copyright 2008
FEU IN-AHSE
Far Eastern University
Institute of Nursing
NURSING CARE MANAGEMENT (NCM 100)
CONCEPT 4 COURSE OUTLINE
Activity and Exercise Health Pattern
Planning for Health Promotion - Oxygenation
n Pollution Free Environment
n Genetic Counseling
n Promoting Optimal Function
n Promoting Comfort
Planning for Illness Prevention
n Promoting Proper Breathing
n Promoting Controlling Coughing
Promoting Proper Breathing
n Deep Breathing
n Use of incentive spirometry
n Pursed Lip Breathing
n Abdominal or Diaphragmatic Breathing
Promoting Controlling Coughing
Multi Disk Inhaler
Dry Powder Inhalants
Gas Transport
n Planning for Health Promotion
Principles and Concepts of Cardiovascular Fitness
Nutritional Metabolic Pattern
Metabolism
l Upper GI
l Endocrine
Upper GI
l Importance of Nutrition in Health Promotion
l Concepts in Nutrition
l Principles in Nutrition
l Energy Balance
l Energy Nutrients
l Choosing Adequate Diet
l Factors affecting Nutrition
l Planning For Health Promotion
Nutrition
Importance of Nutrition in Health Promotion
Energy Balance
Energy Balance
l Basal Metabolic Rate
l Body Weight Standard
l Caloric Requirements
Body Weight Standard
Caloric Requirement
Caloric Requirement
Developmental Nutritional Considerations
l Neonate to 1 year
l Toddler
l Preschooler
l School-aged
l Adolescent
l Adults
l Elders
l Elders continued
Energy Nutrients
Six Classes of Nutrients
l Nutrients that supply energy
– Carbohydrates, protein, lipids
l Nutrients that regulate body processes
– Vitamins, minerals, water
Choosing Adequate Diet Food Guide Pyramid
Factors Affecting Food Habits
l Physical
l Physiologic
l Psychosocial
Developmental Considerations
l Growth — infancy, adolescence, pregnancy and lactation increase nutritional needs
Risk Factors for Poor Nutritional Status
l Developmental factors
l Sex
l State of health
l Alcohol abuse
l Medications
l Megadoses of nutrient supplements
Choosing Adequate Diet
l Food Pyramid Guide
l Recommended Daily Allowance
l Dietary Recommendation
l Food Labeling
Factors Influencing
Nutrition
Nutrition
l Developmental considerations
l Gender
l Ethnicity and culture
l Beliefs about food
l Personal preferences
l Religious practices
l Lifestyle
Planning For Health Promotion
l Nutritional Counseling
l Stimulating Appetite
l Monitoring Nutritional Status
l Assisting with Eating
l Providing Nutrition in Special Situations
Components of Nutritional Assessment
l History taking
l Physical assessments
l Laboratory data
Nutritional Screening and Assessment
l Nursing history
l Physical examination
l Calculating percentage of weight loss
l Dietary history
l Anthropometric measurements
l Laboratory data
l Measuring skinfold
Nutritional Screening and Assessment
Malnutrition
Endocrine
l Importance of Iodized Salt
l Controlling Weight
Elimination
l Lower GI
l Fluids and Electrolytes
Lower GI
l Lifespan Considerations
l Factors Affecting Bowel Elimination
l Planning for Health Promotion
l Planning for Illness Prevention
Lifespan Considerations
l Infancy
l Toddler
l Preschool
l School Age
l Elderly
Factors Affecting Bowel Elimination
Diet
l Low residue diet
l Gas Producing foods
l Laxative producing foods
l Constipation producing foods
Fluid
Activity
l Psychologic Factors
l Defecation Habits
Medications
Planning for Health Promotion
Medications
Planning for Health Promotion
l Diet
l Activity and Exercise
l Promoting Regular Bowel Habits
Promoting Regular Bowel Habits
l Timing
l Positioning
l Privacy
l Nutrition
l Exercise
Planning for Illness Prevention
l Prevention of Constipation
l Prevention of Diarrhea
l Prevention of Flatulence
Fluids and Electrolytes
l Lifespan Considerations
l Factors affecting Fluid, Electrolyte Balance
l Planning for Health Promotion
l Planning for Illness Prevention
Lifespan Considerations
l Infants
l Elderly
Factors affecting Fluid, Electrolyte Balance
l Age
