NCM 104.

1 Care of Clients with Problems in Inflammatory, Immunologic Responses, Perception

and Coordination and those undergoing surgery
A. Alterations in Inflammatory and Immunologic Responses
a. Infectious and Inflammatory Reactions
i. Inflammatory and Emerging Viral Conditions
1. SARS
2. West Nile Virus/ Dengue/ Zika
3. Legionnaires Disease
4. Hantavirus Pulmonary Syndrome
5. Ebola Virus
6. AH1N1
7. Lyme disease
ii. Bacterial Conditions
iii. Bullous diseases
iv. Infestation and parasitic diseases
v. Vaccine preventable infectious diseases
b. Immunologic Reactions
i. Hypersensitivity and Allergic Reactions
1. Food Allergy
2. Urticaria
3. Anaphylaxis
4. Insect sting
5. Latex Allergy
ii. Immunodeficiency and HIV-AIDS
1. Primary
a. Phagocytic dysfunctions
b. B & T-cell deficiency
c. Combined B & T cell deficiency
d. Deficiencies of the Complement System
2. Secondary
3. HIV-AIDS
iii. Autoimmune disorders
1. Rheumatic Arthritis
2. Systemic Lupus Erythematosus
3. Systemic Sclerosis
4. Spondyloarthropathies
5. Fibromyalgia Syndrome
B. Alterations in Perception and Coordination
a. Alterations in Neural Regulation
i. Altered level of consciousness
ii. Headache & Pain
iii. Seizures
1. Epilepsy & Status Epilepticus
iv. Cerebrovascular disorders
1. Transient Ischemic Attacks (TIA)
2. Ischemic stroke
3. Hemorrhagic stroke
v. Neurologic Trauma & Infections
1. Head Injuries
2. Brain Injuries
3. Spinal Cord Injuries
4. Bacterial Meningitis
 5. Encephalitis
6. Brain Abscess
vi. Autoimmune disorders and neuropathies
1. Multiple sclerosis
2. Myasthenia Gravis
3. Guillain-Barre Syndrome
4. Cranial nerve disorders
5. Trigeminal neuralgia
6. Bells palsy
7. Peripheral neuropathy
vii. Degenerative Neurologic Disorders
1. Parkinsons disease
2. Huntingtons disease
3. Alzheimers disease
b. Disturbances in Visual perception
i. Impaired Vision and blindness
1. Refractive errors
2. Low vision and blindness
3. Glaucoma
4. Cataract
ii. Corneal and Retinal disorders
1. Corneal dystrophies
2. Keratoconus
3. Retinal detachment
4. Retinal vascular disorders
5. Macular degeneration
iii. Infections and inflammatory conditions
1. Dry eye syndrome
2. Conjunctivitis
3. Uveitis
4. Orbital cellulitis
iv. Traumatic interferences
1. Orbital trauma
2. Ocular trauma
v. Orbital and ocular tumors
1. Benign tumor of the
a. Orbit
b. Eyelids
c. Conjunctiva
2. Malignant tumor of the orbit
c. Disturbances in Auditory perception
i. Deafness and loss of hearing
ii. Inflammatory, infection and trauma
1. External ear
a. Cerumen impaction
b. Foreign bodies
c. External otitis
d. Malignant external otitis
e. Masses of the external ear
f. Gapping Ear Puncture
2. Middle ear
a. Tympanic membrane perforation
 b. Otitis media
i. Acute
ii. Serous
iii. Chronic
c. Otosclerosis
d. Middle ear masses
3. Inner ear
a. Motion sickness
b. Menieres disease
c. Tinnitus
d. Labyrinthitis
e. Benign paroxysmal positional vertigo
f. Ototoxicity
g. Acoustic neuroma
d. Alterations in Locomotion
i. Infections & inflammatory disorders
1. Osteomyelitis
2. Septic Arthritis
ii. Abnormalities of the Spine, Upper Extremities and foot
1. Acute low back pain
2. Bursitis and tendinitis
3. Loose bodies
4. Impingement syndrome
5. Carpal Tunnel Syndrome
6. Ganglion
7. Dupuytrens disease
8. Plantar fascitis
9. Corn
10. Callus
11. Ingrown toenail
12. Hammer toe
13. Pes Cavus
14. Mortons Neuroma
15. Flatfoot
iii. Degenerative and Metabolic disorders
1. Osteoporosis
2. Osteomalacia
3. Pagets disease
iv. Traumatic injuries
1. Contusion, strains and sprains
2. Joint dislocation
3. Sports-related injuries
4. Occupation-related injuries
5. Specific musculoskeletal injuries
a. Tennis elbow
b. Rupture of Achilles tendon
c. Lateral and medial collateral ligament injury
d. Anterior and posterior cruciate ligament injury
6. Fractures
7. Amputations
NCM 105.1 Care of Clients with Maladaptive Patterns of Behavior
I. Overview of Psychiatric Nursing
A. Evolution of Mental Health - Psychiatric Nursing Practice
B. The Mental Health Nurse - Roles & Essential Qualities
C. The Interdisciplinary team
D. The Mental Health Illness Continuum
II. Mental Health Psychiatric Nursing Practice
