PhD, RN Dean Date: _____________

ROSELYN S. PACARDO, MAN, MM, RN, RM Professor Date Submitted: June 27, 2013

Approved by:

Matilde N. Benito, EdD Vice President for Academic Affairs Date: _____________________