Professional Documents
Culture Documents
Kuhs
Kuhs
2016
2. COURSE CONTENT
2.1 Title of course:
BACHELOR OF SCIENCE IN NURSING – Abbreviated as B.Sc. Nursing
2.2 Objectives of course
Aims
The aim of the undergraduate nursing program is to:
1. Prepare graduates to assume responsibilities as professional, competent nurses and
midwives in providing promotive, preventive, curative and rehabilitative services.
2. Prepare nurses who can make independent decisions in nursing situations, protect
the rights and facilitate individuals and groups in pursuit of health, function in the
hospital, community nursing services, and conduct research studies in the areas of
nursing practice. They are also expected to assume the role of teacher, supervisor,
and manager in a clinical/ public health setting/ school of nursing.
Objectives
On completion of the four years B.Sc Nursing programme the graduate:
apply knowledge from physical, biological and behavioral science, medical including
alternative systems and nursing in providing nursing care to individuals, families and
communities.
demonstrate understanding of life style and other factors, which affect health of
individuals and groups.
provide nursing care based on steps of nursing process in collaboration with
individuals and groups.
demonstrate critical thinking skill in making decisions in all situations in order to
provide quality care.
utilize the latest trends and technology in providing health care.
provide promotive, preventive, and restorative health services in line with the
National Health Policies and programmes.
practice within the framework of code of ethics and professional conduct, and
acceptable standards of practice within the legal boundaries.
1
communicate effectively with individuals and groups, and members of the health
team in order to promote effective interpersonal relationships and team work.
demonstrate skill in teaching to individuals and groups in clinical/community health
settings/ School of Nursing
participate effectively as member of the health team in health care delivery system.
demonstrate leadership and managerial skills in clinical/community health settings.
conduct need based research studies in various settings and utilize the research
findings to improve the quality of care.
demonstrate awareness, interest and contribute towards advancement of self and of
the profession.
2.3 Medium of instruction:
Medium of instruction shall be in English
2.4 Course outline
Courses of Study
First Year B. Sc Nursing
Theory (hrs) Practical /
Subject
(Class and Lab) clinical(hrs) (hrs)
Part I Biological sciences
Paper I Anatomy 100 (80+20)
Paper II. Physiology 90 (80+10)
Paper III Microbiology 90 (80+10)
Nutrition & Biochemistry
Paper IV. A. Nutrition 60(40+20)
B. Biochemistry 40
Part II Behavioural sciences
Paper I Psychology 60
Part III Nursing –I
Paper I Nursing Foundations 465 (265+200) 450
Part IV
Paper I English 30
Paper II Introduction to Computers 45(15+30)
Library work / Self study 150
2
Total 980 450 250
Total Hours - 1680
Part- II Nursing II
3
Third YearB. Sc Nursing
Theory( hrs) Practical/
Subject (hrs)
(Class and Lab) Clinical (hrs)
Part I Nursing –III
Medical Surgical
Paper I Nursing(Adult including 110 400
Geriatrics)- II
Paper II Child Health Nursing 140 400
Paper III Mental Health Nursing 110 360
Part II Research & Statistics
Paper I Nursing Research & statistics 50 (35+15) 80
Library work / Self study 20
Co- curricular Activities 10
Total 410 1240 30
Total Hours - 1680
4
FIRST YEAR B Sc NURSING
ANATOMY
Placement – I Year Theory (In hours) -100
(Class hours-80+ Lab hours -20)
Course Description:
The Course is designed to enable students to acquire knowledge of the normal
structure of various human body systems and understand the alterations in anatomical
structures in disease and apply this in the practice of nursing.
Teaching Assessmen
Time Learning
Unit Content Learning t
(Hrs.) Objectives
Activities Methods
Introduction to Anatomical
terms.
Organization of the human
Lecture,
Describe the body.
Discussion
anatomical Human Cell:- Structure.
Explain
terms, Tissues-
using Short
organization Definition, types,
charts, answer
of human characteristics,
I 5 micro-
body and classification, location,
scopic Very short
structure of functions and formation.
slides, answers
cell, tissues, Membranes and glands:-
-skeleton
membranes Classification and structure.
&
and glands. Organelle :- structure
torso
Alteration in disease
Applications and
implications in nursing.
Describe the Skeletal System -Lecture
structure Bones:– discussion Essay
II 10
of bones and types, classification, -Explain
joints structure, description. using Short
5
Bones of limbs, Vertebra, charts, Answers
Ribs, Sternum, Bony pelvis, skeleton,
skull. loose
Joints:– bones, Very short
classification, structure. and answers
Major joints- joints.
Hip, Shoulder, Knee, elbow,
Wrist, carpo-metacarpal,
Tibio-fibular, radio-ulnar
Alteration in disease
Applications and
implications in nursing.
Muscular System Lecture,
Types and structure of discussion
Essay
muscles Explain
Gluteal, thigh & deltoid using
Short
(Structure of muscle in chart,
Answers
Describe the detail). models
III 7 structure Actions of various individual and
.
of muscles and groups of muscles films
7
Structure of blood vessels:- specimens
Arterial & Venous
System.
Circulation: - systemic,
pulmonary, coronary.
Major arteries of limbs,
head and neck, thorax,
abdomen, pelvis
Veins used for IV injections
Lymphatic system:-:
Lymphatic vessels and
Lymph
Microscopic structure
of lymphoid organs
Lymphatic tissues
Thymus gland, Lymph
nodes, Spleen, Tonsil
Alteration in disease
Applications and
implications in nursing.
Respiratory System Lecture
Essay
Parts of the respiratory Discussion
Describe the system .
Short
structure Pharynx, Larynx, Explain
answers
of Trachea, Bronchi, Lung, using
VII 6
respiratory Broncho pulmonary models,
Very short
system Segments, Pleura. torso,
answers
Muscles of respiration: - charts,
Intercostals , slides,
Diaphragm. specimens
8
Paranasal sinuses
Alteration in disease
Applications and
implications in nursing.
Digestive System
Parts of Alimentary tract :-
Mouth, Salivary glands, Lecture,
Oesophagus, Stomach, Discussion
Essay
Describe the small intestine, appendix, .
structure large intestine, rectum & Explain
Short
of digestive anal Canal. using
VIII 8 answers
system Accessory organs of models,
digestion:- torso,
Objective
Pancreas, Liver & Gall charts,
type
bladder slides,
Alteration in disease Specimen.
Applications and
implications in nursing.
Excretory System Lecture
Structure of organs of Discussion
Essay
urinary System:- .
Describe the
Kidney, Ureter, Urinary Explain
Structure Short
bladder,Urethra (male, using
IX 6 of excretory answers
female) models,
system
Structure of nephron torso,
Objective
Alteration in disease charts,
type
Applications and slides,
implications in nursing. Specimen.
9
endocrine Pituitary,Pancreas, Thyroid, .
system Parathyroid, Adrenal. Explain Short
Alteration in disease using answers
Applications and models,
implications in nursing. torso, Objective
charts, type
slides,
specimen
Reproductive system including
Breast:
Describe the Structure of female Lecture Essay
structure of reproductive organs:- Discussion
reproductive Uterus, Fallopian tubes, . Short
system Ovary, Vagina. Explain answers
including Structure of breast. using
XI 6
breast Structure of male models, Objective
reproductive organs:.- torso, type
Testes, Epididymis, Vas charts,
Deferens, Prostate slides,
Alteration in disease specimen.
Applications and
implications in nursing.
References:-
Dr.P.Sreedevi, Fundamental aspects of Anatomy.
P.R Ashalatha Textbook of Anatomy & Physiolgy for Nurses, Jaypee Brothers, New
Delhi
Chaurasia B.D, Human Anatomy Vol I,II,& III CBS Publishers, Delhi
William et al, Gray’s Anatomy,Churchil Livingstone, New York
Tortora Grabowski, Principles of Anatomy and Physiology, Haifer Collins
10
Milliard etal Human Anatomy and Physiology, W.B Saunder’s Company, Philadelphia
Baj Pai, R.N Human Histology, Jay Pee Brothers Medical Publishers, P.B Ansari Road,
New Delhi.
Inderbir Singh, Essentials of Anatomy,Jaypee Brothers.
PHYSIOLOGY
11
Skeletal system
Bone formation and growth Lecture,
Describe
Functions and movements of Discussio
the bone Short
bones of axial and n,
formation , answers
appendicular skeleton Charts,
II 3 growth and
Bone healing Models,
movements Very short
Movements of joints Demonstr
of skeletal answers
Alteration in disease ation
system
Applications and
implications in nursing.
Muscular system -Lecture,
Stimulus and nerve – Discussio
impulse – definition and n.
mechanism -Explain
Describe Membrane potentials using
the Neuromuscular transmission charts,
muscle Types of muscles models Essay
movements Skeletal muscle:- slides,
and tone structure of sarcomere, specimen Short
and muscle proteins(briefly), and films. answers
III 5
demonstrat excitation-contraction -
e coupling, physiology of Demonstr Very short
muscle skeletal muscle ation answers
contraction contraction(briefly), of muscle
and tone Starlings law of skeletal movemen
muscle contraction ts,
Smooth muscle:-physiology tone and
of smooth muscle contracti
contraction (briefly) on
Cardiac muscle:-
12
properties-excitability,
rhythmicity, contractility,
conductivity, refractory
period
Alteration in disease
Applications and
implications in nursing.
Nervous System
Functions of Neuroglia,
neurons, brain, spinal cord,
cranial and spinal nerves
Describe Cerebrospinal fluid- Lecture,
the formation, composition, Discussio
physiology circulation, functions n.
of nerve Synapse-types, properties- Explain
stimulus, one way conduction, using
reflexes, synaptic delay, synaptic charts, Essay
brain, inhibition, convergence, models
IV 10 cranial divergence, fatigue slides, Short
and spinal Neurotransmitters ( mention and answers
nerves. the names) -acetylcholine, Films.
Demonstrat GABA, glycine, serotonin Demonstr Very short
e Reflex arc, Reflex action and ate answers
reflex Reflexes-monosynaptic nerve
action (stretch reflex) and stimulus,
and polysynaptic reflex reflex
stimulus (withdrawal reflex) action,
Sensory system:-receptors- reflexes
classification, receptor
potential (briefly), sensory
13
modalities (briefly), name all
sensory pathways and
sensations carried, sensory
cortex.
- Spinothalamic pathway (in
detail)
-Pain:-
somatic, visceral and
referred pain
Functions of thalamus and
hypothalamus
Motor system-motor cortex-
mention, descending tracts,
pyramidal tracts in detail
(diagram)
-Extrapyramidal tracts
(briefly).
Functions of Cerebellum and
basal ganglia
Muscle tone
Stages of sleep
EEG-waves and clinical
significance.
Autonomic nervous system-
organization and functions
(briefly)
Alteration in disease
Applications and
implications in nursing.
14
Physiology of Blood:-
Functions, composition:-
Plasma, RBC, WBC, Platelets.
Plasmaprotein and functions
RBC- Structure,normal Count
, functions
-ESR, PCV, osmotic fragility.
-Erythropoesis and factors Lecture
affecting discussio
-Haemoglobin-Structure,
n
Normal value, functions,
types Explain
Describe
WBC-classification, using
the morphology, functions of each
Charts,
Physiology cell, normal count.
films.
and -Immunity- definition, types-
innate,acquired, mechanism, Demonstr Essay
functions of
-Immunoglobulins- ation
blood. types(briefly), functions
of Blood Short
V 8 Demonstrat Platelets-Structure, normal
count, functions. cell answers
e
-Haemostasis count,
blood cell vasoconstriction, platelet coagulati Very short
count, plug formation ,extrinsic and
on, answers
coagulation intrinsic mechanism, Clot
retraction grouping,
,
-Tests- bleeding time, Haemogl
grouping, clotting time
obin
Blood groups- ABO and Rh
systems, landsteiners law- estimatio
1&2, blood grouping, n,
crossmatching,concept of
universal donor and
recipient,
Rh & ABO incompatibility
Lymph formation and
functions
Alteration in disease
Applications and
implications in nursing.
15
Cardiovascular system
Conduction system of the
heart-origin and spread of
cardiac impulse.
ECG- normal ECG- P, Q, R, S,
T waves, 12 leads, uses of
ECG.
Cardiac cycle-definition, Lecture
duration, phases, pressure discussio
changes in ventricles and n
Describe
aorta& normal values, Explain
the
volume changes. using
physiology
JVP-normal waves charts. Essay
of
Heart sounds- Short
cardiovascu
VI 10 1st, 2nd, 3rd, 4th murmur- demonstr answers
lar system.
definition, Causes ate :
Demonstrat
Arterial pulse- definition, conductio Very short
e: BP and
characters of normal pulse. n answers
Pulse
Cardiac output- definition; System.
monitoring
normal value; regulation- Measure
stroke volume &heart rate, ment of
factors influencing. pulse, BP
Haemodynamics- turbulent
and laminar flow
Arterial blood pressure-
definition, normal values,
systolic BP, diastolic BP,
mean arterial BP; pulse
pressure;
determinants/factors
16
affecting BP-cardiac output,
peripheral resistance,
elasticity.
variations – hypertension,
hypotension.
Coronary circulation-
functions and special
features
Cerebral circulation (brief)
Alteration in disease
Applications and
implications in nursing.
The Respiratory System
Functions- respiratory, non
respiratory
Describe Lecture,
Mechanics of ventilation –
the Discussio
inspiration, expiration;
physiology n.
muscles of respiration;
and Explain Essay
intrapleural and
mechanism using
intrapulmonary pressure
s Charts, Short
changes.
VII 8 of films. answers
surfactant- functions; Lung
respiration. Demonstr
volumes and capacities-
Demonstrat ation Very short
definition, normal values,
es of answers
spirogram
spirometry spirometr
dead space- mention;
y
Alveolar ventilation and
pulmonary ventilation.
Pulmonary diffusion
Transport of respiratory
17
gases –
O2 transport; O2 carrying
capacity of haemoglobin,
oxygen- haemoglobin
dissociation curve- factors
causing shift of ODC
CO2 transport
-Exchange of respiratory
gases at tissue level.
Regulation of respiration -
Neural & chemical
Oxygen therapy
Oxygen toxicity
cyanosis- definition, types
Alteration in disease
Applications and
implications in nursing.
The Digestive System
Salivary gland-
types, composition and
Lecture,
functions of saliva
Describes Stomach- Discussio Essay
the gastric juice- composition and n.
physiology functions, HCl secretion- Explain Short
VIII 7 mechanism, regulation of
of digestive using answers
secretion, factors affecting
system. secretion. charts,
Pancreas-
Films Very short
pancreatic juice- composition,
functions and hormones answers
regulating.
Liver and gall bladder-
functions of liver and gall
18
bladder, composition and
functions of bile
enterohepatic circulation
Small intestine-
functions, composition and
functions of intestinal juice,
brush border enzymes.
Large intestine-
functions, intestinal flora-
functions, dietary fiber.
Movements of GIT-
mastication (mention),
deglutition- stages, gastric
motility, peristalsis,
movements of large
intestine,movements of
small intestine,defecation
reflex(brief)
GI hormones- gastrin,
secretin, CCK-PZ
Metabolism of CHO, Protein
& fat.
Alteration in disease
Applications and
implications in nursing.
19
structure, types, juxta charts,
glomerular apparatus films Very short
Renal blood flow (brief) answers
Mechanism of urine
formation
-Glomerular filtration - GFR
definition, normal value,
factors influencing
-Tubular reabsorption-
Sodium, water, glucose,
urea.
-Tubular secretion- H+, K+ -
mention.
-acidification of urine
Renal clearance- definition
Renal threshold and
transport maximum of
glucose.
Urine concentrating
mechanism of kidney-
counter current mechanism-
multiplier and exchangers
(briefly).
Micturition- innervations of
bladder, micturition reflex
Urine- normal output,
constituents- normal and
abnormal (albumin, glucose)
Polyuria, oliguria, anuria
(mention)
20
Alteration in disease
Applications and
implications in nursing.
Skin and Temperature
regulation
Functions of skin Lecture
Normal body temperature, Discussio Short
Describe
measurement n. answers
the
X 2 Regulation of body Explain
physiology
temperature- role of skin using Very short
of skin
and hypothalamus Charts, answers
Alteration in disease films.
Applications and
implications in nursing.
Special Senses
Functional anatomy of Eye
-visual receptors-
functions of rods and cones
Lecture
visual pathway
Discussio
Describe visual acuity- Essay
n.
the mention tests
Explain
physiology -colour vision- receptor, Short
XI 5 using
of sensory colour blindness(briefly) answers
Charts,
organs Functional anatomy of ear,
films.
organ of corti Very short
Mechanism of hearing answers
Pathway in brief
Hearing tests
Vestibular apparatus
olfaction-
21
receptors and pathway
Taste-
receptors, primary taste
sensations (pathways in
comparison)
Alteration in disease
Applications and
implications in nursing.
Endocrine System.
Functions of endocrine
glands
Hypothalamus:-
Endocrine functions,
hypothalamo hypophyseal
Lecture
portal system, feedback loop
discussio Essay
Pituitary Gland:-
Describe n
-Hormones of anterior
the Explain Short
pituitary- Growth hormone-
physiology using answers
functions,other hormones-
XII 5 of Charts,
functions-(briefly)
endocrine films.
-Role of releasing and
glands. Demonstr
inhibitory hormones of each
ation Very short
gland-mention;
of BMR answers
-Posterior pituitary-
functions & physiological
actions of ADH,
Oxytocin-
Physiological actions and
functions.
neuroendocrine reflex
22
Thyroid gland-
hormones and functions
Parathyroid gland-
hormones influencing
calcium homeostasis-
parathyroid hormone,
vitamin D, calcitonin; normal
plasma calcium levels.
Parathyroid hormone-
functions.
Endocrine pancreas
-types of cells and
hormones,
insulin-actions, glucagon-
action
Adrenal glands-
adrenal cortex-functional
anatomy; hormones-
glucocorticoids,
mineralocorticoids, sex
hormones and their actions;
Adrenal medulla-
catecholamines- actions
Alteration in disease
Applications and
implications in nursing.
Describe Reproductive System. Lecture,
the Male reproductive system:- discussio Essay
XIII 4 physiology -Functions of testes n.
of male and -Functions of testosterone Explain Short
female using answers
23
reproductiv -Spermatogenesis and Charts,
e factors influencing it. films, Very short
system Female reproductive models, answers
system:- - Oogenesis specimen
-Functions of ovary s.
24
implications in nursing.
Lymphatic and Immunological
Describe System.
References:-
Guyton A C, Hall J E. Medical Physiology, Philadelphia, Grayten & Hall.
Review of Medical Physiology: Ganong.
Chaudhary, Concise Medical Physiology :
A.K.Jain, Textbook of Physiology for Nurses
P.R Ashalatha ,Textbook of Anatomy & Physiolgy for Nurses, Jaypee Brothers,
New Delhi
Khurana I Text Book of Medical Physiology, New Delhi, Elsevier.
MICROBIOLOGY
Placement - I year Theory (In hours) -90
(Class hours-80+ Lab hours- 10)
Course Description:
This course is designed to enable students to acquire understanding of fundamentals
of microbiology and identification of various micro organisms. It also provides
opportunities for practicing infection control measures in hospital and community
settings.
25
Teaching
Time Learning Assessment
Unit Content Learning
(Hrs.) Objectives Methods
activities
Introduction
Explain Historical perspective
Short
Concepts Concepts and
answers
and terminology Lecture,
principles of Principles of discussion
I 6 Objective
microbiology microbiology
type
and their Importance and
importance relevance in nursing
in nursing
General characteristics of
microbes
Structure and
classification of
Blood and
body fluids
Culture / transport
medias
Laboratory methods of
26
identification of
microorganism
Staining techniques,
gram staining, acid fast
staining, hanging drop
preparation
Infection Control
Infection: source, portal
of entry and exit, types
of transmission
Asepsis-
Types
Describe the
Disinfection; Lecture
methods of
types and methods Discussio
infection
Sterilization n
control
types and methods Demonstr
Short
Chemotherapy and ation
Identify role answers
antibiotics Visit to
of nurse in
III 15 Antibiotic policy CSSD
hospital Objective
Standard safety Clinical
infection type
measures practice
control
Biomedical waste of aseptic
program
management technique
Role of nurse In s
Disinfection
Sterilization
Standard safety
measures
Biomedical waste
management
27
Hospital acquired
infection
Hospital infection
control program
Hospital infection
committee
Protocols
Collection and
transportation of
samples
Preparation of reports
and status of rate of
infection in the units /
hospital
Pathogenic organisms
Microorganisms
Cocci –
Gram positive
- Staphylococci
Describe Lecture Essay
- Streptococci
different Discussio
- Pneumococci
disease n Short
Gram negative
producing Laborator answers
IV 32 - Gonococci
organisms y visits
- Meningococci
Practical Objective
Bacilli –
session type
Gram positive
-Mycobacterium
- tuberculosis / leprae /
Atypical
28
- Corynebacterium
diphtheria
- Clostridium tetani,
Botulinum &
perfringens
- Listeria,
Gram negative
- Shigella,
- Proteus
- Bordetella,
- Campylobacter
- Helicobacter
- Enterobacteriae
- Escherichia Coli
- Klebsiella
- Salmonella
- Vibrio cholera
- Pseudomonas
- H Influenza
- Spirochaete
- Mycoplasma
- Rickettsiae
- Chlamydiae
Viruses
- HIV
- Hepatitis
- Varicella zoster
- Poliomyelitis
- Measles
- Mumps
- Rubella
29
- Rabies
- Arbovirus
- Dengue
- Chikungunya
- Japanese encephalitis
- Influenza virus
- Yellow fever
- Oncogenic virus
- Pox virus
-
Fungi-
- Superficial
- Dermatophytosis,
candidiasis, tinea
versicolar
- Deep mycoses
- Mycosis- candida
albicans, Cryptococcus
Parasites
- Entamoeba histolytica,
- Giardia,
- Trichomonas,
- malaria,
- Filaria,
- intestinal Nematodes,
- tape worms infecting
man
- Secondary parasitic
infections in AIDS
- Nematodes
Rodents &vectors
30
- Zoonotic diseases
- Anthrax,
- Rabies,
- Leptospirosis
- Plague,
- Dog tapeworm
- Vector borne diseases
- Malaria,
- Filariasis,
- Kyasanur Forest
disease virus (KFD),
- Leishmaniasis
Arbovirus
- Dengue,
- Chikungunya,
- Japanese
encephalitis,
- Yellow fever
Immunity Lecture
Immunity- types, Discussio
classification n
Antigen antibody
Explain the Demonstr
reaction
concept of Hypersensitivity- skin ation Short
immunity, test Visit to answers
Serological tests
hypersensitiv immuniza
V 12 Immunoprophylaxis
ity and tion Objective
Vaccines & sera- types &
immunizatio classification, storage clinics type
n and handling, cold chain Observati
Immunization for
on of
various diseases
Immunization schedule cold chain
Newly available vaccines practices
31
References
Ananthanarayanan R& Jaiaram Panicker C K:Text Book of Microbiology,
Hyderabad, Orient Longman Private Ltd.
Ananthanarayanan R& Jaiaram Panicker C K:Text Book of Microbiology for
Nurses, Hyderabad, Orient Longman Private Ltd.
Nagoba P S, Puchare A: Medical Microbiology, Preparatory Manual for
Undergraduates, New Delhi, Jaypee Brothers Medical Publishers (P)Ltd
Guptha S. A Short Text Book of Microbiology(including parasitology), New Delhi,
Jaypee Brothers Meidcal Publishers (P)Ltd
Tombury M C etal, Notes on Medical Microbiology, Edinburgh, Churchill
Livingstone
Collie J E etal. Notes on Medical Microbiology, New Delhi, Churchill Livingstone
NUTRITION
Placement : I Year Theory (In hours) -60
(Class hours-40+ Lab hours -20)
Course Description:
This course is designed to acquire knowledge of nutrition for maintenance of
optimum health at different stages of life and its application for practice of nursing.
Time Teaching
Learning Assessment
Unit (Hrs) Content Learning
Objectives Methods
T P activities
Describe the
Introduction : Short
relationship Nutrition: History, answers
between concepts Lecture,
I 4
nutrition and Role of nutrition in discussion
Very sort
health maintaining health
answers
Nutritional problems in
India
32
National nutrition policy
Factors affecting food
and nutrition:
socioeconomic, cultural,
tradition, production,
system of distribution,
lifestyle and food habits
etc.
Role of food and its
medicinal value.
Classification of foods.
Food standards.
Elements of nutrition:
macro and micro.
Calorie, BMR
Carbohydrates
Classification
Describe the
Calorie value
classification,
Recommended Daily
functions, Essay
Allowances
sources and dietary sources
Lecture,
recommended Functions Short
II 2 discussion
daily Digestion, absorption and answers
allowances storage, metabolism o f
33
Fats
Proteins
Describe the
Classification Essay
classification,
Calorie value
functions, Recommended Daily
Short
sources and Allowances Lecture
answers
IV 2 recommended Dietary sources Discussion
daily Functions
-Digestion, absorption Very short
allowances
and storage, metabolism answers
(RDA) of
Malnutrition: deficiencies
Proteins
and overconsumption
Energy
Unit of energy-Kcal Lecture,
Energy requirement of
Describe the Short
different categories of Discussion
daily calorie people. answers
,
requirement Measurement of energy
V 3
for different Body Mass Index(BMI)
Exercise
categories of and basic metabolism. Very short
demonstr
people. Basal Metabolic answers
Rate(BMR) ation.
Determination and
factors affecting BMR
34
Describe the Vitamins Lectur Short
classification, Classification e, answers
functions, Recommended Daily Discuss
sources and Allowances ion. Very short
recommended Dietary sources answers
VI 4 daily Functions
allowances Absorption, synthesis,
(RDA) of metabolism, storage
Vitamins and excretion
Deficiencies
Hypervitaminosis
35
Types, sources,
composition of body
fluids
Maintenance of fluid -
electrolyte balance
Over hydration,
dehydration and water
intoxication
Electrolyte imbalances.