l Gender and Body Size
l Environmental Temperature
l Lifestyle
Factors Affecting Micturition
l Developmental considerations
l Food and fluid intake
l Psychological variables
l Activity and muscle tone
l Pathologic conditions
l Medication
Promoting Normal Urination
l Maintaining normal voiding habits
l Promoting fluid intake
l Strengthening muscle tone
l Stimulating urination and resolving urinary retention
Maintaining Normal Voiding Habits
l Schedule
l Privacy
l Position
l Hygiene
Immunology and Inflammatory
l Planning for Health Promotion
– Universal Precautions
– Measures related to environmental temperature
l Clothing
l Diet
l Exposure to sunlight
Cellular aberrations
l 9 Safeguards against Cancer
– Diet
– Early Detection
Early Detection
l Colorectal Cancer
l Breast Cancer
l Cervical and uterine Cancer
l Prostate Cancer
Cognitive Perceptual Pattern
Perception and Coordination
• Neurologic (Brain) Function
• Visual (eye) Function
• Auditory (ears) Function
• Coordination
Neurologic (Brain) Function
• Personal Safety
• Exercise
• Dietary factors
Visual (eye) Function
• Prevention of Eye Fatigue and Eye injuries
• Illumination
• Principles of first aid
• Care of the eyes
• Proper use of dark glasses
• Danger signs of visual disorders
• Eye specialist and their roles
Proper body mechanics
Concept of Body Mechanics
Exercise
l Muscle contraction
l Isotonic
l Isometric
l isokinetic
Muscle contraction
Body movement
lAerobics
l Uses large muscle groups
l Efficient in burning calories
l Stretching
l Strength and endurance
l Movement of ADL
Variables Leading to Back Injury
• Uncoordinated lifts
• Height-weight differential among lifters
• Lifting when fatigued
• Lifting after recent recovery from back injury
• Lack of training in body mechanics
• Standing for long periods of time
• Transferring patients
Mental Health Promotion with Children and Adolescents
• Common Childhood Problems
l Death and Grieving
l Separation and Divorce
l Sibling Relationship
l Physical Fitness
l Adolescent Risk Taking Behaviors
Risk Factors for Childhood Psychopathology
• Poverty and Homelessness
• Child abuse and neglect
• Out of home placement
• Children of Alcoholics
Responding to Maintain Psychophysiologic Needs
Psycho Social Needs
l Nursing Process and Spirituality
l Spiritual Being
l Spirituality
Meeting needs Related to Death and Dying/Grief and Grieving
Physiologic Needs
• Safety, Infection Control and Hygiene
• Complementary and Alternative modalities
• Comfort and Sleep
• Skin Integrity and Wound Care
Complementary and Alternative modalities
Uses of CAM
Terminology
• Allopathy
• Holism
• Integrative care
CAM Systems
• Ayurveda
• Yoga
• Traditional Chinese medicine
• Acupuncture
• Qi gong
• Homeopathy
• Naturopathy
• Chiropractic
Sexuality and Reproductive Function
• Personal Hygiene
• Promotion of Health during Menstruation
• Promotion of Health During Menopause
– Sex Education
– Birth Control Planning
• Natural Family Planning
– Rhythm Method
– Basal Body Temperature
– Billing’s method
– Symptothermal
Reference:
Dolan. Nursing in Society
Grace Deloughery. History and Trends to Professional Nursing. 8th Ed
Dolan. Nursing in Society
Grace Deloughery. History and Trends to Professional Nursing. 8th Ed
Dietz. History of Modern Nursing
Cafferty & Sugarman. Steppingstones to Professional Nursing
Barbara Kozier, Glenora Erb, Kathleen Blais, Judith Wilkinson. Fundamentals of Nursing, 5th Ed
Potter and Perry. Fundamentals of Nursing
Barbara Kozier, Glenora Erb, Kathleen Blais, Judith Wilkinson. Fundamentals of Nursing, 5th Ed
Potter and Perry. Fundamentals of Nursing
Tupaz. History of Nursing in the Philippines
Dizon. Community Health Nursing
Ruth Craven, Constance Hirnle. Fundamentals of Nursing, 4th Ed.
Lydia M. Venzon. Professional Nursing in the Philippines. 10th Ed. 2005
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