A. Personality Theories and determinants of psychopathology
1. Psychoanalytic, behavioral, interpersonal, cognitive, humanistic
2. Psychobiologic, psychosocial, psychospiritual, eclectic
B. General Assessment Considerations
1. Principles & technique of Psychiatric Nursing Interview
2. Mental Status Examination
3. Diagnostic Examinations specific to psychiatric patients
C. Nurse-client relationship
1. Nurse-client interaction VS Nurse-client relationship
2. Therapeutic use of self
3. Therapeutic communication - Characteristics and techniques
4. Goals and phases in building nurse-client relationship
D. Therapeutic modalities, psychosocial skills and nursing strategies
1. Biophysical/ somatic intervention
a) Electroconvulsive and other somatic therapies
b) Psychopharmacology
2. Supportive psychotherapy
a) Nurse-pt relationship therapy
b) Group therapy, family therapy
3. Counseling
4. Mental health teaching/ client education
5. Self-enhancement, growth/ therapeutic groups
6. Assertiveness training, stress management
7. Behavior modification, cognitive restructuring
8. Milieu therapy, play therapy
9. Psychosocial support interventions
10. Psychospiritual inetrventions
11. Alternative medicine/ therapies
E. Concept of anxiety
1. Defining characteristics of anxiety
2. Levels of anxiety
3. Manifestations of levels of anxiety - physiologic and psychologic
4. Ego-defense mechanism - 4 levels of defense
F. Crisis
1. Characteristics and types of crisis
2. Phases of crisis development
3. Crisis intervention
III. Care of Clients with Maladaptive Patterns of Behavior Across the Lifespan
A. The Nursing Process Applied to Psychiatric Nursing Practice (MSA form)
1. Assessing Human Responses to Maladaptive Patterns of Behavior
a) Self-awareness and use of self
b) Bio-psycho-social and behavioral data
2. Nursing Diagnosis and Outcome Identification
3. Planning and implementing nursing intervention
4. Evaluation and treatment outcome
B. Maladaptive Patterns of Behavior
1. Anxiety-related disorders
a) Anxiety disorders
b) Somatoform disorders
c) Dissociative disorders
2. Psycho-physiologic response and sleep disorders
3. Personality disorders
a) Childhood personality disorder
b) Odd/ eccentric behavior
c) Dramatic, emotional and erratic behaviors
d) Anxious, fearful behavior
e) Passive, aggressive behaviors
4. Substance-related behaviors: substance abuse, dependence, intoxication,
withdrawal and polysubstance dependence
a) CNS depressants
b) CNS stimulants
c) Hallucinogens, cannabis, inhalants
5. Mood disorders
a) Reactive attachment, Bipolar I & II
b) Cyclothymic and dysthmic, Major depressive disorders
c) Clients at risk for suicidal and self-destructive behavior
6. Schizophrenia and other psychoses
a) Types of schizophrenia
b) Other psychotic disorders
7. Cognitive disorders
a) Fetal alcohol syndrome
b) Delirium, dementia
c) Alzheimers disease, Diffuse Lewy Body disease
d) Korsakoffs disease, Huntingtons and Picks disease
e) Vascular and Multi-infarct dementia
8. Eating disorders
a) Pica, rumination
b) Feeding disorders
c) Anorexia and bulimia nervosa
9. Psychosexual disorders
a) Gender identity
b) Sexual dysfunction
c) Paraphilia
10. Abuse and violence
a) Victims of violent behavior
b) Torture and ritual abuse
c) Rape and sexual assault
11. Age-related Maladaptive Patterns
a) Developmental disorders of childhood - MR, ASD
b) Disruptive Disorder - ADHD
c) Other childhood disorder - Tic, Tourette, Asperger
C. Legal Issues Affecting Mental Health Nursing
D. Future Trends and Issues in Mental Health Nursing Practice
E. Community Based Mental Health Programs
ELEC 1: Hospice Palliative Care
I. Introduction to Palliative Care
A. Definition and comparison between palliative and hospice care
B. History of palliative care
C. Goals and philosophy of palliative care
D. Principles of palliative care
E. Essential components of palliative care
II. Promoting Quality of life in palliative care
A. Palliative care models
B. Palliative care for children
C. Palliative care at home
D. Members of the Interdisciplinary Palliative Care Team
E. Nurses role in the Interdisciplinary Team