-Describe the Cookery rules and Lecture Short
cookery rules preservation of nutrients Discussion answers
and Principles, methods of
preservation of cooking and serving Demonstr Very short
nutrients Preservation of ation answers
nutrients
-Prepare and Safe food handling- Practice
serve simple toxicity session
beverages and Storage of food
IX 5 15
different types Food preservation,
of foods food additives and its
principles
Prevention of Food
Adulteration Act (PFA)
Food standards
Preparation of simple
beverages and different
types of foods
Describe and Balanced diet Lecture Short
X 7 5 plan balanced Elements answers
diet for Food groups Discussion
36
different Recommended Daily Very short
categories of Allowance Demonstr answers
people Nutritive value of foods ation
Calculation of balanced Exercise on
diet for different Practice meal
categories of people session planning
Planning of menu
Budgeting of food Meal
Introduction to planning
therapeutic diets:
Naturopathy-diet
37
nutrition-NIPCCD,
CARE, FAO, NIN,
CFTRI(Central Food
Technology and
Research Institute).
Assessment of
nutritional status
Nutrition education-
role of the nurse
References:
1. Dr. Swaminathan M. Hand book of Food and Nutrition. Bangalore. The Bangalore
Printing and Publishing Company Ltd
2. John Sheila& Dr. Jennifer J Essentials of Nutrition and Dietetics for Nursing, Chennai, BI
Publications Pvt Ltd.
3. Guptha L C etal. Food and Nutrition- Facts and Figures, New Delhi. Jaypee
4. Lutz and Prazytalski.Nutrition and Diet Theory –Evidence based applicationbs, New
Delhi, Jaypee.
5. Barrer M Helen . Nutrition and Dietetics for health care.
6. Reheena Beegum M A Text book of Foods, Nutrition and Dietetics, New Delhi, Sterling
Publishers Pvt Ltd.
BIOCHEMISTRY
Placement-I Year Theory (Hrs) - 40
Course Description:
The course is designed to assist the students to acquire knowledge of the
normal biochemical composition and functioning of human body and understand the
alterations in biochemistry in diseases for practice of nursing.
38
Teaching Assess
Time Learning
Unit Content Learning ment
(Hrs.) Objectives
activities Methods
Introduction
Describe the
Definition and
structure,
significance in nursing
composition
Cell biology
and function
Difference between
of cell
Prokaryote and Eukaryote Lecture, Short
Differentiate
cell discussion answers
between
I 4 Review of structure and using
Prokaryotic
function of cell and sub charts and Very short
and
cellular particles. slides answers
Eukaryotic
Cell membrane-structure
cell
and function
Describe the
Transport mechanisms:
transport
passive and active
mechanisms
transport
Metabolism of
carbohydrates
Lecture,
Classification,Biological
discussion
importance of Essay
using
Describe the carbohydrates
charts and
metabolism Monosaccharide’s: Short
slides.
II 7 of glucose &fructose. answers
carbohydrate Disaccharides
Demonstra
s :lactose&sucrose, lactose Very short
tion of
intolerance. answers
laboratory
Polysaccharides.
tests.
Digestion and absorption
of carbohydrates
39
Regulation of blood
glucose
Diabetes mellitus-
classification, biochemical
derangement, clinical
features, investigation ,
complications
Oral glucose tolerance
test
Investigations and their
interpretations.
Metabolism of Lipids
Classification of lipids,
chemistry of fatty acids,
unsaturated fatty
Lecture,
acids(essential fatty
discussion.
acids), significance of
Explain Essay
PUFA
using
Explain the Chemistry of Triacyl
charts, Short
metabolism glycerol, cholesterol and
III 6 models answers
of Lipids phospholipids.
slides.
Digestion and absorption
Demonstra Very short
of lipids
tion of answers
Lipoprotein ,chylomicron,
laboratory
LDLs, VLDLs and
tests.
HDL(briefly)
Lipid profile, bile salts
Atherosclerosis
Formation and utilization
40
of ketone bodies,
ketoacidosis in diabetes
and starvation
Investigations and their
interpretations.
42
Function Tests Lecture,
LFT(briefly describe the discussion. Short
Explain important tests) Explain answers
VIII 4 different RFT-Urea , S. Creatinine, using
function tests urine examination. charts, Very short
(briefly describe the models answers
important tests) slides
Haemoglobin Lecture,
Catabolism of discussion. Short
Describe the
haemoglobin Explain answers
metabolism
IX 2 Biochemical basis of using
of
jaundice. charts, Very short
Haemoglobin
models answers
slides
Immunochemistry
Structure and functions of
immunoglobulin
Immune Response
Mechanism of antibody
Lecture,
production
discussion. Short
Antigens- HLA Typing
Describe the Explain answers
Free radicals and
X 2 immunochem using
antioxidants
istry charts, Very short
Electrophoretic and
models answers
quantitative
slides
determination of
immunoglobulins-ELISA
Investigations and their
interpretations.
43
References
Vasudevan D M & Sreekmar S. Text Book of Biochemistry, Jaypee.
Satyanarayanan, Essentials of Biochemistry. Kolkata,Books& Allied (P) Ltd.
Dr. Ramakrishnan S & Dr. Angayarkanni N. Basis in Biochemistry for Professional
Nursing. Chennai, B I Publications Ltd.
Puri D . Text Book of Medical Biochemistry, New Delhi, Elsevier.
Nelson D I. Lehingea Principles & Biochemistry. New York, Premier & Company.
PSYCHOLOGY
Placement –I Year Theory (In hours) -60
Course Description:
This course is designed to assist the students to acquire knowledge of fundamentals
of psychology and develop an insight into behavior of self and others.
Further it is aimed at helping them to practice the principles of mental hygiene for
promoting mental health in nursing practice.
Tim
Teaching Assess
e Learning
Unit Content Learning ment
(Hr Objectives
activities Methods
s)
Describe Introduction:
the History of psychology.
Short
history, Definitions & Scope of
answers
scope and Psychology Lecture,
I 3
methods of Branches of psychology discussion
Very short
psychology Methods of Psychology
answers
Relevance of psychology in
nursing.
Biology of behavior Essay
Explain the Body mind relationship
Lecture,
II 6 biology of - Heredity and environment. Short
discussion
Human Brain and behavior: Nervous answers
behavior
44
System, Neurons and Very short
synapse. answers
Association Cortex, Rt. and
Lt.Hemispheres.
Psychology of Sensations.
Muscular and glandular
controls of behavior.
Nature of behavior of an
Organism/Integrated
responses
- Distraction. Essay
Perception: - Psychome
-Factors nt-
-Nature
-Types
- Factors
- Laws
-Theories of learning
45
Trial and error
Classical conditioning
Gestalt Theory
Operant Conditioning
Cognitive Theory
Transfer of Learning
- Study habits
Memory: -
-Definition
-Types
-Factors
-Methods of memorizing
- Theories of Memory
-Information Processing
- Theory of general
memory
Forgetting:-
-Definition
-Types
-Factors
-Theories of forgetting
-Decay Theory
-Interference Theory
-Repression Theory
-Storage failure
Thinking:-
-Types
-Levels
-Stages of Development
- Relationship with
language and
46
communication
Intelligence:-
-Definition
- Classification
-Theories of Intelligence
-Monarchic Theory
-Multifactor Theory
-Two factor theory
-Group factor theory
-Multiple intelligence
theory
-Intelligence Quotient
Aptitude:-
- Definition
-Concept
-Types
-Individual differences and
variability.
Psychometric assessment of
cognitive processes
. Describe Motivation, emotions & stress
motivation Motivation:
Lecture
emotions, -Meaning
Discussion Essay
stress and -Need, Motives, Drive
Role plays
their - Types
Case Short
IV 8 influence - Theories of motivation
Discussion answers
on behavior -Drive Theory
Demonstr
-Instinct Theory
ation Very short
-Incentive Theory
answers
-Hierarchy Theory
-Goal oriented Theory
47
-Motives and behavior
-Conflicts and frustration
-Conflict resolution.
Emotion:-
- Definition
-Components
-Theories of emotion
-James Lang Theory
-Cannon Bard Theory
-Schacher Singer Theory
- Lazarus Theory
-Emotions in health and
illness, alterations
-Changes in emotions
Stress:
-Stressors
- Cycle
-Effect
-Adaptation & Coping
Psychometric assessment of
emotions (briefly).
Explain the Personality and Attitude
concepts of Personality:-
personality -Definitions Lecture, Essay
and attitude -Topography Discussion
& -Types , Short
V 7
their - Theories of personality Demonstr answers
influence on -Type Theory ation.
behavior -Trait Theory Very short
-Psycho analytical theory answers
-Erickson’s Psychosocial
48
Development theory
-Self theory
-Learning Theories of
Personality
-development of
personality,
Attitude:-
-Definition
-Nature
-Development
-Factors affecting
behavior and attitudes
-Attitudinal change.
-Psychometric assessment
of attitudes (briefly).
49
person healthy person. Very short
Warning signs of poor answers
Explain ego mental health.
defense Promotive and Preventive
mechanisms mental health-strategies
and services.
Ego defense mechanisms
and its implications.
Personal and social
adjustments.
Guidance and counseling.
Role of nurse in mental
health
50
References:-
Razeena Viswambaran. Text Book of Psychology for Health Professionals.
Anthikad J. Psychology for Graduate Nurses. New Delhi, Jaypee.
David G Mayers, Psychology. Work Publishers, New York
Passer M W, Smith R E. Psychology, The Science of Mind & Behaviour, New York,
Tata Mc Graw-Hill.
Dr. Balachandran M. Psychology for Nursing Students, Thiruvananthapuram,
Maanas Publishers.
Charles G Morris . Psychology- An introduction to New Hercy, Prentice Hall.
Bhatia. Elements of Psychology and Mental hygiene for Nurses in India, Orient
Longman.
A B Kutty, Psychology for BSc Nursing, PHI learning, New Delhi,2013
NURSING FOUNDATIONS
Placement – I year Theory (In hours) -465
(Class hours-265+ Lab hours -200)
Practical (Clinical hours) - 450
Course Description:
This course is designed to help the students to develop an understanding of the Nursing
Profession, philosophy, objectives, theories and application of nursing in various clinical
settings. It is aimed at helping the students to acquire knowledge, understanding and skills
in techniques of nursing and practice them in supervised clinical settings.
Learning Teaching Assess
Unit Time Objectives Content Learning ment
Activities Methods
Describe the Introduction: Lecture
concept of Health & Illness Short
I 10
health, illness - Definition Discussion answers
and health - Concept
51
care Health illness continuum very
agencies Factors influencing health Visit to short
Causes & risk factors of illness health answers
and family
Health care services
- Health promotion
- Levels of prevention
Health care agencies:
hospitals – types, organization
and functions
Health care team
-Explain Nursing as a profession
concept and Nursing: -
scope of -Definition
nursing -Philosophy
-Objectives
Lecture
-Describe -Characteristics
Short
values, code -Scope of nursing practice
Discussion answers
of ethics and -Functions of nurse
II 15 professional -Qualities of a nurse
Case very
conduct for -Categories of nursing
discussion short
nurses in personnel
answers
India Definition and characteristics
Role plays
of profession
Nursing as a profession
Values: Definition, types,
values in professional nursing
Ethics: Definition, ethical
52
principles, Nursing code of
ethics
History of nursing in India
Explain the Conceptual and theoretical
basic models in nursing practice
concepts of Introduction to models:-
conceptual -Holistic model
and -Health belief model
Short
theoretical -Health promotion model
Answers
models of -Maslow’s hierarchy of needs Lecture
nursing Introduction to theories in
III 5 Very
Nursing:---Florence Nightingale Discussion
short
environmental theory
answers
-Orem’s general theory of
nursing
- Peplau’s theory of
interpersonal relationship
- Henderson’s definition of
nursing
Communicate Communication and Lecture
effectively nurse patient relationship Essay
with patient Communication Discussion
families and -Definition Short
team - Levels Role play answers
IV 10 members and - Elements
maintain - Types Video film very
effective -Factors influencing on short
human communication nurses answers
relations -Methods of effective interactin
projecting communication g
53
professional -Attending skills, rapport with the
image building skills, empathy skills patient
-Barriers to effective
Appreciate communication Practice
the Helping relationships (NPR) session on
importance -Definition patient
of patient -Goals teaching
teaching in -Phases of a helping
nursing relationship (NPR) Supervise
Patient teaching:- d
- purpose, clinical
- principles, practice
- role of nurse
Describe Health assessment
purpose and -Purposes
Lecture
process of -Process of health
health assessment:
Discussion
assessment -Health history, physical Structure
examination d essay
Demonstr
Describe the -Methods :
ation
health - inspection, Short
assessment -palpation, answers
V 30 Practice
of each body - percussion,
on
system - auscultation, very
simulators
- olfaction. short
Explain the Preparation of patient and unit answers
Supervise
concept, for physical examination
d
uses, format Nursing process
clinical
and steps of The nursing process:-
practice
nursing - Overview
process -Definition
54
-Steps of Nursing Process
Documents Assessment:-
nursing - Collection of Data –
process as - types, sources, methods,
per the - Formulating nursing
format judgment,
- Data Interpretation
Nursing diagnosis:-
- Identification of client
problems,
-Nursing diagnosis
statement,
- Difference between
medical and nursing
diagnosis.
Planning :-
- Establishing Priorities,
- Establishing Goals and
- Expected outcomes.
- Selection of interventions,
- Protocols
- standing Orders,
- Writing Nursing Care Plan
Implementation:
-Implementing the
plan of care.
Evaluation :
-Outcome of care
-Review and Modify
Documentation and Reporting
55
Describe the Documentation and Reporting
purposes, Documentation :-
types -Purposes of
and recording & reporting
Lecture
techniques of - General guidelines
recording and for recording
Discussion
reporting -Types of Essay
documentation system
Demonstr
- Computerized Short
ation
documentation answers
VI 5
-Common
Practice
record keeping forms very
session
Reporting:- short
-Change of shift reports, answers
Supervise
-transfer reports,
d
-telephone report and
clinical
-incident reports.
practice
Minimizing legal liability
through effective record
keeping.
Explain the Hospital admission and discharge Lecture
admission & Admission to the hospital :
Essay
discharge -Purposes Discussion
procedure -Types
Short
Performs - Unit & its preparation- - Demonstr
answers
VII 5 admission & - admission procedure ation
discharge - Medico legal issues.
very
procedure Discharge from the hospital: Lab
short
-DAMA & abscond, Practice
answers
- referrals & transfers
-Discharge planning Supervise
56
-Discharge procedure d
-Care of the unit after clinical
discharge practice
-Medico-legal issues
Describe Infection control and waste
principles management
and Infection control
techniques - Nature of infection,
for -chain of infection,
infection -methods of transmission,
control -Body defenses against Lecture
and infection
biomedical Types of infection Discussion
waste -Nosocomial infection
Essay
management Asepsis: concepts, Demonstr
in - medical and surgical ation
Short
Supervised asepsis,
answers
VIII 20 Clinical -barrier methods Practice
settings Hand washing- session
very
-Medical and surgical
short
Isolation: Source & protective Supervise
answers
Personal protective d
equipments – Clinical
- types, uses, practice
- techniques of wearing
& removal
Decontamination of
equipment and unit
Transportation of infected
patients
Universal safety precautions-
57
standard precautions and
transmission based
precautions
Biomedical waste
management
- Importance
- Types of hospital waste
- Hazards associated with
hospital waste
- Decontamination of
hospital waste
- Segregation, transportation
and disposal
- Hospital infection control
committee-
Nurse’s role.
Describe Vial signs Lecture
principles Guidelines for taking vital signs
and - Principles Discussion
techniques of Body temperature
Essay
monitoring - Physiology, Demonstr
and - regulation & factors ation
Short
maintaining affecting body temperature
answers
IX 30 vital -Sites, equipments, Practice
signs techniques & special session
very
consideration
short
Monitor and -Temperature alterations:-
answers
maintain vital Hyperthermia, Supervise
signs hypothermia, heat stroke. d
-Care of patients having Clinical
alterations in body Practice
58
temperature
Pulse
-Physiology & regulation
-Characteristics of pulse
- Factors affecting pulse
- Assessment of pulse, sites,
location, techniques
-Alteration in pulse
Respiration
-Physiology & regulation
-Mechanics of breathing
-Characteristics of
respiration
-Factors affecting respiration
- Alterations in respiration
Blood pressure
-Physiology &
regulation of BP
-Characteristics of B.P.
-Factors affecting B.P.
-Assessment of B.P
- sites, equipments and
technique
- Alterations in
blood pressure
-Assessment of B.P.
Assessment of TPR
Recording of Vital Signs
59
Describe the Meeting needs of patients
basic Basic needs
physiological and -Activities of daily living
psychological -Provide safe and clean
needs of the environment: -
patient therapeutic environment
-Physical environment: Lecture
Describe the temperature, humidity,
principles and noise, ventilation, light, Discussion
techniques for odour, pest control
meeting basic, - Reduction of physical -Demonstration
physiological and hazards, fire, accidents of sponge bath, Essay
psychosocial - Role of a nurse in back care, nail
needs of patient providing safe and clean care, foot care Short
environment. and hair care answers
X 60 Perform nursing -Patient environment : Demonstration
assessment, plan, room, equipment and of mouth care very short
implement and linen answers
evaluate the care - Making patients’ beds: Practice
for meeting, basic Types of beds sessions
physiological and and bed making.
psychosocial
Comfort& Safety Supervised
needs of patient
- Factors influencing Clinical
comfort Practice
- Comfort devices
- Safety devices-
restraints, side rails,
airways .
Hygiene
- Factors influencing
60
hygienic practices
- Care of skin :
- Bath, Perineal care
- Pressure Ulcers
- Care of pressure
points
- Care of oral cavity ,
eyes, ears & nose
Care of Nail & foot, hair.
Physiological needs
- Sleep and rest
- Physiology of sleep
-Factors affecting sleep
- Promoting
rest and sleep
- Sleep disorders
Nutrition
- Importance
- Factors affecting
nutritional needs
- Assessment of
nutritional needs
- Meeting nutritional
needs:
principles, procedure
& special care
- Oral, nasogastric and
gastrostomy feeding,
parenteral feeding.
Urinary elimination
-Review of physiology
61
of urine elimination
-Composition &
characteristics of urine
- Factors influencing
urination
-Alteration in urinary
elimination:
urinary retention &
incontinence
-Types and collection of
urine specimen
-urine testing
-Facilitating urine
elimination: assessment,
types, equipments,
Procedures-Providing
urinal/bed pan,
-Condom drainage,
-Catheterization,
-care of urinary
drainage,
- bladder irrigation.
Bowel elimination
-Review of physiology
of bowel elimination
- Composition &
characteristics of feces
- Factors affecting
bowel elimination
- Alteration in bowel
elimination and its
62
management–
-constipation,
-diarrhoea,
-fecal impaction
Types & collection of
specimen of faeces-
observation
- Facilitating bowel
elimination:
- assessment,
equipment &
procedures-
-Passing of flatus tube,
-enemas,
-suppository,
-bowel wash.
Mobility & Immobility
- Principles of body
mechanics
- Maintenance of normal
body alignment and
mobility
- Hazards associated with
immobility
-Alteration in body
alignment and mobility
- Nursing intervention for
impaired body
alignment and mobility :
assessment, types of
devices used, methods &
63
special considerations,
rehabilitation aspects
- Range of motion
exercises
- Maintaining body
alignment: positions,
moving, lifting,
transferring, walking,
restraints
- Care of patients
having restraints
alteration of mobility :
Assessment of self care
ability and special
considerations
Oxygenation
- Review of
cardiovascular and
respiratory physiology
- Factors affecting
oxygenation
- Alterations in
oxygenation
- Nursing interventions
in oxygen
administration :-
-assessment, types,
- equipment used,
procedure and special
consideration.
- Chest physiotherapy
64
Fluid, Electrolyte, and
Acid Base Balances
-Review of
physiological
regulation of fluid ,
electrolyte and acid
base balances
-Factors affecting fluid,
electrolyte ad acid
base balance.
- Alterations in fluid
and electrolyte balance
- Nursing interventions
in fluid, electrolyte and
acid base imbalance
-Assessment, types,
equipment, procedure
and special
consideration
- Measuring fluid
intake & output
- Correcting fluid and
electrolyte –imbalance:
replacement of fluids-
oral and parenteral,
-Venipuncture
- Regulating IV flow rates,
changing IV solutions and
tubing, changing IV
dressing.
-Administering blood
65
transfusion
- Restriction of fluids
Psychosocial needs:
- Concepts of cultural
diversity, stress and
adaptation, self
concept, sexuality,
spiritual health, coping
with loss, death and
grieving
- Assessment of
psychosocial needs
- Nursing interventions
for meeting
psychosocial needs:
Recreational and
diversional therapies
-Nurses role
Meeting the special
needs of patients
-Care of patients having
alterations in sensory
functioning: -Visual and
hearing impairment,
Assessment of self care
ability, Communication
methods and special
considerations
- Care of patient having
altered sensorium -
Unconsciousness-
66
assessment & nursing
management.
67
Administer drugs of drugs and nurses
by the following responsibility,
routes-Oral, Broad classification of
Intradermal, drugs
Subcutaneous, -Therapeutic effect, side
Intramuscular, effects, toxic effects,
Intra Venous, idiosyncratic reactions,
Topical and allergic reactions, drug
Inhalation tolerance, drug
interactions.
Factors influencing drug
actions
Systems of drug
measurement:
- metric system,
apothecary system,
- house hold
measurements,
-solutions.
Converting measurement
units: conversion within
one system, conversion
between systems, dosage
calculation.
Terminologies and
abbreviations used in
prescriptions of
medications
Oral drug
administration:
-Oral, sublingual and
68
buccal -Equipment,
procedure.
Parenteral
-General principles,
decontamination and
disposal of syringes
and needles
-Types of parenteral
therapies
-Types of syringes,
needles, cannula, and
infusion sets
-Protection from needle
stick injuries
-Routes of parenteral
therapies:-
Intra-dermal: purpose,
site,
- equipment,
procedure, special
-considerations
-Subcutaneous: purpose,
site, equipment,
procedure, special
considerations.
-Intramuscular : purpose,
site, equipment,
procedure, special
considerations
-Intravenous: purpose,
site equipment,
69
procedure, special
considerations.
-Advanced techniques:
- epidural,
-intrathecal,
-intraosseous,
-intraperitoneal,
-intrapleural,
-intra-arterial.
- Role of nurse
Topical Administration
-Purposes, site,
equipment, procedure,
special considerations
for application
to skin & mucous
membrane.
-Direct application of
liquids
-Gargle and swabbing the
throat
-Insertion of drug in to
the body cavity
-Suppository/ medicated
pack in rectum/ vagina
-Instillations: Eye, ear,
nasal, bladder and
rectum.
-Irrigations: Eye, ear,
nasal, bladder and
rectum.
70
-Spraying-nose and
throat
-Inhalation: nasal, oral,
endotracheal / tracheal
(steam, oxygen and
medications) : purpose,
types, equipment,
procedure, special
considerations.
-Nebulization
-Recording and reporting
of medications
administered.
Define Rehabilitation
rehabilitation -Definition of
rehabilitation Short
Explain the -Concepts of Answers
Lecture
concepts, rehabilitation
XIII 5 Discussion
principles and -Types of rehabilitation
types -Role of nurse in Objective
Discuss the role rehabilitation Type
of nurse in
rehabilitation
71
Care of Terminally ill
patient
Concepts of loss, grief Lecture
Signs of clinical death Discussion
Care of dying : Special Demonstration
Considerations. Case Short
Explain care of Advance directives: Discussion/Ro answers
terminally ill euthanasia, will, dying Le Play
XIV 5
patient declaration, organ Practice Session very short
donation Supervised answers
Medico- legal issues Clinical
Care of body after death Practice
– equipment, procedure
and care of unit
Autopsy
Embalming
First Aid Nursing
Definition
Qualities of a first aider
Explain the Lecture
Preparation of
principles of first Discussion
equipment
aid and Demonstration Short
Application of bandages
demonstrate Case answers
and slings.
XV 20 application of Discussion/Role
Shifting of patients with
different types of Play very short
spine dislocation
bandages Practice answers
Padding and splinting
Session
fractured limbs
First aid measures and
antidotes in Poisoning:
Immediate care of
72
patients with snakebite,
rabid dog bite, burns,
scalds, frost bite,
sunstroke, drowning,
electrocution
First aid and nursing in
simple emergencies
Common accidents-
preventive measures &
emergency care :
-wounds,
-food poisoning,
-chemical poisoning
-foreign body in the
eye, ear, nose & throat
Cardio Pulmonary
Resuscitation –BLS
References
Kozier. B etal. Fundamentals of Nursing, Concepts, Process and Practice New
Delhi,Dorling Kendersl
Fundamentals of Nursing –A procedure manual TNAI.
Potter. P .A, Perry .A. G. Fundamentals of Nursing, St. Louis, Mosby.
Taylor. C .etal. Fundamentals of Nursing-The Art & Science of Nursing Care, New
Delhi
Susamma Varghese & Dr. Valsamma Joseph. Nursing Foundations & First aid, 2nd
edition, Frontline Publications, Hyderabad.
Worlters Kluwer Health (India) Pvt Ltd.
Wilkinson. J. M. Leuven .K .V. Fundamentals of Nursing-Thinking and Doing,
NewDelhi, Jaypee Brothers Medical Publishers (P) Ltd.
73
Tumby B K. Fundamentals Skills and Concepts in Patient Care, Philadelphia,
Lippincott.
Gupta. L. C & Gupta A. Manual of First Aid. New Delhi, Jaypee Brothers (P) Ltd.
Gulanick.M. & Myers.J.L. Nursing Care Plans – Nursing Diagnosis & Intervention,
St.Louis, Mosby.
Ulrich. S. P. & Canale. S. W. Nursing Care Planning Guides for Adults in Acute,
Extended and Home care Settings, St.Louis, Elsevier.
Clinical Nursing Procedure Manual Ecumenical Book Services, Chennai.
National & International Journals on Nursing.
