Curriculum

Medical Surgical Nursing-2 for Basic B.Sc. (Nursing)

S.No

Topic

Learning Objectives
(At the end of the session the student should be able to )

Teaching guidelines

Methodology

Time

1 UNIT: I         

Nursing management of patient with disorders of Ear, Nose and Throat

· Describe the etiology, patho-physiology, clinical manifestations, diagnostic measures and management of patients with disorders of Ear,
Nose and Throat.
· Review of anatomy and physiology of the Ear ,Nose and Throat.
· Nursing Assessment – History and Physical assessment.
· Etiology, Pathophysiology, clinical manifestations, diagnostic treatment
modalities& surgical nursing management of Ear Nose and Throat disorders:
· External ear: deformities otalgia, foreign bodies, and tumors.
· Middle Ear-Impacted was, Tympanic membrane perforation, otitis media,
otosclerosis, mastoidities, tumors.
· Inner ear-Meniere’s Disease, labyrinthitis, ototoxity, tumors
· Upper airway infections- common cold, sinusitis, ethinitis, rhinitis, pharyngitis,
tonsillitis and adenoiditis, peritonsillar abscess, laryngitis
· Upper respiratory airway-epistaxis, Nasal obstruction, laryngeal obstruction,
cancer of the larynx
· Cancer of the Oral cavity
· Speech defects and therapy
· Deafness
· Prevention, control and rehabilitation
· Hearing Aids, implanted hearing devices
· Special therapies
· Nursing procedures
· Drugs used in treatment of disorders of Ear Nose and Throat
· Role of nurse communicating with hearing impaired and muteness.
· Lecture Discussion
· Explain using Charts, graphs
· Models, films, slides
· Demonstration
· Practice Session.
· Case discussion / Seminar
· Health Education
· Supervised clinical practice.
· Drug book / presentation

  • Horizontal method
  • Students interactive session
15 Hrs
2 UNIT: II        

Nursing management of patient with disorders of Ear, Nose and Throat

· Describe the etiology, patho-physiology, clinical manifestations, diagnostic measures and management of patients with disorders of Eye · Review of anatomy and physiology of the Eye.
· Nursing Assessment – History and Physical assessment.
· Etiology, Pathophysiology, clinical manifestations, diagnostic treatment
modalities& surgical nursing management of Eye disorders:
· Refractive errors o Eyelids-infection, tumours and deformities
· Conjunctiva-inflammation and infection, bleeding
· Cornea-inflammation and infection
· Lens-Cataracts
· Glaucoma
· Disorder of the uveal tract,
· Ocular tumours
· Disorders of posterior chamber and retina: Retinal and vitreous problems.
· Retinal detachment
· Ocular emergencies and their prevention
· Blindness
· National blindness control program
· Eye Banking Eye prostheses and Rehabilitation
· Role of a nurse-Communication with visually impaired patient, Eye camps
· Special therapies
· Nursing procedures
· Drugs used in treatment of disorders of eye
Lecture Discussion
· Explain using Charts, graphs
· Models, films, slides
· Demonstration
· Practice Session.
· Case discussion / Seminar
· Health Education
· Supervised clinical practice. / presentation
· Visit to eye bank
· Participation in eye-camps

  • Horizontal method
  • Students interactive session
15Hrs
3 UNIT: III      
Nursing management of patient with neurological disorders
· Describe the etiology, patho-physiology, clinical manifestations,diagnostic measures and management of patients with neurological disorders. · Review of anatomy and physiology of the neurological system
· Nursing Assessment-History and Physical and neurological
· Etiology, pathophysiology, clinical manifestations, diagnosis, treatment
modalities and medical & surgical nursing management of neurological
disorders:
· Congenital malformation
· Headache
· Spinal Injuries:
· Hemiplegia
· Quadriplegia
· Spinal cord compression, herniation of intervertebral disc
· Tumors of the brain & spinal cord
· Intra cranial and cerebral aneurysms
· Infections:
· Meningitis, Encephalitis, Brain abscess, neurocysticercosis.
· Movement disorders V
· Chorea
· Seizures
· Epilepsies
· Cerebro Vascular Accident (CVA)
· Cranial, Spinal Neuropathies, Bell’s palsy, trigeminal neuralgia
· Peripheral Neuropathies; Guillain-Barr’s Syndrome
· Myasthenia gravis
· Multiple sclerosis
· Degenerative disease
· Delirium
· Dementia
· Alzheimer’s disease
· Parkinson’s disease
· Management of unconscious patients and patients with stroke
· Role of the nurse in communicating with patient having neurological deficit
· Rehabilitation of patients with neurological deficit
· Role of nurse in long stay facility (institutions) and at home
· Special therapies
· Nursing procedures
· Drugs used in treatment of neurological disorders
Lecture Discussion
· Explain using Charts, graphs
· Models, films, slides
· Demonstration
· Practice Session.
· Case discussion / Seminar
· Health Education
· Supervised clinical practice. / presentation
· Drug book / presentation
· Visit to rehabilitation center.

