COURSE SYLLABUS IN

MEDICAL SURGICAL NURSING

A. Course Title: Medical-Surgical Nursing

B. Course Description
This course covers the concepts, principle of nursing management of the sick client-
individual, family, group and community. Setting consideration the following concepts
threaded thru:
1. Holistic concept of man
2. mental health
3. nursing process
4. pharmacology and therapeutic
5. epidemiology
6. nutrition and diet therapy
7. levels of health care
8. communication
9. rehabilitation

C. Course Objective:
1. General objective
This course is intended to help the nursing reviewee and to provide a knowledge
and attitude in the care of the sick client in the adult stage of growth and
development in any setting

2. Specific Objectives:
At the end of this review the nursing reviewee should be able to:
a. Analyze
b. Relate the pathophysiological changes brought about by stress / illness
to the care of the client
c. Utilize the nursing process in the management of the sick client to more
complex health situation
d. Integrate the following guidelines to nursing interventions applicable to
all common problems.
e. Uphold the dignity and worth of man through the provisions of
supportive nursing care
f. Utilize the knowledge of art and science in the care of man.
g. Analyze the economic and political system of the Philippine government
to impact health care delivery system.
h. Provide safe and therapeutic environment for the client
i. Implement the various roles of the nurse on the different levels of her
care.
j. Record and report accurately and systematically pertinent aspects of
care
k. Work independently and or with the other members of the medical
team.
l. Utilize research findings in the care of the client and assume
responsibility for personal and professional growth and development.
D. Course Content:

Chapter I: General Concepts of Nursing Practice

A. Developmental and Psychological Concerns:
a. Young adulthood: Growth and Development
b. Middle adulthood: Growth and Development
c. Older adulthood: Growth and Development
B. Experience of health-illness
a. Health illness continuum
b. Determinants of health and illness
c. Perception of health an illness
d. Adaptation

Chapter II: Pathophysiological Process of Illness

A. Cell injury and inflammation
B. Altered immunity and response

Chapter III: Pharmacological therapeutics

A. The nursing process in clinical pharmacology and therapeutics
a. the rule of the nurse
b. nursing assessment
c. nursing management
d. nursing evaluation
B. General principle of clinical pharmacology an therapeutics
a. Principle of drug action
b. Adverse drug reaction
c. Sources of drug inflammation including generic act of 1998
d. Computation-drug dosage
C. Overview of clinical pharmacology and therapeutics of common problems in illness

Chapter IV: Care of patients related to illness

A. Pain
B. Assessment
C. Planning/ implementation
D. Nursing intervention

Chapter V: Care of patients requiring surgery

A. General considerations
B. Pre-operative care
C. Intra-operative care
D. Post-operative care

Chapter VI: Problem in common adult group

A. Disturbance in oxygenation
a. Concept of oxygenation
b. Review of anatomy and physiology
c. Components maintaining optimum oxygen delivery to the cell
d. Nursing intervention
B. Nursing clients with threats to adequate ventilation
a. Assessment
b. Planning/implementation
c. Common respiratory problems
d. Nursing intervention
 C. Disturbances in Metabolism
a. Concept of metabolism
b. Review of anatomy and physiology
c. Assessment
d. Planning for health promotion/implementation
e. Planning for health maintenance and restoration
f. Conditions affecting the mouth, esophagus, and stomach
g. Common lower gastro-intestinal problems
h. Conditions affecting the gall bladder, liver and pancreas
i. Nursing intervention

D. Endocrine System(Metabolism)
a. Overview of the endocrine problems
b. Assessment
c. Planning/Implementation
d. Common health problems
a. Pituitary glands
b. Thyroid glands
c. Parathyroid glands
d. Adrenal glands
a.1. The adrenal cortex
a.2. The adrenal medulla
e. Pancreas
1. Diabetes mellitus
2. Types of diabetes mellitus
f. Planning/implementation
g. Nursing interventions

E. Disturbances in fluid and electrolytes

a. Concept of fluid and electrolytes
b. Review of anatomy and physiology
c. Body water compartments
d. Maintenance of water compartments
e. Electrolytes
f. Factors affecting fluid and electrolytes
g. Nursing considerations
h. Major fluid imbalance
i. Burns
j. Urology
k. Planning/implementation
l. Nursing interventions

F. Neoplastic Disorders
a. Review of anatomy and physiology
b. Assessment
c. Cancer detection/implementation
d. Cancer prevention
e. Cancer of the breast
f. Cancer of the uterus
g. Planning/implementation
h. Nursing implementations
G. Perception and Coordination
a. Review of anatomy and physiology
b. Assessment
c. Diagnostic Assessment
d. Common related disorders
e. Eye and ear problems
f. Musculoskeletal system
g. Acute biological crisis
h. Planning/implementation
i. Nursing in disaster conditions.

H. Acute Biological Crisis

A. Nursing in Disaster Condition

B. Care of the Elderly Clients.