74
(planned discharge, of nursing
DAMA and abscond, process
referrals and transfers). records with
-Prepare records of check list.
discharge / transfer.
-Dismantle, and disinfect -Evaluate the
unit and equipment after implementati
discharge / transfer. on of
Perform assessment: nursing care
-History taking, Nursing with rating
diagnosis, problem list, scale.
prioritization, goals &
expected outcomes,
selection of interventions.
-Write nursing care plan.
-Gives care as per the
plan.
Lab -Communicate Communication -Role plays in -Assess
effectively -Use verbal and non verbal simulated role plays
Hospital with patient communication situations on with
families and techniques. communicati the check list
team members. on on
Prepare a plan for techniques – communicati
patient teaching session. 1 on
-Maintain -Health talk – techniques.
effective Write patient report 1 -Assess
human -Change-of shift reports, -Write nurses health
relations. transfer reports, incident notes talk with the
reports etc. -Present checklist.
-Develops plan -Present patient report. the patient
for patient Vital signs report of 2-3 -Assessment
75
teaching. -Measure, records and assigned of
interpret alterations in patients. communicati
-Prepare body temperature, pulse -Lab practice on
patient reports respiration and blood -Measure techniques
-Presents pressure. vital by rating
reports. Health assessment signs of scale.
-Monitor vital -Health history taking assigned -Assessment
signs. -Perform assessment: patients of
-Perform health general , body systems -Simulated performance
assessment of -Use various methods of exercises on with rating
each body physical examination: CPR mannikin scale.
system. Inspection, Palpation, -Assessment
-Provide basic Percussion, Auscultation, of each skill
nursing care Olfaction. with
to patients. -Identification of system checklist.
wise deviations. -Completion
Prepare Patient’s unit: of activity
-Prepare beds: records
Open, closed, occupied,
operation, amputation
-cardiac, fracture, burn,
divided, & fowlers bed.
-Pain assessment and
provision for comfort.
Use comfort devices
Hygienic Care:
-Oral hygiene:
-Baths and care of
pressure points.
-Hair wash, Pediculosis
treatment.
76
Feeding: Oral, Enteral,
Naso/Orogastric,
Gastrostomy and
Parenteral feeding.
Naso- gastric tube
insertion and irrigation.
Assisting patient in
Urinary elimination.
-Provides urinal/bed pan
-Condom drainage
-Perineal care
-Catheterization
-Care of urinary drainage
-Bladder irrigation
Assisting bowel
Elimination:
-Insertion of flatus tube
-Enemas
-Insertion of suppository.
-Bowel wash
Body Alignment and
Mobility:
-Range of motion
exercises
- Positioning: Recumbent,
Lateral (Rt/Lt), Fowlers,
Sims, Lithotomy, Prone,
Trendelenburg position.
- Assist patient in moving,
lifting, transferring,
walking
77
- Restraints.
Oxygen administration
Suctioning:
oropharyngeal,
nasopharyngeal
Chest physiotherapy
&postural drainage
CPR – Basic life support
Intravenous therapy
Blood and blood
component therapy.
Collection of specimen
- Collect/assist for
collection of specimens
for investigations - urine,
sputum, faeces, vomitus,
blood and other body
fluids
- Perform lab tests:
Urine: Sugar, albumin,
acetone,
Blood: Sugar (with
strip/glucometer)
Hot and cold applications:
Local and general
Communicating and
assisting with self-care of
visually & hearing
impaired patients.
Recreational and
78
Diversional therapies.
Caring of patient with
altered sensorium..
79
-Provide care Administer medications
to dying and in different forms and
dead. routes:
-Counsel -Oral, Sublingual and
and support Buccal.
relatives. -Parenteral: Intradermal,
subcutaneous,
Intramuscular etc.
-Assist with Intra Venous
medications.
-Drug measurements and
dose calculations.
-Preparation of lotions
and
solutions.
-Administers topical
applications.
-Insertion of drug into
body cavity
-Suppository & medicated
packing etc.
-Instillation of medicines
and spray into Ear, Eye,
Nose and throat.
-Irrigations: Eye, Ear,
Bladder, Vagina and
Rectum.
-Inhalations: dry and
moist.
Care of dying patient.
-Caring and packing of
80
dead body.
-Counseling and
supporting grieving
relatives.
-Terminal care of the unit.
Lab Apply bandages -Application of bandages, Demonstrate Check list
and slings binders, splints & slings. in the lab
Hospital bandaging of various
body parts. Practice in
the clinical
area
CLINICAL ASSIGNMENTS
Nursing Assessment-
History Collection ,
Physical assessment
Nursing care plan -5
Nursing care plan presentation -2
Health talk -1
Nursing foundations record
Log book
Daily Diary
81
English
Placement – I Year Theory (In hours) -30
Course Description:
The Course is designed to enable students to enhance ability to comprehend spoken
and written English for effective communication in their professional work.
Teaching
Un Time Learning
Content Learning Assessment
it (Hrs) objectives
Activities
INTRODUCTION Exercise on
Review of Grammar use of Objective
Speak and
Building Vocabulary Grammar type test
write
1 8 Phonetics Fill in the
grammatically
Public Speaking Practice in blanks
correct English
Public Para Phrasing
Speaking
Develop ability READING Exercise
Short answers
to read and Read and on:
-Reading
II 4 understand comprehend Summarizi
Essay type
the prescribed prescribed course ng
Comprehe test
text books nsion
VARIOUS FORMS OF Exercises
on writing :
COMPOSITION
-Letter
Letter writing writing
-Nurses
Note taking
notes
Precise Writing -Precise Prepare
-Diary
Develop Nurses notes -Anecdote
letters,
III 8
writing skills Anecdotal records -Story diary ,
writing
Diary Writing resume
-
Reports on client’s Resume/C
V
health status -Essay
-Preparation of writing
-Discussion
on written
82
resume/ CV reports/
documents
SPOKEN ENGLISH Exercise
on:
Oral report
-Debating Assessment
Develop skill in Discussion -
IV 6 Participatin of the various
spoken English Debate
g in skills
Telephonic Seminar,
panel
conversation symposium
LISTENING
Exercise
Develop skill in COMPREHENSION on:
-Listening Assessment
listening media,
V 4 to Audio of the various
comprehensio audio, video tapes
and skills
n video,
identify the
speeches etc key points
References
David M T. English for Professional Nursing, Chennai, B I Publishers Pvt Ltd
Lohumi S. Remedial Grammer and Composition, Jalaandhar , Vikas Co
Platt M and Landgridge A. English for Nurses- A Natural Approach to Language
Learning, New Delhi, Orient Longman Pvt Ltd.
Rose S. Career English for Nurses. Chennai. Orient Blackswan Pvt Ltd.
Taylor G. English Conversation Practice. New Delhi . Tata Mc Graw Hill Publishing
Co
83
INTRODUCTION TO COMPUTER
Placement: I year Theory (In hours) - 45
(Class hours-15+ Lab hours -30)
Course description:
This course is designed for students to develop basic understanding of the use of
computers and its applications in nursing
Time Teaching Assess
Uni Learning
(Hrs) Content learning ment
t objective
Th Pr activities methods
COMPUTERS:
Basic parts and Functions
Review the basic parts of
computer and its
functions
-Identify the
Changing and removing of
basics of
passwords of user
computer
accounts
Formulating and deleting Lecture
-Identify the Short
of files Discussion
application of answers
Changing date time and its
I 3 computers in
format Demonstr
nursing Objective
Trouble shooting ation
type
Changing mouse
properties
Configuring start up
programs
Hardware and software:
System configuration
Installing and uninstalling
programs
Installing drivers
84
Installing a program and
setting it as a default
program
Backup and restore
Describe and Introduction to disk Lecture Short
use the Disk operating system - DOS Discussion answers
Operating DOS
System Windows (all version): Demonstr Objective
II 6 20
- Updating windows ation type
Demonstrate - MS word
skill in the use - Excel Practice Practical
of MS office - office packages session exam
Demonstrate Multimedia; types &uses
skill ion using Changing the appearance Short
Lecture
multimedia and personalizing answers
Discussion
Identify Computer aided teaching Objective
Demonstr
III 2 3 features of & testing type
ation
computer Power point presentation Practical
Practice
aided exam and
session
teaching and viva voce
testing
Use of internet and e-mail Short
Set up an internet Lecture answers
Demonstrate
connection Discussion Objective
use of
IV 1 3 E-mail and attachments Demonstr type
internet and
Browsing history ation Practical
e- mail
Default page exam and
Social media viva voce
85
Statistical packages Short
Lecture
- Types and their features answers
Describe and Discussion
Objective
use the Demonstr
V 2 2 type
statistical ation
Practical
packages Practice
exam and
session
viva voce
Describe the Health Management
components Information System (HMIS) Short
Lecture
and uses of Components, uses answers
Discussion
VI 1 2 health Objective
Demonstr
management type
ation
information
system
References
Alicold Leslie H. Computers in Nursing. Philadelphia, Lippincot
Dheena Dayal R. Computer Science, Vol I& II, New Delhi. Tata Mc Graw Hill
Publishing Company Ltd
Goel M K. Introduction to Computer Science. New Delhi. Sterlin Publishers Pvt
Ltd.
Jain P and Kumari N. Introduction to Computers for Nursing, Jalandhar, S. Vikas
&CO
Reddy N N . Computer Education for BSc Nursing . Hydrabad. Front line
Publishers
Vikas Guptha. Condex Computer Courses Kit. New Delhi, Dreamtech Press
86
SECOND YEAR B.Sc NURSING
SOCIOLOGY
Placement: II Year Theory 60 hours
Course description:
This course is designed to introduce the concepts of sociology related to community
and social institutions in India and its relationship with health, illness and nursing.
Teaching Assess
Time Learning
Unit Content learning ment
(hrs) objectives
activity methods
-Identify the Introduction
basic -Sociology-definition,
Short
concepts in origin, nature and scope
answers
sociology -Primary concepts-society, Lecture
I 2
-State the community, institution Discussion
Very
importance -Importance and
short
of sociology application of sociology in
answers
in nursing. nursing
Individual & society Essay
Describe the -Society- definition,
relationship characteristics and types. Short
of individual -Community- types, Lecture answers
II 3
in society characteristics, elements, Discussion
and -Difference between Very
community society and community. short
-Personal disorganization. answers
87
transmission short
-Unity and diversity in answers
culture
-Cultural lag
-Acculturation,
Enculturation and
transculturation
-Cultural factors in health
and disease
Socialization:
-Meaning, process, stages
& agencies of socialization.
-Individualisation
Social groups
-Meaning, characteristics
and classification
Essay
-Primary and secondary
groups,characteristics and
Identify importance in society
various -Ingroups and outgroups
Lecture Short
IV 5 social groups -Unorganised groups :
Discussion answers
and their characteristics and types-
interactions crowd, mob, public,
Very
audience
short
-Permanent special groups-
answers
band, tribe, clan/sib, horde,
state
-Reference group
Identify the Social process Lecture Essay
V 3
various -Meaning, characteristics Discussion
88
social and importance in society Short
process and -Conjunctive process/ answers
social associative process:
systems cooperation, Very
accommodation, short
assimilation. answers
-Disjunctive
process/dissociative
process : competition,
conflict, Isolation
Social system
- Definition, types, elements
-Status and role: importance
in society
-Political , economic,
religious and
educational systems
Society and population
-Demography and its
characteristics,
demographic cycle. Essay
Explain the -Population distribution in
growth of India Short
population in -Malthusian theory of Lecture answers
VI 3
India and its population Discussion
impact on -population explosion in Very
health India and its impact on short
health status answers
-Family welfare
programmes and its impact
on population control.
89
Social institutions
-Characteristics and
functions
Family:
-Definitions, functions,
types (nuclear, joint,
blended and extended
family), characteristics, Essay
Describe the
merits and demerits,
major social
present trends, family Short
institutions
problems, welfare services. Lecture answers
VII 6 in India and
Marriage: Discussion
its influence
-Characteristics, functions, Very
on health
types short
practices
-Marital problems-dowry, answers
divorce
-Changes and legislation on
family and marriages in
India-marriage act
-Role of family and
marriage on health and
health practices
Social stratification
Describe the Essay
-Meaning, characteristics
class and
and types of social
caste system Short
stratification
and their Lecture answers
VIII 4 -Indian caste system-origin
influence on Discussion
and features; present trend
health and Very
-Social class system- nature
health short
and characteristics;social
practices answers
class and life style
90
-Social mobility-meaning
and types; social mobility in
India
-Race: biological
characteristics,
classification, races in India
-Impact of social
stratification on health and
health practices.
Communities in India
-Types of communities in
India-Rural, urban and
regional.
-Rural community :
-Characteristics of Indian
villages, changes in Indian
rural life, rural problems, Essay
Describe the
rural planning and
types of
reconstruction, Short
communities
panchayat raj system, Lecture answers
IX 5 in India, their
community participation, Discussion
practices and
community development Very
impact on
programmes, short
health
health facilities in rural answers
areas and its impact on
health and health practices
-Urban community:
Features, urbanization-
growth of cities, urban
slums, major urban
problems and its impact on
91
health and health
practices.
-Regions: problems and
impact on health
Social change
-Characteristics, causes and
process of social change
Essay
-Factors influencing social
change –cultural change,
Explain the Short
cultural lag, social change
process of Lecture answers
X 4 -Introduction to theories of
social Discussion
socialchange : Linear,
change Very
Cyclical, Marxian,
short
Functional
answers
-Planned changes- social
marketing in health sector
-Role of the nurse
Social organization
-Characteristics, types
(formal,informal),modes of Essay
participation
Describe the -Voluntary organizations- Short
social social health agencies Lecture answers
XI 5
organization Social Disorganization Discussion
s -Definition, characteristics, Very
causes, types, remedial short
measures answers
-Personal disorganization,
family disorganization
Explain the Social control Lecture Essay
XII 4
nature and -Meaning, objectives and Discussion
92
process of types of social control. Short
social -Formal and informal answers
control means of social control
-Agencies of social control Very
Folkways, mores, customs, short
traditions, religion, public answers
opinion, believes,
ideologies, law and fashion.
-Social norms: nature and
importance in social life
Anomie and deviance
-Role of the nurse
Social problems
-Meaning, causes
-Major social problems:
poverty, housing, illiteracy,
food supplies,
unemployment, substance
Essay
Describe the abuse, prostitution, crime
role of the and juvenile delinquency.
Short
nurse in -Vulnerable groups :
Lecture answers
XIII 12 dealing with Problems of aged,
Discussion
social Problems of children
Very
problems in ( child labour, child abuse,
short
India trafficking, street children),
answers
Problems of women,
Handicapped, Minorities
and marginalised groups,
HIV/AIDS
-Rights of women and
children
93
-Social security
-Control and planning
-Social welfare
programmes in India
-Role of the nurse
References
Gurberg M. Sociology. New Delhi, Surgeet Publications
Lemmon Mary.Sociology and Social Problems in Nursing; St Louis, C V Mosby Co
Venkettaraman R. Medical Sociology in an Indian Setting . Mc Company India Pvt Ltd
Cockerham William C, Medical Sociology. Engelwood Cliffs: Prentice Hall
Park J E and K Park.Textbook of Preventive and Social Medicine. Jabalpur: Banarsidas
Bhanot Publishers.
Horton B P & Hunt C L.Sociology. New Delhi, Tata Mc Groaw Hill
Course Description:
The purpose of this course is to enable students to identify the etiology,
pathophysiology, symptomatology, diagnostic measures and management (medical, nursing
and dietetic) of common medical, communicable and dermatological diseases and to
develop proficiency in caring for patients with these diseases.
94
Teaching Assess
Learning
Unit Time Content learning ment
objectives
activities methods
Appreciate the Introduction
trends - Evolution and trends of
in medicine and medicine
medical nursing - Review concepts of health
Describe the and illness,
role of a nurse - concepts of disease
in caring causation
patients with - International classification
Lecture
medical of diseases Short -
5 dermatologic (ICD-10 or later version) answers
Discussion
(NF- and - Acute illness, chronic
I
4 communicable illness, terminal illness Very
Assignmen
EF-1) diseases. - Stages of illness. short
ts
Describe the - Review concepts of answers
common comprehensive nursing
signs , care.
symptoms - Review of nursing process
and problems
- Evolution and trends in
and
medical nursing
their specific
- Role and responsibilities of
nursing
nurse in medical wards
interventions
Describe the Common signs& symptoms Lecture
common and its management. Short -
7
signs , - Fluid and electrolyte Discussion answers
II NF-6
symptoms imbalances
EF-1
and problems - Acid base imbalances Demonstr Very
and Oedema, Pain, Dyspnoea ation short
95
their specific and cough, answers
nursing Unconsciousness, Syncope,
interventions Fever and hyperthermia.
Nursing management of
patients with respiratory
Lecture
problems.
Review of anatomy and
Discussion
physiology of respiratory
system.
Demonstr
-Assessment of respiratory
ation
Explain the system - nursing history
etiology, and physical examination
Observatio
Patho -Diagnostic measures and
n visit Essay
physiology, related nursing care –
Clinical sputum examination, X-ray,
supervised Short -
12 manifestations pulmonary function test,
clinical answers
NF- diagnostic allergic tests, mantoux test
III practice
10 measures thoracentesis,
Very
EF-2 and bronchoscopy, pulse
Drug book short
management of oximetry, ventilation
answers
patients with perfusion scan
Presentati
disorders of - Etiology, pathophysiology,
ons
respiratory clinical manifestations,
system. complications, diagnosis,
Lab
medical, dietetic and
practice
nursing management of
patients with the following
Health
diseases
education
- Lower respiratory
infections, COPD, Bronchial
asthma, Bronchiectasis,
96
Bronchitis, Atelectasis,
Pneumonia, Pulmonary
tuberculosis, Pleurisy,
Pleural effusion, Pulmonary
hypertension, Pulmonary
oedema, Pulmonary
embolism
-special therapies:
-Chest physiotherapy,
- incentive spirometry
-Rehabilitation
- Review drugs used in the
treatment of respiratory
disorders.
Nursing management of
Explain the Lecture
patients with
etiology Discussion
Cardiovascular and
pathophysiolog Demonstr Essay
hematological diseases._
y ation
- Review anatomy and
clinical observatio Short -
physiology of cardiovascular
manifestations n visit answerrs
18 system.
diagnostic supervised rrs
-Nursing assessment
measures clinical
IV NF- and physical examination
& management practice Very
15, - Diagnostic measures and
of Drug book shhort
EF-3 related nursing care :
patients with Presentati answers
- complete blood count,
disorders of ons
ECG, echocardiogram,
cardiovascular Lab
cardiac catheterization,
& practice
cardiac enzymes, nuclear,
hematologic Health
imaging, TMT, coronary
system. education
angiography, CVP, Doppler
97
studies, plethysmography,
arteriography, bone marrow
analysis.
- Etiology, pathophysiology,
symptomatology, diagnosis,
medical, dietetic and
nursing management of
patients with the following
conditions:
- Atherosclerosis, Coronary
Artery Diseases -Myocardial
infarction, Angina pectoris
- Hypotension, Hypertension
- Endocarditis, Pericarditis,
Myocarditis
- Rheumatic Heart Disease
- CCF , Cor Pulmonale,
Pulmonary oedema
- Cardiogenic shock
- CPR
Haematology
- Anaemia - Iron deficiency
anaemia, Haemolytic
aneamia, Megaloblastic
anaemia, Thalassaemia
Sickle cell diisease, Aplastic
anemia, Polycythemia
-Bleeding disorders :-
- Disseminated intravascular
coagulation, Hemophilia,
Thrombocytopaenia
98
- Leukemia, Leukopaenia,
Lymphoma,
Agranulocytosis, Myeloma
-Bone marrow/ stem cell
transplantation
-Blood transfusion - safety
checks, procedure and
requirements, management
of adverse reactions,
recording.
- Management and
counselling of blood
donors,
-phlebotomy and post
donation management,
blood bank functioning and
hospital transfusion
committee
- Biosafety and waste
management in relation to
blood transfusion
- Review drugs used in the
treatment of
cardiovascular and
haematologic disorders.
Describe the Nursing management of Lecture Essay
10 etiology, patho- patients with disorders of Discussion
NF- physiology, digestive system Demonstr Short -
V
8, clinical - Review anatomy and ation answers
EF-2 manifestations, physiology of digestive observatio
diagnostic system. n visit Very
99
measures - Nursing assessment- supervised short
and history and physical clinical answers
management of examination, nutritional practice
patient with assessment. Drug book
disorders of - Diagnostic measures and Presentati
digestive related nurses role - ons
system endoscopy, LFT, barium Lab
meal, barium enema, practice
ultrasonography, gastric Health
analysis, liver biopsy, education
endoscopic retrograde
Cholangio pancreato
graphy, blood studies.
- Etiology, pathophysiology,
symptomatology, diagnosis,
medical, dietetic and
nursing management of
patients with the following
conditions:
- disorders of oral cavity.
- Oesophagitis, GERD
- Irritable bowel syndrome,
-Hepatitis, Cirrhosis of liver,
Portal hypertension,
-Hepatic failure and hepatic
coma,
-Metabolic syndrome,
Obesity,
- Review drugs used in the
treatment of
gastrointestinal disorders.
100
Nursing management of
patients with
disorders of urinary system.
- Review anatomy and
physiology of urinary
system.
- Nursing assessment -
history and physical Lecture
examination. Discussion
Describe the
- Diagnostic measures and Demonstr
etiology,Pathop
related nursing care : ation
hysiology, Essay
- blood chemistry, urinalysis, observatio
clinical
RFT, clearance studies, KUB, n visit
8 manifestations, Short -
IVP, renal arteriogram, supervised
diagnostic answers
renal biopsy, cystoscopy, clinical
VI NF- measures
urodynamic studies, practice
6, and Very
cystogram and Drug book
EF-2 management of short
urethrogram. Presentati
patients with answers
- Etiology, pathophysiology, ons
disorders
symptomatology, Medical, Lab
of urinary
dietetic and nursing practice
system.
management of patients Health
with: education
- Nephritis, Nephrotic
syndrome, Urinary tract
infections, Acute renal
failure, Chronic renal
failure.
- Review drugs used in
urinary system.
101
Nursing management of
patients with
disorders of nervous system.
- Review anatomy and
physiology of nervous
system.
-Nursing assessment-
nursing history and physical Lecture
Describe the examination Discussion
etiology - Diagnostic measures and Demonstr
pathophysiolog related nursing care: ation
y, Lumbar puncture, CSF observatio Essay
clinical analysis, cerebral n visit
12 manifestations angiography, CT, MRI, supervised Short -
diagnostic magnetic resonance clinical answers
VII NF- measures - angiography, PET Scan, practice
10; and SPECT Scan, cerebral Drug book Very
EF-2 management of ultrasound, EEG, EMG, Presentati short
patients with myelography, evoked ons answers
disorders potential Lab
of nervous - Etiology, pathophysiology, practice
system. symptomatology, medical, Health
dietetic and nursing education
management of patients
with:
-Head ache, Migraine,
Increased ICP, Cerebral
oedema, TIA,
-Cerebrovascular accident, ,
Meningitis, Encephalitis,
-Cranial and spinal
102
neuropathies, bell's palsy,
trigeminal neuralgia,
Guillain Barre Syndrome,
Myasthenia gravis,
Parkinsonism, Multiple
sclerosis, Dementia.
- Role of nurse in
communicating with
patients having neurologic
deficits.
- Rehabilitation of patients
with neurological deficits
- Review drugs used in the
treatment of neurological
disorders.
Nursing management of Lecture
patients with endocrine Discussion
Describe the
disorders. Demonstr
etiology
- Review anatomy and ation
pathophysiolog Essay
physiology of endocrine observatio
y,
glands. n visit
clinical Short -
- Nursing assessment, supervised
8 manifestations answers
nursing history, physical clinical
VIII NF-6 diagnostic
examination. practice
EF 2 measures Very
- Diagnostic measures and Drug book
and short
related nursing care - blood Presentati
management of answers
sugar analysis, GTT, thyroid ons
patients with
scan, thyroid FNAC, thyroid Lab
endocrine
function tests, tests of practice
disorders.
adrenal function, tests of Health
pituitary function, tests of education
103
parathyroid function.
- etiology, pathophysiology,
symptomatology medical
management, dietetic
management and nursing
management of patients
with :
- Diabetes mellitus,
Pituitary disorders,
Disorders of thyroid and
parathyroid glands,
Disorders of adrenal gland.
- Review drugs used in the
treatment of endocrine
disorders.
Nursing management of Lecture
Describe the
patients with Discussion
etiology
immunologic disorders. Demonstr
pathophysiolog
-Diagnostic measures and ation
y, Essay
related nursing care observatio
clinical
- Etiology, pathophysiology, n visit
manifestations Short -
symptomatology, medical supervised
diagnostic answers
and nursing management of clinical
IX 5 measures
patients with : practice
and Very
-Primary immuno Drug book
management of short
deficiency, Secondary Presentati
patients with answers
immunodeficiency, ons
immunologic
-Graft versus host disease, Lab
disorders.
Acquired immunodeficiency practice
syndrome Health
-Role of nurse in counseling education
104
and health education,
Rehabilitation of patients
with HIV/AIDS
-National and international
agencies in AIDS control,
- National AIDS Control
Programme.
-Auto immune disorders -
SLE, Gout
- Review drugs used in the
treatment of immune
disorders.
Nursing management of
Describe the
patients with integumentary Lecture
etiology
disorders and Sexually Discussion
pathophysiolog
Transmitted Diseases Demonstr
y,
- Review of anatomy and ation
clinical
physiology of integumentary observatio
manifestations Essay
system. n visit
10 diagnostic
- Nursing assessment - supervised
measures Short -
history and physical clinical
X NF-5 and answers
examination. practice
management of Very
- Diagnostic measures and Drug book
EF 5 patients with short
related nurses role - VDRL, Presentati
integumentary Answers
ELIZA, Skin biopsy, skin ons
disorders and
smear Lab
Sexually
- Etiology, pathophysiology, practice
Transmitted
clinical manifestations, Health
Disorders
diagnosis, medical and education
nursing management of
105
patients with :
- bacterial, viral and fungal
infections:
Eczema/dermatitis,
Dermatoses : infectious &
non infectious, Psoriasis,
Acne vulgaris, skin cancers,
Alopecia, ,Pemphigus,
- Sexually transmitted
diseases-
Nursing management of
patients with communicable
diseases.