  • Problem based learning

 

16 Hrs.

 

 

 

 

4 UNIT: IV
Nursing management of patient with disorders of female reproductive system
Describe the etiology, patho-physiology, clinical manifestations, diagnostic measures and management of patients with disorders of female
reproductive system.
· Describe concepts of reproductive health and family welfare programme
· Review of anatomy and physiology of the female reproductive system
· Nursing Assessment-History and Physical assessment.
· Breast Self Examination
· Etiology, pathophysiology, clinical manifestations, diagnosis, treatment
modalities and medical & surgical nursing management of disorders of
female reproductive system
· Congenital abnormalities of female reproductive system
· Sexuality and Reproductive Health
· Sexual Health Assessment
· Menstrual Disorders; Dysmenorrhea, Premenstrual Syndrome
· Abnormal Uterine Bleeding; Menorrhagia, Metrorrhagia
Pelvic Inflammatory Disease
· Ovarian and fallopian tube disorders; infections, cysts, tumours
· Uterine and cervical disorders, Endometriosis, polyps, Fibroids, Cervical
and uterine tumours, Uterine displacement, Cystocele / Urethrocele /
Rectocele
· Vaginal disorders; Infections, cysts, tumours
· Diseases of breasts; Deformities, Infections, Cysts and Tumours
· Menopause and Hormonal Replacement Therapy
· Infertility
· Contraception; Types Methods, Risk and effectiveness
* Spacing Methods
* Barrier methods, Intra Uterine Devices, Hormonal,
* Post Conceptional Methods, etc
* Terminal methods
– Sterilization
· Emergency Contraception methods
· Abortion— Natural, Medical and surgical abortion— MTP
§ Act
· Toxic Shock Syndrome
· Injuries and Trauma; Sexual violence
· Special therapies
· Nursing procedures
· Drugs used in treatment of gynecological disorders
· National family welfare programme
 

 

 

 

 

 

 

 

 

16 Hrs
5. UNIT: V
Nursing management of patient with Burns, reconstructive and cosmetic surgery
· Describe the etiology, patho-physiology, clinical manifestations, diagnostic measures and management of patients with burns reconstructive
and cosmetic surgery.
· Review of anatomy and physiology of skin and connective tissues and
various deformities
· Nursing Assessment-History and Physical assessment and Assessment of
burns and fluid and electrolyte loss.
· Etiology, Classification, pathophysiology, clinical manifestations,
diagnosis, treatment modalities and medical & surgical
· Nursing management of Burns and Re-constructive and Cosmetic surgery;
· Types of Re-constructive and Cosmetic surgery; for burns, congenital
deformities, injuries and cosmetic purposes
· Role of Nurse
· Legal aspects
· Rehabilitation
· Special therapies o Psycho social aspects
· Nursing procedures Drugs used in treatment of Burns, reconstructive and cosmetic surgery
· Lecture Discussion
· Explain using Charts, graphs
· Models, films, slides
· Demonstration
· Practice Session.
· Case discussion / Seminar
· Health Education
· Supervised clinical practice. / presentation
· Drug book / presentation
· Visit to rehabilitation center
· Counseling.

  • Horizontal
  • Cooperative learning
10 Hrs
6. UNIT: VI

Nursing management of patient with oncological conditions

· Describe the etiology, patho-physiology, clinical manifestations, diagnostic measures and management of patients with oncology. · Structure & characteristics of normal & cancer cells
· Nursing Assessment-History and Physical assessment
· Prevention, Screening, Early detection, Warning signs of cancer
· Epidemiology, Etiology, Classification, Path physiology, Staging, clinical
manifestations, diagnosis, treatment of oncological conditions
· Common malignancies of various body systems; Oral, larynx, lung,
Stomach and Colon, Liver, Leukemias and lymphomas, Breast, cervix,
Ovary, Uterus, Sarcoma, Brain, Renal, Bladder, Prostate etc
· Oncological emergences
· Modalities of treatment
* Immunotherapy
* Chemotherapy
* Radiotherapy
* Surgical Interventions
* Stem cell and Bone marrow transplants
* Gene therapy
*Other forms of treatment
Psycho social aspects of cancer
Rehabilitation
Palliative care; Symptom and Pain management, Nutritional support
Home care
Hospice care
Stomal Therapy
Special therapies – Psycho social aspects
Nursing procedures
Lecture Discussion
· Explain using Charts, graphs
· Models, films, slides
· Demonstration
· Practice Session.
· Case discussion / Seminar
· Health Education
· Supervised clinical practice. / presentation
· Drug book / presentation
· Visit to rehabilitation center
10 Hrs
7. UNIT: VII

Nursing management of patients in emergency& disaster situations
Disaster Nursing

