Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
Institute Goals : 1. To provide quality graduates in the medical and health allied fields.
2. To provide effective community health care services in the field of medical and health allied courses.
3. To offer courses relevant to the health needs and situation of the times.
4. To reach out to the less privileged but deserving high school graduates who cannot afford to enroll in the private schools
in the region
Program Outcomes
1. Apply knowledge of physical, social, natural and health sciences and humanities in the practice of nursing.
2. Provide safe, appropriate and holistic care to individuals, families, population group and community utilizing nursing process.
3. Apply guidelines and principles of evidence based practice in delivery of care.
4. Practice nursing in accordance with existing laws, legal, ethical, and moral principles.
5. Communicate effectively in speaking, writing, and presenting using culturally appropriate language.
6. Document to include reporting up-t-date client care accurately and comprehensively.
7. Work effectively in collaboration with inter-, intra-, and multi-disciplinary and multi-cultural teams.
8. Practice beginning management and leadership skills in the delivery of client care using a system approach.
9. Conduct research with and experienced researcher.
10. Engage in lifelong learning with a passion to keep current with national and global developments in general, and nursing and health developments in particular.
11. Demonstrate responsible citizenship and pride of being a Filipino.
Inspection
Examination begins with inspection. The patient is asked to disrobe to the waist and sit in a comfortable
position facing the examiner. The breasts are inspected for size and symmetry. A slight variation in the size
of each breast is common and generally normal. The skin is inspected for color, venous pattern, thickening,
or edema. Erythema (redness) may indicate benign local inflammation or superficial lymphatic invasion by a
neoplasm. A prominent venous pattern can signal increased blood supply required by a tumor. Edema and
pitting of the skin may result from a neoplasm blocking lymphatic drainage, giving the skin an orange-peel
appearance (peau d’orange), a classic sign of advanced breast cancer. Nipple inversion of one or both
breasts is not uncommon and is significant only when of recent origin. Ulceration, rashes, or spontaneous
nipple discharge requires evaluation.
Palpation
The breasts are palpated with the patient sitting up (upright) and lying down (supine). In the supine position
the patient’s shoulder is first elevated with a small pillow to help balance the breast on the chest wall. Failure
to do this allows the breast tissue to slip laterally, and a breast mass may be missed. The entire surface of
the breast and the axillary tail is systematically palpated using the flat part (pads) of the second, third, and
fourth fingertips, held together, making dime-size circles. The examiner may choose to proceed in a
clockwise direction, following imaginary concentric circles from the outer limits of the breast toward the
nipple.
Reference: Medical-SurgicalNursing12.pdf