Lecture
-Overview of infectious
Describe the Discussion
agent, infection process
etiology Demonstr
-Epidemiology, clinical
pathophysiolog ation
manifestations, diagnosis,
y, observatio Essay
prevention, medical and
clinical n visit
nursing management of
manifestations supervised Short -
patients with:
10 diagnostic clinical answers
XI -Cholera, Tetanus, Gas
measures practice
Gangrene,
and Drug book Very
Plague, Typhoid, Leprosy
management of Presentati short
-Diarrhoeal disorders,
patients with ons Answers
Hepatitis, Herpes,
communicable Lab
Chickenpox, Mumps,
diseases practice
Measles, Rubella, Influenza,
Health
Poliomyelitis, Yellow fever,
education
Dengue Fever, Rabies,
Japanese encephalitis,
Chikun gunya, Small pox.
106
-Malaria, Filaria,
Helminthiasis,
Amoebic dysentery,
Leptospirosis, worm
infestation
- Review barrier nursing,
- Review special infection
control measures:
Notification, Quarantine,
Isolation.
Nursing management of Lecture
patients with medical Discussion
Describe
emergencies. Demonstr Essay
medical &
Poisoning, ation
nursing
snake bite, Drug book Short -
management of
XII 5 allergy and hypersensitivity Presentati answers
patients with
reactions ons Very
medical
Lab short
emergencies
practice Answers
Health
education
References
Smeltzer, S., Bare, B. G., Hinkle, J.L., Cheever, K. H. Brunner & Suddarth’s Text
Book of Medical Surgical Nursing. New Delhi : Wolters Kluwer.
Boon, N. A., Colledge, N. R., Et al. Davidson’s Principles& Practice of Medicine.
Noida: Elsevier.
Krishnadas K. V. Text Book of Medicine. New Delhi: Elsevier.
Dwidedi P. Communicable Diseases. Nagpur: Ananthaprakasan.
Pavithran K. Dermato_Venero Leprology
Thappa, D. M. Essentials in Dermatology. New Delhi: Jay Pee.
107
Hickey, J. V.Clinical Practice of Neurological and Neurosurgical Nursing.
Philadelphia: Lippincott.
Woods, S. L. Cardiac Nursing. Philadelphia: Lippincott.
Marton, P. G., Fontane, D. K., Et al. Critical Care Nursing. Philadelphia: Lippincott.
Felbman N., Et al. Gastroenterological and Liver Diseases. Philadelphia: Elsevier.
Thomas, N. Renal Nursing. Philadelphia: Elsevier.
National & International Journals on Nursing.
108
-maintenance and record
monitoring I/O Chart. -OSCE
-oxygen therapy by
different methods
-Nebulization
-Chest physiotherapy
-Nasogastric feeding
-Assist in common
diagnostic procedures
-Assist in common
therapeutic
procedures
-Blood and component
therapy
-Throat suctioning
-Collect specimens for
common
investigations
-Maintain elimination
- bladder
catheterization
-Bowel wash
-enema
-maintain continuous
bladder drainage
-Teaching related to
specific disease
conditions and
procedures
109
-Provide -Physical examination -Plan and Assess
nursing of cardiovascular provide care performa
care to system to 3-4 nce with
clients with -recording ECG assigned rating
cardiac -Assisting in diagnostic patients scale.
medical and therapeutic -Nursing care -Assess
disorders procedures- plan -1 skill with
-Counsel -Administer cardiac check list
Cardiolo
1 and drugs -Drug book Evaluation
gy Ward
educate - cardiopulmonary -Drug of case
patients resuscitation presentation study,
and -Teach patients and -Teaching presentati
families families patients and on
-Practice medical and families Completio
surgical asepsis and n of
standard safety activity
measures record
-Identify -Assessment of -Plan and Assess
common performa
patients with skin provide care
skin nce with
problems disorders and to 3-4 rating
and scale.
communicable assigned
communica -Assess
Dermato ble diseases patients skill with
diseases check list
logy and -practice barrier -Health talk
-Provide Evaluation
Commun nursing nursing and isolation - Drug book of case
2 care to presentati
icable techniques – Assist in -Case
clients with on , health
disease skin diagnostic / presentation talk
disorders Completio
ward therapeutic
and n of
communica procedures activity
ble record
diseases
-Counsel
and
educate
110
patients
and
families
Provide -Emergency Report of Assess
performa
emergency assessment of patients activities
nce with
care to with medical rating
Casualty scale.
patients emergencies
emergen -Assess
with -Assist in diagnostic skill with
cy 1 check list
various and
Departm Evaluation
medical therapeutic of reports
ent Completio
emergenci procedures-
n of
es - Counsel and educate activity
record
patients and families
Provide -Assessment of - Provide Assess
performa
care to seriously ill patients care to 1-2
nce with
patients - Monitor the patients assigned rating
scale.
with critical conditions with patients
-Assess
medical continuous monitoring -Nursing skill with
check list
illnesses equipments care plan-1
Medical Evaluation
1 - Assist with diagnostic -Drug book of care
ICU plan
and therapeutic
Completio
procedures n of
activity
- Technical skill in using
record
various equipments
- Use flow sheets for
recording
Clinical Assignments
1) Nursing Care Plan - (4) 2) Nursing Care Study - 1
3) Clinical presentation-1 4) Drug Presentation - 1
5) Health talk-1 6) Practical Record
7) Drug File 8) Log Book
111
PATHOLOGY
Placement: II Year
Total 30 hours (Theory-20 hours; Lab-10 hours )
Course Description:
This course is designed to enable students to acquire knowledge of pathology of
various disease conditions and apply this knowledge in the practice of nursing.
Time Teaching Assess
Unit (Hrs) Objectives Content learning ment
Th Pr activities methods
Introduction
Importance of the study
of pathology
- Define the • Definition of
common terms
terms • Methods and
used in techniques
pathology • Cellular and - Lecture
- Appreciate Tissue changes
the Infiltration and - Short
deviations regeneration Discussio answers
I 3
from Inflammations and n
normal to Infections - Explain Objective
abnormal Wound healing using Type
structure Vascular changes Charts
and - Cellular growth,
functions of Neoplasms
the body • Normal and Cancer
system. cell
• Benign and Malignant
growths
• In situ carcinoma
112
- Disturbances of fluid
and electrolyte
imbalance.
Special pathology
• Pathological changes in
disease conditions of various
systems:
- Lecture
• Respiratory tract
Discussio
- Tuberculosis, Bronchitis.
n
- Pleural effusion and
- Explain
pneumonia
using
- Lung abscess, emphysema,
charts,
bronchiectasis
Explain slides
- Bronchial asthma, Chronic
Pathological specimen
obstructive Pulmonary Short
changes in ,
disease & tumours. answers
disease X-rays
• Cardio-vascular system
II 10 5 conditions and
- Pericardial effusion Objective
of Scans
- Rheumatic heart disease type
various
- Infective endocarditis
systems - Visit to
atherosclerosis
Patholog
- Ischemia, infarction &
y
aneurysm
lab,
• Gastro Intestinal Tract
endoscop
- Peptic ulcer, typhoid
y
- Carcinoma of GI tract,
unit and
buccal, Esophageal, Gastric
OT
& intestinal
• Liver, Gall bladder & pancreas
- Hepatitis, Chronic liver,
abscess, cirrhosis
113
- Tumours of liver, gall
bladder and pancreas
- Cholecystitis
• Male genital system.
- Cryptorchidism, testicular
atrophy, Prostatic
hyperplasia, carcinoma
- Penis & prostate.
• Female genital system
- Fibroids
- Carcinoma cervix and
Endometrium
- Vesicular mole,
choriocarcinoma
- Ectopic gestation
- Ovarian cyst & tumours
• Breast Cancer
• Central Nervous system
- Hydrocephalus, Meningitis,
encephalitis,
- Vascular disorders -
thrombosis, embolism
- Stroke, paraplegia,
quadriplegia
- Tumours, meningiomas,
gliomas.
• Metastatic tumour
• Skeletal system
- Bone healing, osteoporosis
osteomyelitis
• Arthritis & tumours
114
Clinical pathology
• Various blood and bone
marrow tests in assessment
and monitoring of disease
conditions.
- Lecture
- Hemoglobin
-
- RBC, White cell & platelet
Discussio
counts
n
Describe - Bleeding time, clotting time
-
various and
Demonst
laboratory prothrombin time Short
ration
tests - Blood grouping and cross answers
- Visits to
in matching
III 4 3 Clinical
assessment - Blood chemistry Objective
patholog
and - Blood culture type
y&
monitoring - Serological and
Bio-
of disease immunological tests
chemistr
conditions. - Other blood tests
y
- Examination of Bone
lab and
marrow
Blood
- Methods of collection of
bank
blood specimen for various
clinical pathology,
biochemistry, microbiology
tests, inference and normal
values.
Describe Examination of body cavity - Lecture -Short
the fluids, transudates and Discussio answers
IV 2 1 laboratory exudates. n
tests The laboratory tests used in - Objective
for CSF analysis Demonst type
115
examination Examination of other body ration
of body cavity fluids, transudates
cavity and exudates - sputum,
fluids, wound discharge etc.
transudates Analysis of gastric and
and duodenal contents
exudates Analysis of semen-sperm
count, motility and
morphology and their
importance in infertility
Methods of collection of CSF
and other cavity fluids
specimen for various
clinical pathology,
biochemistry, microbiology
tests,
inference and normal
values.
Urine and faeces
• Urine and faeces
- Physical characteristics
Describe
- Analysis - Lecture
the Short
- Culture and sensitivity Discussio
laboratory answers
• Faeces n
tests
V 1 1 - Characteristics -
for Objective
- Stool examination: occult Demonst
examination type
blood, ova, parasite and cyst, ration
of Urine and
reducing substance etc.
faeces.
• Methods of collection for
various tests, inference and
normal values.
116
References
Mohan, H. Text Book of Pathology. New Delhi: Jay Pee.
Kumar, V., Abbas, A. K., Fausto, N. Robins Cotran . Pathologic Basis of Diseases.
Philadelphia: W. B. Saunders .
Smith, L. Microbiology and Pathology. St. Louis: C. V. Mosby Company.
Robbins, S. L., Kumar, V. Basic Pathology. Philadelphia: W. B. Saunders .
Swaminathan ,Pathology for Nurses, New Delhi: Jay Pee
117
Identify the of patients undergoing
role of nurses surgery–pre operative,
in the intra operative, immediate
management and late post operative
of a patient period.
undergoing -Haemorrhage, shock
surgery.
118
care of in OT.
patients -Monitoring patients
undergoing during surgical procedures.
anesthesia -Infection control in OT,
Standard precautions,
disinfection, sterilization,
fumigation of OT,
biomedical waste
management in OT,
-Prevention of accidents
and hazards in OT
- Anesthesia:
-types of anesthesia,
anesthetic agents,
methods of
administration,
equipments, stages of
anesthesia,
-Pre anesthetic check up,
Premedication,
management of patients
before , during & after
anesthesia.
-Complications of
anesthesia.
Describe the Nursing management of Lecture, Essay
18
pre and post patients undergoing
NF-12
operative Gastrointestinal surgeries Discussion, Short
III EF-
management -Etiology, pathophysiology, answers
6(surg
of patients clinical manifestations, Demonstra
eon)
undergoing diagnosis, surgical & tion Very
119
Gastrointestina nursing management of Supervised short
l surgeries patients with disorders of : clinical answers
- Oral cavity: practice
Inflammation, Infection,
pre malignant & malignant
lesions of oral cavity
–Oesophagus :
Inflammation,Stricture ,
obstruction, bleeding,
carcinoma of oesophagus
-Stomach &duodenum : --
Pyloric stenosis, tumours,
bleeding, Carcinoma
stomach, hiatus hernia.
-Small and large intestine:
inflammation, infection,
enteritis, obstruction,
tumour, perforation.
Inflammatory bowel
disease, intestinal
obstruction, acute
abdomen
- Hernia,
-Appendix: Appendicitis
-Rectum and Anal canal:
Haemorrhoids, Anal
fissure, Fistula, Carcinoma
rectum, Pilonidal cyst.
-Gall bladder:
inflammation, infection,
tumours.
120
-Pancreas: inflammation,
cyst, abscess, tumours.
Nursing management of
patients undergoing renal
and genitourinary surgeries
-Etiology, pathophysiology,
clinical manifestations,
diagnosis, medical, surgical
and nursing management
Describe the Lecture,
of patients with disorders
pre & Post Essay
of :
operative Discussion,
8 -Kidney: Congenital
management Short
NF-5 anomalies,
of Demonstra answers
IV EF-3 hydronephrosis, renal
patients tion,
(urolo calculi, tumours
undergoing Very
gist) -Ureter, urinary bladder
renal and Supervised short
and urethra:
genito urinary clinical answers
inflammation, infection,
surgeries practice
stricture, obstruction,
tumours.
-Prostate : Benign prostatic
hypertrophy, Carcinoma
prostrate,
-Hydrocoele, epispadias,
hypospadias, phimosis
Describe the Nursing management of Lecture,
pre & post patients undergoing thoracic Essay
operative and vascular surgeries Discussion,
V 5
nursing Etiology, pathophysiology, Short
management clinical manifestation, Demonstra answers
of patients diagnosis, medical, surgical tion,
121
undergoing and nursing management Very
thoracic & of patients with: Supervised short
vascular - Empyema, lung abscess, clinical answers
surgeries carcinoma lung, practice
pneumothorax, chest
injury, surgical
emphysema.
-Vascular disorders:
Thrombo Angitis
obliterans, Raynaud’s
disease , varicose vein and
Aneurysms
Nursing management of
patients with disorders of
musculoskeletal system
-Review of anatomy &
physiology of
Lecture,
Describe the musculoskeletal System
15
pre &Post -Assessment of patients Essay
NF-10 Discussion,
operative with musculoskeletal
EF-5
management Disorders. Short
(Orth Demonstra
VI of -Etiology, pathophysiology, answers
opaed tion,
patients with clinical features,
ic
musculoskeleta investigations, medical, Very
surge Supervised
l disorders surgical and nursing short
on) clinical
management of patients answers
practice
with :
-Inflammation and trauma
of muscles, ligaments and
joints-osteoarthritis,
rheumatoid arthritis ,
122
osteomyelitis,
osteomalacia,
osteoporosis, pott’s spine,
paget’s disease, bone
tumours.
-Subluxation ,Dislocation
- Fracture of bones,
-Prolapsed Inter vertebral
disc
-Congenital disorders of
bones
Nursing management of
patients with miscellaneous
surgical conditions
-Review of anatomy – Lecture,
Describe the
breast, thyroid.
pre & Post Essay
-Etiology, pathophysiology Discussion,
8 operative
clinical manifestations,
NF-4 management Short
diagnosis, medical, surgical Demonstra
VII EF-4 of answers
and nursing management tion,
(Surg patients with
of patients with benign
eon) miscellaneous Very
and malignant tumours of : Supervised
surgical short
-Breast clinical
conditions answers
-Thyroid practice
-Management of patients
with Burns,
-Poly trauma
15 Describe the Nursing management of Lecture, Essay
VIII NF-10 etiology, patients with disorders of
EF-5 pathophysiolog Ear, Nose and Throat. Discussion, Short
123
(ENT y, -Review of anatomy & answers
surge clinical Physiology of ear, nose & Demonstra
on) manifestations, throat. tion, Very
diagnosis and -Assessment and short
medical, diagnostic measures of Supervised answers
surgical and patients with disorders of clinical
nursing ear, nose and throat practice
management -Etiology, pathophysiology,
of patients clinical manifestations,
with disorders diagnosis, medical, surgical
of ear nose, & nursing management of
and throat patients with disorders of :
-Ear-foreign bodies,
impacted wax, otitis
media, tympanic
membrane perforation,
Otosclerosis, mastoiditis,
tumours, Meniere’s
disease,labyrinthitis,
Deafness.
- Disorders of Nose-
common cold, sinusitis,
epistaxis, deviated nasal
septum, nasal polyps.
-Disorders of Throat -
Pharyngitis, tonsillitis,
adenoiditis, peritonsilar
abscess, Laryngitis,
-Upper air way
obstruction, cancer of
larynx.
124
-Communicating with
impaired hearing and mute
-Instillation of ear drops
Nursing management of
patients with disorders of the
Eye
-Review of anatomy
&physiology of Eye,
-Assessment & diagnostic
measures of patients with
Describe the
disorders of eye.
etiology,
-Etiology, pathophysiology,
pathophysiolog Lecture,
clinical manifestations,
y, clinical
Medical, surgical and Essay
15 manifestations, Discussion,
nursing management of
NF-10 diagnostic
patients with: Short
EF-5 measures, Demonstra
IX - Stye, Chalazion, answers
(opht medical, tion,
conjunctivitis, Trachoma,
halmo surgical and
Dacryocystitis, squint, Very
logist) nursing Supervised
keratitis, eye injuries, short
management clinical
glaucoma, cataract, answers
of patients practice
tumours of the
with disorders
eye, refractive errors,
of Eye.
retinal detachment,
Ocular emergencies,
blindness, enucleation.
-Eye banking
-Application of eye
ointment, Instillation of
eye drops.
125
References
Smeltzer Suzane , C., Bare Brenda, G ., Brunner and Suddarth’s Text book of Medical
Surgical Nursing, Lippincott Williams & Wilkins.
Black Joyce M., Luckman and Sorenson’s Medical Surgical Nursing, W.B. S aunders ,
Philadelphia.
Lemone &Burke. Medical Surgical Nursing-Critical Thinking in Client Care.Chennai.
Pearson Education
Lewis , Heitkemper, Dirkesen. Medical Surgical Nursin g-Assessment and
Management of Clinical Problems, Mosby.
Phipps etal.,Medical Surgical Nursing, Mosby
Ignatavicius Donna,M.Linda Workman., Medical Surgical Nursing -A Nursing process
Approach,W.B.Saunders.
Baily and Love, Short Text book of Surgery, Hodder Arnold,Newyork.
Das,Text Book of Surgery, Jaypee.
Town, Sabiston’s Text Book of Surgery, Elsivier.
Agarwal, Text Book of Ophthalmology, Jaypee.
Ahamed, Essential’s of Ophthalmology, Jaypee.
Orthopaedic Nursing and Rehabilitation, ELBS,Churchill Livingston.
Ebnezar.,Text book of Orthopaedics, Jaypee.
Dhingra., Diseases of Ear ,Nose and Throat, Elsivier.
Allan William .B. Richard etal., Nursing in Diseases of Eye , Ear,Nose and Throat
W.B.Saunders.
Maqbool Mohammad., Maqbool Subail.,Text book of Ear,Nose& Throat Diseases,
Jaypee.
Dixon,Eileen.,Theatre Technique, Bailliere Tindal,London.
Atknison ., Berry., Kohn’s Operating Room Technique, St. Louis.
Luqmani.,Text Book of Orthopaedics,Trauma & Rheumatology, ELSIVIER.
Hazarika P, Nayak D R and Balakrishnan R.Text Bookof Ear, Nose Throat and Head &
Neck Surgery CBS Publishers . New Delhi.
National & International Journals on Nursing.
126
SURGICAL NURSING -PRACTICAL
Total – 520 hours (13 weeks)
Durati Assign Assessment
on ments methods
Area Objectives Skills
(in
week)
-Preoperative - -Assess
preparation of Preopera performance
patients, receiving tive work using rating
Provide pre & patients after surgery, up of two scale
post monitoring of patients patients, -Assess skill
operative after surgery, care of -care with check list
care to wounds & drains, plan - 2 -Evaluation of
patients suture removal care study,
4
Surgical undergoing -Chest physiotherapy, -care care plan ,
(1
Ward & Surgeries -Ambulation and study-1 presentation
week
Burns exercise after surgery, -Completion of
night
unit - Care of inter costal -Night activity record
duty)
Provide drainage, -provide report -OSCE
comprehensi comprehensive care to
ve care to patients after surgery,
patients with -Management of
burns patients with burns
- Health education at
the time of discharge
after surgery.
Provide -Haemodynamic -Plan and Assess
comprehensi monitoring of patients provide performance
Surgical ve care to after surgery, monitor care to 1- using rating
1
ICU patients in for bleeding and other 2 scale
the complications, assigned -Assess skill
immediate maintain fluid patients with check list
127
post &electrolyte balance -Care -Evaluation of
operative after surgery, plan-1 careplan ,
period -Deep breathing & -Drug report of
-Detect & coughing exercise, book special
manage -Chest physiotherapy, -Report procedures
complication -Endotracheal and oral of special -Completion of
s suctioning. procedur activity record
after surgery es
128
-Assess patients with -Plan and -Asses
provide
musculoskeletal performance
care to
disorders, assist- in assigned using rating
Provide patients
application of plaster scale
comprehensi -Care
cast, skin traction plan -1 -Assess skill
ve -Report
Orthop &skeletal traction, with check list
nursing care of plaster
aedic - ROM exercises, cast -Evaluation of
2 to applicati
Ward& -provide careplan ,
patients with on,
OP comprehensive traction. presentation,
musculo- -case
care(pre & post report of
skeletal study/
operative) to patients presentat special
disorders. ion
with musculoskeletal procedures
disorders. -Completion of
activity record
Assess patients with -Plan and -Asses
ENT disorders, provide performance
care to using rating
Assist with diagnostic assigned scale
Provide & therapeutic patients -Assess skill
comprehensi procedures, instill ear with check list
ENT
ve care to drops, perform - -Evaluation of
wd& 1
patients with tracheostomy care & Observati report of
OP
ENT suctioning, on report special
disorders. Provide procedures
comprehensive care( -Completion of
pre & post operative) -Drug file activity record
to patients with
ENT disorders.
Opthal Provide care Assess patients with -Plan and Asses
provide
mology 1 to patients disorders of eye, assist performance
care to
Ward, with Eye diagnostic & assigned using rating
129
OP, OT Disorders therapeutic patients scale
Observati
procedures, instill eye -Assess skill
on
drops, apply eye report- with check list
OPD, OT,
bandage, provide pre -Evaluation of
Eye bank
& post operative care -Drug file health talk,
-Provide
to patients with eye report of
health
disorders, health educatio special
n
education procedures
to
to patients after eye patients -Completion of
with eye
surgery . activity record
surgery,
Observati
on
report,
-Drug file
PHARMACOLOGY
Placement: II year
Theory – 60 hours.
Course Description:
This course is designed to enable students to acquire understanding of
pharmacodynamics, pharmacokinetics, principles of therapeutics and nursing implications.
130
Teaching Assess
Time Learning
Unit Content learning ment
(hours) objectives
activities method
Introduction to
Pharmacology
-Definitions
-Sources
-Terminology used
-Types: Classification
Describe
-Pharmacodynamics:
pharmacodyna
Actions: therapeutic,
mics,
adverse, toxic Short
pharmacokineti Lecture
-Pharmacokinetics: answers
cs,
I 5 absorption, distribution,
classification Discussio
metabolism, interaction, Very short
and the n
excretion. answers
principles of
- Review : routes and
drug
principles of
administration
administration of drugs
- Indian Pharmacopoeia:
Legal issues
- Rational use of drugs
- Principles of
therapeutics.
Explain Chemotherapy
chemotherapy - Pharmacology of Essay
of specific commonly used Lecture
infections antibiotics. Short
II 10
and infestations -Pencillin Discussio answers
and - Cephalosporins n
nurse's - Aminoglycosides Very short
responsibilities - Macrolide & answers
131
broad spectrum
antibiotics
- Sulfonamides
- Quinolones
- Antiamoebic
- Antimalarials
- Anthelmintic
- Antiscabies agents
- Antiviral &
- anti fungal agents
- Antitubercular drugs
-Anti leprosy drugs
-Anticancer drugs
- Immuno suppressants
Composition, action,
dosage, route,
indications,
contraindications, drug
interactions, side
effects, adverse effects,
toxicity
role of nurse.
Pharmacology of
Essay
Describe commonly used
antiseptics, antiseptics, disinfectants
Lecture Short
disinfectants, and insecticides
answers
III 2 insecticides and - Antiseptics
Discussio
nurse's - Disinfectants
n Very short
responsibilities - insecticides
answers
Composition, action,
dosage, route,
132
indications,
contraindications, drug
interactions, side
effects, adverse effects,
toxicity and role of
nurse.
Drugs acting on G.I.System
- Pharmacology of
commonly used -
•Antiemetics,
• Emetics
• Purgatives
• Antacids
Essay
Describe drugs • Cholinergic
acting on Gastro • Anticholinergics
Lecture Short
intestinal Fluid and electrolyte
answers
IV 4 system and therapy
Discussio
nurse's Anti diarrhoeals
n Very short
responsibilities Histamines
answers
Composition, action,
dosage, route,
indications,
contraindications, drug
Interactions, side
effects, adverse effects,
toxicity and role of
nurse.
Describe drugs Drugs used on Respiratory Lecture Essay
used on System
V 3
Respiratory Pharmacology of Discussio Short
system and commonly used drugs n answers
133
nurse’s • Anti asthmatics
responsibilities • Mucolytics Very short
• Decongestants answers
• Expectorants
• Antitussives
• Bronchodilators
• Broncho constrictors
• Antihistamines
Composition, action,
dosage, route,
indications,
contraindications, drug
interactions, side
effects, adverse effects,
toxicity and role of
nurse.
Drugs used on Urinary
system
Pharmacology of
commonly used.
• Diuretics and Essay
Describe
antidiuretics
drugs used on Lecture
• Urinary antiseptics Short
Urinary system
VI 2 • Cholinergic and anti answers
and nurse's Discussio
cholinergics
responsibilities n
• Acidifiers and Very short
alkalanizers answers
Composition, action,
dosage , route,
indications,
contraindications, drug
134
Interactions, side
effects, adverse effects,
toxicity and role of
nurse.