· Describe the organization of emergency and disaster care services
· Describe the role of nurse in disaster management
· Describe the role of nurse in management of common Emergencies
· Concepts and principles of Disaster Nursing
· Causes and Types of Disaster:
Natural and Man made
– Earthquakes, Floods, Epidemics, Cyclones
– Fire, Explosion, Accidents
– Violence, Terrorism, Bio chemical, War
· Policies related to emergency/disaster management: International,
National, State and Institutional
· Disaster preparedness
· Team, Guidelines, Protocols, Equipments, Resources
· Coordination and involvement of Community, various Government
departments, Non Govt. organizations and International Agencies
· Role of nurse : working
· Legal Aspects of Disaster Nursing
· Impact of Health after effects: Post traumatic stress disaster
· Rehabilitation: Physical, Psycho social, Financial, Relocation
Emergency Nursing
· Concept, priorities, principles and scope of emergency nursing
· Organization of emergency services: physical set up, staffing, equipment
and supplies, protocols, concepts of triage and role of triage nurse
· Co ordination and involvement of different departments and facilities
· Nursing assessment – History and Physical assessment
· Etiology, Patho physiology, Clinical manifestations, Diagnosis,
· Treatment modalities and medical surgical nursing management of patient with medical surgical emergency
· Principles of emergency management
· Common emergencies
· Respiratory emergencies
· Cardiac emergencies
· Shock and Hemorrhage
· Pain
· Poly trauma, road accidents, crush injuries, wound
· Seizures
· Thermal Emergencies: Heat stroke & cold injuries
· Pediatric emergencies
· Psychiatric emergencies
· Obstetrical emergencies
· Violence, Abuse, Sexual assault
· Cardio pulmonary resuscitation
· Crisis intervention
· Role of nurse: Communication and Inter Personal Relations
· Medico- legal Aspects
· Lecture Discussion
· Explain using Charts, graphs
· Models, films slides
· Demonstration
· Practice Session.
· Case discussion / Seminar
· Health Education
· Supervised clinical practice. / presentation
· Drug book / presentation
· Visit to rehabilitation center

  • Horizontal
  • Problem based learning
10 Hrs
8. UNIT: VIII

Nursing care of the elderly

· Explain the concept and problems of aging. · Nursing assessment—history and physical assessment
· Aging;
· Demography; Myths and realities
· Concepts and theories of aging
· Cognitive aspects of aging
· Normal biological aging
· Age related body systems changes
· Psyscho social aspects of aging
· medications and elderly
· Stress and coping in older adults
· Common health problems and nursing management;
· Cardiovascular, respiratory, Musculoskeletal,
· Endocrine, genitor-urinary, gastrointestinal
· Neurological, skin and other sensory organs
· Psychosocial and sexual
· Abuse of elderly
· Role of nurse for care of elderly: ambulation
· Nutritional, communicational, psychosocial, and spiritual
· Role of nurse for caregivers of elderly
· Role of family and formal and non-formal care givers
· use of aids and prosthesis (hearing aids, dentures)
· legal and ethical issues Provisions and programmes for elderly; privileges,
Community programmes and health services;
· home and institutional care
Lecture Discussion
· Explain using Charts, graphs
· Models, films, slides
· Demonstration
· Practice Session.
· Case discussion / Seminar
· Health Education
· Supervised clinical practice. / presentation
· Drug book / presentation
· Visit to rehabilitation center

  • Horizontal method
  • Student interactive session
10 Hrs
9. UNIT: IX

Nursing management of patient in critical care units

· Describe organization of critical care units
· Describe the role of nurse in management of patients critical care units
·  Nursing assessment-History and physical assessment
· Classification
· Principles of critical care nursing
· Organization; Physical setup, policies, staffing norms,
· Protocols, equipment and supplies
· Special equipments; ventilators, cardiac monitors, defibrillators,
· Resuscitation equipments
· Infection control protocols
· Nursing management of critically patients;
· Monitoring of critically ill patient
· CPR-Advance cardiac Life support
· Treatments and procedures
· Transitional care
· Ethical and legal Aspects
· Communication with patient and family
· Intensive care records
· Crisis Intervention
· Death and Dying—coping with
· Drugs used in critical care unit
Lecture Discussion
· Explain using Charts, graphs
· Models, films, slides
· Demonstration
· Practice Session.
· Case discussion / Seminar
· Health Education
· Supervised clinical practice. / presentation

  • · Drug book / presentation
  • Horizontal method
  • Unconventional method
10 Hrs
10. UNIT: X

Nursing management of patients’ adults including elderly with occupational and Industrial
disorders.

Describe the etiology, patho physiology, clinical manifestations, assessment, diagnostic measures and management of patients with occupational and industrial health disorder. Nursing assessment – History and physical assessment
· Etiology, pathophysiology ,clinical manifestations ,diagnosis ,treatment
modalities and medical & surgical nursing management of occupational
and industrial health disorders
· Role of nurse
· Special therapies, alternative therapies,
· Nursing procedures
· Drug used in treatment of occupational and industrial disorders
· Lecture Discussion
· Explain using Charts, graphs
· Models, films, slides
· Demonstration
· Practice Session.
· Case discussion / Seminar
· Health Education
· Supervised clinical practice. / presentation
· Drug book / presentation

  • Horizontal method
  • Unconventional method
8 Hrs
Admission 2017