ELECTIVE COURSE

2
COURSE DESCRIPTION

This course is designed to introduce the

student for critically ill patients. Emphasis is
on rapid assessment, setting priorities, rapid
decision-making and appropriate nursing
interventions. The course may include cases
with cardiovascular, pulmonary, renal, neuro-
logic, and multi-system alterations. Further-
more, it deals with the concepts, principles
and techniques of nursing care management
of those with chronic illness in the older
Person.
• Course Number : Elect 2
• Course Name: Elective Course 2
• Pre-requisites : All Prof’l Subjects
• Co-requisite : N/A
• Credits : 2 units lecture
• Time Frame : 36 hours lecture
• Placement : 4th Year, 1st Term,
1st Semester 2019-2020
TOPICS
I. ACUTE/CRITICAL CARE NURSING
1. Critical care nursing concept
2. Characteristics of acute illness and injury
3. Nursing Process applied to acutely/criti-
cally ill patients
4. Trends in the mgt of acute & critically ill
patients
5. Psychosocial concerns in acute illness
( role transition, sleep deprivation, sensory
overload, powerlessness, altered body
image)
6. Critical Thinking
- self directed decision-making skills
-Critical thinking skills
TOPICS
II. QUALITY HEALTH CARE & NURSING
A. Quality Standards for Health Provider
Organizations
1. Patient Rights & Organizational Ethics
2. Patient Care Standards
3. Leadership & Management
4. Human Resource Management
5. Information Management
6. Safe Practice & Environment
7. Improving Performance
B. Rationale & Steps for Performance Im-
provement
C. TQM Program Implementation Steps
TOPICS
II. QUALITY HEALTH CARE & NURSING
D. The Documentation-Evaluation-Action Trend
1. Documentation
a) Safety
b) Consistency of Purpose
c) Standardization
d) Improvement

2. Evaluation
a) Reflection & Analysis
b) Integrative

3. Action
a) Improved Performance based on the information

E. The PLAN-DO-CHECK-ACT (PDCA) Cycle

TOPICS
II. QUALITY HEALTH CARE & NURSING
F. Quality Improvement Tools
1. Problem Identification Tools
a) Affinity/Diagram
b) Brainstorming
c) Flowchart
d) Nominal Group Technique

2. Problem Description Tools

a) Bar Graph
b) Check Sheet
c) Force File Analysis
d) Line Graph
e) Pareto Chart
f) Pie Chart
TOPICS
II. QUALITY HEALTH CARE & NURSING
F. Quality Analysis Tools
3. Problem Identification Tools
a) Fishbone Diagram
b) Matrix Diagram
c) Scatter Plot Diagram

4. Solution Development Tools

a) Prioritization Matrix
b) Process Decision Program Chart (PDPC)
c) Tree Diagram

5. Problem Identification Tools

a) Control Chart
b) Histogram
c) Rada Chart
TOPICS
II. QUALITY HEALTH CARE & NURSING
G. Quality Circles & Quality Teams

H. Quality Improvement Activities Clinical

Practice Guidelines
1. Clinical Pathways
2. Medical/Nursing Audit
3. Utilization Review
4. Complaints Analysis
5. Morbidity & Mortality Meetings
6. Sentinel Events Monitoring
7. Credentialing & Clinical Privileging
8. Variance Reporting & Analysis
 TOPICS
III. CARE OF THE CHRONICALLY ILL & OLDER PERSON
A. Chronic Illness
1. Key Problem Areas Experienced by patients with
Chronic Illness
GROUP 2 GROUP 1

2. Review of the Pathophysiology of Selected Chronic

conditions – Heart Disease, Hypertension, COPD,
Diabetes, Cancer, Dementia, Stroke
3. Specific Assessment Focus & Management of the
above conditions
4. Health Education in Chronic Illness
5. Behavioral Management in Chronic Illness
a. Coping interventions for powerlessness. Sensory
deprivation, sleeplessness, etc
b. Social support system & family in Chronic Illness
c. Issues& Trends in Chronic Illness
 TOPICS
III. CARE OF THE CHRONICALLY ILL & OLDER PERSON
B. Care of the Older Person
1. Factors that affect normal functioning of the older
person
a) Demographic of Aging
b) Theories of Aging
c) Socio-economic Aspects of aging
GROUP 3

d) The Aging Family & their implication to care

2. Cultural Factors/Ethnicity
3. Patterns of Illness of the older person
4. Comprehensive Geriatric Assessment
5. Nsg. Diagnosis R/T Wellness & Chronic Illness
6. Needs for Self Care, Life Support, Health Mainte-
nance
 TOPICS
III. CARE OF THE CHRONICALLY ILL & OLDER PERSON
B. Care of the Older Person
7. Health Problems in Chronic Illness : Levels of Care
8. Principles in the care of older person
9. Nursing Interventions for Specific Problems of the older
person
GROUP 4

10. Community Resources for the Care of Older Person

11. Criteria for Evaluation
a. Indication for Wellness
b. Responses to care
12. Gerontological Nursing Concepts; Standards of Care
13. Ethical Aspects in the care of the older person
14. Current trends & issues in the care of older person
15. Evidence based interventions in the care of the older
person