Describe Miscellaneous Drugs
Drugs used in •Drugs used in
de-addiction, de- addiction
Essay
emergency, • Drugs used in CPR
deficiency of and emergency
Lecture Short
vitamins • Vitamins and minerals
answers
VII 4 & minerals, • Immunosuppressants
Discussio
poisoning, • Antidotes
n Very short
immunization • Antivenom
answers
and immuno- • Vaccines and sera
suppression and
nurse's
responsibilities
Describe drugs Drugs used on skin and
used on skin & mucous membranes
mucous - Topical applications for
membranes skin, eye, ear, nose and Essay
and nurse's buccal cavity
responsibilities Antipruritics Lecture Short
Composition, action, answers
VIII 2
dosage , route, Discussio
indications, n Very short
contraindications, drug answers
interactions, side
effects, adverse effects,
toxicity and role of
nurse.
135
Describe Drugs acting on Nervous
drugs used on system
Nervous system Basic & Applied
and role of pharmacology of
nurse. commonly used:
Analgesics and
Anaesthetics
• Analgesics
Non steroidal anti
inflammatory
(NSAID) drugs
• Antipyretics
Essay
• Hypnotics and
Sedatives
Lecture Short
Opioids
answers
IX 10 Non-Opioids
Discussio
Tranquilizers
n Very short
General & local
answers
anesthetics - Gases:
oxygen, nitrous
oxide, carbon-dioxide
• Cholinergic and anti-
cholinergics:
- Muscle relaxants
- Major tranquilizers
- Anti-psychotics
- Antidepressants
- Anticonvulsants
- Adrenergics
- Noradregenics'
- Mood stabilizers
136
- Acetylcholine
- Stimulants
Composition, action,
dosage,
route,indications,
contraindications, drug
interactions, side
effects, adverse
effects,toxicity and role
of nurse.
Describe Cardiovascular drugs
drugs used on • Haematinics
Cardiovascular •Cardiotonics
system and • Anti anginals
nurse's •Anti-hypertensives &
responsibilities Vasodilators
• Anti-arrhythmics
Essay
• Plasma expanders
•Coagulants &
Lecture Short
anticoagulants
answers
X 6 • Antiplatelets &
Discussio
thrombolytics
n Very short
• Hypolipidemics
answers
Composition, action,
dosage ,
route,indications,
contraindications, drug
interactions, side
effects, adverse
effects,toxicity and role
of nurse.
137
Describe Drugs used for hormonal
drugs used for disorders/supplementation
hormonal contraception
disorders and medical termination of
and pregnancy
supplementatio • Insulins & oral
n hypoglycemics
contraception • Thyroid supplements
and medical and suppressants
termination • Steroids, Anabolics
of pregnancy • Uterine stimulants
and nurse's and relaxants
Essay
responsibilities • Oral contraceptives
•Other estrogen-
Lecture Short
progestrone
answers
XI 6 preparations
Discussio
• Corticotrophine &
n Very short
Gonadotropines
answers
• Adrenaline
• Prostaglandins
• Calcitonins
• Calcium salts.
• Calcium regulators
Composition, action,
dosage, route,
indications,
contraindications, drug
interactions, side
effects, adverse effects,
toxicity and role of
nurse.
138
Demonstrate Introduction to Drugs used
awareness of in alternative systems of
Short
the medicine:
Lecture answers
common drugs Ayurveda,
XII 6
used in Homeopathy,
Discussion Very short
alternative Unani
answers
system of Siddha etc.
medicine
References
Sathoskar R.S., Bhandarkar S. D., Ainapure S. S. Pharmaccology & Pharmaco
therapeutics. Mumbay: Popular Parakashan Pvt. Ltd.
Udayakumar, P. Pharmacology For Nurses. New Delhi: Jay Pee.
Herbert-Ashton, M., Nancy, C. Pharmacology. New Delhi: Jones & Bartlett.
Sreevastava, M. Fundamental and Applied Pharmacology for Nurses. New Delhi: Jay
Pee.
Mckenery & Salerno. Mosby’s Pharmacology in Nursing. St. Louis: Elsevier.
Drug Hand book. Philadelphia: Lippincott Williams and Wilkins
Tripathi K. D. Essentials of Medical Pharmacology. New Delhi: Jaypee.
Mc Kenry, L. M. Salerno, E. Mosby’s Pharmacology in Nursing. St. Louis: Mosby.
139
COMMUNITY HEALTH NURSING-I
Placement: II Year Theory - 100 Hours
Practical – 160 Hours
Course description:
This course is designed for students to appreciate the principles of promotion and
maintenance of health of the individuals, families and community.
Teaching Assess
Time Learning
Unit Content learning ment
(hours) Objectives
activity methods
INTRODUCTION
Health:
- Definition
- Concept and
Determinants of
Describe
health
concept and
Dimensions of Health
dimensions of
- Physical, Lecture
health
- mental, Discussion
Apply the Essays
- social and Charts
I 5 levels of Short
- spiritual health Participatio
prevention in answers
Levels of prevention. n in clinic
health care
Protective activities
Promote
immunization, cold
healthy life
chain system
styles
Personal health and
Personal hygiene
Menstrual hygiene
Health Promotion
140
factors Definition using Short
affecting Components of models, answers
health environment charts and
Environmental slides Very
Sanitation- Definition short
Environmental Factors: answers
- Water, Air, light,
ventilation, noise,
climate, -Field trip
- Housing to water
- Global warming treatment
Rodents: restaurant
142
Descriptive, Analytical,
experimental
Epidemic investigation
EPIDEMIOLOGY AND
NURSING MANAGEMENT
OF COMMON
Describe COMMUNICABLE
Epidemiology DISEASES
and nursing Respiratory infections:
management - Small Pox, Chicken
of common Pox,
Communicabl - Measles, Influenza,
e diseases Rubella,
Essay
- ARI & Pneumonia,
Mumps,
Lecture Short
- Diphtheria,
discussion answers
Whooping cough,
V 25
- Meningococcal
Supervised Very
meningitis,
field short
- Tuberculosis, SARS,
practice in answers
Swine flue
health
Intestinal Infections :
centers
- Poliomyelitis, Viral
Project
Hepatitis,
- Cholera,
Diarrhoeal
diseases,
- Typhoid Fever,
Amoebiasis,
- Hook worm
infection,
143
Ascariasis,
Dracunculiasis.
Arthropod infections :
- Dengue, Malaria,
Filariasis,
- Chikungunya
Zoonoses:
Viral-
- Rabies, Yellow
fever,
- Japanese
encephalitis,
Kyasnur Forest
Disease.
Bacterial –
- Brucellosis, Plague,
Human
Salmonellosis,
Anthrax, Leptospirosis
Rickettsial diseases-
Rickettsial Zoonoses,
Scrub typhus, Murine
typhus, Tick typhus,
Q fever.
Parasitic zoonoses –
Taeniasis, Hydatid
disease,
Leishmaniasis.
Surface infection:
Trachoma,
144
Tetanus, Leprosy, STD
& RTI,
Yaws,
Management of
persons with HIV/AIDS
-Emerging and Re
emerging infectious
diseases
EPIDEMIOLOGY AND
NURSING MANAGEMENT
OF NON-COMMUNICABLE
DISEASES
Nutritional problems:
Malnutrition,under
nutrition, over Lecture
Describe the Essay
nutrition, nutritional Discussion
epidemiology
deficiencies, Anaemia
and nursing Short
and Obesity
management answers
VI 10 Hypertension Supervised
of common
Stroke field
non- Very
Rheumatic Heart practice in
Communicabl short
Disease health
e diseases answers
Coronary Heart Disease centers
Cancer
Diabetes mellitus
Blindness
Accidents
Mental illness
Fluorosis
145
scope of Definition Discussion Essay
demography
Demographic Cycle Surveys
-Describe
methods of Census Project Short
data
collection, Demographic trends in answers
analysis and India
interpretation
of Demographic rates and
demographic ratios
data
Demographic and
reproductive indicators
POPULATION CONTROL
Population explosion
and its impact on social
and economic -Lecture
Essay
development discussion
Promotion of small using
Short
Describe family norm-Family charts,
answers
methods of Planning models
VIII 7
population Methods of and slides
Very
control contraception: -
short
Temporary and Supervised
answers
Permanent family field
planning methods practice
Emergency
contraception
MTP
Identify the INFORMATION, -Lecture Essay
various EDUCATION AND discussion
IX 7 aspects of COMMUNICATION (IEC) using Short
health - Definition different answers
education and - Aims & objectives types of AV
146
apply in the Health Education- aids
community Principles & approaches health talks
health nursing AV aids in Health Demonstra
practice Education tion
Methods& media of IEC Project
REFERENCE
Park. K. Text book of Preventive & Social Medicine, M/s Banarsidas Bhanot
Publishers Jabalpur, Latest edition.
Suryakantha.H A. Community Medicine-with Recent Advances, Jaypee Brothers
Medical Publishers, New Delhi.
Gupta MC & Mahajan BK. Text Book of Preventive and Social Medicine, Jaypee
Brothers Medical Publishers, New Delhi.
Gulani.K.K. Community Health Nursing. Principles & practice. Kumar Publishing
House, New Delhi.
Swarankar K. Community Health Nursing, N.R. Brothers, Indore.
Sridhar Rao. Principles of Community Medicine. AITBS Publishers, New Delhi.
Neelam Kumari. A Text Book of Community Health Nursing-I, S.Vikas & Company,
Jalandhar.
Rao, Kasthuri Sundar, An Introduction to Community Health Nursing, B.I.
Publications, Madras.
Community Health Nursing Manual, TNAI Publication, GreenPark, New Delhi. Latest
edition
National & International Journals on Public Health .
147
COMMUNITY HEALTH NURSING I – Practical
Placement : II Year Duration: 160 Hrs (4 Weeks)
Duration
Assessment
Areas (in Skills Assignments
methods
weeks)
-Maintain Health talk-1 -Assess
Sub 1 week interpersonal -Report of the clinical
Centre relationship. activities of performance
-Identify health SC, PHC, CHC, with rating
Primary 1 week deviations of UHC scales
Health individuals -Report of
Centre -History taking the posting to -Health talk
clinics
-Physical examination -Report of
(Preventive
-Collect specimens : clinic , NCD observation
Commu sputum, malaria smear Clinic and visits
Family
nity 1 week -Perform simple lab
Planning unit)
Health tests- blood for - -Completion
Centre Haemoglobin, sugar, Epidemiologic of activity
al survey-
urine for albumin & record
Report
sugar Report of field
Urban -Administer vaccines visits to
Health 1 week and medications to -Water
Centre- adults purification
UHC -Render need based plant, Sewage
treatment
services to the clients plant and Milk
-Educate individuals pasteurizing
on prevailing health plant,Anganw
adi , Meat
problems
processing
-Conduct unit,
epidemiological survey
- chlorination of
domestic well.
148
THIRD YEAR B.SC NURSING
MEDICAL SURGICAL NURSING –II (ADULT including GERIATRICS)-II
Placement: III Year Theory: 110 hours
Nursing faculty: 80 hours
External faculty: 30 hours
Practical-400 hours
Course description:
This course is designed to enable the students to recognize the etiology,
pathophysiology, symptomatology, diagnostic measures and management of patients with
complex medical and surgical conditions in cardiology, cardiothoracic surgery, neurology,
neurosurgery, nephrology, urology, oncology, plastic and reconstructive surgery and
emergencies and to provide comprehensive nursing care to such patients.
Teaching Assess
Time Learning
Unit Content learning ment
(hrs) objectives
activities method
Nursing management of Lecture
patients in critical care units
-Describe
Critical care units : Discussion
the
organizational set up,
organization
policies, staffing norms, Explain
of critical
principles of critical care using
care units. Essay
nursing charts,
-Describe
protocols, equipments graphs,
I 8 the role of Short notes
and supplies , ventilators, models,
the nurse in Very short
monitors, infusion films,
managemen notes
pumps, defibrillators, slides,
t of patients
infection control in
in critical
critical care units. Demonstr
care units.
psychosocial aspects. a
nursing assessment- tion
history& physical
149
examination in the Practice
critical care units session
Special treatments and
procedures-cardiac Discussion
monitoring, /
haemodynamic seminar
monitoring.
CPCR- BLS, ACLS Health
transitional care education
units. practice
records
ethical and legal aspects. Drug
150
fire, explosion, Demonstr
accidents, violence, a
terrorism, tion
biochemical war.
-Policies related to Practice
emergency/ disaster session
management:
international, national Discussion
and state, institutional. /
-disaster preparedness : seminar
team, guidelines,
protocols, equipments, Health
resources, coordination education
and involvement of
community, government Supervised
departments, clinical
nongovernmental practice
organizations,
international agencies. Disaster
role of the nurse in managem
disaster management. ent drills
disorder. presentati
rehabilitation: physical, on
psychosocial, financial,
relocation.
Emergency nursing :-
- concepts, principles of
emergency nursing.
151
- issues in emergency
care.
Organization of
emergency services :
physical set up, staffing,
equipments and supplies,
protocols.
- Concepts of triage and
role of the nurse.
- Coordination and
involvement of
different departments
and facilities
- Medico legal aspects
Nursing care of the elderly Lecture
Ageing- concepts,
Explain theories, ageing process Discussion
concepts, Demographics in ageing
theories Psychosocial aspects, Explain
and stress and coping in older using
Essay
problems of adults charts,
ageing. Cognitive aspects of graphs,
Short notes
III 12 ageing. models,
Describe Normal biological ageing. films,
Very short
the nursing Age related changes in slides,
notes
care of the body systems, health
elderly. promotion strategies. Practice
cardiovascular, presentati
152
respiratory, on,
musculoskeletal, seminar
endocrine, genitourinary,
gastrointestinal, Health
neurological, skin & other education
sensory organs.
Psychosocial and sexual Supervised
abuse of the elderly. clinical
Environmental aspects of practice
ageing.
Role of the nurse in the Drug
care of the elderly- home book/
& institutional care. presentati
caregivers of elderly.
Role of family, formal and Visit to old
154
undergoing cardiac
surgery
- Drugs used
- Rehabilitation
Nursing management of
patients with neurological
Describe
conditions
the medical, Lecture
Neuro assessment
surgical and Essay
Medical:Epilepsy
15 nursing Discussion
Surgical :Head injury,
VI NF-10 managemen Short notes
spinal cord injury, IVDP,
EF-5 t of patients Demonstr
ICSOL-Brain tumours,
with ation Very short
cerebral aneurysms
neurological notes
Nursing management-
conditions.
cranial and spinal
surgeries
Describe Nursing management of
Lecture
the nursing patients with renal Essay
8 Discussion
managemen disorders Short notes
VII NF-4 Demonstr
t of patients Renal failure Very short
EF-4 ation
with renal CRRT, Dialysis, Renal notes
disorders transplantation
Nursing management of Seminar
Describe patients with oncologic Lecture
the nursing disorders. Discussion Essay
15
managemen structure and Slides
VIII t of patients characteristics of normal Demonstr Short notes
NF-10
with and cancer cells. ation
EF-5
oncologic - cell cycle Very short
disorders. Nursing assessment- Practice notes
history and physical session
155
examination
prevention, screening,
early detection, warning
signs of cancer Health
epidemiology, etiology, education
pathophysiology, Supervised
classification, staging and clinical
grading, clinical practice
manifestations,
diagnosis, treatment Drug book
modalities and medical, presentati
surgical & nursing on
management of
oncologic conditions: Visit to
- Oral, larynx, lung, palliative
stomach, colon, liver, care
breast, cervix, ovary, centre,
uterus, sarcoma, brain, Hospice
renal, bladder, prostate.
Oncological emergencies
Modalities of treatment:
Chemotherapy, radiation
therapy, immunotherapy,
surgical interventions,
stem cell and bone
marrow transplantation,
gene therapy, other
forms of treatment.
Psychosocial aspects of
cancer
Rehabilitation
156
Palliative care : symptom
and pain management,
nutritional support
Home care, hospice care,
special therapies
Reconstructive and
cosmetic surgeries.
Nursing management of
patients with plastic, Lecture
Describe reconstructive and Discussion
the nursing cosmetic surgeries Slides
Essay
managemen Types of reconstructive Demonstr
6 t of patients and cosmetic surgery for ation
Short notes
IX NF-3 with plastic, : traumatic injuries,
EF-3 reconstructi burns, congenital defects, Practice
Very short
ve and Skin grafts session
notes
cosmetic cosmetic surgeries-
surgeries prosthesis Health
Nursing management- education
pre &post operative care
Legal aspects
Rehabilitation
References:
Smeltzer, S., Bare, B. G., Hinkle, J.L., Cheever, K. H. Brunner & Suddarth’s Text Book
of Medical Surgical Nursing New Delhi : Wolters Kluwer
Black and Mattassarin Jacobs, Luckmann and Sorrensen’s Medical Surgical Nursing:
Philadelphia.W.B.Saunders
Lemone Pricilla and Burke Karen M. Medical Surgical Nursing: California. Addison
Wesley
Krishnadas K V. Textbook of Medicine; NewDelhi , Jaypee Brothers
157
Haslet, Chilvers, Hunter and Boon. Davidson’s Principles and Practice of Medicine:
Edinburgh. Churchil Lingstone
Miaskewski and Buchoel.Oncology Nursing-Assessment and Clinical Care:
St.Louis.Mosby
Otto Shirlay. Oncology Nursing: St. Louis.Mosby
Hicky Joanne V. The Clinical practice of Neurological and Neurosurgical Nursing:
Philadelphia. Lippincott
Woods Sivarajan, Frolikher . Cardiac Nursing: Philadelphia, Lippincott
Daver Antina and Furnas. Hand book of Plastic Surgery: Bombay. Oxford university
Press
Patricia Tabloski . Gerontological Nursing: Pearson Prentice Hall
Joanne C Langan Preparing Nurses for Disaster Management: Pearson-Prentice
Hall.
National & International Journals on Critical Care Nursing.
158
analysis &
interpret result -Completion
-Assist with arterial of activity
puncture record
-Maintain CVP line, -OSCE
Pulse oximetry
-CPR-ACLS -
Defibrillators,
Pacemakers,
-Bag-mask ventilation
-Emergency
tray/trolley,
Crash cart
-Administration of
drugs
-Infusion pump
-TPN
-Chest physiotherapy,
active and passive
exercises
-Counsel patient and
family in dealing with
grieving and
bereavement
-Provide -Practice “ triage’’. Observatio -Assess
care to -Assist with n report of performanc
Casualty patients in assessment, emergency e with
/Emerge 1 emergency examination, unit rating scale
ncy unit and disaster investigations and -Evaluation
situation their interpretations Drug book of
in emergency and observation
159
-Counsel disaster situations report
patients and -Assist in -Completion
families for documentations of activity
grief and -Assist in legal record
bereavemen procedures in the
t emergency unit.
-Participate in
managing crowd
-Counsel patient and
families in grief and
bereavement
-Provide -Monitoring and care Observatio -Assess
care to of patients n report performanc
patients -Assist in e with
Dialysis undergoing documentation, Drug book rating scale
unit & 1 haemodialys patient education, -Evaluation
Transpla is/ and counseling of
nt unit peritoneal observation
dialysis and report
renal -Completion
transplantati of activity
on record
Coronar -Provide -Assist in arterial -Provide -
y ICU, care to puncture for ABG care to Observation
Cath critically ill analysis assigned of
Lab, patients. -Interpret ABG values patients performanc
-Develop -Record ECG-interpret -Arterial e
2
Cardiac skill in values puncture- -Evaluation
OT, assisting -Care of patient on -Recording of report
Card with special mechanical ventilator of ECG- -Completion
surg procedures -Assist in endotracheal -Tracheal of activity
160
ICU, used in intubation, suctioning- record
WARD critical endotracheal -
care unit. suctioning Administra
-Identify -Demonstrate the use tion-CPAP
potential of-ventilators - Care plan
problems cardiac monitors, / case
and hemodynamic presentatio
provide care monitoring, pulse n, care
accordingly. oximetry, CPR-ACLS, study
-Develop defibrillators, -Drug
skill in pacemakers, bag- record
setting and mask ventilation,
handling infusion pumps,
ventilator. -.TPN
-Administer -Chest physiotherapy,
Injections in active and passive
Infusion exercise
pump. -Assist with
-Maintain interventional
records of cardiology
observations
and drugs
-Develop -Assess neurological -Provide Assessment
skill in status care to of
neurological -Provide care to assigned performanc
Neurosu
assessment patients with head patients e
rgical
1 -Provide injury and spinal -Neuro
ICU &
care to injury assessment Completion
OT
patients with -Pre and post :-head of activity
head injury, operative care to injury, record
spinal injury, neurosurgical patients spinal
161
cranial & -Assist with surgical injury- pre
spinal procedures op & post
surgery op.
-
Careplan/c
ase
presentatio
n/carestud
y
-Drug file
-Nursing care of -Provide Assess skill
patients undergoing care to with
various reconstructive assigned checklist
surgeries. patients Assess
Plastic
1 - participate in -Nursing performanc
and -Provide
rehabilitation care plan e with
reconstr care to
programme - rating scale
uctive patients
Observatio Evaluation
surgery undergoing
n report of of care plan
reconstructiv
burns unit Observation
e surgeries
report
Completion
of activity
record
-Provide -Screening for -Provide -Assess skill
care to common cancers: care to with
patients with breast self assigned checklist
Oncolog
2 cancer examination, warning patients
y unit
-Counsel signs - Assess
patients and -Assist with Careplan/c performanc
families diagnostic procedures ase ewith rating
162
: biopsies, pap smear, presentatio scale
bone marrow n/carestud
aspiration, breast self y Evaluation
examination -Drug book of care plan,
-Assist with - drug book
therapeutic Observatio and
procedures n report of Observation
-Participate in various cancer unit report
modalities of
treatment- Completion
chemotherapy, of activity
radiation therapy, record
pain management,
hormonal therapy
immunotherapy, gene
therapy,
-Alternative therapy
-Participate in
palliative care
-Counsel and teach
patients and families
-Participate in
rehabilitation
programmes
Clinical assignments
Nursing care plan -4 Case presentation -2
Nursing care study -1 Drug book
Observation reports
163
Child Health Nursing
Placement- III Year Theory: 140 hours
Nursing Faculty: 105 hours
External Faculty: 35 hours
Practical: 400 Hours
Time Allotment:
Genetics & Embryology- 10 Hours Pediatric surgery - 10 Hours
Pediatric Medicine - 15 hours Child health nursing- 105 Hours
Total - 140 Hours
Course Description:
Students identify the normal growth and development, needs/problems of children
of various age groups and deviations from normal, recognize the basic concepts, principles
and techniques of child care and the role of family in child rearing, develop beginning ability
to plan and provide comprehensive nursing care to children suffering from diseases and
disorders.
Teaching Assess
Time Learning
Unit Content learning ment
(hrs) Objectives
activity methods
-Explain the Concepts of child care Essay
concept of child History of Child
care Health Nursing Short
-Describe the Principles of Child answers
principles of Health Nursing Lecture
child health Difference between Discussion Very
nursing adult and child short
I 6
-Recognize the nursing answers
difference Rights of children
between child Qualities of a Child
and adult Health Nurse
nursing National policy &
-Describe legislations in
national policy
164
and child relation to child
welfare health and welfare.
programmes Child welfare
programmes: State,
National,
International
165
developmental
problems and needs
of children from
infancy to
adolescence;
behavioural
problems,habit
disorders and
management
-Play needs of
children
Describe the Nutritional needs and
Nutritional care of children with
needs of infants Nutritional disorders. Lecture
& Nutritional needs of
children infants &children: Discussion
Essay
-Explain the breast feeding,
nursing supplementary/ Demonstra
management of artificial feeding and tion
Short
children with weaning
answers
various -Baby friendly Practice
IV 5
nutritional hospital initiative session
Very
disorders. -Nutritional
short
requirements in Clinical
answers
children, practice
-Nutritional
deficiency
Disorders:-Protein
Energy Mal nutrition,
-Vitamin & Mineral
Deficiencies
166
-Explain the Nursing care of a
nursing neonate
management of -Nursing care of a
normal/ high normal newborn
risk neonate. -Essential newborn
-Perform care Lecture
neonatal -Kangaroo mother Discussion
resuscitation. care Workshop Essay
-Recognize and -Nursing on
manage management of high neonatal Short
common risk neonate: low resuscitati answers
V 10 neonatal birth weight babies, on
problems preterm babies, Demonstra Very
Management of tion short
common neonatal Practice answers
problems: session,
respiratory distress Clinical
syndrome, hyper practice
bilirubinemia,
meconium aspiration
syndrome, infant of
diabetic mother,
neonatal sepsis
-Identify the Caring for a hospitalized
reactions of child
Essay
child and family -Role of Child Health Lecture
towards Nurse in caring for a
VI 3 Short
hospitalization hospitalized child Discussion
answers
and illness -Reaction of child
-Describe the and family towards
major functions illness and
167
and role of hospitalization and
pediatric nurse nurse’s role in
in caring a minimizing stress.
hospitalized -General
child preoperative and
post-operative
management of
children
-Describe the Nursing management of
nursing children with Lecture
management of Respiratory disorders cum
Essay
children with and infections Discussion
respiratory Nursing management
Short
disorders of children with Demonstra
answers
URTI : tonsillitis, tion
VII 5
Croup, LRTI:
Very
Bronchial asthma, Practice
short
Pneumonia, session
answers
Bronchiolitis,
Tuberculosis, Clinical
Emphysema, practice
Empyema
Describe the Nursing management of
nursing children with Essay
11 management of Gastrointestinal Lecture
VIII children with disorders Discussion
gastro- -Gastro enteritis, Clinical Short
intestinal Malabsorption Practice answers
disorders syndrome, Hepatitis,
Indian childhood Very
cirrhosis short
168
-Cleft lip & Palate, answers
Tracheo-esophageal
fistula,
Diaphragmatic
Hernia,
Pyloric stenosis,
Intestinal
obstruction,
Intussusception,
Hirschsprung’s
disease,
Anorectal
malformation,
Abdominal wall
defects-
omphalocele,
exomphalos,
gastroschisis, Hernias
Describe the Nursing management of
nursing children with Cardio
Essay
management of vascular disorders Lecture
children with -Rheumatic fever,
Short
cardio Rheumatic Heart Discussion
answers
vascular Disease, Heart
disorders. failure, Kawasaki Clinical
IX 7 Very
Disease. practice
short
Congenital heart
answers
defects-
-Patent ductus
arteriosus, Atrial
169
septal defect,
Ventricular septal
defect, Tetralogy of
Fallot, TGA
-Explain the Nursing management of
nursing children with Genito
management of urinary disorders Essay
Lecture
children with -UTI, Acute
Discussion
common glomerulo nephritis, Short
Clinical
genito-urinary Nephrotic syndrome, answers
6 practice
X disorders - Wilms’ tumor, Very
Obstructive short
uropathy, Epispadias, answers
hypospadias, Ectopia
vesica.
