Widdoes St., Brgy.

II, City of San Fernando,

La Union
2500 Philippines

School of Health Sciences

Second Semester
SY 2020-2021

NCM 116- Care of Clients with Problems in Nutrition, and Gastro-

Intestinal, Metabolism and Endocrine, Perception and
Coordination.

SKILLS LAB. - Learning Plan

Learning Schedule Topics Learning Activities Assessment
Outcomes
• Assess with January Nursing care of at-risk Online Lecture- Portfolio
the at-risk 2021 and sick adult clients Discussion via Google Output
and sick with acute and chronic Meet, Google
adult clients alterations/ problems Classroom, & Group
one’s health in nutrition, and Chat ( FB Messanger )
status/ gastro-intestinal,
competence. metabolism and
• Formulate endocrine, perception
with the and coordination.
client a plan
of care to 1.Assessment:
address the a. Subjective Data
needs/ History
problems, b. Objective Data Various Gastro- Paper and
and based Physical intestinal Modalities: Pencil Test
on priorities. Assessment, Demonstration and
• Implement Diagnostic studies/ Return Demonstration; Performance
safe and procedures Video Presentation Checklist:
quality
intervention 2. Analysis/ Nursing
s with the Diagnosis
client to
address the 3. Planning
identified a. health promotion
needs/ b. health
problems. restoration &
• Provide maintenance
health
education
using 4. Implementation of
selected Care of Clients
planning a. Independent
models to nursing care (
sick adult physiologic,
client. psychosocial, and
• Evaluate spiritual )
with the Paper and
client the b. Dependent Care: Pencil Test
health ( Pharmacological
status/ therapeutics,
 Widdoes St., Brgy. II, City of San Fernando,
La Union
2500 Philippines
competence Complementary and
and/ or Alternative Therapies,
expected Nutritional and Diet
outcomes of therapy, Surgical
nurse-client intervention,
working Immunologic Pre and Post
relationships Therapy) Test
• Institute
appropriate 5. Client Education
corrective
actions to
prevent or 6. Evaluation of the
minimize Outcome of Care
harm arising
from
adverse 7. Reporting and
effects. Documentation of Lecture- Discussion
• Manage Care. via Google Meet
resources (
human,
physical,
time )
efficiently
and
effectively.
• Maintain a
positive
practice
environment
• Use
appropriate
communicat
ion/
interpersona
l techniques/
strategies to
ensure a
working
relationship
with the
client / or
support
system
based on
patients
trust, respect
and shared
decision
making.
• Ensure
completenes
s, integrity ,
safety,
accessibility
 Widdoes St., Brgy. II, City of San Fernando,
La Union
2500 Philippines
and security
of
information.
• Adhere to Responses to Acute
protocol and and Chronic
principles of Alterations / Problems
confidentiali and its
ty in Pathophysiologic
safekeeping Basis
and
releasing of 1.Nutritional-
records and Metabolic Patterns/
other Responses to Altered
information. Nutrition.
• Discuss the a. Disturbance in
pathophysio Ingestion:
logic *Gastro
responses to Esophageal Reflux
acute and *Hiatal Hernia
chronic *Achalasia
alterations /
problems in b. Disturbances in
nutrition, Digestion:
and gastro- *Nausea and
intestinal, Vomiting
metabolism *Gastrointestinal
and Bleeding
endocrine, *Gastritis
perception *Peptic Ulcer
and Disease
coordination
c. Disturbance in
Absorption and
Elimination:

*Disorder of
Intestinal Motility
*Mal-absorption
Syndrome
*Structural and
Obstructive Bowel
Disorders

Resources:

Note:
Skills Checklist for Taylor’s Clinical Nursing Skills

Video presentations:
 Widdoes St., Brgy. II, City of San Fernando,
La Union
2500 Philippines

Prepared by:

Charmaine S. Abenes Ester A. Fangonil

Clinical Instructor Clinical Instructor

Rodel H. Suyat Only D. Hufana

Clinical Instructor Clinical Instructor

Approved by:

Dr. Marites B. Cadam-us

Dean, SHeS
 Widdoes St., Brgy. II, City of San Fernando,
La Union
2500 Philippines
Learning Outcomes Topics Learning Assessment
Activities
Nursing Care AT-Risk and
Sick Adult Client with
Alteration/ Problems in
Oxygenation, Acute and
Chronic

Assess with the at-risk A. Assessment

and sick adult clients
one’s health 1. Subjective Data Skills
status/competence. History Laboratory:
Various
Oxygenation
Modalities

2. Objective Data - Demonstration Performance

Physical Assessment and Return Checklist
Diagnostic Demonstration
Studies/procedures

Formulate with the B. Analysis/ Nursing - Video Instant

client a plan of care to Diagnosis Presentation Feedback
address the
needs/problems, and C. Planning
based on priorities.
1. Planning on Health
Promotion
2. Planning on Health
restoration

D. Implementation of Care
Implement safe and of Clients
quality interventions
with the client to address 1. Independent RLE: Case Nursing care
the identified needs/ Assignment Plan
Nursing care
problems.
Physiologic care
Psychosocial Care
Spiritual care
Pre-and –Post Instant
2. Dependent Care
Group Clinical Feedback
Pharmacological conference
Therapuetics
Surgical
Interventions - Supervised Performance
Radiation practice Checklist
Therapy
Chemotherapy
Immunologic
Therapy - Bedside Clinic Sociogram
 Widdoes St., Brgy. II, City of San Fernando,
La Union
2500 Philippines
3. Interdependent Care
Complementary and
Alternative
Therapies
Nutritional and diet
Therapy
Provide health education
using selected planning E. Client Education
models to sick adult
client.

Evaluate the client

health status/ F. Evaluation of Outcome
competence and or/ of
expected outcomes of Care
nurse-client working
relationship.

Institute appropriate
corrective actions to
prevent or minimize
harm arising from
adverse effects.

Document client’s
response/ nursing care G. Reporting and
services rendered and Documentation of Care
processed/ outcomes of
the nurse-client-working
relationship.

Endure completeness,
integrity, safety,
accessibility and security
of information.

Adhere to protocol and

principles of Response to Alterations/
confidentiality in Problems and its RLE: Case Paper and
safekeeping and Pathophysiologic Basis Assignment Pencil test
releasing of records and
other information. 1. Oxygenation Problems
Oxygenation-
Discuss the Ventilation - Pre-and-Post Nursing Care
pathophysiologic - Nursing Care of Group Clinical Plan
responses to alteration/ Clients with Upper conference
problems in Airways Disorder
oxygenation. - Nursing Care of Instant
Client with Feedback
Ventilation
- Supervised Performance
Disorder
practice Checklist
 Widdoes St., Brgy. II, City of San Fernando,
La Union
2500 Philippines
- Nursing Care of - Bedside Clinic Sociogram
Clients with gas
Exchange Disorders
Oxygenation-Transport
- Hematologic Case Rubrics: Case
Disorders Presentation Presentation
- Anemia
Oxygenation-Perfusion
- Hypertension
- Coronary Artery
Disease (CAD) and
Acute Coronary
Syndrome (ACS)
- Vascular Disorder

Note:
• Faculty feedback is necessary which can be given through text messages (offline), email,
online group pages or learning management programs
• Supplemental references/scaffolds must be provided:
Eg: Handout on the assessment of the particular system
Skills checklist
Powerpoint slides with brief description of steps and pictures
Faculty prepared video of the assessment steps or downloaded video clip
Activity worksheets
Assessment books (print or ebook)

Prepared by:

Charmaine S. Abenes Ester A. Fangonil

Clinical Instructor Clinical Instructor

Rodel H. Suyat Only D. Hufana

Clinical Instructor Clinical Instructor

Approved by:

Dr. Marites B. Cadam-us

Dean, SHeS