F. Competencies necessary for nurses
G. Instruments used to assess quality of palliative care
III. Death and dying
A. Concept of death and dying
B. Theories of death and dying
C. Stages of death and dying
D. Signs and symptoms of impending death
E. Nursing interventions before death and at the time of death
F. Nursing process for grieving and dying patients and families
IV. Physical Aspects in Palliative Care
A. Symptom Management
1. Dyspnea, fatigue, anorexia, constipation, terminal dehydration,
depression, delirium, altered cognition and pain
B. Pain Management
1. Pain Assessment
2. Pharmacological Interventions
3. Pain management of special population
4. Non-drug pain interventions
V. Psychosocial Considerations in Palliative Care
A. Communication and its phases
B. Loss, suffering, bereavement and grief
1. Theories
2. Dimensions, stages
3. Assessment
4. Childs experience
5. Normal, dysfunctional and complicated grief
6. Caregiving and related interventions
7. Care for the families
VI. Ethical Considerations
A. Ethical theories and principles
B. Conceptual confusion and difficult decisions in end-of-life care
C. Active euthanasia and assisted suicide
VII. Legal aspects
A. Dying Persons Bill of Rights - Right to die
B. Advance directives
C. DNR/ No Code Orders
D. Comfort Measures Only and other special orders
E. Terminal Weaning
F. Informed consent
 G. Patient self-determination
H. Death certificate
I. Organ donation
J. Actual location
VIII. Spiritual and Cultural Considerations
A. Spiritual care of the chronically ill
B. Spiritual well-being and quality of life at the end of life
C. Spiritual needs in death and bereavement
D. Considering culture competence
E. Religious and cultural rituals, ceremonies and funeral
IX. Holistic and complementary therapies
A. Healing modalities
B. Herbology
C. Homeopathy
D. Prayer
E. Other integrative therapies
X. Contemporary issues in palliative care
A. Generalist and specialist palliative care
B. Changes in health care economics
C. Professional organizations and certification hospice and palliative care
D. Continuing education in palliative care
E. Use of information and communications technology
F. Research in palliative care
NSG 40.1: Nursing research 1
I. Overview of Nursing Research
A. Purposes of conducting nursing research
B. Goals of nursing research
C. Sources of human knowledge
D. Roles of the nurse in research
E. Evolution of nursing research
F. Developing positive attitude towards nursing research
II. Ethics in Research
A. Code of Ethics
B. Ethical Principles
C. Procedures for protecting study participants
III. Types of Research
A. Level of Investigation
B. Motive
C. Time element
D. Approach
IV. The Research Process in Quantitative and Qualitative Studies
A. Phase 1: Conceptual phase
1. Problem Identification
a) Source of problems
b) Criteria in selecting a good research problem
c) Characteristics of a well stated problem
d) Significance of the problem
e) Scope and limitation
2. Review of Related Literature
a) Purpose of Literature Review
b) Categories of references
c) Locating relevant literature for research review
3. Defining the framework and developing conceptual definitions
a) Theoretical and conceptual framework
b) Formulation of hypothesis
(1) Purposes
(2) Types
(3) Criteria in stating hypothesis
c) Variables
(1) Types
d) Definition of terms
(1) Operational
(2) Conceptual
B. Phase II: Design and Planning phase
1. Selection of the research design
a) Major categories of research design
(1) Experimental
(2) Non-experimental
(3) Qualitative
b) Characteristics of research design
c) Developing intervention protocols for experimental design
2. Sampling and sampling technique
a) Identifying the population to be studied
(1) Differentiate total, target population
b) Determining the sample
 c) Designing the sampling plan
d) Methods of sampling
(1) Probability
(2) Non-probability
3. Instrumentation
a) Data collection methods
b) Types of instruments
c) Advantages and disadvantages of the different data collection
methods
d) Validity and reliability
4. Steps in Writing Good Research Proposal