- Describe the Nursing management of
nursing children with
management of Neurological infections Essay
children with and disorders:
neurological -seizure disorder, Lecture Short
disorders meningitis, Discussion answers
XI 6 encephalitis, neural Clinical
tube defects, practice Very
encephalocele, short
hydrocephalus, answers
- Head Injury, brain
tumors,
--cerebral palsy
Explain the Nursing management of Essay
XII 6 nursing children with Lecture Short
management of Hematological Discussion answers
170
children with disorders: Clinical
common Anemias, Practice Very
hematological thalassemia, ITP, short
disorders Leukemia, Hodgkins’ answers
& Non Hodgkin’s
Lymphoma,
hemophilia
Describe the Nursing management of
nursing children with Endocrine Short
Lecture
management of disorders answers
Discussion
children with - Juvenile Diabetes
Clinical
XIII 3 common Mellitus, Congenital Very
practice
endocrine hypothyroidism short
disorders Growth hormone answers
deficiency
Describe the Nursing management of Lecture Short
nursing children with cum answers
management of Orthopedic disorders Discussion
XIV 2 children with club feet, Very
orthopedic congenital hip Clinical short
Conditions dislocation practice answers
Describe the Nursing management of
Lecture
nursing children with Genetic
Short
management of Disorders
Discussion answers
children with - Down’s Syndrome,
common -Turner’s syndrome,
XV 5 Clinical Very
Genetic -Kleinfelter’s
practice short
disorders syndrome,
answers
-Edwards syndrome,
-Inborn errors of
metabolism:
171
phenylketonuria,
albinism,
galactosemia,
-genetic counseling
Describe the Nursing management of
nursing children with Common
management of disorders of skin, eye
children with and ear
disorders of Skin: scabies,
skin, eye, and pyoderma, Short
ears. staphylococcal Lecture answers
XVI 3
scalded skin Discussion
syndrome Clinical Very
Eye: congenital practice short
glaucoma, cataract, answers
squint ,refractive
errors
Ear : wax, otitis
externa, otitis media,
mastoiditis,
childhood deafness
Describe the Nursing management of
nursing children with Short
management of communicable diseases Lecture answers
children with communicable Discussion
XVII 5 communicable diseases in children Clinical Very
diseases. and its prevention practice short
and management answers
Dengue fever, Chikun
Gunya
172
- Nursing care of
infant and children
with HIV/AIDS,
Explain the Child health
Short
nursing emergencies Lecture
answers
management of -accidents, Poisoning, Discussion
XVIII 5 children with foreign bodies, shock, Clinical
Very
emergency hemorrhage, burns, practice
short
conditions. drowning, snake bite-
answers
Nursing management
-Identify the Management of Lecture
social & welfare challenged children: Discussion
Short
services for Field
answers
challenged Mentally, Physically, visits to
children & Socially challenged school for
XIX 3 Very
mentally,
short
-Welfare services for physically
answers
challenged children and
in India. socially
challenged
173
Genetics and Embryology ( 10 hours)
-Concepts and importance in Pediatrics.
-Gene structure and function
-Pattern of inheritance
-Common chromosomal disorders - Down’s Syndrome, Turner’s
syndrome, Klinefelter’s syndrome, Edwards syndrome, Albinism, Inborn
errors of metabolism, phenylketonuria, galactosaemia, and mental
retardation
-Growth and development of fetus
-Mal development leading to congenital anomalies
-Genetic testing in neonates and children
Paediatric surgery - (10 Hours)
Management of children with congenital disorders and diseases of:
-Cardiovascular System: Patent Ductus Arteriosus, Ventricular Septal
Defect, Atrial Septal Defect, Tetralogy of Fallot
-Gastro intestinal system : Cleft lip, Cleft palate, Tracheo-esophageal
fistulae, Pyloric stenosis,Intestinal obstruction, Hirschsprung’s disease,
Anorectal malformations, Omphalocele, Hernias.
-Central Nervous System : Head injury, Hydrocephalus, Spina bifida,
Encephalocele, Brain tumors
-Genitourinary system: Wilm’s tumor, Obstructive uropathy, Epispadias,
Hypospadias, Ectopia vesicae
-Orthopedic Disorders : Club foot, Hip dislocation, Fracture
-Burns
174
Paediatric Medicine(15 hrs)
Management of children with diseases of:
-Respiratory system: Croup, Bronchiolitis, Bronchitis, Pneumonia,
Tuberculosis, Bronchial Asthma, emphysema, Empyema, Epiglottitis.
-Cardiovascular System: Rheumatic fever, Rheumatic Heart Disease,
Congestive Heart Failure, Kawasaki disease.
-Gastrointestinal system: Gastroenteritis, Malabsorption syndrome,
Hepatitis
-Central Nervous System: Meningitis, Encephalitis, Cerebral palsy,
Convulsions, Epilepsy
-Genito urinary system: Acute glomerulonephritis, Nephrotic syndrome,
Renal failure
-Endocrine Disorders- Juvenile Diabetes, Congenital Hypothyroidism.
-Haematology : Anemia, Thalassemia, Hemophilia, Leukemia,
Lymphomas, ITP, HIV/AIDS.
References
Marlow and Redding Textbook of pediatric Nursing Latest Edition, WB. Saunders
Company.
Wong DL & Hockenberry M J ,Wong’s Nursing care of Infants and Children, Mosby
Marilyn J Hockenberry , Wong’s essentials of Pediatric Nursing, Mosby
Behrman, Kliegman &Arvin, Nelsons’s Text book of Pediatrics ( Book I & II) ,W.B.
saunders Company
Nancy Tkacz Browne, Laura M Flanigan, Carmal,Pam. Nursing care of the pediatric
surgical patient , Jones and Bartlett publishers.
O.P GHAI, Essential pediatrics,.lnterprint, New Delhi.
Meharban Singh, Care of New born. Sagar Publications, New Delhi
Susamma & Anupama Text book of Paediatric Nursing 1st edn Jaypee Brothers
NewDelhi.
Ashcraft KW, Holocomb GW & Murphy J.P. Peadiatric Surgery, Elsevier. Saunders
Neill JA. Principles of Pediatric Surgery, Mosby, St. Louis
175
Kyle and Carman, Essentials of Pediatric Nursing, Lippincott Williams & Wilkins.
Meharban Singh, Paediatric Emergencies, Sagar Publications.
Bowden, Children andTtheir Family, Lippincott Williams & Wilkins.
National & International Journals on Paediatric Nursing.
176
Teach mothers/parents -
on malnutrition, oral Completio
rehydration therapy , n of
feeding & weaning, activity
immunization record
schedule, play
therapy, specific
disease conditions
177
-Perform Assessment of children Growth and -Assess
assessment Health assessment development clinical
of children: Developmental assessment of performa
health, assessment different age nce with
developmen Anthropometric groups. rating
Paediat
tal and assessment Health scale
ric
anthropome Immunization education –I -
OPD/
1 tric - Health/nutritional Completio
Immuni
Perform education n of
zation
Immunizatio activity
room
n record
-Give health
education
/nutritional
education
Provide Care of a child on Nursing care Assess
nursing care ventilator plan-I clinical
to critically Endotracheal suction performa
ill children Chest physiotherapy nce with
Peadiat Administer fluids with rating
ric infusion pump scale
Medici Total parenteral Completio
2
ne and nutrition n of
surgery Monitoring of babies activity
ICU Cardio Pulmonary record
resuscitation Evaluation
of
observatio
n report
178
Perform Care of babies in New born and Evaluation
newborn incubator preterm of new
Neonat and /Warmer/ventilator/ assessment born and
al care preterm phototherapy. preterm
2
unit assessment Nursing care of high assessme
risk neonates. nt and
Neonatal care
resuscitation.
Clinical assignments
Nursing care plan –3 Care Study –1
Case presentations –2 Health talk –1
Growth and Development assessment of newborn, infant, toddler, preschooler,
schooler–4
Drug file Project
Teaching Assess
Time Learning
Unit Content learning ment
(Hrs) objectives
activity method
6 -Describe the Introduction
I
NF-5 historical -Perspectives of Mental
179
EF-1 development Health and Mental Health Lecture Short
& current nursing: evolution of mental answer
trends in health services, treatment s
mental health and nursing practices. Discussion
nursing -Prevalence and incidence
-Describe the of mental health problems
epidemiology and disorders in India
of mental -Mental health team
health -Nature and scope of
problems mental health nursing
-Discuss the -Role and functions of
roles and mental health nurse in
responsibilitie various settings and factors
s of the Nurse. affecting the level of nursing
-Discusses the practice
scope of -Concepts of normal and
mental health abnormal behaviour
nursing
-Describe the
concept of
normal and
abnormal
behavior
-Defines the Principles and Concepts of
various terms Mental Health Nursing Lecture Essay
9 used in mental -Definition: mental health
NF-7 health nursing nursing and terminology Discussion Short
II
EF-2 -Explains the used answer
classification -Classification of mental Explain s
of mental disorders: ICD using
disorders -Review of personality Charts Very
180
-Explain development, defense short
psycho mechanisms Review of answer
dynamics of -Maladaptive behaviour of personalit s
maladaptive individuals and groups : y
behaviour stress, crisis and disaster(s) developm
-Discuss the -Etiology : bio-psycho-social ent
etiological factors
factors, -Psychopathology of mental
psychopatholo disorders: review of
gy of mental structure and function of
disorders brain, limbic system and
-Explain the abnormal neuro
Principles and transmission
standards of -Principles of Mental health
Mental health Nursing
Nursing -Standards of Mental health
-Describe the Nursing practice
conceptual -Conceptual models and the
models of role of nurse:
mental health Psycho-analytical models-
nursing Freud
Behavioural model-
BF. Skinner, Joseph Wolpe,
EL.Thorndike, Ivan Pavlov
Psychosocial model-
Erikson
Interpersonal model-
H. Peplau, H.S. Sullivan
Assessment of mental health
III 5 -Describe status Lecture Short
181
NF-3 nature, -History taking answer
EF-2 purpose and -Mental status examination s
process of -Mini mental status Discussion Very
assessment of examination short
mental health -Neurological examination: Demonstr answer
status review ation s
MRI skills
182
therapies used -Psycho Pharmacology Discussion answer
in mental -Psychological therapies: s
disorders and - Therapeutic Demonstr
role of the community, ation Very
nurse - Psycho therapy- short
- Individual therapy , Group answer
- psychoanalytical, work s
- cognitive and
supportive - Family Practice
Therapy session
Group Therapy :
Behavioral Therapy Clinical
Psycho-drama
Music, Dance,
Recreational and
Light therapy,
Relaxation therapies :
- Relaxation Technique,
- Yoga, Meditation,
- Biofeedback
Occupational therapy
Physical Therapy:
Electro convulsive therapy
183
Describe the Nursing management of
Lecture
etiology, patient with Schizophrenia
psycho- and other delusional disorders
Discussion
pathology, -Classification; ICD
Essay
clinical -Etiology, psycho-
Case
manifestations pathology, types, clinical
discussion Short
, manifestations, diagnosis
6 answer
diagnostic -Nursing Assessment-
NF-5 Case s
VI criteria and History, Physical and mental
EF-1 presentati
management assessment
on Very
of patients -Treatment modalities and
short
with nursing management of
Clinical answer
Schizophrenia patients with Schizophrenia
practice s
-Follow-up, home care and
rehabilitation
184
patients with mood
disorders
-Follow-up and home care
and rehabilitation
Describe the Nursing management of
etiology, patient with neurotic, stress
psycho- related and somatoform
pathology, disorders
clinical -Anxiety disorder, Phobias, Lecture
manifestations Dissociative disorder,
, diagnostic Obsessive compulsive Discussion
criteria and disorder, somatoform Essay
management disorders, Post traumatic Case
of patients stress disorder discussion Short
7
with neurotic, -Etiology, psycho- answer
NF-5
VIII stress related pathology, clinical Case s
EF-2
and manifestations, diagnosis presentati
somatoform -Nursing Assessment- on Very
disorders History, Physical and mental short
assessment Clinical answer
-Treatment modalities and practice s
nursing management of
patients with anxiety, OCD,
Phobias, stress related and
somatoform disorders
-Follow-up and home care
and rehabilitation.
6 Describe the Nursing management of Lecture Essay
NF-5 etiology, patient with Substance use
IX
EF-1 psycho- disorders Discussion Short
pathology, Commonly used answer
185
clinical psychotropic substance: Case s
manifestations Classification, forms, routes, discussion
diagnostic action, intoxication and Very
criteria and withdrawal Case short
management -Etiology of dependence: presentati answer
of patients tolerance, psychological on s
with substance and physical dependence,
use disorders withdrawal syndrome, Clinical
diagnosis, practice
-Nursing Assessment-
History, Physical, mental
assessment and drug
assay
-Treatment (detoxification,
antabuse and narcotic
antagonist therapy and
harm reduction) and
nursing management of
patients with substance use
disorders
Follow-up and home care
and rehabilitation
Describe the Nursing management of Lecture
etiology, patient with Behavioral Essay
psycho- syndromes associated with Discussion
7
pathology, Physiological disturbances and Short
NF-6
X clinical physical factors, sleep Case answer
EF-1
manifestations Sexual dysfunction and discussion s
diagnostic Eating disorders
criteria and -Eating disorders : Anorexia Case Very
management nervosa, Bulimia nervosa presentati short
186
of patients -Non organic sleep disorder on answer
with sleep, : s
sexual and Insomnia, Hypersomnia, Clinical
eating Sleep walking, Nightmares practice
disorders -Sexual dysfunctions
-Puerperium psychosis
-Classification of disorders
-Etiology, psycho-
pathology, characteristics,
diagnosis,
-Nursing Assessment-
History, Physical and mental
assessment
-Treatment modalities and
nursing management of
patients with non organic,
sleep, sexual and eating
disorders
-Follow-up and home care
and rehabilitation
Describe the Nursing management of Lecture
Essay
etiology, childhood and adolescent
psycho- disorders including mental Discussion
Short
pathology, deficiency
6 answer
clinical Classification Case
NF-4 s
XI manifestations Etiology, psycho-pathology, discussion
EF-2
, diagnostic characteristics, diagnosis,
Very
criteria and nursing assessment Case
short
management (history, physical , mental presentati
answer
of childhood and IQ assessment) on
s
and adolescent
187
disorders Mental Retardation Clinical
including Developmental disorder of : practice
mental Speech & language,
deficiency Scholastic skills,
Hyperkinetic disorder,
Conduct disorder, Autism,
Enuresis, Encopresis,
Tic disorders
Describe the Nursing management of
etiology, organic mental disorders Lecture
psycho- -Classification, Etiology,
pathology, psycho-pathology, clinical Discussion
clinical features, diagnosis and Essay
manifestations differential diagnosis of- Case
, diagnostic Dementia, Delirium, discussion Short
6
criteria and Alzheimer’s answer
NF-5
XII management -Nursing Assessment- Case s
EF-1
of organic History, Physical, mental presentati
brain disorders and neurological on Very
assessment short
-Treatment modalities and Clinical answer
nursing management of practice s
organic mental disorders
-Follow-up and home care
and rehabilitation
Identify Psychiatric emergencies and Lecture
7
psychiatric crisis intervention Essay
NF-6
XIII emergencies -Types of psychiatric Discussion
EF-1
and carry out emergencies and their Short
crisis management Case answer
188
intervention -Stress adaptation Model: discussion s
stress and stressor, coping,
resources and mechanism Case Very
-Grief: Theories of grieving presentati short
190
levels including
rehabilitation and role of
nurse
-Mental Health Agencies:
Government and voluntary,
National and International
-Mental health nursing
issues for special
populations: Victims of
violence and abuse,
disaster, HIV/AIDS etc.
References
Townsend C. Mary, Psychiatric Mental Health Nursing. Jaypee Brothers Medical
Publishers
Sadock K.Synopsis of psychiatry, William and Wilkins Baltimore, USA
Stuart G.W.& Sandeen S.J Psychiatric Nursing, C.V. Mosby company
Fortinash, M.K, Worret, H.A.PsychiatricMental Health Nursing, Latest edition, Mosby
Publications.
Fortinash, M.K, Worret, H.A. Psychiatric Nursing Care plans, Latest edition, Mosby
Publications.
Lalitha K. Mental Health & Psychiatric Nursing, An Indian Perspective, VMG book
house.
Ahuja N. A short Text Book of Psychiatry, (Latest Edition), Jaypee Brothers Medical
Publishers.
Judith Sheila V. Lippincott Manual of Psychiatric Nursing Care plan, Williams &
Wilkins , Philadelphia
Gelder M. Oxford, Textbook of Psychiatry, New York, Oxford University Press
WHO- ICD – 10 Classification of mental & behavioural disorders, Oxford University
Presss, Oxford
191
Beck, Rawline & William, Mental Health Psychiatric Nursing- A holistic life cycle
approach, C.V Mosby Company
Neeraja, Essentials of mental health and Psychiatric nursing Jaypee Brothers Medical
publishers.
Lego, Suzanne, The American Hand book of Psychiatric Nursing, J.B. LippinCott
company, Philadelphia
Boyd Ann Mary – Psychiatry Nursing Contemporary practices. Lippincott William &
Wilkins
Shives Rebraca Louise – Basic concepts of psychiatric. Mental Health Nursing,
Lippincott William & Wilkins
Stuart W. Gail, Laraia T. Michele. Principles & Practice of Psychiatric Nursing,
(Mosby) Elseviers
National Mental Health Programme for India- draft
Mental Health Act, 1987
Schultz. Lippincott’s Manual of Psychiatric Nursing Care Plans 8th Edition, Lippincott
William & Wilkins
Sreevani, A Guide to Mental Health and Psychiatric Nursing, Jaypee Brothers Medical
publishers
National & International Journals on Psychiatry.
192
assist in psychometric -Psycho checklist
therapies assessment education-1 -Evaluation
-Counsel and -Perform of psycho
educate neurological Observation education
patient, and examination report of -
families -Observe and OPD Assessment
assist in therapies of
-Teach patients observation
and family report
members -Completion
of activity
record
-OSCE
Child 1 -Assessment -History taking Observation -Assess
guidance of children -Assist in report of performanc
clinic with various psychometric different e with
mental assessment therapies rating scale
health -Observation and one each -Assess each
problems assist in various skill with
-Counsel and therapies checklist
educate -Teach family and -Evaluation
children, significant others of the
families and observation
significant report
others.
Inpatient 6 -Assess -History taking -Give care to -Assess
ward patients with -Perform mental 2-3 patients performanc
mental status with various e with
health examination mental rating scale
problems (MSE) disorders -Assess each
-To provide -Perform -Case study- skill with
193
nursing care neurological 1 checklist
for patients examination -Care plan-2 -Evaluation
with various -Assist in -Clinical of the case
mental psychometric presentation study, care
health assessment -1 plan, clinical
problems -Record -Process presentatio
-Assist in therapeutic recording-5 n, process
various communication -Maintain recording
therapies -Administer drug book -Completion
-Counsel and medications of activity
educate -Assist in Electro record.
patients, Convulsive
families and Therapy(ECT)
significant -Participate in all
others therapies
-Prepare patients
for Activities of
Daily living (ADL)
-Conduct
admission and
discharge
counseling
-Counsel and
teach patients
and families
Community 1 -To identify -Identify Observation -Assess
psychiatry patients with individuals with report on performanc
various mental health field visits e
mental problems - Special with rating
disorders -Assists in mental school for scale
-To motivate health camps and mentally -Evaluation
194
patients for clinics challenged of case
early -Counsel and -De addiction work and
treatment teach family Centre observation
and follow members, - Reha report
up patients and bilitat -Completion
-To assist in community ion of activity
follow up centre for record
clinic mentally ill
-Counsel and based on
educate Therapeutic
patient, Community.
family and -Home for
community destitute
196
Review of Literature Lecture
Essay
Discussion
-definition, purposes, types
Exercise on
Review the -Location reviewing
Short
related one research
-Sources report/ answers
III 3 literature
-On line search: CINHAL, article for a
selected
COCHRANE research Very
-Method of review problem.
short
Prepare
annotated answers
Bibliography
Research approaches and
designs
-Research approaches-
Qualitative and Quantitative
-Research designs-
Essay
definition, types of designs
Describe the
in quantitative and
research Short
qualitative approaches, Lecture
approaches answers
IV 6 quantitative: Discussion
and designs
Experimental , descriptive,
Very
survey;
short
qualitative approaches:
answers
ethnography,
phenomenology, grounded
theory,
advantages and
disadvantages
-Explain the Sampling and data collection -Lecture Essay
sampling -Definition of population, -Discussion
V 10 process Sample, sampling criteria, -Preparation of Short
-Describe the factors influencing sample data answers
methods of Sampling process, types of collection tool.
197
data sampling techniques -Conduct group Very
collection -Data collection methods research project short
and instruments: answers
Methods of data collection:-
self report, observations,
record analysis and
measurement
-data collection instruments
-Validity & Reliability of
instruments
-Data collection procedure
-Pilot study
Analysis of data:
interpretation of data.
198
tendency and Normal probability and Tests variability &
variability and of significance: correlation
methods of - ’Z’ test,
correlation - ‘t’ test,
- Chisquare test,
- Coefficient of
correlation,
Statistical packages and its
application
Communication and utilization
of research findings -Lecture
-Communication of research Discussion
Essay
findings : -Read/
-Verbal report Presentations of
Communication Short
-Writing research report- a published/
and utilization answers
VIII 4 format and style unpublished
of research
-Writing scientific article / research report
findings Very
paper -Writing group
short
-Critical review of published research project
answers
research
-Utilization of research
findings
References:
Polit D.F. and Beck C.T., Nursing Research : Principles and Methods , Lippincott
Williams and Wilkins
199
Polit .D.F. and Beck C.T., Essentials of Nursing Research- Appraising evidence for
Nursing practice, Lippincott Williams and Wilkins
Burns .N. and Susan K Groove. Understanding Nursing Research building an
Evidenced Based Practice. W.B. Saunders, St. Luis.
Wood G.L.and Haber J. Nursing research methods and Critical Appraisal for
Evidenced- Based Practice. Elsevier.
Suresh Sharma. Nursing research and statistics.
Treece and Treece elements of Research in Nursing C.V. Mosby Company
Kochuthresiamma Thomas. Nursing Research, V Publishers, Kottayam.
Janet Houser, Nursing Research Reading Using and Creating Evidence. Jones and
Bartlett India pvt.Ltd
A Text book of Nursing Research. A TNAI Publication;V Publishers, Kottayam
Rajee Reghunath. Text Book of Nursing Research. Masters Publishers, Kollam
B.K Mahajan, Methods in Biostatistics for medical students and research workers
Jaypee Latest edn.
P.S.S.Sundar Rao, G Jesudian and J.Richard, An introduction to biostatistics a manual
for students in Health Sciences
Nursing Research and Statistics. Nursing Research Society of India .Pearson. Delhi
Dr.R Bincy, Nursing Research Building Evidence for Practice, Second edition Viva
Books Private Ltd.
National & International Journals on Research.
200
FOURTH YEAR B Sc NURSING
OBSTETRIC AND GYNAECOLOGICAL NURSING
OBSTETRIC NURSING
Placement: IV Year Theory - 100 hrs
Nursing faculty: 90 hrs
External faculty: 10 hrs
Practical: 480 hrs
Course Description:
This course is designed for students to appreciate the concepts and principles of
obstetric nursing and helps them to acquire knowledge and develop attitude and beginning
skills in rendering nursing care to normal and high risk pregnant women during antenatal,
natal and postnatal periods in hospital and community settings. It also helps to develop
skills in managing normal and high risk neonate and participate in family welfare
programmes.
Teaching
Assess
Time Learning learning
Unit Content ment
(hours) Objective activities
method
-Appreciate Introduction to concepts of
the trends Obstetric Nursing Lecture
and issues Historical perspectives and
Short
in Obstetric current trends Discussio
answers
nursing Hall marks of Midwifery n
I 3 -Identify the Contemporary issues in
Very
legal and obstetrics Explain
short
ethical Legal and ethical aspects using
answers
aspects in Role of Obstetric Nurse slides,
obstetric Charts
nursing
Describe Review of anatomy and Lecture
II 7 the physiology of female Essay
anatomy reproductive system Discussio
201
and Female pelvis- general n Short
physiology description of the bones, answers,
of female joints, ligaments, planes of Explain
reproductiv the pelvis, diameters of the using Very
e system. true pelvis, important charts short
-Discuss pre landmarks, variation in shape and answers
conception of pelvis. models
care and Female organs of
preparation reproduction- external
for planned genitalia, internal genital Demonst
parenthood organs and their anatomical rate with
relations, musculature- models,
-Explain blood, supply, nerves, objects
conception lymphatics, pelvic floor,
and fetal pelvic cellular tissue, pelvic Practice
developmen peritoneum sessions
t Physiology of menstrual
cycle- -Explain
development models
Review of fertilization, -
umbilical cord
Foetal circulation, foetal
202
skull, bones,
Sutures and measurements
Explain Maternal, prenatal and genetic
maternal, influences on development of
prenatal defects and diseases
and genetic Conditions affecting the
influences mother, genetic and
on infections
developmen Consanguinity
t of defects Prenatal nutrition and food
Essay
and allergies.
diseases Maternal Age
Lecture Short
Maternal drug therapy
Discussio answers,
3 Prenatal diagnosis and
n Explain
III NF-2 counseling
using Very
EF-1 Effect of radiation, drugs and
charts, short
chemicals
slides answers
Infertility Spontaneous
abortion
Neural Tube Defects and the
role of folic acid in lowering
the risks Down syndrome
(Trisomy 21)
Genetic counseling
Nurses role in minimizing
threats to the developing
embryo and foetus
8 Describe Assessment and management Lecture
IV NF-6 the of pregnancy (antenatal) Essay
EF-2 diagnosis Normal pregnancy Discussio
203
and Physiological changes during n Short
managemen pregnancy : answers,
t of women Reproductive system, Case
during Cardio vascular system, discussio Very
antenatal Respiratory system, n short
period Urinary system, answers
204
esterase(AchE), Triple test, ration
Aminocentesis,
Cordocentesis. Chorionic Practice
villus session
sampling[CVS].Intrauterine
foetal therapies Supervis
-Radiology in obstetrics ed
Antenatal care clinical
-Objectives practice
205
Husband
Families
Preparation for safe
confinement.
-Psycho social and cultural
aspects of pregnancy:
Adjustment to pregnancy,
Unwed mother,
Single parent,
Teenage pregnancy,
Sexual violence,
Adoption .
Describe Assessment and management Lecture
the of intranatal period Discussio Essay
physiology - Essential factors of labour n
and stages Physiology of labour, Short
of labour mechanism of labour Demonst answers,
-Management of labour: ration
Describe First stage- using Very
the -Physiology of normal labour, partogra short
managemen Signs and symptoms of onset ph answers
V 12
t of women of labour –normal and Demonst
during abnormal ration Assessm
intranatal Duration, using ent of
period Preparation of : Obstetric skills
Labour room maniquin with
Women checklist
206
foetal monitoring presenta
Active management of tion.
labour,
Pain relief and comfort in Simulate
labour, d
Pharmacological and non practice
pharmacologic management
Second stage Supervis
Duration practice
Mechanism of labour
Conduct of delivery:
Principles and techniques Practice
207
and abnormal
Duration
Methods of placental
separation, expulsion of
placenta and membranes
Management- Principles and
techniques
Examination of perineum
Maintaining records and
reports
Fourth Stage
Vigilant observation and care
of the --mother and newborn
Describe Assessment and management Lecture
the of woman during post natal discussio Essay
physiology period. n
of Normal puerperium Short
puerperium. Physiology, Psychological Demonst answers,
phases of puerperium ration
-Describe Post natal assessment and Very
the management Health short
VI 4 managemen Promoting physical and talk answers
t of women emotional wellbeing
during post Management of lactation Practice Assessm
natal period Family dynamics after child session ent of
birth skills
Family welfare services, Supervis with
methods, counseling ed checklist
Follow up clinical
208
Describe Assessment and management
the of normal neonates
assessment The normal neonate Essay
and Physiological adaptation, Lectures
managemen Initial &daily assessment, discussio Short
t of normal including neonatal reflexes & n answers,
neonate clinical implications
Essential newborn care Demonst Very
Thermal control, Breast ration short
feeding answers
VII 4
Prevention of infections, Practice
immunization session
Minor disorders of newborn Assessm
and its management Supervis ent of
Levels of Neonatal care (level ed skills
I, II & III) Clinical with
tertiary levels
Maintenance of reports and
records
Describe High risk pregnancy- Lecture
the assessment & management discussio Essay
identificatio -Screening and assessment n
n and Newer modalities of Short
VIII 23 managemen diagnosis Demonst answers,
NF-19 t of women -High risk approach rate
EF-4 with high -Levels of care, primary using Very
risk secondary and tertiary level video short
pregnancy -Disorders of pregnancy films, answers
displacement
-Diseases complicating Health
pregnancy- talk
Gynecological diseases
complicating pregnancy, Supervis
Pregnancy Induced ed
Hydramnios, practice
Rh incompatibility, multiple
gestation, mental disorders,
Adolescent pregnancy,
Elderly primi and grand
multipara,
Abnormalities of placenta &
cord,
Intra uterine growth
restriction,
Immunology in pregnancy,
Coagulation failure in
210
pregnancy,
Nursing management of
mothers with high risk
pregnancy
Maintenance of records and
reports
Describe Abnormal Labour- Assessment
managemen and Management
t of Disorders in labour: Lecture
abnormal CPD and contracted pelvis, Discussio
labour and Mal positions and mal n
Essay
obstetric presentations,
emergencie Premature labour& Demonst
Short
s premature rupture of ration
answers,
membrane, disorders of
uterine actions- precipitated Case
Very
labour, prolonged labour or discussio
15 short
dysfunctional labour, n/
IX NF-12 answers
abnormal uterine action presenta
EF-3
Obstructed labour tion
Post maturity, Intra uterine
Assessm
fetal death Practice
ent of
Complications of third stage: Session
skills
Injuries to birth canal
with
-Obstetrical emergencies and Supervis
checklist
their management: ed
211
obstetrical shock, inversion
of uterus
-Obstetrical procedures and
operations
Induction of labour, forceps,
vacuum, version, manual
removal of placenta,
caesarean section,
destructive operations.
-Nursing management of
women undergoing obtetrical
operations and procedures
Describe Abnormalities during Post natal
managemen Period
Essay
t of post -Assessment and Lecture
natal management of women with discussio
Short
complicatio post natal complications- n
answers
ns Puerperal infections, Breast
engorgement & infections, Case
Very
UTI, Thrombo- embolic discussio
short
disorders, n/
X 4 answers
Difficulties of lactation, presenta
Suppression of lactation, tion
Assessm
Post- partum hemorrhage,
ent of
and sub involution. Supervis
skills
-Psychological complications: ed
with
Post partum blues, Post Clinical
checklist
partum depression, Post practice
partum Psychosis
212
Describe Assessment and management
assessment of high risk newborn Lecture
and -Admission of neonates in discussio
managemen the neonatal intensive care n
Essay
t of the high units.
risk Protocols of management Demonst
Short
neonates -Nursing management of low ration
answers,
birth weight babies-
Infections, Respiratory Practice
Very
problems session
short
Hemolytic disorders,
answers
XI 5 Birth injuries, Malformations. Case
-Monitoring of high risk discussio
neonates n
Assessm
Kangaroo mother care
ent of
Feeding of high risk neonates Presenta
skills
-Organization and tion
with
management of neonatal
checklist
intensive care units Supervis
records
Describe Pharmaco- therapeutics in Lecture
Short
indications, Obstetrics Discussio
answers,
dosage, --Indication, dosage, action, n
XII 6 action, side contra indication and side Drug
Very
effects and effects of drugs book
short
nurses --Effect of drugs on Drug
answers
responsibilit pregnancy, labour & presenta
213
ies in the puerperium tion
administrati --Nursing responsibilities in
on of drugs the administration of drug in
used for Obstetrics ::oxytocics, anti
mothers hypertensives, diuretics,
corticosteroids, tocolytic
agents, anti convulsants,
anticoagulants.
--Analgesics and Anaesthetics
in Obstetrics
--Effects of maternal
medication on foetus and
neonate
--Role of obstetric nurse
-Appreciate Family, Welfare programme Lecture
the Population trends and discussio
Essay
importance problems in India n
of family Concepts, aims, importance Demonst
Short
welfare and history of family welfare ration
answers,
programme programme Practice
National population: session
Very
-Describe dynamics, policy and Supervis
short
XIII 4 the education ed
answers
methods of National family welfare practice
contracepti programme: Group
Project
on and role National maternal and child project
and field
of nurse in health services, CSSM, RCH, Counseli
visits
family ICDS,BFHI,NRHM, Integrated ng
reports
welfare Management of Child hood session
programme Illnesses[IMCI], Expanded Field
programe of immunization, visits
214
Janani Suraksha Yojana
National policy and
legislation in relation to
maternal health and welfare
Organization and
administration: at national,
state, district, block and
village levels
Methods of contraception
Counseling for family welfare
Latest research in
contraception
Role of national,
international and voluntary
organizations
Role of a nurse in family
welfare programe
Training/ Supervision/
Collaboration with other
functionaries in community
like ANMs, LHVs, Anganwadi
workers, TBAs (Traditional
birth attendant Dai), ASHA
215
Explain the Maintenance of vital statistics
epidemiolog Maternal morbidity,
y of mortality and fertility rates
Obstetrics Perinatal, morbidity and
mortality rates
Neonatal mortality Short
Causes and preventive Lectur answers
measures e
XIV 2
Safe motherhood initiative discus Very
Obstetric health care- sion short
Essential obstetrics care, answers
Early detection of
complication, Emergency
obstetrics care[EMOC]
Making pregnancy safe
strategy
References
Balakrishnan, Sheela, Textbook of Obstetrics, Hydrabad, Paras Publishers
Bennett V. Ruth and Brown.K.Linda, Myles Text Book for Midwives,
ChurchilLivingstone, London.
Bobak and Jenson, Maternity and Gynecologic care, Mosby year Book
Daftary Shirish.N, Manual of Obstetrics, Elsevier.
Dawn C.S, Manual of Obstetrics and Neonatology, Dawn books, Calcutta
Dutta.D.C, Textbook of Obstetrics , New central book agency, Calcutta
James K David et al, High risk Pregnancy Management options, W B Saunders
Elsevier
Krishnamenon P.K, and Devi, Postgraduate Obstetrics and Gynecology., Orient
Longman Ltd, Madras.
Lowdermilk& Perry, Maternity & Women’s health care, Mosby Publishers.
Mudaliar A.L, and Menon, Clinical Obstetrics, Orient Longman Ltd, Madras.
216
Padubidri,V&AnandEla, Text book of obstetrics, Newdelhi, BI Publications
Pilliteri Adele, Maternity and Child Health Nursing, Lippincott, Newyork
A V Raman. Reeder &Martin :Maternity Nursing, Family, Newborn and Women’s
Health Care. Lippincott
SabaratnamArulkumaran et.al, Essentials of Obstetrics, Delhi , Jaypee publishers
Trula Myers Corrieet. al, Foundations of Maternal- Newborn Nursing, W.B Saunder’s
Company.
Varney Helen and Kriebs, Jan M, Varney’s Midwifery. Massachusetts. Jones and
Barlett publishers.
National & International Journals on OBG Nursing.
217
-Assess -Assessment Woman -Conduct -Assessment
woman in labour normal of clinical
in labour -Prepare the women deliveries- 20 performanc
-Prepare for labour -Per vaginal e
the -Monitoring and examinations - -Assessment
woman caring of woman in 5 of each skill
for labour -Perform and with check
labour -Maintenance of suture the lists
-Conduct partogram episiotomies-5 -Completion
normal -Conduct normal -Perform/ of case book
deliveries delivery Resuscitate recordings
-Perform -Newborn assessment newborns-5
episioto and immediate care -Assist with -Instrument
Labour my and -Resuscitation of Caesarean used in
room suture it newborns sections-2 Obstetric
& 3 -Assist -Assist with abnormal -Witness/ Assist practice-
with vaginal delivery abnormal Viva voce
OT normal -Assessment of risk deliveries-5 -OSCE
delivery status of newborn
- -Episiotomy and -Assist with
Resuscita suturing other surgical
te -Maintenance of procedures
newborn labour and birth - case book
s records recordings
-Assist -Arrange for and assist
with with Caesarean
caesarea section and care for
n woman & baby during drug file
sections Caesarean
-Assist -Arrange for and assist
with with other surgical
218
other procedures
surgical
procedur
es
-Provide -Examination and -Give care to -Assessment
nursing assessment of normal post natal of clinical
care to and high risk mother mother and performanc
post and baby baby: e
natal -Identification of -Post natal -Assessment
mother deviations assessment -20 of each skill
and baby - Care of postnatal -Health talk-1 with
-Counsel normal and high risk -Care study: - 1 checklists
and mother and baby -Case -Completion
Post
teach -Teaching post natal presentation of case book
natal 3
mother mother craft -Case book recording
ward
and -Post natal care & recordings -Evaluation
family for exercises , of care study
parent Immunization - drug file and
hood presentation
and health
education
sessions
219
-Admission of - Assessment of -Assessment
neonates high risk of clinical
-Feeding of at risk neonate- 1 performanc
neonates - Care plan: e
-Witness/ assist with high risk -Evaluation
Provide assessment and care neonate- 1 of
nursing of high risk newborn observation
care to -Thermal drug file report
newborn management of
at risk neonates kangaroo
mother care, care of
baby in incubator
-Monitoring and care
of neonates
Newbo
-Administering
rn
1 medication
nurser
-Intravenous therapy
y
-Assisting with
diagnostic procedure
-Assisting with
exchange transfusion
-Care of baby on
ventilator,
Phototherapy
Infection control
protocols in the
nursery
-Teaching and
counseling of parents
-Maintenance of
neonatal records
220
Counsel -Counseling Technique -assist with IUD Evaluation
for and -Assist with insertion insertion -5 of
Family provide of IUCD -Observation observation
Welfar family -Teaching on use of report - report
e welfare family planning Counseling-2
Clinic/ services methods -Assist with
1
post -Arrange for and assist PPS/Laparoscop
natal with family planning y-5
clinic operations -Recording and
-Maintenance of reporting
records and reports
Project Evaluation of project
221
Obstetric and Gynaecological Nursing Record:
Antenatal -20, Intranatal -20, Post natal -20
Care study abstract- 3 ( Antenatal -1, Post natal -1, Gynaec -1)
Gynec surgeries assisted / witnessed -5
GYNAECOLOGICAL NURSING
Placement: IV Year Theory: 30 Hours
(Nursing faculty: 20 hrs; External faculty: 10 hrs)
Practical: 160 Hours
Course description:
This course is designed to help the students acquire knowledge, develop attitude
and beginning skills in the management of women with gynecological problems and render
pre and post operation care to clients undergoing major and minor surgeries
Teaching Assess
Time
Unit Learning Objectives Content Learning ment
(Hrs)
Activity Method
-Explain the concepts Introduction to -Lecture
and principles of Gynecological Nursing Discussion
gynecological nursing -Concepts and
-Appreciate the trends principles of -Seminar
Short
and issues in Gynecological
answers
gynecologic nursing Nursing -Explain
-Review the anatomy -Trends and issues using
Very
I 4 physiology of the -Review of anatomy charts,
short
female reproductive and physiology of models,
answers
system the female films, slides
-Identify the reproductive system -Case
congenital -Congenital discussion
abnormalities of abnormalities of -Health
female reproductive female reproductive education
system system -
222
-Explain sexuality and -Sexuality and Supervised
reproductive health Reproductive Health clinical
practice
Gynecological
Assessment
Lecture
History and Physical
-Describe the discussion
assessment Essay
gynecological -
Breast Self
assessment & the Demonstra
Examination,pelvic Short
diagnostic measures tion
examination answers
6 -Describe the pre & -Practice
Diagnostic
II NF-4 post operative session
measures& its Very
EF-2 management of
implications short
women undergoing Supervised
General pre and answers
major and minor clinical
post operative
gynecological practice
management of
procedures -Case
women under going
discussion
major and minor
surgical procedures
Nursing management Lecture
of patients with discussion Essay
Describe the etiology,
menstrual disorders Explain
pathophysiology,
-Dysmenorrhea using slides Short
clinical manifestation,
-Amenorrhea Case answers
4 diagnostic measures,
-Premenstrual discussion
III NF-2 treatment modalities
syndrome Very
EF-2 and nursing
-Abnormal Uterine short
management of
Bleeding: Supervised answers
patients with
Menorrhagia, clinical
menstrual disorders
Metrorrhagia practice
223
-Menopause and
Hormonal
replacement
Therapy
224
Mechanical
Describe the etiology, Disturbances and
pathophysiology, injuries to female
Essay
clinical manifestation, genital tract Lecture
diagnostic measures, Retroversion, discussion
Short
treatment modalities uterine Explain
3 answers
and nursing displacement using
VI NF-2
management of Cystocele/ slides,
EF-1 Very
patients with Urethrocele/ charts,
short
mechanical Rectocele case
answers
disturbance and Injuries and Trauma discussion
injuries to female to pelvic floor
genital tract fistulas
Sexual violence
Infections of the Lecture
Describe the etiology,
female genital tract discussion
pathophysiology, Short
Venereal and non Explain
clinical manifestation, answers
venereal infections using
3 diagnostic measures,
VII and discharges slides,
NF-2 treatment modalities Very
Vaginal and vulval charts,
EF-1 and nursing short
disorders case
management of answers
Toxic shock discussion
patients with genital
syndrome Health
tract infection
education
Describe indications, Drugs used in Lecture Short
dosage, action, side treatment of discussion, answers
effects and nurses gynecological Drug book Very
VIII 2
responsibilities in the disorders Drug short
administration of Presentatio answers
drugs n
225
REFERENCES:
ArulkumaranSabaratnam, Sivanessaralnan V, Essentials of Gynecology. J P Brothers
Medical Publisher.
Balley James and Grayson, Jane, Obstetric and Gynecological Nursing. ELBS,
BilliereTindall
Bobak and Jenson, Maternity and Gynecologic care. Mosby year book, INC
Dutta. D.C, Text book of Gynecology. New central book agency, Culcutta
Kumar, Pratap and MalhotraNarendra, Jeffcoates Principles of Gynecology. Jay Pee
Publishers, Newdelhi
MilleyNerman F and Avery H, Gynecology and Gynecologic Nursing. W B Saunder’s
Co, Philadelphia.
Robbery James and Crossward Campell, Gynecological Nursing. 4thed, The CV Mosby
Co, St Louis.
Seshadri, Lakshmi. Essentials of Gynecology. New Delhi. Wolters kluwer publishers
Lippincott Williams & Wilkins.
National & International Journals on OBG Nursing.
226
Assess
Duration
Areas Objectives Skills Assignments ment
in weeks
methods
Gynec 3 Assessment of Assist with Assess
ology women with Gynecological Provide care skills with
wards gynecological Examination to assigned check list
disorders Assist with patients
(OPD) – diagnostic and Evaluation
3 days Provide pre, therapeutic Gynecological of care
intra and post procedures assessment-2 study
operative care Assist with minor Care study-1
to women with and major Evaluation
gynecologic surgical Case of drug
disorders procedures presentation- book
Render pre and 1 -OSCE
OT 1 week post operative
Counsel and nursing care to Drug file Assessmen
educate women t of clinical
patient and undergoing performan
families minor and major ce
surgical
procedures Instrument
Provide s in
incidental and Gynecologi
planned health
c practice-
education to
patients and Viva voce
family members.
Assignments:
Gynaecologic assessment – 2
Care study - 1
Case Presentation - 1
227
COMMUNITY HEALTH NURSING –II
Placement: IV year Theory -100 Hrs
Practical- 320 Hrs
Course description:
The course is designed for students to practice community health nursing for the
individual, family and groups at both urban and rural settings by using concepts and
principles of health and community health nursing.
Teaching Assess
Time Learning
Unit Content learning ment
(hrs) objectives
Activities methods
Define the INTRODUCTION :
concepts, Community Health
scope, Nursing
principles and Definition& concept of Lecture
historical Community Health discussion
development Nursing
of Community Historical development of Survey
Health and Community health Project
Community Nursing- Essay
Health Nursing World, India Family
228
Application of Nursing
theories in Community
Health Nursing
Nursing process and
Application of Nursing
Process in Community
health Nursing Practice.
Community Identification-
Purpose, Methods
community survey
FAMILY HEALTH SERVICES
Family
-Definition
-Types
-Functions
Family development cycle
Lecture
-Characteristics of
discussion
family.
229
Health Planning, policies and
problems
Describe
National health planning
health plans,
in India and Five Year Lecture Essay
policies
Plans discussion
various health
III 6 Various committees and Panel Short
committees
commissions on health discussion answers
and health
and family welfare Seminar
problems in
National health policies
India
National population policy
Health problems in India
Describe the Delivery of health care in
system of India:
delivery of Public sector
Lecture
community -Primary health care
discussion
health services -Sub centre
in rural and -PHC
Visits to
urban areas -Hospitals/ Health centres
various
-CHC Essay
health care
-List the -Rural Hospitals
delivery
functions of -District Hospital Short
IV 15 systems
various levels -Specialist Hospitals answers
of health -Teaching Hospitals
Supervised
workers - Other Agencies Very short
field
- Railway answers
practice
- Defense Services
-Describe the Health Insurance Scheme
Panel
alternative Health care delivery
discussion
systems of through private sector
health .- Indigenous Systems of
Describe the medicine
230
chain of Voluntary Health agencies
referral system National Health
-Explain the Programmes
records and Indian Public Health
reports Standards
maintained in - IPHS guidelines for
the health Sub centre,
centres Primary health centre and
Community health centre.
Organisation, staffing and
delivery of urban health
services
Job descriptions of
community health
personnel at various
levels.
Referral system
Records, reports
Health Management
Information System
(HMIS)
Community Health Services -Lecture
Maternal and Child Health discussion
Explain the Essay
services
various
Family welfare services Supervised
services Short
Adolescent health services field
V 12 rendered to answers
School Health Services practice
the
Community mental health Organize
community Very short
Care of the aged camps
answers
Occupational Health And Group
Project
231
Environmental health
Disaster management
Organizing clinics and
camps for providing
services to the community
Describe the Assisting individuals and -Lecture
activities of groups to promote and discussion
community maintain health
health nurse in A. Assessment of self and -
assisting family Demonstrati
individuals and -Empower family to on
groups to monitor growth and Essay
promote and development of children, -Supervised
maintain their breast self examination field Short
health and examination of practice answers
testicles, urine for sugar -Individual /
and albumin, Blood group/ Very short
pressure and blood sugar family/ answers
VI 8
estimation etc community
- Health assessment of : -Health
- Infant education
- Toddler
- Preschool child
- School child
- Elderly
- Antenatal and
postnatal mothers
B. Sensitize and handle social
issues affecting health of
family
Women Empowerment
232
Women and child abuse
Abuse of elders
Female Feticide -Field trips
233
control programme
National Programme for
control of blindness
Iodine deficiency disorder
programme
Universal immunization
programme
RCH and National Family
Welfare Programme
National water supply and
sanitation programme
Minimum Needs
programme
20 point programme
Polio Eradication: Pulse
Polio Programme
National programme for
prevention and control of
cancer,diabetes,cardio
vascular disease, stroke
Community Nutrition
Programme
ICDS programme
National Mental health
programme
NHM / NRHM and NUHM
Integrated Management of
Neonatal and Childhood
Illness (IMNCI)
National Health Policy
234
Health Agencies
International :–
WHO
UNDP
World Bank
FAO
UNICEF
DANIDA
Rockefeller -
Foundation
Red Cross
Explain the USAID Lecture
Essay
role and UNESCO discussion
functions of ILO
Short
various CARE . Field visits
VIII 5 answers
national and National :–
international Indian Red Cross
Very short
health Society
answers
agencies Indian Council for
Child Welfare
Family Planning
Association of India
Tuberculosis
Association of India
Hindu Kusht Nivaran
Sangh
Central Social Welfare
Board,
Bharat Sevak Samaj -
All India Blind Relief
235
Society.
Health Economics
Short
Explain the Demand, supply & cost of
Lecture answers
concepts of health care, cost
IX 2 discussion
health containment
Very short
economics Family budgeting in health
answers
and illness
Supervision
Definition, principles,
goals, methods and steps
of supervision
Essential qualities and
Essay
responsibilities Lecture
Identify the
Supervisory functions of Discussion
principles and Short
X 5 Community Health Nurse Supervised
techniques of answers
in primary health care field
supervision
units practice
Training and supervision
of community health
workers
Maintaining Staff morale
Supervision of students
Public Health Administration
Describe the
Organization and
public health
administration of Health
administration Lecture Essay
XI 5 Services at Centre, State,
at centre, Discussion Short
district and local level
state and local answers
Panchayati Raj
level
Public Health Laws
236
Research in Community Short
health nursing Lecture answers
Recognize the Need and significance, Discussion
importance of Researchable problems in Group
research in community health Group work work
XII 2
community Role of Community presentati
health nursing Health nurse in research on
activities
References:
Rao, Kasthuri Sundar, An Introduction to Community Health Nursing, B.I.
Publications, Madras.
Park. K. Text book of Preventive & Social Medicine, M/s Banarsidas Bhanot
Publishers, GreenPark, New Delhi.
Basavanthappa B. T. Essentials of Community Health Nursing. Jaypee Brothers
Medical Publishers, New Delhi.
Suryakantha. Community Meidicine-with Recent Advances, Jaypee Brothers Medical
Publishers, New Delhi.
Gupta M.C & Mahajan B.K. Text Book of Preventive and Social Medicine, Jaypee
Brothers Medical Publishers, New Delhi.
Gulani.K.K Community Health Nursing. Principles & practice. Kumar Publishing
House, Delhi.
Swarankar K. Community Health Nursing, N.R. Brothers, Indore.
Neelam Kumari. A Text Book of Community HGealth Nursing-I, S.Vikas & Company,
Jalandhar
Rahim A, Princilpes and practice of community medicine. Jaypee Brother,s 2008
Kamalam S. Essentials of Community Health Nursing Practice Jaypee Brothers,2008
TNAI.Public heath Manual, New DelhiLatest edition
Stanhope M. Lancaster J. Community Health Nursing, CV Mosby Company, Latest
edition
Clark M J. Nursing in the community, Appleton and Lange, Connecticut, Latest
edition
National & International Journals on Community Medicine.
237
COMMUNITY HEALTH NURSING-II
Placement-IV year BSc Nursing Practical-320 hrs (8 weeks)
Duration Assess
Assign
Areas (in Objectives Skills ment
ments
weeks) Methods
238
other activities Dist.TB health
-Participate in related to the control center talk
National of communicable -Old age
health diseases. home -
programmes -Empower people to -Panchayat Completi
identify the Raj on of
deviations from institution practical
normal health and to record
-Educate seek medical aid. Field trip to
individual and - Assess clients with -Institute
family to lead physical and mental for rural
a healthy life. disabilities, provide health,
services -AIDS
-Screen and render control
-Participate in services to school unit .
school health children and make -agency /
programmes referral as needed Institute
-Collect Vital -Assist health for
health workers in preparing physically
statistics reports and attend challenged
-Maintain monthly conferences .
Records & in the PHC
reports
Participate in
the
supervision of
health
workers
239
NURSING EDUCATION
Placement: IV Year Theory – 80 hours
Practical– 120 hours
(Practice Teaching-3 hrs/ student)
Course Description:
This course is designed to help the students to develop an understanding of the
principles and methods of teaching and to equip the students with the beginning skills in
teaching in clinical, community health and educational settings
Time Teaching Assess
Learning
Unit (hrs) Content Learning ment
Objective
Activities methods
List the aims Principles of education
of education -Meaning of education: Essay
Explain Definitions, aims,
principles of functions& principles. Short
education -Philosophies of answers
Recognize Education& Very short
the Application of answers
educational educational philosophies
Lecture
philosophies in nursing Written
in nursing Education: Idealism, assignmen
Discussion
1 12 education Naturalism, Pragmatism, ts
Describe the Eclectism.
characteristic Review – history of
s of learning developments of
Explain the nursing education in the
maxims of state, national and
teaching international level
Explain the -Current trends in
laws of Nursing Education
learning Teaching Learning
Explain the
240
Methods of Process
Teaching -Teaching learning
process
-Characteristics of
learning
-Factors influencing
learning
-Laws of learning
-Principles of teaching
-Maxims of teaching
- Role of a teacher
-Qualities of teacher
Explain the Curriculum
principles of -Definition
curriculum -Concepts Principles of
planning curriculum Planning
-Steps in curriculum
Explain the development Essay
Lecture
classification -Formulation of
of educational objectives - Short
Discussion
educational Taxonomical answers
II 15
objectives classification of
Exercise on
objectives Very short
writing
List the -Course Planning answers
objectives
qualities of -Unit Plan –Types
educational -Lesson Plan
objective
Prepare unit
plan, lesson
plan
241
Demonstrate Methods of Teaching
skill in -Lecture
teaching in -Demonstration
all settings -Discussion
using various -Seminar,
methods and Symposium
medias -Panel discussion
-Programmed Instruction
Lecture Essay
-Problem based learning
-Microteaching
Discussion Short
-Self instructional module
answers
-Simulation
Conduct 5
-Computer assisted
III 15 teaching Very short
learning
sessions answers
-Role Play
using
- Field trip
different
-Workshop
methods Evaluate
-Project method
and media teaching
-Clinical teaching
Sessions
methods :
case method,
nursing rounds &reports,
bedside clinics,
conference (individual
and group),
process recording
Prepare and Educational Media Lecture
use different Purposes & types of Essay
IV 12
types of A.V.Aids, Discussion
educational Edgardales cone of Short
242
media experience principles Demonstrati answers
effectively and sources on
-Graphic aids : chalk Very short
board, chart, graph, Prepare answers
poster, flash cards, different
flannel graph, bulletin teaching
board, cartoon aids Assess the
-Three dimensional aids: projected teaching
Objects, specimens, and non aids
models, puppets projected prepared
-Printed aids : pamphlets
& leaflets
-Projected aids:
slides, overhead
projector, films TV, VCD,
microscope, projectors-
LCD projector, DLP
Projector, etc
-Audio aids: tape
recorder, public address
system
-Computers
Construct Evaluation & Assessment Lecture
different -Purpose & scope of Essay
types of evaluation & assessment Discussion
questions for -Criteria for selection of Short
V 12 assessment assessment techniques Demonstrati answers
of and methods on
knowledge -Qualities of an Very short
skills and evaluation tool, Exercise on answers
attitudes writing
243
-Principles of evaluation different Assess the
and test construction. types of strategies
-Assessment of assessment used in
knowledge: Essay type tools practice
questions, Short answer teaching
question (SAQ) Multiple sessions
choice questions (MCQ) and
-Assessment of skills: exercise
observation checklist, sessions
practical exam, Viva,
Objective structured
clinical examination
(OSCE)
-Assessment of Attitudes
Attitude Scales
-Evaluation of the
course
Develop Guidance & counselling Essay
basic skill of Guidance:
Lecture
counselling Definition Short
and guidance - Purpose, answers
Discussion
scope and need
-Basic principles Very short
Role play in
VI 7 Counselling: answers
counseling
-Organization of
in different
counselling services Assess
situations
-Types of counselling performa
followed by
approaches nce in role
discussion
-Role and preparation of play
counsellor situations
244
-Issues for counselling in
nursing : students and
practitioners
-Describe Discipline
principles & definition,
types of aims of discipline in Short
discipline education, answers
Lecture
VII 7 -Identify principles & types,
Discussion
teachers role preventive discipline, , Objective
in preventive disciplinary procedure, type
discipline teachers role in
disciplinary problem
References
B.Sankaranarayanan,B.Sindhu Learning and Teaching in Nursing,
J.P Brothers NewDelhi
Dr. A. Kurian George, Principles of curriculum development & evaluation
Guilbert J.J. Educational Hand Book for Health Personnel, WHO publication
Sampath K. Introduction to Educational Technology
Heidgerken, Teaching & Learning in Schools of Nursing.
Bhatia.K and Bhatia.B.D. Theory and Principles of Education.
Tyler, Ralph.W. Basic Principles of Curriculum Instruction.
.J.C Aggarwal ,Essentials of Educational technology,Innovations in
Teaching and Learning,2ndEdition,Vikas Publishing House, Delhi
Patidar A B, Communication and Nursing Education.Pearson, New Delhi.
National & International Journals on Nursing Education.
245
NURSING EDUCATION- PRACTICAL-120 hrs
Assess
Assign
Areas Duration Objectives Skills ment
ments
methods
Project on
Develop Use different AV aids Evaluatio
Per Student
Beginning instructional Preparatio n of
Class room
1hour skill in methods and n of practice
teaching
each classroom media master teaching
(2 sessions)
teaching Practice rotation sessions
different plans
Procedure
teaching skills Micro
demonstrati
Follows maxims teaching
on
1hour of teaching Peer
(1 session)
teaching
Practice
teaching
246
MANAGEMENT OF NURSING SERVICE AND EDUCATION
Placement – IV Year Theory – 70 Hours
Practical –120 Hours
Course Description:
This course is designed to provide the students a basic knowledge about the principles and
functions of management and its application to the nursing service and education. This is
also designed to enable students to acquire understanding of the professional
responsibilities, prospects and contribution to the growth of the profession.
Content Tea
chi
Asses
ng
Learning s
Time lear
Unit objectiv ment
(hrs) nin
es meth
g
ods
acti
vity
Explain Introduction to Management in nursing
the -Definitions, concepts Theories of
Essay
principle management, Administration Vs
s and Management
Lect Short
function -Functions of management
ure answ
s of -Principles of management
I 4 Disc ers
Manage -Role of nurse as a manager
ussi Very
ment
on short
answ
ers
247
Management Process
Planning-
Meaning, nature, principles, process, types-
Organizing
definition, principles, organizational structure,
Organization chart
Delegation
Describe Participatory management
Human resource management- staffing
the
Manpower planning, -importance, Philosophy,
elements objectives,
Recruitment, selection, appointment
and
Training and development, promotion
process of Job analysis, job description, job specification
Directing
manage
Definition, importance, Principles
ment Leadership
-definition, styles, functions, Essay
qualities of a Leader, Assertiveness Short
Lect
Motivation answe
ure
- concepts, theories ,role of a manager, morale rs
II 20 Describe Disc
Communication: -techniques- channels. IPR very
the Supervision ussi
short
Organizational behaviour and human relations on
concepts, answe
Concept, Principles and theories
theories rs
Group dynamics
techniques Human relations
Public relations in context of nursing
of organi Relations with professional association and
zational employee unions, collective bargaining, work
culture
behaviour Controlling-
and human Quality management ,Quality assurance ,TQM,
Programme Evaluation and Review Technique
relation (PERT), Bench Marking, Activity Plan, Gantt
Chart
-Budgeting -concept -principles, types, cost
benefit analysis, audit.
Material management -equipment and supplies
Documentation- Importance, types of record
and report
248
Management of nursing service
department
-Philosophy and objectives. Lecture Essay
Describe -Organization of the hospital, Discussion
249
Nursing audit,
Leadership in management of
nursing service
-Performance appraisal of all
categories of nursing staff,
Records and reports in nursing
service department
Planning budget for nursing
service
Participate In Service education Essay
in planning Nature & scope of in-service
and education program, types Short
organizing Organization of in-service Lecture answe
in service education Discussio rs
IV 5
education Principles of adult learning. n
program Planning for in-service education Very
program, techniques, methods & short
evaluation of staff education answe
program rs
Describe Nursing as a Profession
the ethical -Characteristics of a professional Essay
and legal nurse
responsibili Regulatory bodies, Short
ties of I.N.C, S.N.C ,constitution, Answe
Lecture
Explain the functions rs
V 5 Discussio
nursing Current trends and issues in
n
practice Nursing very
standards Professional ethics short
profession Code of ethics : INC, ICN answe
al nurse -Consumer protection act r
250
- Legal terms related to nursing
practice, registration & licensing
procedures
Ethical and legal responsibilities
of a professional nurse ,
malpractice ,negligence, practice
standards for nursing
Explain the Management of Nursing
role of the Educational Institutions
administrat - Essentials of educational
or in institutions as per I.N. C. norms
selection for School of Nursing & College
and of Nursing :
appointme Organizational pattern of
nt of staff Educational institutions Essay
and - Organization chart
students Management of faculty Short
-List the -Selection and recruitment Lecture answe
essentials -Orientation programme Discussio rs
VI 15
of an - n
educationa -Job description Very
l institution -Job specification short
answe
-Staff development
-Describe rs
-Staff welfare - leave, salary,
the role of
promotion, placement, guidance
the
and supervision
Administra
-Performance appraisal
tor in
-Institutional reports and records
faculty
Administration of students
developme
-Selection and admission,
nt
251
-Role of -Orientation,
the -Students Health Programme
administrat -Students Welfare : Guidance
or in the and counseling, Co-curricular
administrat and professional activities
ion Hostel facilities – INC norms
curriculum -Transportation facilities
252
budget proposals.( procurement
of equipment & supplies, library
books/
journals, A.V aids.
Salary emolument of the
employees, Stipend to the
students .
-Utilization of budget:
Publicity of the Institution
Public relations, P.T.A., Camps,
Advertisements,
Conferences, Campus Selections,
Publishing results and annual
reports,
Publication, Brochure, magazine
Professional advancement Lecture
-Continuing education Discussio
-Career Opportunities n
Struct
-Membership with professional Review
Explain the ured
organization or
various essay
-National and International Presentat
opportuniti Short
participation in research ion of
es for answe
VII 3 activities published
profession rs
-Publications-Journals, articles
al Very
newspapers etc. Group
advanceme short
work on
nt answe
maintena
rs
nce of
bulletin
board
253
References:
Alexander etal, Nursing Service Administration, C.V. Mosby Company St. Louis ..
Anna Hellen, Gallagher, Educational administration in Nursing, The Macmillan
Company, New York.
Barret, Jean, Ward Management and Teaching- Himalayan Books, New Delhi.
Barret M.J. Gressner, The Head Nurse- Her leadership Role, Himalayan Books, New
Delhi.
Chatterjee S.S An introduction to management- its principles and techniques, World
Press, Calcutta .
Goddard M. Principles of Administration applied to Nursing service.
Jogindra Vati. Principles and Practice of Nursing Management and Administration
Jaypee Brothers Medical Publishers Pvt Ltd. New delhi.
Masih Shabanam. Essentials of Nursing Management in Service and Education. Lotus
publishers. Jalandhar.
Thomas Kochuthresiamma, Nursing Management and Administration, V
Publishers,Kottayam
Marquis B L and Huston C J Leadership Roles and Management Functions in Nursing-
Theory and Application. Wolters and Kluver, New Delhi
Verghese C. The Nurse Administrator. New Delhi: New Age International (P) Ltd
Publishers;2015.
National & International Journals on Nursing Administration.
254
students side clinic& nursing Nursing performan
rounds rounds-1 ce
Describe Supervision of writing evaluation
the duties students incidental
and -write incidental report-1
responsibil report -Prepare
ities of -Evaluate student clinical
head performance performance
nurse/war -Appraise the duties evaluation
d sister and responsibilities format
of head nurse -Shift report
-write indents, - indents,
-Prepare duty -duty roster
roaster -duties and
- conduct an responsibilities
educational session of head nurse
for in service nursing
personnel
Appraise prepare Prepare Evaluation
the duties organization chart of -organization of written
Two days
Nursing and the hospital chart of the assignment
morning
superint responsibil describe the duties hospital
duty and
endent’s ities of and responsibilities -Day and night
one night
office nursing responsibilities of report
duty
superinten nursing
dent
Appraise Analyze role of Report of Evaluation
Observat
role of nurse manager in observation of written
ion visit
One day nurse hospital visit assignment
to
manager
hospital
in hospital
255
Observat Describe Appraise role of Report of Evaluation
ion visit role of principal in observation of written
to principal management of visit assignment
nursing in nursing nursing educational
One day
educatio education institution
nal al
institutio institution
n
The concept of Health Care Counselling shall be incorporated in all relevant areas
2.7 Total number of hours
Duration of the course shall be four years. Internship integrated practice is
incorporated with respective practical hours in each year.
Duration of course Weeks
Weeks available per year = 52 weeks
256
2.13. Records
Proper records of practical work should be meticulously maintained.
2.14. Dissertation
Not Applicable
2.15. Specialty training if any
Not Applicable
2.16. Project work to be done if any
Clinical Assignments & projects work as given under2.6, Syllabus.
2.17. Any other requirements [CME, Paper Publishing etc.]
Not applicable.
2.18. Prescribed/recommended textbooks for each subject
As given under 2.6 - Syllabus.
2.19. Reference books
As given under 2.6 - Syllabus.
2.20. Journals
As given under 2.6 - Syllabus.
2.21. Logbook
A logbook should be maintained.
3. EXAMINATIONS
3.1. Eligibility to appear for exams
A candidate must score minimum 50% internal marks for theory and practical
separately in each subject in order to appear for university examinations.
Each candidate should put in minimum 80% of attendance in theory and clinical
practicum for appearing university examination. Condonation of 10% of the attendance
once in the entire course period can be granted by the Head of the Institution and the
same may be communicated to the university.
Condonation of attendance: -
The principal on recommendation by the HOD / Department in charge can
condone the shortage of attendance of a candidate to a maximum of 10% for a subject /
257
subjects (theory / practical or both) with prescribed fee once in a course period under
intimation to the Controller of Examinations. In such cases the Principal shall submit a
declaration that the particular candidate has not enjoyed this facility previously in the
particular course. There shall be a register for recording the condonation availed in the
office of Principal.
3.2. Schedule of Regular/Supplementary exams
Regular university examinations will be conducted at the end of each academic
year and supplementary examinations will be conducted after regular examination once
in a year. There shall be two University examinations in each academic year including
regular and supplementary examinations for theory and practical.
259
3.4. Papers in each year
As given under 2.4 - Course Outline
260
Answer briefly /Differentiate/ list
the following/Give reasons 10*4 marks 40 marks
IV)Statistics: Max.marks: 25
V) Biochemistry: Max.marks : 25
261
Model Question Paper
Reg. No: ........................
First Year B.Sc Nursing Degree Examinations, 2016 Scheme
Anatomy
Time: 3 Hrs Max. Marks: 75
Answer all questions
Draw diagram wherever necessary
Questions
Long Essays: (1×12=12)
1. Describe the classification of Joints? Describe each type with examples? Explain the
applied anatomy of Synovial Joint with suitable examples? (4+4+4)
Short Essays: (2×7 =14)
2. Draw and label the chambers and vessels of heart? Describe the interior of heart in
detail? (3 + 4)
3. Enumerate the parts of respiratory system? Explain the anatomy of lung? (4 + 3)
262
Model Question Paper
Reg. No: ........................
First Year B.Sc Nursing Degree Examinations, 2016 Scheme
Physiology
Time: 3 Hrs Max. Marks: 75
Answer all questions
Draw diagram wherever necessary
Long Essays: (1×12=12)
1. Explain the regulation of respiration? Define the lung volumes and capacities with their
normal values? (4+4+4)
263
First year B.sc nursing degree examinations-2016 scheme
Reg. No: ........................
MICROBIOLOGY
Time: 3hrs max.marks:75
Answer all questions
Draw diagrams wherever necessary
Essay:
1. Define sterilization and classify sterilizing agents. Explain in detail sterilization by
moist heat. Enumerate the role of a nurse in sterilization.
(1+2+6+3=12)
Short essays: (2×7 =14)
2. Describe the morphology, clinical features and laboratory diagnosis of
cholera(1+2+4=7)
3. Define hospital acquired infections (HAI). Describe the various sources, routes of
transmission and the common types of HAI.
(1+2+2+2=7)
Short notes:
(5*5=25)
4. Universal precautions
5. Lab diagnosis of pulmonary tuberculosis
6. Innate immunity
7. Microfilaria
8. Candidiasis
Answer briefly: (3*4=12)
9. Prophylaxis of rabies
10. Immunization schedule
11. Bacterial spores
Differentiate: (3*4=12)
12. Live and killed vaccines
13. Agglutination and precipitation
14. Exotoxins and endotoxins
264
First year B.Sc. Nursing Degree Examination 2016 Sheme
Reg. No: ........................
NUTRITION AND BIO CHEMISTRY
Time : 3 Hours Maximum Mark : 75
Answer all questions
Section A – NUTRITION Marks :50
Short Essay 2x7 marks 14 marks
1.Explain the absorption, digestion and metabolism of Carbohydrates
2. Explain the functions, requirements and management of Water
Write Short notes 4x5 marks 20 marks
1. Plan a diabetic diet for a 60 year old woman with 164 cms tall and 72 kg weight
2. Nutritional problems in India
3. Methods of preservation of nutrients
4. Classification of Fats
5. Commercial methods of food preservation
Answer Briefly 4x4 marks 16 marks
8. Balance Diet.
9. Glycemic Index
10. Rickets
11. Prepare a day’s menu for a pregnant woman with hypertension
265
Model Question Paper
Reg. No: ........................
First year B.Sc Nursing Degree Examination 2016 Scheme
PSYCHOLOGY
Time: 3hours Max.Marks:75•
Answer All Questions
Long essay 1*12=12 marks
1. Explain body mind relationship with suitable examples.
266
First Year B.Sc Nursing Degree Examination 2016 Scheme
Reg. No: ........................
Time: 3 Hours Total Marks: 100
NURSING FOUNDATIONS
ANSWER ALL QUESTIONS
Long Essay:
1. Define pressure ulcer. Enumerate the common sites of pressure ulcer. State the risk
factors of pressure ulcer. Explain the nursing interventions for the prevention of pressure
ulcer. (1+3+4+7 =15)
Short Essay:
2. Define catheterization. What are the indications of catheterization?
Explain the nursing management of a client with continuous bladder drainage.
(1+4+5=10)
3. Define first aid. Enumerate the qualities of first aider. Explain the management of a client
with food poisoning. (1+4+5=10)
Short notes : (5x5=25)
4 Characteristics of profession.
5. Factors affecting pulse rate.
6. Standard safety precautions.
7. Nursing interventions to improve appetite
8. Care of dead body.
Differentiate between the following (5x4=20)
9. Palpation - Percussion
10. Injection _ Infusion
11. Isometric exercise -Isotonic exercise
12. Gastric gavage _ Gastric lavage
13. Source isolation _ protective isolation.
List down the following: (5x4=20)
14. Four positions and its purposes.
15. Four principles of medicine administration.
16. Four functions of hospital.
17. Four comfort devices and its purposes.
18. Four values of records.
267
3.7. Internal assessment component
Internal marks: Calculation of internal marks shall be based on the ongoing and
continuous assessment.
Theory:
Minimum three written examinations distributed throughout the year for each
subject should be conducted. Average of best two examinations ( University Model
Exam mandatory) can be considered for the calculation of internal marks.
Marks of evaluation by other methods like assignments, seminars, projects etc. can
be added to the internal marks.
Internal marks-weight age
Theory Marks Weightage
Average of written examinations 80%
Other methods of evaluation (if any) 20%
Total 100%
Practical Marks
Ongoing clinical evaluation 40%
Clinical Assignments 30%
Internal practical examination 30%
Total 100%
The internal marks shall be signed by the candidate before transmission to the
University.
3.8. Details of practical/clinical practicum exams.
All practical examinations are to be conducted in the respective clinical areas. Facility
for observation of all candidates simultaneously in the same ward / clinical area by
the examiners during practical examinations is mandatory.
One internal examiner and one external examiner should jointly conduct the
practical examination.
Each candidate should be evaluated for a period of three hours for practical and
should undergo minimum 10 minutes viva voce separately by internal and external
examiner.
Maximum number of candidates for practical examination should not exceed 15 per
day
3.9. Number of examiners needed (Internal & External) and their qualifications
268
Qualification of the examiner
270
Third Year B. Sc Nursing
University
Internal assessment
examination
Total
Subject Min. Min.
Max. Max. marks
Marks Marks
Marks Marks
for pass for pass
THEORY
1 Medical Surgical Nursing
(Adult including Geriatrics)-I1 25 12.5 75 37.5 100
.Medical Surgical Nursing-II
2.Child Health Nursing- 25 12.5 75 37.5 100
3.Mental health Nursing 25 12.5 75 37.5 100
4.Nursing Research and (15+10) (50+25)
12.5 37.5 100
Statistics* 25 75
PRACTICAL AND VIVA
1. Medical Surgical Nursing
(Adult including Geriatrics)-I1
50 25 100 50 150
Medical Surgical
Nursing-II
2. Child Health Nursing 50 25 100 50 150
3. Mental Health Nursing 50 25 100 50 150
TOTAL 250 600 850
*Nursing research-50 marks; statistics-25 marks
For Nursing research & statistics marks will be put together to pass.
271
Fourth Year B. Sc Nursing
University
Internal assessment
examination Total
Subject
Min. Marks Max. Min. Marks marks
Max. Marks
for pass Marks for pass
THEORY
1.Obstetric and
25 12.5 75 37.5 100
Gynaecological Nursing
2.Community Health Nursing-II 25 12.5 75 37.5 100
3.Nursing Education 25 12.5 75 37.5 100
4.Management of Nursing
25 12.5 75 37.5 100
Service and Education
PRACTICAL AND VIVA
1.Obstetric and Gynaecological
50 25 100 50 150
Nursing
2.Community Health Nursing-
50 25 100 50 150
11
TOTAL 200 500 700
4. INTERNSHIP
4.1. Eligibility for internship
Not applicable.
4.2. Details of internship Training
Not applicable.
4.3. Model of Internship Mark lists
Not applicable.
4.4. Extension rules
A candidate must have minimum 80% attendance in both theory and practical
separately in each subject for appearing the university examinations.
A candidate shall complete 100 % attendance in each of the practical area before the
award of degree.
4.5. Details of Training given
Not applicable.
272
5. ANNEXURES
5.1. Check Lists for Monitoring
Log Book, Seminar Assessment etc. As given under 2.6- syllabus.
5.2. Template for Dissertation
Not applicable
5.3. Template for Mark List showing Maximum & Minimum
Name of the Candidate: Reg.No:
Name of College:
Name of Course: B.ScNursing
Examination: First Year B.Sc Nursing Degree Regular/Supplementary Examination
Month & Year of Examination:
Date of Publication:
Theory Practical & Total
Result
Paper
Nutrition& IA 25 12.50 - - -
4 Biochemistry University 75 37.50 - - - 100 50
IA 25 12.50 - - -
Psychology
5 University 75 37.50 - - - 100 50
Nursing IA 50 25.00 50 25
6 Foundations University 100 50.00 100 50 300 150
IA 25 12.50 - - -
*English
7 University - - - - - 25 12.5
* Introduction IA 25 12.50 - - -
8 to Computer University - - - - - - 25 12.5
Grand Total 850 425
Grand Total in Words
IA - Internal Assessment, A - Absent, P - Passed, F -Failed
*No UniversityExamination
End of Mark Statement
273
Name of the Candidate: Reg.No:
Name of College:
Name of Course: B.ScNursing
Examination: Second Year B Sc Nursing Degree Regular/Supplementary Examination
Month & Year of Examination:
Date of Publication:
Pap Subject Theory Practical Total Result
MaxMin Awa Max Min Awar Max Min Awar
er
rded
ded ded
University 75 37.5 - - -
Medical IA 25 12.50 50 25
2 Nursinginclud University 75 37.50 100 50 250 125
ing Pathology
IA 25 12.50 50 25
3 Surgical Nursing University 75 37.50 100 50 250 125
IA 25 12.50 - - -
4 Pharmacology University 75 37.50 - - - 100 50
IA 25 12.50 - - -
5 Community University 75 37.50 - - - 100 50
Health Nursing
274
Name of the Candidate: Reg.No:
Name of College:
Name of Course: BSc
Nursing
Examination:Third year BScNursing Degree Regular/Supplementary Examination
Month & Year of Examination: Date of Publication:
IA 25 12.50 50 25
Child Health
2 Nursing
University 75 37.50 100 50 250 125
Mental IA 25 12.50 50 25
3
Health
Nursing University 75 37.50 100 50 250 125
Nursing
Nursing IA 25 12.50 - -
Research&
4
Statistics
University 75 37.50 - - - 100 50
275
Name of the Candidate: Reg.No:
Name of the College:
Name of the Course: B. Sc. Nursing
Name of Examination: Fourth Year B. Sc. Nursing Degree Regular/Supplementary
Examination - Month & Year of Examination:
Date of Publication of Result:
Practical & Viva
Sl.No Subjects Theory Voce Total Resu
. Awar Awarde Awarde lt
Paper Max Min ded Max Min d Max Min d
Obstetrics &
IA 25 12.50 50 25
Gynecological
Nursing
IA 25 12.50 - -
Nursing
276